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AS I SEE IT


how equipment would move from one facility to the other and a comprehen- sive schedule for delivery and installa- tion of new equipment.


Planning Our CSD


While we planned upgrades through- out the facility, an area that received significant overhaul was our central sterilization department (CSD). In an ophthalmic ASC that performs a large volume of cataract procedures (9,000 in 2017), efficiency of instrument pro- cessing is a critical component for maximizing our physicians’ efficacy and productivity.


In planning our CSD, we deter- mined what it would be required to accommodate six busy ORs, humming from 6 am to 6 pm and sometimes even later. That meant ensuring we had enough instrumentation, storage, tech- nology and processes in place to allow us to meet that demand without fail. We designed our CSD for maximum safety, efficiency, workflow and case volume on day one. We ordered sophisticated sterilizers that we believed were the best for our application, working closely with the manufacturer’s design engineers and our architect to choose the models most appropriate for our specific needs. In support of those sterilizers, we installed a reverse osmosis water treatment sys- tem to treat the water before it reaches the sterilizers. The reason: deionized water is kinder and gentler to a steam sterilizer than water “from the street” that contains minerals. For each sterilizer, we purchased a “water


and installed saver” unit.


These units are attached to each steril- izer and save about 75 percent of the water that would normally be lost down the drain. The water is recirculated and reprocessed, reducing our waste. We also determined our rigid container system would need to be replaced. We wanted a system that would


satisfy all regulatory/clini- cal requirements while keeping up


with our fast pace, so the hunt for a replacement technology began. Chris, the manager of our CSD, conducted extensive research on container sys- tems and found a system that pro- vided a terminally sterilized product with no dry or cool times and could be stored for future use. For a facility that envisioned performing 70-plus cases a day, if you multiply the sav- ings of no dry or cool time required


per tray/cycle, that quickly adds up to significant time and money saved and even more OR availability for reve- nue-generating cases. We accepted his recommendation for a new and better container system and set to work implementing his plan.


Choosing a Moving Company Another crucial decision concerned the moving company. We chose one


ASC FOCUS NOVEMBER/DECEMBER 2018| ascfocus.org 9


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