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DECONTAMINATION SERVICES


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Built to take 20 m instruments and 130,000 scopes, the unit is currently reprocessing 3.6 m instruments and 40,000 scopes.


The facility is completely self-sufficient, with N+1 redundancy, its own backup power generation, and independent water supply


they can identify exactly where it is in the cycle in real-time,” commented Tim. The instruments are scanned at various steps, so each stage of the process is monitored. This also allows the Trust to gather information on productivity and efficiency.


“If one operator is packing five sets per hour, and another is packing 20, one explanation may be the complexity of the sets. However, T-DOC allows the Trust to drill down into the data and identify the potential reasons for any issues and whether additional training or support may be required,” continued Tim. Access to T-DOC allows theatre and endoscopy staff to see where their sets are at any time in the cycle, giving them confidence in the system and visibility. In addition, as each set is scanned into the theatre, it is also possible to identify when the instruments have been taken for use and for which clinic. This allows the system to pinpoint the location of sets, with a high degree of accuracy. Furthermore, because T-DOC tracks washing, packing, sterilisation, handling and instrumentation costs, plus the cost of prioritisation and inventory, it can provide a true picture of the cost of sterile supply production for the unit. This will prove invaluable when invoicing third- party Trusts – a bill is automatically generated based on the accurate data.


Capacity planning


Capacity planning is also facilitated using T-DOC. Combined with Getinge Online (an artificial intelligence programme for central sterile services departments), the software provides data on current capacity and how many cycles have been performed. This will ultimately help calculate spare capacity when the Trust takes on work from other Trusts. It will also help the Trust understand when


additional machines need to be added to the unit to meet increasing volumes. “The unit has been built to take 20 million instruments and 130,000 scopes. At the moment, we are reprocessing 3.6 million instruments and 40,000 scopes. We are operating at 25% of our capacity with the current installation, but if we extend this further with extra washer-disinfector and autoclaves, and more staff, the sky is the limit,” commented Mark.


The unit is taking a cautious approach to taking on third-party contracts, allowing time to manage and embed the transition to the new facility. However, some third-party reprocessing work is already passing through the Trust’s new Enfield site.


“The aim is to provide decontamination services for other Trusts within a 50-mile radius – around London, Essex and


Hertfordshire,” Mark explained. “For Trusts that do not have the funding to invest in updating ageing, inadequate facilities, this offers the ideal solution.” “We have been showing potential customers around the premises – including virtually every major London hospital,” added quality and production manager, David Dodd. “In just three months, we have already secured our first major customer – one of the biggest contracts in the South of England. We will be increasing our team to meet the requirements of new customers. There is already a lot of interest in the facility and, in the future, we will look at taking on large-scale business from other Trusts,” David Dodd continued.


Ensuring the confidence of other Trusts will be key to securing long-term contracts. Accreditation of the facility, combined with reliable uptime, will be crucial to building this confidence. “The unit received JAG accreditation in September 2019, and we passed ISO 13485 with flying colours. The IHEEM audit, which is very in depth, gave us a full bill of health,” added David.


The staff have pleasant facilities for changing, and a modern, comfortable, staff room. May 2020 Health Estate Journal 57


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