ENDOSCOPY
that particular endoscope can be used. The EWD cannot be started or unloaded without recording the correct user information. It reduces the risk of cross-contamination, and there is no button to push to open or close the lid. The user simply selects a cycle, enters their user information, starts the EWD or unloads the clean endoscope. It is a simple and safe solution. Future proofing of the department was also considered with the addition of piping and drainage installed to meet plans for a fourth washer as the capacity increases on that site with the addition of extra procedure rooms. “In January 2018 we went live and, in terms of what we had and what we have now, there is simply no comparison,” Marek added. “Previously, we had a cleaning room between the procedure rooms – and over time it had become more space constrained. Now, we have a state-of-the-art decontamination facility.”
The Redditch project
The Getinge Managed Service is part of the Getinge Flexible Commercial Solution which includes a broad spectrum of products throughout the whole clinical pathway, from the ICU to the Operating Theatre, to the SSD and Endoscope Reprocessing Department. All capital equipment includes fully comprehensive service cover and can include any consumables, connectors and chemistry. Building and enabling works can also be included.
The Alexandra Hospital GMS includes the following installations l 3x EDS8 drying and storage cabinets (ESC)
l 3x EdFlow (EWDs) l 2x compressors l 1x RO unit (Duplex)
l Connectors l Chemistry and consumables l Tables l Transport trolleys l Rise and fall sinks l Sink dosing and flushing systems l Chemical storage cabinets l Vacascope (transport system) l TDOC track and traceability l EWD and sink chemistry l Service and validation (fully comprehensive)
l Microbiology testing l Weekly Testing (inc TVC) l All building and Enabling Works (turn key solution)
l Project management l Room design and consultancy
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According to Marek a large amount of processing takes place in the new facility and this is rapidly increasing. “We are only going to get busier, so we’re shortly going to start building a new endoscopy suite adjacent to the new decontamination area. We will then need to employ more staff to manage the increased patient numbers,” he explained. “Once we have rebuilt, we will have three procedure rooms, which can be used seven days a week. It was helpful to have the option of additional decontamination capacity with the Getinge solution as there is an option to increase the endoscopy unit to four procedures rooms in the future.”
Getinge Managed Service
Among the benefits cited by Marek, one of the key values of the GMS is the strong lines of communication. Marek observed: “There’s always someone to speak to. There’s the area services
manager if we need to report any problems; then there’s the service desk which, as part of the GMS, is a great support. We’ve had no issues with washers, which are serviced every quarter, and it hasn’t stopped us doing any activity – in fact the activity has increased. In terms of the wash cycles we’re doing, it’s increased quite dramatically. “It’s been a relatively straight forward process, and any queries or problems we can easily take to the team. Going forward, the plan is to introduce another washer and add a fourth cabinet.” Feedback from Marek’s team has been extremely positive. “They have told me how much better this working environment is compared to how we worked before,” he asserted. “My assistant, Katrina, said it’s a good environment, bright and incomparable with the previous working conditions. “This is Getinge UKI’s first GMS project, and we work well together to iron out any issues. Essentially, this facility - and being able to work in it for seven days a week - has allowed us to maintain our two-week pathway. “Without the GMS we would be lost. We would not be able to maintain the activity, and we always have staff in place to do the cleaning. Previously we had two rooms, now we have three – and some days we’re using four rooms. All this additional activity means we’ve been able to get a team together in the last six months and they’ve bonded well – they’re doing a good job supporting the endoscopy activity.”
Working collaboratively
Marek describes working together with Getinge as “a pleasure,” and that the company has been responsive. “I’ve been in endoscopy for nearly 27 years and I’ve realised that when you work together with a company, you’re more likely to get to the right solution.
“Getinge is a huge business, so if there NOVEMBER 2019
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