STERILE PROCESSING Hänel Rotomat installation in SPD eter awryluk, ccount ecutive, edantage, notes how
this presents a what comes first, chicken versus egg scenario for teams. e states
“Hospitals used to do things based on the integrity of a sterile package. tray was always assumed sterile unless it was dam- aged, open or wet. ow hospitals are noticing that instrument manufacturers want them to manage integrity by sterilization epiration date. o, what comes first - the epiration date or integrity of the package awryluk says he sees a growing number of hospitals switch-
but without a sterile processing department onsite. They had a desire to create a central processing area offsite that would manage five hospitals across the network, so space was needed to consolidate these separate entities to one single location. This “surgical warehouse” is intended to house not only all surgical instrument trays, but soft goods as well. The hospital system implemented a “just-in-time” (JIT) distribu-
tion philosophy and new trucking distribution model that deliv- ers case carts into each individual hospital only as needed. hey deliver carts from the offsite the day before scheduled surgeries, and later retrieve used materials for reprocessing offsite. s raig inclair, anager of ystems ntegration with
nel torage ystems, eplains, is meant to increase efficiency and decrease waste by receiving supplies only when needed for surgeries, which in turn reduces inventory costs and increases inventory turnover. ll materials are sterilized and packaged outside the hospital environment, which was a completely new process, said inclair. lso new was the majority of picking labor. ather than use sterile processing specialists at a satellite location separate from the hospital, the model was turned into more of a distribu- tion center model.” he offsite employs warehouse and distribution center specialists who are eperienced in picking and placing inventory items from a pick list. n this way, the surgical instruments and soft goods are just a different type of item found in a warehouse, inclair eplains. hink of an mazon distribution center on a smaller scale, but with only inventory. ccording to inclair, the results have been uniue in the
industry n offsite that serves multiple hospitals at the same time, while increasing accuracy and efficiency at each respective location. ont discount creating a new strategy culled from best prac-
tices found in a different industry, inclair added. here are tried and true business models from other types of businesses that can be applied to in a hospital environment if youre open to changing your paradigm.”
ealthcare acilities (00, the enters for isease ontrol and revention ( states ny item that has been sterilized should not be used after the epiration date has been eceeded or if the sterilized package is wet, torn, or punctured.4
8
Automated sterility expiration date tracking drives compliance for a growing number of health systems n its uideline for isinfection and terilization in
ing from event related (e.g., hole in wrap to time related (e.g., epiration date sterility monitoring. or these facilities the chal- lenge lies in keeping track of when trays have been sterilized and when they are set to epire. edantages solution is the teriate, an automated labeling system for the department. t improves efficiencies by eliminating human error handwriting mistakes while ensuring patient safety and regulatory compliance. It comes as a standalone kiosk monitor that pairs with one or two printers via luetooth, or as software downloaded to an eisting computer that can be paired with one or two printers per station.
MedVantage SteriDate automated labeling system ur teriate system captures epiration dates for facilities
and fulfills that need, said awryluk. t automatically captures the date a tray has been sterilized and includes the corresponding fied epiration date. he user can print a label from the system to affi to the tray that includes the epiration date, sterilizer number, cycleload number and the initials of the employee who ran the load.” awryluk says customers can choose from a variety of label formats, including those color coded by sterilization epiry (e.g., yellow for 0 days, red for days, etc., to serve as a visual aid in helping the team manage trays in sterile storage. he system alerts users to trays nearing epiration. he system also allows users to record event-related sterility breaches, such as when a trays wrapping is found damaged, open or wet. e find that once a flagship hospital in a system adopts the technology, the rest of the hospitals in the system soon follow, said awryluk. ts a great way to standardize.HPN
Reference:
1. Importance of Following Standards and Guidelines, ASP,
https://www.asp.com/en-us/ education/articles-and-white-papers/aami-standards 2. Eye Tray Study, Instrusafe, Summit Medical,
https://www.instrusafe.com/cost-savings/
3. A Better Package for Loaners, Case Medical, July 6, 2022,
https://casemed.com/
index.php/ resources/blog/item/116-managing-your-loaner-and-consignment-process
4. Guideline for Disinfection and Sterilization in Healthcare Facilities (2008), the Centers for Disease Control and Prevention (CDC),
https://www.cdc.gov/infectioncontrol/guidelines/ disinfection/sterilization/
sterilizing-practices.html
36 September 2022 • HEALTHCARE PURCHASING NEWS •
hpnonline.com
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