Sterile U Webinar Loaners 1.19.12.pptmultimedia.3m.com/.../something-borrowed-monitoring-of-loaner-trays… · • Do not accept a wrapped tray from a vendor into your OR. ... IAHCSMM
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Transcript
1/20/2012
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3M™ Sterile U Network3M™ Sterile U Web Meeting – January 19, 2011
• Facility responsibility - Surgeon, Surgical Material Coordinator or designee should contact the vendor to arrange timely arrival of loaned instruments.
Loaners - The impact on CSSD and OR
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• Last minute arrivals do not allow for proper processing.
All trays received from the outside on loan must be reprocessed.
Do not accept a tray for use in the OR that comes from another facility that is not involved within your own system unless you have a transport policy in place and have identical sterilization practices.
Loaners – Where do these trays come from?
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Many loaners arrive wrapped in “ready to use” condition from vendors –They must be completely reprocessed.
Loaned instruments are not in a condition for use when they arrive.
• They usually are coming direct from another facility, warehouse, garage or trunk of a car. Storage and handling is most likely not monitored to recommendations or your hospital practice.
• We do not have any record of their processing, who processed or
Loaners – Where do these trays come from?
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how it was cleaned.
• Even if all processing was done correctly, is a tray sitting in the trunk of a car at 90° on a humid day for hours still good to use?
• Is transport from a car to a hospital in the rain or snow acceptable?
• Do not accept a wrapped tray from a vendor into your OR.
Loaned instruments are not in a condition for use when they arrive.We all have a little junk in our trunk!
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Most vendor transport vehicles are not suitable for transport – all items must be cleaned. Instruments should not be accepted as clean and then only sterilized. Instruments should go through the entire process – cleaning, decontamination, inspection, packaging, and sterilization.
Some IFU’s are good and provide excellent guidance. Others are poorly written and do not give guidance for specific complex instrumentation.
In some cases it is up to us, the user, to identify some of the cleaning challenges for complex devices. This is because the IFU does not i l h i t ti t f ifi bl ti
Loaners - The impact on CSSD and OR
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give us clear enough instruction to focus on specific problematic instruments.
Unfortunately, we may not know or have time to investigate problematic items if trays do not arrive in a timely fashion.
The following slides show items where IFU’s do not provide clear guidance for processing. Users find out on their own and address the challenge.
• Some IFU’s are very clear about removing instruments from their cassettes prior to washing.• Some also state that their instruments can not be containerized. We can not just containerize everything.
(Note: Not an actual book; for illustration purposes only.)
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IAHCSMM Loaner Policy Template
• In 2011 IAHCSMM’s Orthopedic council finalized its updated Loaner Policy Template and Position Paper.
• The position paper was update by Rose Seavey and both
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• The position paper was update by Rose Seavey and both documents were posted on the IAHCSMM website in July.
• As mentioned in the Loaner Policy Template, IAHCSMM is not a standards making organization and that the template is to be used as a tool to develop loaner policies.
The document starts with an introduction and comment regarding IAHCSMM. The intent of the document is for users to cut and paste information to accommodate loaner management in their facilities.
The timely acquisition of loaners is a key aspect in processing loaners, as it allows users to obtain needed tools, training and processing time to efficiently process instruments on loan.
Inservicing is mentioned as part of the duties of the sales representative. This can help address some of the challenges in processing complex instruments.
Often times loaner sets that are reused can get lost in the mix. The policy states they need to go through the process again. This will help avoid that situation.
• Many facilities have a vendor tracking program in place. Positive vendor relationships are better maintained with these systems in place Vendors that fail to comply with
Additional Support - Vendor Compliance
A thought that can help with Vendors that do no not want to comply with hospital policy.
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these systems in place. Vendors that fail to comply with hospital policies can be noted in these systems and with the correct vendor management policy in place we can ensure we are getting all that is requested from our vendors.
• Items delivered are items needed.• Accurate and complete instructions for processing. • Incorporate into standard documentation process. • Ability to integrate into preference card system.• Complete traceability and full audit trail.• Reporting / Decision-support Tools