European Forum for Hospital Sterile Supply |
EFHSS Education
Recommendations by the Quality Task Group |
Recommendations | AK "Qualität" |
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with kind permission of mhp-Verlag GmbH |
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[2] Transport from the OR to the CSSDThe CSSD processes the greater part of the reusable medical devices. This includes preparation for cleaning and disinfection, manual or automated cleaning and disinfection, or ultrasonic cleaning, checking, packing and sterilisation. The OPERATOR ORDINANCE of June 1998 states in Section 4 "Maintenance" that all these tasks should be carried out in a reproducible manner such that patients, personnel or third parties suffer no damage. Therefore these tasks must be subjected to a quality management procedure. CLEANING is a precondition for reliable disinfection and sterilisation. But suitability for cleaning decreases the longer blood, tissue, mucus and other residues are allowed to dry. Therefore it must be ensured that the used medical devices are processed as soon as possible. This calls for corresponding logistical measures, i.e. good organisation of the transportation of the sterile supplies from all points of use to the CSSD. The greatest drawbacks encountered here reside in the fact that the CSSD as a rule does not dispose OF ITS OWN COLLECTION AND DELIVERY SERVICE, but rather is integrated into the general transportation system. This gives rise to the following problems:
Since these problems derive from the existing transportation system and from the given structural circumstances, changes cannot be ushered in overnight. But already for reasons relating to the economical implications of complete utilisation of the machine and to personnel deployment within the framework of quality management, the CSSD managers will find willing listeners among those persons responsible for implementation of the Medical Device Act and for costs, if they can, on the basis of flow charts and evidence of any damage to instruments, furnish proof of the aforementioned transportation modalities and attendant problems and request help in improving this situation. The following measures can bring about IMPROVEMENT:
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How can transport from the OR to the CSSD be improved? THE OPERATOR ORDINANCE calls for processing which precludes damage to patients, personnel and third parties. CLEANING is a precondition for reliable disinfection and sterilisation, but becomes more difficult the longer residues are allowed to dry. THE ABSENCE OF THE CSSD'S OWN COLLECTION AND DELIVERY SERVICE results in instruments arriving too late, residues drying too firmly and used instruments being left unattended at the weekend until Monday. THE TRANSPORT SITUATION CAN BE IMPROVED by taking the following measures: the collection and delivery service is organised by the CSSD, delicate instruments are rinsed after long operations and placed in a solution, provision is made for an emergency service at the weekend, cleaning, disinfection and drying are carried out at a non-central location, used instruments are stored in a moist chamber until processing, MIS instruments are not dismantled before embarking on a long transportation journey. |
European Forum for Hospital Sterile Supply |
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