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Decontamination Process

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Decontamination Process

This is the 2nd point of the quality process of sterilization

The first being Pre-cleaning at the point of use and Timely transport thereof to the Decontamination area.

SurgiDat understands this is a high volume area and in most USA hospitals it is the area that is usually under staffed.

While a full process is available for scanning all items through each wash process – we note that this is not a practiced process in the USA

SurgiDat Serenity allows a minimal process that provides

a) Reference and audit of Kits and Separates being returns to SPD
b) The ability to report on missing items from a case (as Decontam is the closest point of audit to the case for counting of returned trays)
c) SurgiDat Scans Case Carts to Cart Washer – this “Empties” the Cart for that last case event.

As Serenity Serializes Assemblies – this unique capability allows us to report on a Case Event for
  • Kit Qty’s as allocated to the case including Extras
  • Less Returns Trays and Separates
  • We can Auto remove goods returned to Sterile Stock for the Case Event
  • Leaving us with Kits that are Missing (have not been returned) from the Case Event

Note: Due to the high volume process in Decontam, we leave the final Instrument  Qty inspection, for missing instruments within Kits, to the Packing assembly process for reporting.

 

 

Stock Put-away

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Stock Put-away

SurgiDat Serenity is deployed as a True Web Based Application as such it supports Mobile Devices.

Using the ” Right Tool for the Right Job” our SurgiDat PDA 2D Scanners allow a mobile function for putting goods away on shelves

This is another Quality Check and Balance function – as all Assemblies (Packed Trays/Separates) are UID Serialized Serenity checks the following for put away

  1. Is this the correct shelf / Bin location for this item
  2. Has this Assembly been released from the Sterilization process

Quality Checks !

Stocktake Function
  • Ever has trays put away on top the incorrect location and you cannot find them
  • Ever shifted a specialty from one shelf location to a new shelf

Serenity Stocktake Functions Includes

  • Make this the HOME location for this tray / device
    • Scan Shelf Barcode  (Loc.Row.Shelf.Bin)  i.e. SS1.R0A.S03.B04
    • Scan all items in this bin location
    • Select “SET as Home Location”
    The next time the Stocktake scanner items are assembled (Packed) – the assembly will print the updated Home location on the Assembly Label as a visual guide for the next user to “put Away”
  • Consider missing items as Zero
      • Another option in Stocktake is to consider missing times as Zero (items not scanned as they are not physically in this location) this adjusts the items in this location in the system making it more accurate for Item Searching

Setting and managing true Stock locations, enables dynamic searching for an instrument within a Tray or Trays (that instrument is inside)  giving the user the ability to make a decision on location closest and tray size, status the instrument is in.

  • this reduces opening of trays for a single instrument
  • opening of trays that are required or set against the next procedure etc.
  • Reduces cost in reprocessing and
  • Reduces OR utilization time/Patient Anesthetic time delays in finding instruments
  • Increasing patient safety and increasing revenue

    Sterilizer Parametric Release

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    Sterilizer Parametric Release

    Many Documenting Type tracking Systems do not manage full parametric release protocols

    • If your current system allows you to type in almost any data and does not have a two step validation process or release then you have one of these types documenting tracking systems – not a quality control solution.

    SurgiDat Serenity (either interfaced or not) has aa two step release process

    Step One – Pass / Fail the Cycle
    • User must visually review the sterilizer printout and understand it
    • Confirm Correct Sterilizer / Date / Cycle type / Biological Requirements
    • Type into the system
    •           Start Time
    •           Holding or Sterilization Phase Time
    •           End Time
    •           Pressure (through  Sterile Phase)
    •           Temperature (through Sterile Phase)
    Step Two – Pass / Fail the Items in the Load
    • Only after the load has cooled
    • Visually check the load for Wet or other load non compliant tray or item
    • Remove any non-conforming item or fail load subject to your facility SOP on these events
    • Pass remaining items in the load

    Packing & Quality Control

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    • Pack On Screen
    • Individually Tracked Items
    • Images  | Notes
    • Missing Instruments
    • OneSource Link to IFU’s
    The Serenity Packing process drives
    • Sterilizer Loading  Quality control ensuring a visual reference to items loaded – through the “Packing  LIST”
    • Pack on Screen
    • Packing Qty by exception – builds Missing instrument Label + Notates Missing instrument on Count sheet
    • Connects to OneSource IFU’s
    • Allows uploading of Image – and any other reference document
    • The Only System that Serializes your Assembly process with an Assembly UID

    The “Packing List” builds as a list of Assemblies as they are packed and then removed from the “Packing List” when the Assemblies are scanned to a Sterilizer Load.

    Any item/s left in the “Packing List” are either
    a) waiting to be placed into a Load
    b) have been placed into a Load but NOT scanned to the Load

    •  Assemblies Not being scanned to a load would dictate that you have an item that is non-compliant and for which you hve no sterilization record.
      • This is a common problem with other simple tracking documenting systems as they do not have any checks or balances to measure this against.
      • By not measuring this metric, it mostly goes unnoticed  that items have been missed from scanning to a load.

    Serenity leverages the Serialized Assembly Function to further ensure compliance of this metric.