The OR and central sterile staffs at the Callahan Eye Hospital Health Care Authority in Birmingham, Ala., work together to make real change happen.
The Callahan Eye Hospital Health Care Authority in Birmingham, Ala., just renovated and reorganized its instrument reprocessing area, but what really makes the room tick is the OR-Central Sterile Process Improvement Team, says Cherry Maloney, RN, director of central sterile. It's a collaborative effort to resolve conflicts that arise between groups that don't always see eye to eye.
The team, which includes 2 RNs, 4 scrub technicians, 1 instrument technician and 1 instrument specialist, is facilitated by the hospital's administrative director of perioperative services. They identify issues between the OR and central sterile concerning staff communication, instrument trays, case carts, preference cards and materials management. They note concerns in a spreadsheet to track resolutions, and also agree on responsibilities for the OR and central sterile staffs.
Members of the OR team, for example, must check that needed items aren't already in peel packs in the OR before calling central sterile to make a request. They must meet a central sterile tech halfway between the OR and reprocessing area to grab fast-tracked items. They must check all ORs and substerile rooms at day's end and return all leftover instruments and peel packs to central sterile for reprocessing.
Among the central sterile staff's responsibilities: Look at the total number of instrument types instead of the total number of instruments when assembling sets to avoid incomplete trays being sent back to the OR; alert the surgical staff when instruments can't be located in central sterile so they can look for needed items in other ORs; and understand the urgency of getting reprocessed items back to the OR and into busy surgeons' hands.
OR Excellence Award winner, infection control, ... show all keywords
OR Excellence Award winner, infection control,
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