- 會議論文
- OpenAccess
Efficacy of Adopting Lean Work to Simplify Central Venous Catheter Package
摘要
INTRODUCTION: Maximal barrier precautions are used by applying a head-to-toe sterile drape during CVC bundle insertion procedure. When femoral vein is selected for central venous access, the patient is covered with a sterile drape 150x150cm. However, the sterile drapes 150x150cm in the package trays are often unused. The unused drapes whick need to be inspected, cleaned, packed manually result in not only power waste but also cost increase related to laundry and sterilization; and further, the size and weight of packages affect sterilization and maintained of sterility after processing. OBJECTIVE: The aim of this study was to adopt lean standard work to simplify CVC (central venous catheter) package. METHODS: 1. Conduct the cost-benefit analysis of unused green drapes in medical instrument package. 2. Investigate annual usage rate of CVC packages. 3. Discuss that remove the green drape from package tray and provide staff with single packed and sterilized green drapes. 4. Propose this project at Decontamination and Sterilization conference, confirm feasibility and perform due to resolution of Infection Control Committee. 5. Announce that provide staff with single packed and sterilized green drapes (sterile material code: C0032). RESULTS: 1. Reduce annual amount of sterile drapes by 1000 pieces and save cost associated with washing and power time by NTD 22661. 2. Lower annual weights of reusable medical textiles including drapes and gowns in supply department and operation department by 634 and 1289 kilogram. As a result, it was found that the approach effectively reduced unnecessary expenses to increase profits. CONCLUSION: After analyzing the current situation in hospital setting, communication with administers is imperative to facilitate staff to improve process. Furthermore, the project plan is implemented through the team’ constant assessment, meeting and proposed solution. In fact, simplified CVC package benefiting cost reduction can also lower weight of soiled linens laundered as well as staff’s time wasting.