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CPT Medical

Monthly Archives: October 2016

Does the Surgical Pack Reduce Costs


Image is from ROi

Qualified experts in cost management for Operating Rooms agree that the most cost effective innovation within the medical arena that has also been most productive in increasing quality of treatments plus eliminating waste is the implementation of surgical custom trays. Waste reduction is achieved by reducing overstocking, a custom trays improvement that also saves in personnel duties. The consequent reduction of medical hazard waste improves minimalizing of our carbon footprint while simultaneously increasing the treatment success for individual procedures and the more complicated surgical procedures.

Full Service and Procedure Enhancing

Custom trays or procedure packs are full-service custom trays that are delivered fully assembled and efficiently combine specific surgical supplies in the number and order they are most often required. This innovation ensures patients the highest safety and professional delivery, along with the hospital’s efficient disposal of OR medical waste and other logistics favoring options.

Operating Room Improvements

Improvements of custom trays in the OR include:

  • Efficiency

Supplies being well stocked and at hand with safety correct procedures reduce administrative costs, time and stress endured by professional personnel.

  • Pre-Op Requirements

It is vitally important for you and your Operating Room staff to have purpose-fit custom products in the pre-op theater that are always immediately available so your staff can quickly prepare for any surgery procedure safely and without error.

  • Timely Operating Room Schedules

Surgical procedures providing Operating Room procedure custom trays are able to begin and end as scheduled, due to having products supporting all aspects of safe efficient surgery immediately at hand. This is due to the entire sterile surgical work up being professionally provided on prepared customized surgical trays in utilizing hospitals, giving Operating Room professionals immediate access to tools your medical skills require for each Operating Room procedure that is undertaken.

  • Single Use Products

Sterile materials which are required for single use are packed in efficiency boosting single use individual custom trays. Compact custom trays save time and prevent unnecessary waste in performing those specific single use Operating Room procedures, and the custom trays are also quickly available for any repetitive procedures performed.

Summary of Custom Tray Cost Reduction

Your facility’s carbon footprint reduction and securing sustainable environmental practices without undermining any and all safety factors represents both a local and global importance. Custom surgical tray implementation always will drastically reduce the amount of packaging material and waste issues when compared to the use of individually packed and arranged instruments for your procedures. Packaging material weight due to the Operating Room’s implementaton of custom trays alone is reduced by 58%, usually resulting in one less waste bag in the Operating Room’s larger medical procedures. That reduction of one waste bag results in a reduction of the hospital’s global carbon footprint as well as your facility’s operating costs.

The combined and assessed impact of custom trays’ utilization in reducing excess procurement stocking while effectively diminishing the carbon impact of medical waste can only be estimated, but the estimation suggests that the green earth improvement caused by this one professional innovation of custom trays in the Operating Room is of monumental global importance.

What Are The Reduction in Labor Cost

The proof of the vital expediency which is served along with precise and vital procedure operation is found in the overall state of the hospital’s Operating Room management and procurement changes, plus the diminishing of unnecessary waste. This has been recorded globally by hospital institutions who are dedicated to lowering their cost patterns and increasing their logistics for patient treatment success.


Professor Michael Greiling, Faculty of Economics, Gelsenkirchen University of Applied Sciences, in Gelsenkirchen, Nordrhein-Westfalen, Germany and popularly known as Fachhochschule Gelsenkirchen, has recently released the expert opinion that his hospital:

“…has saved more than 1060 hours across the Operating Room process, from ordering materials through waste removal. This equates to the reduction of more than 40% compared with professionals working without procedure pack Custom Trays.”

This statement follows the same line of professional logistics voiced by major health care institutions around the world. Custom trays present the same savings in labor costs in Asia as in the USA, as cutting expense and increasing the quality of care benefits hospital Operating Rooms worldwide.

Rate of Savings in Labor Costs

The areas most affected positively in cost reduction and improved health care are:

  1. Pre-op Theaters are quickly set up for procedures;
  2. The labor times expended in performing professional duties by nurses, aids and interns is lessened due to expedience of custom trays;
  3. Clean up of Operating Room is expedited and displays more efficiency in less time;
  4. Waste disposal is cut an estimated 48% due to the advent of the custom trays and their impact upon the human labor required for maintenance.
  5. Less need for nurse professional time in prep and clean up provides more time with patient care.
  • Stress Relief and Efficiency

Administrative costs, time and stress endured by professional personnel are greatly diminished by the custom OR procedure trays because of the accomplishments of having supplies stocked and at hand with safety as a priority.

  • Further Nursing, Hospice, and Home Care Uses

The advantages of custom trays are cost effective relative to having procedurally dedicated custom trays prepared and readily on hand for the intervention and treatment of:

  • wounds,
  • falls
  • patient injuries
  • other injuries requiring treatment associated with daily nursing care.

The facility’s personnel stress is reduced and the professional efficiency greatly increased when the duty nursing staff have the advantages of custom procedure packages immediately on hand for an emergency. The immediate treatment can also initiate the beneficial lowering of audit records due to injuries that might be incurred without the custom trays.

  • Personnel Training Costs

As custom trays for Operating Rooms and single use procedures become the commonplace features accepted and used in hospitals, clinics and emergency facilities around the world, the costs for professional training nurses, interns, and aids in the assembling of surgical room procedure packs will be minimal compared to today. The packs are ordered assembled, sterilized and ready for use when they arrive at the hospital Operating Room. Their custom preparation is handled by another support unit of health care, saving great labor costs for professionals training to perform the surgeries themselves.

Custom trays of Operating Room and special procedures, including single procedure trays, are win-win solutions benefiting the patient’s health care and treatment success and the hospital facility’s cost effectiveness across all logistic levels.

Dry heat methods for sterilizing custom tray

Provision of sterile equipment is pivotal in centers where health services are rendered. Ranging from dental clinics to other medical establishments, you can bet on the vitality of such a procedure. In dental clinics, the custom tray must always be sterilized alongside other equipment used. The grave repercussions of using an unsterilized equipment can only be imagined. In other terms, a medical practitioner must always ensure that, before any procedure, the instruments to be used are sterile.

Types of dry heat sterilization

Dry heat sterilization methods are of two types: the static air type and the forced air type.

  • The static air type

This kind of sterilization is commonly referred to as the oven type sterilizer. Here, the heating coils which are found at the bottommost part of the unit initiates the rising of the hot air inside the chamber through gravity convection. This dry heat sterilizer is, however, relatively slow in heating and a consequential longer time for sterilization of the custom tray.

  • Forced air type

Here, the sterilizer has a motor driven blower that circulates hot air throughout the chamber. The hot air is blown at a high velocity which makes it possible to transmit the energy faster form the air to the instrument. Forced air type dry heat sterilization method, unlike its static counterpart, ensures that the hot air is spread uniformly throughout the chamber thus making it more ideal.

Factors essential to achieving sterilization

For sterilization to be attained, there are factors that have to be considered some of which are listed below.

  • Temperature

Heat works to denature proteins in bacteria on the custom tray. Essentially, denaturing involves disrupting the hydrogen bonds and thus leading to the death of the bacteria. When the temperature of the autoclave is tuned higher, it reduces the time it would take to sterilize the custom tray. In the autoclave, the temperature of the saturated steam is in direct proportion to pressure.

  • Time

The fundamental goal of sterilization is to kill all organisms. However, all organisms do not die at the same time. This brings in the time factor in during the process of sterilization. Basically, you have to maintain sterilization conditions inside the autoclave chamber for a time sufficient enough to kill the organisms on the custom tray that take a relatively longer time to die. Otherwise, you’d not be killing all the organisms on the equipment.

  • Air removal

Air insulates the surface of the custom tray being sterilized hence preventing it from effectively being sterilized. So to ensure you have done the process optimally, you must see to it that you remove the air from the surface of the custom tray. Failure to remove it, a contamination spot can form on the surface which can be turn out to be dangerous for the patient who would go through the procedure. There are two methods you can use to remove air from the surface of the custom tray: gravity displacement autoclaves and dynamic air removal method.

So in summary, the methods of dry heat sterilization above are selectively applicable in certain instruments. Additionally, you have to work within the manufacturer’s set conditions lest you cause a malfunction of the sterilizer or destroy the custom tray for instance. Not to forget, the success of sterilization will depend on whether or not you have followed instructions.


Here’s What Comes in a Procedure Packs

Low angle view of four surgeons bending over the patient during operation

Image is from www.huffingtonposst.com

As doctors and surgeons know that having the right tools is critical, particularly when going into an operation. Many times, staff may sterilize equipment before surgery as this is needed. The surgical pack takes the hassle out of dealing with equipment that needs to be sterilized because it comes prepackaged like this. However, both doctor’s offices, clinics, and hospitals that perform surgeries are always curious to see what is included in the basic surgical pack in order for them to ensure they have all the correct tools for the procedure they will be providing. Today, we will look what’s inside the surgical pack. Let’s get started!

What’s included in the Procedural Packs

Procedural Packs generally contain the medical equipment that is needed for one procedure and then can be disposed of. There are a variety of procedural packs available for a variety of uses based on the type of surgery procedure you will need it for.

The general procedure packs can cover a wide range of surgeries from rhinoplasty and face lists, to tracheotomy and varicose vein removal. The general procedure pack includes the following:

  • Absorbent Towels
  • Table Covers
  • #10 & #15 Blades
  • Bulb Syringes
  • Cautery Pencil Holster
  • Drape Flats
  • Drape Lapotromy
  • Drape Utility with Tape
  • Electric Needle
  • Gauze
  • Gowns
  • Lap Sponge
  • Mayo Stand Cover
  • Medicine Cups
  • Needle Counter
  • Magnets
  • Ring Basin
  • Skin Marker with Ruler
  • Specimen Cups
  • Sponge Bowl
  • Suction Tubing
  • Suture Bag
  • Syringe 10cc L/L & 20cc L/L
  • Yankauer Bulb tip, Non-Vented

Other Surgical Pack Options Available

When you go into surgery, you might need something a bit more specific than what’s in the general procedure packs. When you look at the surgical pack, they offer specifics such as the following options:

  • Labor and Delivery
  • Cystoscopy TUR
  • Nose and Throat
  • Shoulder Arthroscopy
  • Extremity Podiatry
  • C-Section
  • Knee Arthroscopy
  • Vaginal Delivery
  • Otolaryngology

How Does the Surgical Pack Save Time & Reduce Costs?

Surgical procedures may be carried out in a number of different facilities and in all these scenarios, a sterile environment is needed. The concept of supply standardization is applied to a variety of organizations and as a result gives each location cost-reduction principle. Standardization saves time, which contributes to saving money as well.

Each one of the procedural packs is designed for the specific procedure you will be performing. Both doctors and nurses have been using these items for years to keep clinical accuracy at its peak. All packs are latex free to minimize patient and staff allergic reactions and are packaged sterile.


It’s not hard to see why so many doctors, surgeons and nurses use procedural packs when they are about to undergo a procedure. Not only does the surgical pack provided a safer procedure, it saves time, and money as well. Typically if you can’t find the right procedural kit you’re looking for, companies can customize a kit for you according to your request.

How Does The TAA Pertain To Surgical Trays?

The Trade Agreements Act of 1979 was passed by Congress to serve several purposes. Firstly, it aims to foster international trade and expand the United States’ ability to engage in trade deals. Secondly, it hopes to further define and better enforce trading rules and regulations. Finally, the act also approved agreements made in a previous act in 1974.

In reference to surgical trays, the part of the Trade Agreements Act (TAA) that is most applicable is the goal of opening international trade deals because it defined various products as compliant if they are manufactured in the United States or in one of the other countries listed in the agreement as a “designated country”. Designated countries include places the United States has an existing free trade agreement with, countries that participate in the World Trade Organization Government Procurement Agreement, “least developed countries”, as well as Caribbean Basin countries.

Due to the requirement put forward by the TAA that all goods and services procured by the federal government (or any government-funded agencies including most hospitals) must be manufactured in either the United States or a designated country, it can be difficult sometimes to insure compliance if there is uncertainty about where products like surgical trays originated or were actually constructed.

On occasion, the TAA will run a compliance check and investigate the origin of an acquired product or service. In these instances, a company or hospital in fact, may have to provide evidence that their surgical trays have been manufactured in the United States or a designated country, or they will be subject to punishment under the rules and regulations of the FAA.

In the specific case of surgical trays, the easiest and most obvious step toward compliance would be simply to make sure that the trays you have purchased originate from one of the countries specified in the list of designated countries. However, surgical trays present a unique issue that may also come up under the FAA: sometimes the customized items contained on surgical trays are new or unavailable from one of the designated countries. CPT Medical, Inc. provides a solution to this issue: “You need to know that the vendors of the tools you’re purchasing have updated the part numbers for their products in the DAPA Management System.” This insures that the part numbers for any pieces on your surgical trays are registered and thus are able to be tracked or investigated by the FAA. CPT Medical, Inc. further has internal procedures that includes verification from manufacturers of place of product production.

What Are The Methods Of Sterilization?

Surgical equipments

Sterilization is a process of eradicating live microorganisms from substances. It is done to preserve things for a long time and kill germs. If something is not sterilized, it may cause infection to those who use it. Therefore, it should not be taken for granted. There are several methods of sterilization, including:

Heat sterilization

This is the most common type of sterilization because the heat used kills all microbes. The extent of sterilization is affected by the duration of heating and heat temperature. As the temperature goes up, the duration of heating goes up. The heat method of sterilization can be further divided into two:

Moist heat methods

Here, heat is applied through boiling and includes methods like pasteurization, using steam, and boiling. Boiling is done for metal devices such as surgical scissors, custom trays, and needles. The substances are boiled to kill any microbes. Pasteurization, on the other hand, is a method for heating milk to 60 or 72 degrees thrice or four times.

When using steam, the substances being sterilized are subjected to steam in autoclave steam heating equipment. The process uses temperatures of up to 115 degrees for an hour. It is the most common method for sterilizing drugs because it can kill the bacterial spores, which are inert bacterial forms.

Dry heat methods

Substances are subjected to flaming, incineration, hot air ovens, or radiation sterilization. In flaming, metallic devices such as needles or scalpels are placed over a flame for several minutes. The flame will kill all microbes directly. Incineration is used especially for inoculating the loops utilized in microbe cultures. The loop’s metallic end is burnt red hot on a flame, killing all microbes.

The radiation method involves the exposure of packed materials to radiation. There are two types of radiation: non-ionic and ionizing radiation sterilization. The former is safe to the person doing the procedure while the latter requires the operator to wear protective gear. The hot air method is ideal for dry materials such as glassware and powder. They are placed inside the racks of a hot air oven until sterilized.

Chemical sterilization

In this method, the items are subjected to sterilization through toxic gasses. When sterilizing heat sensitive liquids, you should use bacterial filters. Three types of filters are used in this type of check this sterilization:

  • Seitz filters – they are made from materials such as asbestos and are pad-like and thicker than a membrane filter. Seitz filters do not rupture during the process of filtration. However, the solution can end up being absorbed by the filter. An alternative to Seitz filters are sintered glass filters, which are made of glass and hence cannot absorb liquids. However, they are fragile and breakable.
  • Membrane filters – these thin filters are made of cellulose and can be used for online sterilization during injections. The membrane is placed between the needle and syringe. However, this type of filter can rupture easily causing improper sterilization.
  • Candle filters – they are made from clay such as diatomous mud, which has small pores made by algae. The filters have many lengthy pores that trap the microbes as they travel through the candle.

The type of filter that you choose depends on the substance that you want to sterilize. When using gas to sterilize, cost factors as well as chances of explosion should be considered. The gasses used are usually very toxic and should be used with caution. If you want to sterilize surgical instruments, the most effective methods are autoclave, boiling, and incineration.

What’s Included in Procedure Packs


Image is from www.bbc.com

What You Need

A procedure pack’s contents may best be summarized with the term “custom tray”. A custom tray will generally be customized by the surgeon, orthodontist, or dentist who is using it. If, for example, you were working on the spine, common inclusions in a given spine pack are:

  • A Benzoin Ampule
  • 5 by 7.5 Foot Table Cover, Super HD
  • 3/4 Sheet Drape of 53 and 77 Inches
  • Needle, 22GX1.5″
  • Spinal Needal, 18GX3.5″
  • Needle Counter, 40-Count
  • Telfa Pad, Non-Adhesive (8″x3″)
  • Petri Dish
  • Pitcher, 1,200 CC
  • Lap Sponges, X-Ray Detectable, 18X18 Inches (10)
  • Neuro Sponges, X-Ray Detectable, 5X5 Inches (10)
  • Neuro Sponges, X-Ray Detectable, 3X5 Inches (10)
  • Neuro Sponges, X-Ray Detectable, 1X1 Inches (10)
  • Blue OR Towels (15)

Custom Trays To Fit Specific Needs

Whatever kind of custom tray you choose, you have the ability to add whatever necessary items you would like. A procedure pack can be fitted with the regular needs of a specific procedure as outlined in textbooks from varying sources. Additionally, you can make your own custom tray that includes more items. You may have some patients who require additional neuro sponges, and the forty of varying sizes included in regular packs may not cut it. Perhaps you prefer to have additional syringes in your custom tray, because you’ve had several close calls where such were needed in a hurry. Perhaps there are even items in this spine pack that you feel have been left out, and you’d prefer to add them. With a custom tray, you have that ability.

Professional Custom Tray Provision

While it is possible for you to create your own custom tray at your practice with a minimum of difficulty, the problem is you’ll have to source items like those listed on your own time. Many medical practices have a supply division that manages such resources. Oftentimes in these scenarios, supplies are bought and paid for by clinics through a variety of vendors at different prices. If surgical procedural packs are made on-site, it may require the allocation of medical workers’ time. As a matter of fact, you’ll likely need several employees just to ensure each custom tray has the right equipment and is properly sterilized.

Or, you can cut out all that unnecessary infrastructure and instead order procedure packs that fit your clinic’s regular patients. While you may get outliers, then you can use local staff to put together surgical equipment for such a statistically minimal scenario. For everything else, it makes plenty of sense to order custom trays fitted to your needs in advance. You should have several custom tray families; one for backup, and one for regular use. A third group is not a bad idea either, should difficulties manifest.

Final Considerations

With the ability to consolidate local resources and ensure each custom tray you order fits your specifications, it’s easy to see the appeal of this medical innovation. Having a custom tray or procedure pack handy in an emergency could very well save a person’s life. While it makes sense to maintain sterilization means on any facility, it also makes sense to plan for situations where there’s no time to book an appointment. Life doesn’t always stick to a schedule book.

Between the convenience of off-site resource consolidation and presentation, the savings that are rendered to your practice’s infrastructural and purchasing divisions, and the benefit of having immediate access to necessary surgical supplies in a possible emergency, there are a lot of things which recommend custom trays. More than being available, their customizable quality ensures you get what you need, when you need it, how you like it.