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CPT Medical

Monthly Archives: January 2017


How do custom procedure trays create cost savings?

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Clinical staff in many medical facilities has been heard complaining many times of the disadvantages of the generic procedure trays. Medical facilities have turned to custom trays because they have seen how cost effective they are. No medical institution in the whole world likes to spend more than it should on expenses, and the use of custom trays is one way to make sure that costs are saved. But how do custom procedure trays create cost savings?

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the balance. If someone is employed to prepare these trays to save medical personnel’s time, they will still have to be paid, and that is an extra expense for the facility. Having a custom procedure tray available within the facility will eliminate the wastage of time in equipment preparation and the additional costs of paying a nurse aide’s a salary to prepare the trays every day.

Saves Advertising Costs

When a medical facility staff operates thanks to customized procedure trays efficiently, the clients will be very happy with the medical services. This will eliminate the need to pay for advertising because the medical facility’s services will speak for the facility. Happy patients will no doubt spread the word to other patients who would love to get similar great quality services. In the end, there will be a great influx of patients which translates to more income for the medical facility and a lesser budget for marketing and advertising in the years to come.

Saves Costs for the Patients Too

When many patients are administered to, and they get better quickly in an efficiently run medical facility, they incur lower medical expenses. They tend to spend less on admission and medication since they have discharged quickly thanks to their quickly progressing recovery. Their quick recovery is of course courtesy of happy clinical personnel who have their customized procedure trays within reach and on time.

There is no doubt that custom trays create cost saving in a medical facility. Many clinical professionals who have aired their opinions, have expressed their preference to the custom trays compared to the generic ones.

 

What is the advantage of custom procedure trays

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Save Time, Money, And Lives

How long does it take for the staff at your facility to prepare a regular procedure tray? A minute? Five minutes? How many trays are needed a day? If there are, in your facility, twenty-four operations a day, and it takes a minute per operation for the preparation of a tray, that’s 24 minutes a day. If it takes five minutes, that’s 120 minutes a day. Are the operations being done in your facility lax enough that this is affordable? Are lives not hanging in the balance? Too, is the expense which goes to preparing those trays a cost that’s worthwhile? If the lowest-paid nurse’s aide on staff is getting fifteen dollars an hour, then it costs $6 to $30 a day for her to prepare trays. That’s $42 to $210 a week, or $168 to $840 a month. Can your clinic really afford between $168 and $840 on a monthly basis just for the arrangement of surgical equipment on a tray? And how about the time involved? 208 to 840 minutes a week, gone. So much lost time in equipment preparation could end up losing lives as well. Thankfully, there is an option which unifies all these issues into a single solution: the customized procedure tray.

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Customized trays save time and money, and they can also save lives because of those two factors. More time for operation and more money for equipment and training develop more successful operations and a healthier community. Just be sure to use customized trays from a provider with a responsible reputation.

 

What are the guidelines to sterilization in surgical trays?

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Find The Right Sterilization Cycle

A process and cycle of sterilization is integral to preserving ready-to-operate, clean equipment on a perpetual basis. Though custom trays which come pre-packaged are one of the best options for the ensuring of proper sterilization, they can be more expensive; and sometimes a clinic may not be able to absorb the cost, or may have an environmental putsch. As a result, such clinics will usually result to a cyclical procedure of sterilizing those custom trays on the premises which may not be of the disposable variety. Before this cycle is implemented, it must be verified by a vetted agency.

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a number of different machines available to help facilitate proper cleaning, and they should also be inspected. Custom trays that can be reused are useless if the machines cleaning them aren’t doing any good. Be sure to leave no stone unturned in this area. Investigators are keen to examine cleaning effectiveness to the microscopic level. They’ve found that even when an implement appears clean on the outside, it may very likely contain hidden microbial life liable to contaminate.

Those Who Clean

Personnel that are working in decontaminating reusable custom trays should also dress appropriately, wearing proper gloves, face masks, attire and goggles. This isn’t just a safety measure for patients that will come “under the knife”, as the expression goes, at a later date. Personnel involved may find they’re in contact with some contagions spoiling for a host. If they’re doing a good job, they will most certainly get some contaminated biological material on them. Without proper protection, it’s likely that an infection will occur.

Sterilized Storage

Custom trays should be contained in rigid boxes according to AAMI guidelines, and those of other professionally-vetted organizations. Any equipment with moving parts should be disassembled during its storage. There are a number of choices in methods of sterility retention, also. They include

  • Rigid Containers
  • Peel-Open Pouches
  • Roll Stock/Reels
  • Sterilization Wraps

When using custom trays that require your own method of sterilized packing, be sure to include:

  • Sterilant Penetration Allowance
  • Contamination Protection During Handling
  • Microbial Penetration Barriers
  • Sterility Retention Post-Sterilization

Ideally, such solutions are easy to use as well. Following these guidelines is a great way to ensure sterility in your practice.

Different types of sterilizations for surgical trays


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Methods Of Sterilization


One of the reasons custom trays have become so popular in medicine is because they can be used immediately; they’re pre-packaged and pre-sterilized exactly for this purpose. The world is not always ideal, though; and the proper means of sterilization can be complicated and must be thorough. Meanwhile, custom trays definitely have a high quotient of convenience, and have quickly become a preferred option by a ubiquity of practices. Beyond this method of maintaining operational equipment, the CDC specifies two primary means by which trays become sterilized:

  • Steam Sterilization
  • Flash Sterilization

This writing will give a quick exposition of both sterilization methods, then look at how sterilization in conjunction with custom trays may actually provide the best possible scenario for continuous operations. What good are custom trays if you run out and no shipment is available for a month? Custom trays are convenient and life saving, but unless there is some additional means of support, they can actually end up being a crippling agent in the end.

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too, you can’t trust solely in custom trays; what if you fun out, or a shipment is late? So, in an ideal world, a medical practice performing surgery is going to use a combination of custom trays, steam sterilization procedures, and flash sterilization procedures. This will allow for the greatest financial retention while incorporating secondary means of necessary support

 

Chemical Sterilants in Custom Trays

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There are many ways to keep disease-causing agents from infecting custom procedure trays. Filtration, disinfection, and pressurization are common methods used in hospitals and laboratories. Aside from the above methods, another popular and effective method is sterilization. This method is preferred by many in health care professionals in making sure their custom procedure trays are free from contaminants.

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, steam sterilization is used. This is just another type of heat sterilization being used to expose larger items in heat.

However, heat sterilization no longer applies to all medical tools and items. There are some hospital and laboratory items such as custom procedure trays that are susceptible to heat because they are made of different materials such as resin or plastic.

Because of this, the use of chemical sterilization is introduced. This is the process of exposing the items in chemicals whether they are liquid or gas chemicals. The purpose is to kill all bacteria and viruses with strong chemicals. Custom procedure trays are commonly sterilized using this method.

What Are Chemical Sterilants to Use in Custom Trays?

Medical items may vary in materials. Even custom procedure trays may also differ from one another depending on brands and manufacturers. Nevertheless, almost all chemical sterilants can be used for most custom procedure trays.

The important benefit of using chemical sterilants is its ability to kill pathogens even at low temperatures. Most custom procedure trays, especially those that are made of plastic can only be sterilized at a low temperature.

The good thing about most custom procedure trays is that they are not susceptible to most chemicals. However, it is still recommended to know which chemicals should be used to sterilize custom procedure trays.

Here are the chemicals to use:

  • Ozone
  • Bleach
  • Glutaraldehyde and Formaldehyde
  • Phthalaldehyde
  • Hydrogen Peroxide
  • Peracetic Acid

Conclusion

Sterilization is the only process and method most health workers use to ensure diseases are killed. Heat and chemical sterilizations are two types of sterilization being used today. However, for custom procedure trays, chemical sterilization is most recommended unless the trays are made of stainless steel. The above chemicals are safe to use for all types of custom procedure trays.

Filtration For Custom Trays

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Custom procedure trays are some of the most important tools being used by doctors and health workers in hospitals and laboratories. They provide convenience in the work place, especially during emergencies. This is why custom procedure trays are commonly seen in operating rooms and emergency rooms. They’re also used in laboratories and diagnostic clinics.

Since custom procedure trays are constantly used in such sensitive areas, they are highly exposed to airborne contaminants that may infect health workers and patients. To ensure that custom procedure trays are free from airborne diseases, they must go through different methods and standards.

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or gases, but airborne diseases use liquid and gases to be carried and spread. The principle behind filtration is to separate the solids from liquids or from gases. Liquids are also considered solid when separated from air or gases.

Filtration in Hospitals and Laboratories

In hospitals and laboratories, airborne contaminants are prevented with the use of filtration equipment. This works like the air filter inside a car’s engine. The most common use of filtration in hospitals and laboratories is storage rooms.

The process of removing airborne contaminants is done by forcing the air to circulate through filter media. The filter media will screen the moist and air residue to stop them from touching any surface inside a storage room.

Custom procedure trays must be stored in a storage room with proper filtration. It is because the air is not only filtered in but also filtered out. This means that the air that enters the area is filtered. When it passes through filter media, the air inside is forced to flow outside. This process will push airborne contaminants to fly outside the storage room.

Filtration equipment can be compared with air pressure and vacuum cleaners. Air pressure pushes away dirt and dust while vacuum cleaners siphoned them. Filtration equipment can do both. Therefore, it is recommended to use it in order to remove airborne diseases from custom procedure trays.

Reducing Airborne Diseases in Custom Trays

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In hospitals and in laboratories, medical professionals are required to follow certain standards to ensure that diseases will not be accidentally transmitted to any person. The use of custom procedure trays is one of these standards. It prevents medical instruments from getting exposed to contaminated surfaces. Moreover, custom procedure trays can also protect health workers and patients from germs and bacteria.

However, custom procedure trays are not free from exposure to contaminants and other disease-causing agents as they are directly in contact with surfaces that may have germs and viruses. This is why it is important that custom procedure trays also free from disease-causing agents. The proper use and maintenance of custom procedure trays must be observed.

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ied for many different reasons. However, this is also important in many cases as some airborne diseases can be eliminated by diluting them with natural air. The dilution method works like an air-conditioning system in order to dilute air contaminants with outside air.

Disinfection

Disinfection is a very common method to prevent and remove airborne infections. There is no question that cleaning the surroundings can greatly reduce the risk of many disease’s, particularly airborne diseases. This is why medical tools and items must be organized and stored accordingly.

Custom procedure trays must not be stored along with other tools that are constantly used. They should be stored in separate medicine cabinets in order to avoid contaminating the whole area. It is recommended to disinfect the storage rooms and custom trays regularly.

Pressurization

Pressurization, on the other hand, is a process of making the airflow tight and thick in certain areas in order to contain some airborne diseases. When sensitive areas such as operating rooms are exposed to constant air flow coming from many directions, the probability that the air carries airborne diseases is high.

This is why most operating rooms (OR) are pressurized. This method does not actually remove the infections and contaminants in the air, but it stops them from spreading and infecting other areas. Only open the custom trays in a pressurized place such as the OR.

Custom procedure trays are not ordinary trays. Although they seem to have similar looks with other trays, custom procedure trays must be used in differently. They are also not cleaned the way we clean other trays. Custom procedure trays are maintained in a strictly controlled environment such as hospitals and laboratories.

 

Popular Types of Custom Trays


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In the surgical environment, sterility is imperative; which is where custom procedure trays come into the picture. They are essential for holding your surgical tools and related items, and the available models are varied enough to provide compartments for the full range of hand-held tools for which a seasoned surgeon might have use. The following is a small compilation of the custom procedure trays you might find inside a competent hospital.

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ly.

Custom Procedure Trays with Stands/Legs


Usually, you’ll find an assortment of custom procedure trays in the average surgeon’s lab; this can vary between perforated trays, legless custom trays and the same option with attendant stand for convenience. Stands can also be obtained separately; but sometimes, it’s more convenient to get one with the built-in apparatus. Surgeons find them useful for stable operating rooms, where their increased bulk isn’t a hindrance as it would be in an on-the-go kit. In the field, you can alternate between standing, sitting or trying to work in an otherwise awkward position; and stands are rarely necessary in such cases.

Multi-Tray Systems


A common site in a surgeon’s work space; the stackable, multi-tray system is useful for its durability – after all, you have to hold all the other custom procedure trays in place, right? It positions your multitude of trays within easy reach, while also affording the kind of organization that’s necessary in such a high-quality work environment. Your surgical instruments will be protected from contamination in these stackable trays, which also have a covering option for further protection.

What is Chemical Sterilization?

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All laboratories and hospitals are required to sterilize their custom procedure trays, this is because viruses, fungi, bacteria and other disease causing agents cannot be eliminated totally by just disinfecting the area where medical procedures are carried out. What disinfection does is to remove the agents and does not kill them.

Sterilization is the most effective way of cleaning all equipment including custom procedure trays. There are several contagious diseases that can be transmitted through custom procedure trays since this tools are also prone to armful agents.

What is chemical sterilization?

Chemical sterilization is mostly used when there are tools in the custom procedure trays that may be affected by heat when using steam sterilization. It can also be used on tools that can be damaged by irradiation. Any tool that has rubber or plastics on it can be made brittle after irradiation.

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al halogens that are currently in use, they include iodine, chlorine and their derivatives. They are used to kill spores and have a general microbicidal effect. Chlorine works by binding itself to free amino acids and hence disinfecting the custom procedure trays. Iodine on the hand has effects that resemble those of chlorine and is mostly used to disinfect wounds and skin.

  • Oxidants- Oxidants that are used in disinfection include hydrogen peroxide, ozone, peracetic acid, and potassium permanganate. Their mode of action is based on splitting off of oxygen. They are used in mild antiseptics to disinfect custom procedure trays or skin before an operation.
  • Surfactants- These are surface-active agents whose efficacy is good with Gram-positive bacteria therefore making their bactericidal only moderate. The advantage that comes with using surfactants on custom procedure trays is their lack of odor and their good skin tolerance.
  • Processing Custom Procedure Trays

     

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    Following an established protocol when it comes to the processing of custom tray is a vital aspect of modern healthcare. It will significantly go a long way in alleviating patient’s the risk of contracting infections. The piece below seeks to give an overview of the six primary steps of custom procedure trays processing

    • Commissioning the custom trays

    Before anything else, custom procedure trays have to be commissioned by a practice which needs them. Such practices usually formulate the custom trays’ regular operational requirements and performance. After that, they put together orders based on the inclinations and requirements of the operating surgeons.

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    lization

    The most commonly used form of sterilization is the steam sterilization. This is a recommendation of the CDC. The technique is considered fast, safe and the most affordable for healthcare facilities. The steam sterilizers come in a variety of sizes. Sterilizer cycles often vary among manufacturers, and you will definitely find it in the manufacturer’s manual. Other options include:

    • Chemical vapor
    • Vaporized hydrogen peroxide
    • Ethylene oxide
    • Storage

    All the sterilized custom procedure trays must be stored in a manner that reduces the chances of being contaminated. The place where they’re stored must be clean, dry and temperature controlled. Handling sterilized custom procedure trays with care is important. So you have to avoid things like bending or crushing the tray. During transportation, they must be protected from environmental contaminants that can compromise their sterility.

    • Monitoring

    Monitoring of the custom procedure trays while in storage is a crucial step in the processing of this instrument. This is because, while in storage, there is a probability that pathogens, microorganism, and unknowns can invade and contaminate the trays. Moreover, if other contaminants or water gains access to the storage, then you can be sure they’re all going to get soured. If carefully monitored, these mishaps are entirely preventable, and as a result, it should be done over time to make sure they’re fit for use.