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CPT Medical

Monthly Archives: November 2017


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Customer surgical trays offer your practice a number of cost-saving benefits. While surgical trays may seem simple, they are anything but. These custom trays are wonderful solutions for any medical practice. They’re delivered in bulk, they save your staff prep time, and they reduce waste.

No Hidden Costs

When you choose custom surgical trays, you practice avoids the hidden costs of on-site tray preparation. Since custom trays are prepared off-site, in a professional facility, your medical practice loses no time on-site, preparing their trays. While tray preparation typically requires hours of sterilization and arrangement, by purchasing custom trays, you won’t lose time or money. And, if you purchase your surgical trays in bulk, you’ll see additional discounts.

Bulk Ordering

When you choose to order in bulk, your custom surgical trays will be delivered according to what is needed as opposed to generic surgical trays. Generic trays are purchased and delivered through multiple orders. With generic trays, you will wind up with items you don’t need, creating waste. These generic trays also need additional time from staff, as they have to put the trays in correct order.

However, custom surgical trays are predetermined by your needs. This means you can choose just what you need. You can ask for unnecessary items to be removed or for specific items to be included. This will keep your costs lower.

Plus, you can choose to have your trays customized by size, which will help you avoid wasted space in the trays and will keep trays from taking up too much room in your practice.

Reduction in Labor Costs

Since your custom trays are immediately available for use whenever you need them, they come pre-sterilized. This means there is no prep time for your staff.

And, with custom surgical trays, items are ready to use based on your preferences. This means there will be no need to organize the trays after unpacking. The only task for your staff to do is unpack the trays, saving time in an emergency situation.

Reduction of Waste

Generic surgical trays still need to be sterilized when they are unpacked, since they are not delivered to your specific certifications. These extra items are not needed, and both time and money are wasted.

When you choose to order customer surgical trays, no sterilization is necessary.

When you choose to order custom surgical trays, you’ll reduce costs for your practice, and you may be able to reduce the costs of your services, too, passing those savings onto your patients.

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Categorizing your Custom Tray

Receiving and utilizing custom surgical trays are pivotal in creating the best results possible for a healthcare provider and their clientele. But what happens after a surgical or other medical procedure has been administered effectively with the use of custom trays? Your next step is proper disposal. What is the right way? How do you decide? Here’s how:

  1. Determine what category/label your used custom tray falls under. Here are a few broad examples of what various custom trays may contain after use:
  • Biohazardous Material- This categorization requires the disposal to be handled with utmost care while utilizing extensive protective gear to ensure that nothing hazardous carried on the tray would cause accidental spreading of potentially harmful matter to other areas or people.
  • Domestic Waste- The least threatening of the three options, waste classified as domestic could mean only water was used via the custom tray or other matter considered safe by medical standards.
  • Chemical Waste- This classification more specifically caters to custom trays that have held substances that could be damaging to the environment. Biohazardous and non-hazardous components of the chemical variety are filed under this label.
  1. Disinfect for Protection

Custom trays are sterilized before use. But what about after? It can become vitally important in a healthcare setting that is exposed to wide varieties of seemingly harmless yet potentially life-threatening bacteria–to disinfect after use. How do you annihilate the unknown characteristics of infectious diseases that quite possibly could be spread via used custom trays? Protect yourself, employees and those entrusted to your care by choosing the best way to disinfect using these processes:

  • Microwave- The non-ionizing radiation the microwave creates can destroy micro-organisms on various medical tool surfaces.
  • Utilize Chemical Solutions- Peracetic acid, formaldehyde, and glutaraldehyde are chemical agents used for soaking contaminated materials, to disinfect.
  • Try Autoclaving- High-temperature steam omits at high pressures over a set amount of time to bring sterilization to previously used tools. (This method is often used on wrapped medical tools.)
  • Use Ethylene Oxide (EtO)- Great for moisture and heat sensitive products that can be made or contain plastic (and do not withstand high temperatures) EtO triggers antimicrobial sterilization, the solution kills all microorganisms ensuring disease spreading prevention!
  1. Decide what disposal method meets eco-friendly and/or user-friendly expectations. In every situation, it is best to make sure you are following the proper regional and international laws/regulations when disposing of custom trays. Below are some effective “how-to-dispose” processes professionals have used in the past:
  • Shredding (when possible) This may not be the best option for the eco-conscious professional but minimizing potentially harmful waste products after use by shredding can at least ensure landfills don’t fill up as quickly.
  • Burying- It is best to garner help from a professional waste disposal company when deciding on this type of disposal. Usually used for containment of medical tools that have contained very harmful pathogens or damaging matter, burying might be the best option in those instances.
  • Incineration- Still used by many as the safest method to stop hazardous materials from spreading via custom trays, incineration when performed correctly stops the potential for airborne contamination and turns used custom trays to ash instantly.
  • Recycling (when possible)- Advocates against incineration claim recycling your custom trays the best environmental solution. This method should be carried out by using a highly-trained third-party recycling specialist. Recycling custom trays is a great solution if you have a trusted/experienced recycling resource at hand. They will properly disinfect the tray for reuse.

If you know in which category your used custom tray fits, proper disposal is simple!

Surgeon with surgical tool on tray in operation room at hospital

Why You Should Choose CPT

The introduction of custom procedure trays (CPT) has brought about efficiency, reliability, and consistency in medical procedures. CPTs are fully assembled trays that contain all the equipment required for a surgical procedure according to the order and the amount by which they are used. The use of custom procedure trays does not only ensure there is professional service delivery but also elevates patient safety and promotes efficacy in the disposal of medical waste.

The following are some of the reasons why you should choose a custom procedure tray;

  • Saves time

If you want to start and finish your procedure on a timely schedule, you should consider using a custom tray. The trays carry everything you need for a surgical procedure hence there is no time wasted especially when looking for instruments. The trays provide all the necessary tools for each medical procedure hence the surgical team can begin and end the surgery within a reasonable time.

  • Minimizes costs

Purchasing custom procedure trays will go a long way in cutting on costs of medical equipment. It is economical to buy a set of instruments then buy them as individual medical supplies. Buying in bulk will help you save money and redirect the funds to other critical projects.

  • Easy to clean up

Through the use of custom procedure trays, you will be able to reduce the carbon print of your facility. Custom trays reduce the amount of packaging material used in packing each surgical instrument individually, therefore protecting the environment.

  • Stress relief

You can forget about the frustrations you would get when trying to assemble the necessary surgical supplies if you didn’t have a custom tray. Apart from reducing administrative costs, CPT also eliminates the time and struggle you would go through when assembling items to be used in the operating room.

  • Enhances efficiency in medical services

Deploying custom surgical trays ensures you can perform your duties more efficiently since you will have all the tools you need to perform a surgery. Better performance by your medical personnel will result in increased number of clients who are confident in the services offered at your facility. This will eventually result in increased revenue that can be utilized to elevate the facility in other aspects.

  • Crucial in home care use, nursing, and hospice

Hospices and nursing homes greatly benefit the community through medical equipment such as custom trays. These medical tools are very important, especially during medical emergencies. They also increase the efficiency of the nurses who put them to use.

  • Useful in pre-op

Custom trays have made it easier to prepare for surgeries in the pre-operative theater. There are different custom trays for various surgeries that make it easy for you and the rest of the surgical team to prepare for an operation while keeping errors and contaminations at bay.

  • Proper supply of medical tools

Can it get any worse than the medical team missing the necessary instruments for a surgical procedure? Custom procedure trays will save you the burden of finding yourself in such a situation. With CPT, you will have all the tools you need for your surgery.

  • Easy handling of single-use products

Custom procedure trays reduce the risk of getting infections through numerous ways. The trays come with sterilized pre-packed instruments. The risk of cross-contamination has also been reduced since the tools are only used once then disposed of. The unnecessary waste build up is also prevented when performing specific procedures.

Using custom procedure trays will greatly improve your service delivery and save you a great deal of costs that you would otherwise incur.

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Sterilization of Custom Trays

Custom procedure trays are one of the most critical instruments in a medical facility. These instruments can be used in many different ways, especially during surgeries. It’s important to sterilize custom trays before use and storage given the pivotal role they play in operation rooms. Use of advanced technology was only available in world-class medical facilities until recently. However, there’s a high demand for sophisticated methods of sterilization in numerous professions currently.

Types of Sterilization

There are several common types of sterilizing custom surgical trays in operating theatres. The most popular include:

  • Ethylene Oxide (ETO)
  • Steam
  • Low — Temperature Sterilizers

When purchasing a custom surgical tray, it’s normally tested before delivery, but when reusing them, you may need the help of professionals through an agency to apply both biological and chemical indicators for sterilization. The process involves typically three different “empty” steam cycles in which both indicators are supposed to test trays. There is separate testing for all cycles used in sterilization.

Custom surgical trays can now be sterilized through the following steps as per the Center for Disease for Disease Control and Prevention (CDC):

Decontamination

Pre-clean all trays and instruments using water mixed with a detergent. A specialized cleaning solution can also be useful in eradicating foreign materials. The instruments and trays should then be washed and dried by use of a mechanical cleaning machine. It’s crucial to inspect each item both visually and microscopically for cleanliness before packaging them.

Although the decontamination area should be separate, it should also be near. However, it’s important to note that the separation of the decontamination area should be acute meaning there should be at least walls separating it from other areas. The decontamination area’s airflow should direct contaminants as far away from the operating sectors as possible. Professionals suggest that air in a decontamination area should be changed after around every ten minutes.

People doing the decontamination should wear proper attire, face masks, gloves, and goggles. The safety measure protects everyone including the patients who will come “under the knife” Without proper protection, it’s more likely for infections to occur.

Packaging

All items must be packaged in hard plastic containers after being cleaned. To maintain the sterilization, the surgical instruments can be placed on a surgical tray. When using your own method of sterilized packing for custom procedure trays, you can include:

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

Storage

Store the trays and other surgical instruments far away from the floor, walls, and ceiling to allow for easy cleaning and monitoring as well as a conducive air circulation. Avoid placing custom trays and other instruments in a wet area since this can contaminate them with microorganisms from surfaces or the air. Disassemble any equipment with moving parts during storage. Methods of sterility retention during storage include:

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

Monitoring

There is need to monitor sterilization periodically to test for failed sterilization or contamination. Mechanical monitors like pressure or temperature can accomplish this. Biological indicators can also monitor how deadly the sterilization process was to certain infectious materials and spores. Finally, chemical indicators that are sensitive to chemical components attached to the outside of packaging or heat can also be useful in monitoring.

Each activity should be done by highly skilled professionals who thoroughly understand the process. Also, each activity should be designated a separate yet controlled area when the above steps are being undertaken.

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Why Should Custom Trays be Pressurized?

Nowadays, hospitals, dental offices, and laboratories are using custom procedure trays to reduce cost and to optimize their tasks. Custom procedure trays are not like any other trays. These trays are used with utmost care and maintained properly. Otherwise, they become contaminated with bacteria and airborne diseases.

Using custom procedure trays are very convenient for medical professionals. However, they must be used in a strictly controlled environment such as operating rooms and laboratories. Custom procedure trays are not recommended to be used outdoor or anywhere outside hospitals except in special cases like medical missions or emergency situation in which custom procedure trays can be disposed of after use.

Why Use Custom Procedure Trays in a Controlled Environment?

Custom procedure trays are used to hold some hospital or laboratory tools such as forceps, syringes, and the like. These tools must be clean and free from contaminants before being used for surgical operation. Therefore, custom procedure trays should also be free from contaminants.

In operating rooms and hospital storage rooms, pressurization is applied. This is to ensure that the airflow is thick and static in order to contain the air from moving anywhere. This is because the airflow in such areas may be contaminated with airborne diseases.

To make sure airborne contaminants will not reach other objects and surfaces, they must be contained where they are by means of high level of air pressure in the interior. Otherwise, free airflow may carry and spread air contaminants.

Operating rooms, storage rooms, and laboratories must always be pressurized in order to control the air flow. Although it does not eliminate nor drive away air contaminants, pressurization can freeze them.

Since custom procedure trays are very sensitive, they should only be used in controlled environment such as operating rooms and laboratories. When they are stored, the area must also be pressurized.

Why Should Custom Procedure Trays Be Pressurized?

Custom procedure trays are disinfected and sterilized after use. Even so, they are also pressurized in order to prevent them from being exposed to air contaminants that may linger inside storage rooms.

In hospitals, storage areas are not like ordinary compartments where tools and devices are kept. Storage areas in hospitals, dental offices, and laboratories do not only protect surgical tools from other tangible objects but also from airborne contaminants.

If storage places are not pressurized, the airflow that may carry airborne diseases may penetrate the interior of storage areas. Therefore, pressurization literally blocks and freezes airflow, so that air contaminants can’t touch any object.

How Does Pressurization Work?

Pressurization works like blowing a balloon or a plastic bag. The thicker the air the balloon has inside, the more pressurized the interior is. In hospitals and laboratories, pressurization is done by just increasing the oxygen inside.

However, pressurization must also allow for breathing space, so as not to suffocate whoever is inside. Aside from oxygen and other special equipment used for pressurization, the air conditioning system may also help in the process to contain the air flow while moderately providing fresh air.

Pressurized areas may not necessarily be pressurized on 24/7 basis. There are times the areas must go through filtration and dilution in order to change the air and decontaminate the areas.

Conclusion

Custom procedure trays are used and kept in pressurized areas, but there are also other methods in which they can be protected from contaminants. Aside from pressurization, they should also be disinfected and sterilized properly. Dry sterilization is the most common sterilization process applied to them.

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Sterilizing the lab

Sterilization is the process where all biological matter is destroyed. It can be done through chemical or physical means. For instance, an autoclave uses steam to sterilize by high pressure. Infrared can also be used to kill microorganisms by using high temperatures for a few seconds. When it comes to using chemicals, hydrogen peroxide can be used to break down biological matter.

Sterilization can also be used to get rid of quasi-living biological agents like bacteria and viruses. Even though not everyone believes they are alive, failure to remove them might have deadly consequences to people especially patients and personnel. It is important to select the best sterilization technique that will do the job.

Sterilization or disinfection

You should note that sterilization is different from disinfection. Disinfection is the removal of harmful biological agents while sterilization removes all biological agents. In health-critical situations, sterilization is required while disinfection is done in other domestic processes.

Physical sterilization

There are many ways you can carry out physical sterilization in the lab. You can use heat and pressure to remove the substances from equipment and instruments. The challenge with using this method is that some viruses are known to resist getting denatured by high temperatures. You will need to know how to adjust the temperatures to remove these compounds.

You can use ionizing radiation to sterilize by releasing electrons from molecules. Most transmissible agents need RNA and DNA for their propagation. The radiation will sever the nucleic acid link thereby reducing their transmission. The technique is effective for disinfection. However, some fungal spores and bacteria resist the radiation.

Another method is through the use of Ultra-Violet lamps. Ultra-violet rays are generated by the sun then filtered out by the atmosphere. Micro-organisms have no natural resistance, and this makes it one of the most efficient sterilization methods. You can use UV lamps but ensure you avoid getting exposed for long periods. The lamps need to be in direct sight with the object. Objects also need to be in proximity to the lamp.

You can also do chemical filtration of compounds. The method excludes biological compounds based on the particle size. It is good for disinfection but should be used with another sterilization technique for it to be effective.

Chemical sterilization

You can use Ethylene Oxide to sterilize objects that are sensitive to radiation and high temperatures. It can be used to sterilize plastics, electronics, and optics since they are easily damaged by high temperatures making them unusable after sterilization. The chemical is commonly used to sterilize medical equipment that is durable and endoscopes. The chemical makes it impossible for micro-organisms to reproduce and produces good results. However, it should be noted that the chemical is a known carcinogen and can present a dangerous risk in the lab if not handled well.

Hydrogen Peroxide Vapor can also be used in sterilization. It can be used to remove biological matter and agents from furniture surfaces and other areas that are difficult to sterilize. The vapor will penetrate the desired area and can be used to sterilize pass-through chambers and other hospital devices. However, you should avoid overexposure since it breaks down living tissue as well.

Most of these methods are used together to establish a more lasting sterilization protocol in the lab. You need to ensure you use the right method so that all the biological matter can be eliminated completely.

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A custom tray is a pack that carries single-use instruments that medical professionals use to conduct procedures in operating rooms. The medical device commercial delivers the items contained on the tray to the surgical room in a single hygienic parcel. The industry works closely with medics to ensure the pack is dispatched promptly and in a cost-effective manner. Full custom surgical trays may include the following;

  • Cardiac catheters
  • Stitches
  • Wound dressing
  • Surgical blades
  • Implants
  • Drapes and
  • Surgical wipes

Minimized costs

Hospitals today are faced with many challenges including cost-cutting and increasing efficiency. Research lauds NHS for coming up with custom procedure trays. Custom trays have indeed been effective in cutting costs by a large extent. One of the ways CPT does this is through minimizing administrative costs that medical personnel used to endure before they came on board. Custom trays have achieved this through collective stocking of supplies necessary for procedures. The purchase of custom surgical trays in hospitals has also significantly reduced the cost of medical equipment. The reason being it’s more economical to buy a set of medical supplies than buying them individually. Through bulk purchases, medical facilities have been able to save on money that is then redirected to other projects. Moreover, custom trays help prevent the purchase of unnecessary tools. Custom trays also cut on costs through the following ways;

  • The administrative burden of controlling costs has been eased since the time spent on monitoring and ordering inventory has been cut down.
  • It minimizes adjustments and departmental requisition of the inventory at any given time.
  • Procedure packs reduce the risk of surgical items expiring, therefore, reducing the cost required to order for a fresh inventory
  • It helps medical professions work ingeniously and convey more procedures in record-breaking time. Some facilities have reported having increased their general surgical procedures by 35% through the use of custom trays

How CPT is economically viable

The use of Custom procedure trays is deployed in one of the most cost-intensive areas of any medical facility. The high cost includes everything from pre-op to post-op procedures which may be directly depended on each other. The operation room may turn out to generate revenue contingent to how the medical facility is organized. The professionals working in this part of the hospital may achieve that through certain practices that save on costs such as using custom trays. A custom procedure tray contains a wide array of medical instruments assembled in accordance with the requirements of a particular session in the operating room. In simple terms, many packages are integrated to form a single package. The use of custom trays in operating rooms is therefore useful in optimizing processes throughout any health facility. Consequentially, custom trays simplify the entire material management process right from receiving the instruments to storing them. This means that there will be more money saved that could be used for other purposes including many other areas of the medical facility or even its services.

The use of custom surgical trays has significantly improved service delivery in health facilities. There’s need for all medical facilities among other facilities to have custom trays. Custom procedure trays can help medical facilities to quickly respond to surgical procedures in due time without any mishaps. Moreover, health professionals recommend that all the procedures scripted in the custom procedure tray manual should be thoroughly adhered to.

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What is a Custom Surgical Tray?

A custom procedure tray, whose abbreviation is CPT, is a collection of medical equipment created to provide disposable items which are used during surgery. They are usually designed and set up for your specific procedure needs. The contents of a custom procedure tray are packed together and delivered in a single sterile pack. The CPT mostly contains surgical blades, stitches, lesion dressing, heart catheters, surgical wipes, implants and surgical drapes.

What a good CPT should offer you:

– Cost efficiency

When you consider purchasing a custom procedure tray, it is highly advised to ensure that it saves money and it is thoroughly effective. This will elevate the efficiency of your operating room since it takes up less time. Also, your staff will be under minimum pressure. To add up on that, you will notice that your patient throughput increases.

– Reliability

Do you want to offer best services to your patients? Every medic wants that; so, when buying a CPT make sure it can match your procedural needs to the highest quality standards. A good custom procedure tray presents the right component required for a surgical intervention in time and the right configuration.

– A variety of choices

A good CPT contains many medical devices. You don’t want to find yourself in an operating room, and there is a shortage of the devices you need to carry out a procedure. An extensive choice of surgical components specially selected for your clinical requirements should always be available.

– Flexibility

Every clinic has got unique surgical procedural needs. The tray you buy has to accommodate pack changes within weeks. This is due to outbreaks of different diseases which occur due to change of the climate and seasons.

– Quality certification

Quality certification is critical in competitive markets and medicine is one of them. The organization that you get your custom procedure tray should meet the statutory and regulatory requirements of the product.

– Reduced set-up time

Your theatre staff will sometimes want to be relieved of other duties. To achieve this, your custom tray should contain fewer products to open. You will also find out that your product ordering and stock control processes are more streamlined.

– Sterilization

In medicine, proper hygiene is observed. Your custom procedure tray should be presented in an easy format. That ensures that there is reduced risk of contamination. If not properly sterilized there is a possibility that your medical team will get infected.

– Waste reduction

Less packaging provides fewer items to dispose of. This is a good way to keep your environment clean. Reduction in the bags of waste used in your hospital can be cost-effective, time-saving and raises the caliber of care.

– No surprises

Custom procedure Trays provide an assurance that there will be no changes made to your tray without your consent.

Most modern hospitals are embracing the idea of owning custom procedure trays. That is because they are more cost-effective even in cases where there are less medical personnel. When you adopt one in your health facility, you improve the service offered. Your theatre staff will not experience stress anymore since they will spend less time at work. The custom trays you purchase for your hospital should be purpose-fit for the procedures you carry out there. That way your staff will do their job more efficiently.