The use of a custom procedure tray can provide medical professionals with the option of using a number of sterile and safe items for optimal patient care. These pre-made packages can be created for all types of medical procedures such as stitching of a wound, cleaning a wound, performing emergency surgery, doing a C-section, implanting a loop recorder onto the heart or implanting a pacemaker among many other things. Better managing the inventory of a medical facility will improve not only the ability to perform one’s job but also to improve overall patient care being provided. The type of items that are optional can include so many different things such as simple surgical drapes, tubing for equipment, cannulas and more. All of these items are sterile and safe for patient care. If you are wondering how you can implement custom procedure trays into your practice, let’s take a more detailed look:
Anyone who works in a medical environment knows how important it is to keep things sterile and safe no matter what the procedure or purpose is. All medical facilities must have a code of practice in place which details how they are going to prevent and control infections. This plan must be utilized each and every day on a consistent basis. When you utilize custom procedure trays this becomes part of your care plan since all of these items are sterile and unused items. They are then properly packaged in a sterile environment and then safely delivered to your facility.
There are so many ways that you can use custom procedure trays to save time and focus on what is most important, which is the patients that walk in your door each day. Think about all of the time lost when you need to have nurses and medical assistants unwrapping surgical tools or sterilizing them. Just taking the time to find all of these individual items can be so time consuming. You can save as much as thirty percent of your time each day when you utilize custom procedure trays at your facility. Not only are you saving time but you are also taking mundane and frustrating tasks away from your staff so they can also focus on the patient more. You may even be able to schedule more patients or procedures in one day as there won’t be so much waiting involved.
Every business is looking to save money no matter what field you are in and the healthcare field is no different. With one customized tray included everything that you need, you will save time and money. You don’t have to contact individual suppliers, you don’t have to invest as much time in reordering everything that you need and once you come up with the tray options that you are going to use, it is incredibly simple to reorder. You even safe money on waste. Each pack will only include what you need and you won’t be discarding unused items.
When it comes to the field of healthcare, it is important to think about the patients first. If you work in a trauma facility then you know firsthand how valuable your time is. If you work in a general practitioner’s office then you know how time consuming it can be and how much time is wasted when you need to find what you are looking for. Ultimately, you want to serve as many patients as possible per day and have the time needed to focus on each patient’s needs so they can walk away healthy and happy with the care that they received. Implementing custom procedure trays into your practice is just one of the ways you can improve patient care and make your location more efficient.
Working in the field of medicine can be a very exciting and rewarding career path. This is also a very busy and fast paced field of work especially if you are working in a hospital. Even general practitioner’s offices and urgent care offices see a lot of traffic throughout the course of the day and very rarely, if ever, do you have a boring day where you don’t see any patients come through the doors. It takes just a matter of minutes for your day to start out slow and before you know it you’re hours into your schedule. It is important that patients get the best care possible. This not only helps generate a good reputation for a facility but medical professionals are individuals that are dedicated to caring for others as well. It is always a goal to develop and find ways to improve patient care and to help a facility run smoother each and every day. One very simple change that can be made is the use of custom procedure trays for whatever procedures, surgeries or care is being provided. This is an item that is not only convenient for the medical staff to use on a daily basis but this also equates to better patient care overall.
The purpose of custom procedure trays is to house all of the specific tools needed to complete a procedure whether it be very involved or very simple. You can have a custom tray that is dedicated to simply cleaning a person’s ear canal or you can have a custom tray that is designed to be used during an open heart surgery. Both kits are incredibly convenient and important but their uses are very different and they will contain very different tool. What this basically does, is allows a medical professional to grab a custom tray and get their job done without having to worry about finding specific tools on their own and ensuring that they are sterilized and ready to be used. That can be a very time consuming process. Some of the other procedures that can utilize a custom tray can include:
-Stitching a wound as well as cleaning it and bandaging it
-The setting of a broken bone
-Performing a C-section on a patient
-Replacement of a pacemaker battery as well as installing one
-Angiogram of the heart and brain
Whether a patient is in need of medical care emergently or it is a scheduled event, being efficient with patients is very important. There is often a lot of stress and anxiety that comes with being a patient and a very streamlined process makes a big difference in how people feel being in your care. Utilizing custom procedure trays allows for doctors and nurses to spend more time with patients addressing their concerns rather than prepping for a procedure. Staff members can spend some free time at work determining what kind of products are needed and these items can be ordered quickly. They can be stocked regularly and be on hand at a facility.
Utilizing custom procedure trays at a medical facility equates to better patient care and better patient satisfaction. Doctors, nurses and other medical staff also find it to be a very convenient item that makes their jobs much easier. Also, these items come sterilized in their packages, properly labeled and are ready to be used immediately. Each package comes with an expiration date that is determined based off of the items that are inside. Professionals have seen the benefit of this purchase.
The most functional and beneficial tools in hospitals around the country are the custom procedure trays. There are various advantages of custom procedure trays. The main advantage of the sterilized devices contained in the custom tray is their durability till the need crops up. Custom procedure trays have equipment that can stay for a long duration of time before expiring. It is up to the medical practitioners to choose what tools they want to put in the custom tray. The tools set in the tray are meant to cater for the need of the patient and also to be easily affordable. The customs procedure tray may contain such items as; surgical blades, forceps, scalpel, needles, hooks, surgical swabs, wound dressing and drapes among others. There is a wide array of tools that can be put in a procedure tray depending on the type of surgery.
Below are the commonly used tools in the custom procedure trays;
Just as the name suggests, a bone cutter merely is used to cut and take out bones. There is an array of bone cutters as described below;
The dermatome produces thin slices of skin used for skin grafts. The dermatome is also referred to as a groundbreaking medical gadget. Dermatomes can be used manually and electrically to restructure grade 3 burns. The free-hand knife is an example of a manual dermatome. Manual dermatomes usually produce grafts with uneven edges. The first dermatomes were developed and used in 1930. Brown dermatome which uses air pressure followed suit. The electric dermatome is more precise, and faster thus most practitioners choose it over the others. The electrical dermatomes were produced much later, but they became more famous for cutting longer and thinner skin strips.
This medical instrument is commonly used for dilation. Dilation is the process of expanding the urethra or cervix passage. It is also referred to as the dilatator. It could also stand for treatments such as cervical dilation or vasodilatation.
The above mentioned surgical instruments are some of the most used custom procedure trays in the health facilities. There is a wide array of other equipment that can be used in the tray. The equipment used depends on the type of surgery. All the surgical tools are supposed to be sterilized to get rid of any contamination that could put the patient’s life at risk. Following rules and regulations of using the custom tray is key to ensuring a successful operation.
Custom procedure trays are medical trays that are made up of different instruments, tools, and medical supplies needed for specific procedures. There are hundreds of different procedure trays to reflect the particular process intended.
Years ago, facilities made up custom procedure trays which proved to be a waste of time and money.
When facilities hire a vendor to pick up and deliver sterile and nonsterile equipment these trays come wrapped and are ready for the employee to grab and give to the doctor. In the end, this saves a lot of money, frustration, and time for you, the patient, the physician, nurses, staff, and facility.
The facility’s team of professional staff manages and reviews these custom procedure trays to make sure the trays utilize to the fullest. Review of tray contents decreases wasteful spending.
It is not wise for a facility to hire more than one vendor to pick up and deliver newly packaged custom procedure trays. Facilities find that if they hire more than one vendor, there are likely to be missing, incorrect, or too many items. Hiring more than one vendor is found to be a waste of money for the facility.
Facility teams familiar with contents of custom procedure trays, performs a waste audit of procedure trays. Waste audits help to determine if an item is missing and would be beneficial to the procedure.
This team of professionals decides whether or not items put into a unique custom procedure tray are of any use. This review of essential custom procedure trays for specific procedures helps to decrease that facility’s waste of money.
Facilities find that if they develop and review a contents schedule for vendors to follow it contributes to determining what that facility needs on each tray.
It is a waste of money for manufacturers to put sterile items in nonsterile custom procedure trays. So the contents are carefully monitored by the vendors and the facilities.
There must be a certain number of items packaged in each custom procedure tray. If the manufacturer adds more than the specified items needed or includes elements that are useless to the procedure the custom procedure tray is meant.
The doctor may want an item to be available for a procedure but may end up, noting using the tool, becoming a waste of money.
When custom procedure trays are not optimized for each procedure, the facility is not making the best use of the instruments and materials used for that procedure. Tracking systems for needed and used tools and material is a valuable asset to any facility to help save money, assuring there is no waste.
When an institution discovers the most cost-effective way to create custom procedure trays, the doctor has all the tools he needs, you, the patient continues to have quality care, and the savings to the facility is significant with a decrease in wasted time and money.
Following an established protocol, the processing of custom trays 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
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.
All equipment have to be inspected to check whether it is clean and functional. At this stage, if there is an instrument that is damaged, then it is replaced. Similarly, instruments with some visible dirt or soil on them are returned for proper cleaning. Important to note is that you should never clean a dirty custom procedure trays in a clean area. You can only do the same if you have proper PPE. This is because the cleaning process can contaminate the already clean instruments as well as contaminate work surface. Check if there are any instruments with stiff joints because it may be a sign of inadequate cleaning.
For packaging of the custom procedure trays, it is best to opt for sterile packaging such as pouches or rigid containers. These packaging instruments are handy in maintaining the sterility of the custom procedure trays. Besides, it allows for the aseptic opening when it reaches the point of use.
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:
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 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.
Custom trays designed to surgeon specifications are time savers as well as money savers. Groups like 3M have access to some 20,000+ components, and commit to an assurance of quality. The right trays will reach you; and if they do not, it’s not going to cost you. When it’s time for surgery, all you’ve got to do is grab the pre-prepared tray and start doing your thing. The time saved in this way could very well save lives.
Advantages of Custom Trays
There are quite a few positives to consider if your division is thinking about making the move to custom trays. First, the operating costs of the theatre suite in which surgeries are performed can be substantively diminished. There’s no need for on-site sterilization. Components on trays can be sent back for re-packaging/re-sterilization in some scenarios; while in others, you can keep the equipment and send it through to be used again; though if you’re going the right route with custom trays, this likely won’t be your aim. With custom trays, you can reduce inventory–and that’s a huge savings to consider. Additionally, custom trays curtail unnecessary waste and have been substantively shown to reduce cross contamination risk.
When you can set up for operation simply by grabbing a tray, that ultimately may save hours a week. If it only takes ten minutes to set up a tray yourself, then that’s 70 minutes a week, or 280 minutes a month–which translates to 4 hours and 40 minutes. In a year, that’s 49 hours and 20 minutes wasted setting up trays. How much money is a surgeon’s time worth? If it is only a hundred dollars, then that’s $4,933.33 wasted on a yearly basis preparing trays. These are not very productive numbers! By introducing custom trays, you can save nearly $5k a year in time alone. That is conducive to productivity. Additionally, this is good for patients. In emergency situations, there may not be time to collect the proper items for surgery and see that they are properly disinfected. It may be a case where operation needs to happen immediately, and with equipment that can be trusted not to further harm that individual requiring assistance.
A Backup Plan
Getting custom trays is a very wise option. Considering the savings in time alone, it’s an option worth pursuing immediately. Should this option be pursued, several “generations” of tray should be purchased. One group will be for immediate operations. One group is for backups in the event your lose normal operational trays. The third group is for extreme emergencies like some kind of pandemic affecting your clinic’s services, or something of that ilk. Having three families of tray continuously available per surgery department, and simply recycling the first wave of trays as they pass, is a great way to keep secure and dependable operational equipment available at all times.
Save Time In Teardown
Depending on the proclivities of your office, custom trays can be thrown away after they’ve been used, or tossed in a recycle bin; but if you’re not in the practice of regularly disinfecting items immediately upon their need for surgery, then either way you can just toss the tray and its contents where they can be cleaned/disposed of as fits your clinic’s procedures. There’s no need to hassle with any cleanup if you’re using custom trays. Think of it like a meal which comes in its own pre-packaged plastic plate. You can keep it if you want, or toss it out with the other plastic plates; but either way, you don’t have to do dishes.
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. The available models are varied enough to provide compartments for the full range of hand-held tools that a seasoned surgeon may need to use. The following is a small compilation of the custom procedure trays you might find inside a competent hospital.
This very popular type of procedure tray speaks for itself. Surgeons are one of the important services in the event of disasters; as such, the on-the-go kit provides a verifiably sterile container for the all-important tools of the trade. Included, of course, are the standard medical kits, as well as space for the emergency-specific array of instruments that every surgeon has.
This is an invaluable option found in just about every reputable surgeon’s kit; although they function adequately inside your operating room, they are specifically made for emergencies for which you can never be fully prepared. It certainly helps to have this single-use, disposal tray in your arsenal, however. It is second in the line of disaster-preparedness – see the on-the-go option above – and helps eliminate at least one area of worry in a hectic, in-the-field incident. Single-use custom procedure trays are made to fit the same kinds of surgical tools that the other ones can hold.
Every surgeon knows that the first step to keeping their tools clean and sterile is allowing them to dry. The perforated custom tray, therefore, is fairly common in offices. The holes allow for fluid drainage as well as breathability, so that air can circulate through the set-up. Most of these also have additional paths for the cleaning fluid to drain, so that the tool can be ready for use again quickly.
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.
A common site in a surgeon’s workspace; 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.
Autoclaving refers to the process of sterilizing equipment and supplies with the use of high pressure usually saturated at 250°F (121°C) for around fifteen minutes. Steam is the sterilization agent that is used in autoclaving to kill microorganisms such as spores and bacteria found on custom procedure trays. By now you already know that all contaminated equipment and all infectious material or apparatus such as custom procedure trays should be decontaminated before being stored, discarded or washed. Autoclaving is the preferable method to go about all of the above.
Autoclaving is also utilized in curing composites, and vulcanizing rubber since the heat and pressure from autoclaves allows attainment of the best possible physical properties. The process of autoclaving is widely used in the fields of:
An autoclave sterilizer was invented by Charles Chamberland in 1879. Around that time of invention, doctors were in dire need of a more reliable sterilization technique than open flaming. Researchers also began to understand the benefits of sterile surgery. Advantages of an autoclave were soon evident and autoclaving became an essential part of every clinic and hospital.
An autoclave is utilized for sterilization of pharmaceutical items, laboratory instruments, and surgical equipment including custom procedure trays among other materials. Autoclaves can sterilize hollows, liquids, solids, and instruments of different sizes and shapes. Autoclaves vary in functionality, size, and shape. Typical autoclaves are similar to pressure cookers; both use the power of steam to destroy spores, germs, and bacteria that are resistant to powerful detergents and boiling water.
An autoclave chamber usually sterilizes custom procedure trays among other laboratory or medical instruments through heating them above boiling point. Most clinics own tabletop autoclaves that are typically similar in size to microwave ovens while most hospitals utilize large autoclaves (also known as horizontal autoclaves). Large autoclaves can be used to process many custom procedure trays among other surgical instruments. This move is advantageous as it meets the ongoing demand for sterile custom procedure trays in emergency wards and operating rooms. Horizontal Autoclaves are usually located in the Central Sterile Services Department (CSSD).
If you choose to use autoclaves to decontaminate custom procedure trays, then you should stick to the following guidelines to experience the best results:
When the autoclave cycle is finished, follow the following precautions
The process of autoclaving is very useful in the sterilization of medical waste before disposing in the waste stream. This method is mostly recommended than incineration because incinerators are inclined to raising health and environmental concerns.
Custom procedure trays are made up of various solutions, instruments, and dressings of which are disposable (one time use,) or some of the items and instruments in these kits are re-cleaned and re-sterilized for the next use.
Custom procedure trays contain all the elements for specific medical procedures of an endless list. These custom procedure trays are in use within all areas of the medical industry, including dental offices, and eye care centers.
Sometimes these custom procedure trays are put together by third party companies to save the facility from hiring teams to put together these kits and install an autoclave or sterilization room.
These trays save medical professional time when taking care of the patient. Custom procedure trays help to simplify any medical procedure no matter how complicated or simple the procedure.
Many medical facilities are doing what they did years ago to save money. Facilities are designed sterilization and packing rooms on site with a team of trained professionals who put all kinds of sterile and non-sterile custom trays together, thus saving money from middleman costs. The patient saves money in this process.
Custom procedure trays can be sterile set-up or non-sterile setups.
The purpose for a custom procedure tray,
Sterile, used in custom procedure trays means that the inside of the kit and all contents are sterilized so that there remains no living germs or bacteria. These sterile trays are aseptic and safe to the patient meaning that no bacteria or microorganisms can be introduced on or into the patient.
These sterile trays contain all the specific and necessary equipment to complete a sterile procedure. When a doctor or nurse needs to break the patient’s skin surface all tools including gloves and drapes, must be sterile to protect the patient from infection risk and further problems after the procedure. These sterile trays are,
These trays are not sterile. These custom procedure trays are not free from germs or bacteria and are used in procedures that do not introduce bacteria or germs to the patient.
Non-sterile custom procedure trays are available for some of the following non-sterile procedures, but not limited to these few examples.
These non-sterile procedure trays contain essential equipment. Custom procedure trays offer efficiency and ease for the patient and professional. Using these trays helps the facility to remain in compliance with policy and procedures, also abiding by Federal guidelines.
It is the policy and procedure of each medical facility, office, or clinic to routinely evaluate the necessity of each non-sterile custom tray and reevaluate the need for additional or the deletion of equipment contained in each tray.
Being told by your doctor you need surgery brings forth all kinds of worries as it is. The last thing you need to have on your mind is worrying if their surgical trays with the medical tools and equipment necessary to operate on you cause an infection. After all, you are there with a team of medical doctors having the surgical procedure so you end up feeling better.
How can you make sure your surgeon is using a custom procedure tray?
One of the ways you can make sure the odds of you catching an infection from surgical trays is by making sure your doctors in the operating room will be using custom procedure trays. You do this by simply asking your doctor before the surgery even takes place.
How do custom procedure trays lead to decrease infections?
Custom procedure trays lead to decrease infections by providing only the instruments necessary within the kit to do the particular surgical procedure needed on a patient. This helps to minimize the amount of tools being handled and waste being created during the medical procedure, which also minimizes the risk of infection. Another reason the custom kits decrease the risk of infection is by the simple fact that they are made in Medline owned sterilization facilities. This ensure they do not come in contact with contaminates such as harmful bacteria, fungi and other harmful substances or organisms that could potentially cause infection. In addition, all kits leave Medline facilities in airtight packaging so not even air can contaminate the medical supplies. This ensures that the medical tools being used on you during surgery do not cause any kind of serious infection at all. With that said, medical professionals preparing the kits for use in the medical rooms do need to take precautions.
Why do medical professionals performing the surgery need to take precaution when preparing custom procedure trays for use during surgery?
Medical professionals performing surgery on a patient need to take precaution when preparing custom procedure trays for multiple reasons. One of the reasons being if any of the instruments inside the kit are exposed to the air too long after being opened, they can become contaminated. This means the kits should only be opened right as the surgery is about to happen. Another is, its important for the one in charge of opening the kit in the surgical room to make sure their medical team mates and themselves have washed and sterilized their hands and arms thoroughly before handling any of the tools within the kit. If the washing of the hands and arms do not happen, any bacteria and fungus that may be on a medical team mate can contaminate the tools, which puts a patient at risk for infection. These reasons alone are not the only reasons custom procedure trays needed to be handled with care. Doctors and nurses that are sick should never touch custom procedure trays or patients. doing so could lead to serous infection of a patient. In fact, medical members that do become sick should stay at home to get well and prevent the spread of their infection.
What are some end thoughts to keep in mind for custom procedure trays?
If your surgeon or doctor isn’t using custom procedure trays on you during your operation it is wise to visit another surgeon or doctor for the surgical procedure. Once again, surgery alone is enough to go through, worrying about getting an infection from medical instruments should be weighing on your mind. All you should be focusing on is recovering.