Sterile screws packaging
1)Order of ten screws boxes
2)Double folder, pealable case, steriles
3)Boxes storage in a movable rack
4) Expiration date : 5 years
5) No mixing of screws size
6) Rigorous traceability
7) Better traceability for the patient and the hospital staff
8) Delivery in 24 hours
9) At the reception of packages, immediate storage on the racks, gain of time
10) Immediate use once the size is chosen by the surgeon in peroperative
Non-sterile screws packaging
1) Shopping of non-sterile screws per packet
2) At reception : 3 washes of screws before sterilization
3) Screws storage in corresponding boxes
4) Filling of screws racks in containers of screws in function sizes
5) Sterilization of containers
6) Storage of containers in sterile arsenal
7)Expiration date of containers : maximum 6 months
8) After each procedure repeat all the sterilization steps
9) Take into account the sterilization cost, staff time
10) Management of orders
11) Reuse of the same screw in peroperative
12) Risks related to a lack of traceability
Conclusion
• Better presentation of the concept
• Gain of time for the different teams
• Better traceability for the patient
• Better traceability for the hospital
• French manufacturing
• Budget savings with orders more regular and less important