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Presentation about the case cart model that is currently in implementation at the Montreal's Jewish general hospital. The case carts are the custom settings of instruments and supplies needed for surgical interventions. These cases are prepared in specialized sterile zones separated from the operating room, which requires a flexible and fast logistic setup. This presentation explains in a simple way how this set up is been doing at the JGH and what steps are missing.
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Direction de la Transition Transition Team
Presentation prepared by: Alvaro Gil Romy Schnaiberg TRANSITION TEAM JUNE 2014
The Case Cart Project -
An Introduction
Direction de la Transition Transition Team
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• What is changing?
• What is a Case Cart?
• What is the JGH vision?
• What do we need to do?
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AGENDA
Direction de la Transition Transition Team
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What is changing for the OR Team? Today
Pav C
13 theaters
All products stored in the OR
Products transported in CLOSED carts
OR staff prepare products
January 2016
Pav K
17 theaters
Most products will be stored in CSD
Products to be transported in closed AND OPEN carts
CSD staff prepares PRODUCTS so that the
OR staff focuses on PATIENT CARE.
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Today
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January 2016
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DMI - vending machines for consignment items http://youtu.be/TF3sD50CAV8
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Increase in volume of activities from new services
Orthopaedic products
Bedside utilities
New environment
New layout
New machines
New storage area
New workflow
Case Carts
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What is changing for the CSD Team?
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CSD today
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CSD in January 2016
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• A case cart is a mobile standard repository where all the products for a specific intervention are placed.
• A case cart can be open or closed.
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What is a Case Cart?
Direction de la Transition Transition Team
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The Kardex identifies the EXACT LIST of all products that are required for the intervention.
The Case Cart is prepared following
this EXACT LIST.
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Example of case cart preparation at Le Gardeur Hospital Terrebonne (Québec)
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Reduces risk of contamination
&
turnover time
Increases efficiency
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Case Carts in action
http://youtu.be/2yCIe0rUOlA
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Direction de la Transition Transition Team
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• Case carts allow teams to focus on CORE BUSINESS: – CSD staff will prepare PRODUCTS so that the OR staff can
focus on PATIENT CARE.
• Case Carts will be prepared in CSD, as per the Kardex.
• Some critical items will be stored in the Sterile Core (OR).
• Consignment items will be stored in the Sterile Core (OR).
– A final step in the Sterile Core will be only be necessary if the intervention requires critical or consignment items.
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What is the JGH’s vision?
Direction de la Transition Transition Team
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Kardex Inventories
Transfer orthopedics
to CSD before the move to
K
New instruments
sets
New Operating
Room Management
System
New Instrument
Tracking System
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How will we get there?
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OR
CSD
Materials Management
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Interdepartmental Relationship Diagram
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Case carts proposed processes diagram
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