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1、Automation to battle current endoscope reprocessing issues&missing field knowledge1919-Meet the ExpertMartina Pinilla ReijaHead of EndoscopyChirec+25 Year ExperienceMore than 10 years in operating theatreFebruari 1999:endoscopy service CPL?Medical technical services2006:Reorganisation e
2、ndoscopy servicePain clinicVision pluri disciplinaireMartina Pinilla ReijaEndoscopy formationCentralisation High level disinfection2006:TROSProcedures disinfection en microbiological controlCoordination different examination rooms+rentability5 hospitalsSte.Anne-St.RemiBraine lAlleudEdith CavellBasil
3、iqueChirec DeltaGroup ChirecParc LeopoldChirec Delta4 day hospitalsTrneEurope LambermontJean MonnetLouiseCadre intermdiaire de lendoscopie+hyginiste-PCI du site DeltaMr Frdric CattoorMr Frdric CattoorCadre intermdiaire des soins intensifs+hyginiste PCI du site DeltaMme Sandy MoyseMme Sandy MoyseInfi
4、rmire dendoscopie+rfrente hygineMme Gretta Chehab Mme Gretta Chehab Infirmire dendoscopie+refrente hygine Mme Lama Roukos Mme Lama Roukos Equipe hyginistesDbut endo 1999Service dendoscopie CPL 2 sallesPlateau technique CPL 4 salles Traitement des endoscopes dans le mme local que les actes techniques
5、 la glutaraldehyde Pr-nettoyage dans un vier avec marque+produit enzymatique dosage selon recommandation Pr-nettoyage et dsinfection dans un local adapt entre 2 salles dendoscopies.Selon recommandations+marque spcifique et dosage adapt2.Flushing5.Wiping1.Bedside cleaning4.Brushing3.LeakagetestSelf-d
6、sinfectionFacilities 01Ticket traabilit machineSemaine du.au.Semaine du.au.Semaine du.au.Les machinesFull tracebility1.Patient2.Doctor Anesthesist Nurse3.Examination (Date and hours)Room examination4.Type of endoscope Single use instruments 5.Disinfection Manual/machine N machine2017 DeltaContexte-C
7、apacitLeftLeft:Automated pre-cleaning sinksRight:Pass through Washer disinfectorsBefore:Manual leakage test Less preciseNo controlNo traceabilityOverload staffLonger time to clean Small and narrow sinksComparisonComparisonAfter:Automatic leakagetestSafety using the right quantity chemistryControl on
8、 water temperatureControl on contacttime chemistryLarger quantity endoscopesHigher capacityONE operator four sinksPre-cleaning phase1.As soon as the examination is complete,rinsing the channels,check for insufflation and clean the outside of the endoscope with a damp cloth.2.The endoscope is returne
9、d in its basket covered with red plastic(unfit for use)to the DM processing room.3.2 LAs take charge of the endoscope4.Placement of the endoscope on the bench5.Connection of all the channels with tubing adapted to each channel according to the type of endoscope.6.Start the pre-cleaning program and s
10、can the person carrying out the procedure=traceability7.Launch of the various cleaning stages+brushing,etc.8.Disconnection of the tubing and repositioning of the endoscope in the ad hoc basket+connection and transition to disinfection.9.Disinfection of machines 3x/week,biofilm 2x/week10.Table surfac
11、e cleaning 1x/week and other product 1x/monthBarcode reader to trace:SinkEndoscopePatientDoctorOperatorCollecting dirt out of pump during circulationEVIDENCECLEAN FILTERFILTER with barcodeDIRTY FILTER24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viv
12、erra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellen
13、tesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci
14、dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.LeftLeft24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7
15、Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.GREEN LIGHT=SAFE&NO LEAKAGE DETECTED24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Mor
16、bi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.Dry l
17、eakagetest during two minutes on 200 milibarStart channel rinsing of all channelsBEFORE brushing24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli
18、lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,vive
19、r lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.EXTRA SAFETY FEATURESIntegrated communication between UltraZonic Endo&Washer disinfectors24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour
20、HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsu
21、m dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,conse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.24/7 Hour HospitalLorem ipsum dolor sit amet,c
22、onse lacinia nli lectus ornare,viver lectus ornare,viverra ctetur pellentesque.Morbi orci dui,.Program integrated to disinfect the device:Sinks,drain and internal tubes are validated disinfected Disinfection programProgram integrated to destroy biofilm in the device Biofilm removal programExtra added cyclesUltraZonic ENDOEXTRA SAFETY FEATURESDuodno+Echo-endoBroncho+Cysto+Broncho raGastroscopesColonoscopesEffectiveness studyMay 2023Presented by Pawel de Sternberg Stojalowski White paperWhite paperThank you!Martina Pinilla ReijaHead of EndoscopyHead of EndoscopyChirecChirec