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1、C S S DA N D D I S A S T E RP R E P A R E D A ND P R E S E NT E D B YA L I HACHE MDISASTERIt is a sudden accident or naturel catostrophethat may cause great damage or loss of life.(More Than 100 People Died)BEIRUT DISASTER 2020,OR THE BEIRUT PORT EXPLOSION 2020,AND THE TERM BEIRUTISHIMA WAS CALLED,S
2、IMILAR TO WHAT HAPPENED TO THE CITY OF HIROSHIMA AS A RESULT OF THE NUCLEAR EXPLOSION.A HUGE MUSHROOM CLOUD ACCOMPANIED A SHOCK WAVE THAT SHOOK THE CAPITAL,BEIRUT,CAUSING GREAT DAMAGE TO THE PORT AND SHATTERING THE GLASS FACADES OF BUILDINGS AND HOMES IN MOST NEIGHBORHOODS OF THE LEBANESE CAPITAL,BE
3、IRUT.Th e L e b a n e s e Na t i o n a l Ag e n c y r e p o r t e d t h a t t h e n u mb e r o f i n j u r e d i s l a r g e a n d c o u n t l e s s,a n d t h e L e b a n e s e Mi n i s t r y o f He a l t h r e c o r d e d a r e p o r t t h a t mo r e t h a n 218 p e o p l e we r e k i l l e d,i n c
4、 l u d i n g mi s s i n g p e r s o n s wh o we r e n o t f o u n d,a n d mo r e t h a n 7,000 o t h e r s we r e i n j u r e d.CSSD:CENTRAL STERILE SUPPLY DEPARTMENTis an integrated place in hospitals and other health care facilities that performs sterilization and other actions on medical devices,
5、equipment and consumables,for subsequent use by health workers in the operating theatre and for other aseptic procedures.(cath.Med.surg.).ACTION PLAN BEFORE A DISASTERIN CSSDROLE OF THE CSSD BEFORE THE DISASTER1.En s u r e a ll s u r g ic a l a n d m e d ic a l s u p p lie s a n d e q u ip m e n t f
6、o r Am b u la n c e s .2.En s u r e a ll s u r g ic a l a n d m e d ic a l s u p p lie s a n d e q u ip m e n t fo r Em e r g e n c y De p a r t m e n t .3.En s u r e a ll s u r g ic a l a n d m e d ic a l s u p p lie s a n d e q u ip m e n t fo r O p e r a t in g T h e a t r e .4.En s u r e a ll s
7、u r g ic a l a n d m e d ic a l s u p p lie s a n d e q u ip m e n t fo r M e d ic a l a n d S u r g ic a l De p a r t m e n t s .Cssd is the heart of the hospitalDISASTER AND STERILIZATION MACHINE1.WHAT HAPPENS TO THE STERILIZATION MACHINE DURING AND AFTER DISASTER Ma n y h o s p i t a l s a n d h
8、e a l t h c e n t e r s h a v e b e e n c o mp l e t e l y o r p a r t i a l l y d a ma g e dFr o m t h i s p o i n t a n d f o r wo r k i n g a s n a t u r a l e x i s t t h e r o l e o f ma i n t e n a n c e b e f o r e d u r i n g a n d a f t e r d i s a s t e r.ROLE OF MAINTENANCE IN THE CSSD 1-
9、Ch e c k u p o n w a t e r s o u r c e a n d R e p a ir if n e c e s s a r y u s e d (f o r t h e s t e a m g e n e r a t o r ).u s e d (Fo r V a c c u mp u m p).2-Ch e c k u p o n s t e a m g e n e r a t o r a n d R e p a ir it if n e e d e d.3-Ch e c k t h e s t e r ilis e r f o r a n y m a lf u n
10、 c t io n a n d p e r f o r m a le a k t e s t t o r e p a ir it if n e c e s s a r y.S a m e f o r t h e w a s h e r m a c h in e.CSSD AFTER DISASTER:IMMEDIATELY AFTER THE DISASTER,THE EQUIPMENT WAS INADEQUATE,WHICH ADVERSELY AFFECTED THE SECURITY OF ALL SUPPLIES.THERE WAS A DEFICIT AND A DELAY IN
11、SECURING THOSE SUPPLIES.THIS DEFICIT HAS LED TO A FUNDAMENTAL PROBLEM,NAMELY:INADEQUATE REQUIREMENTS FOR AN EMERGENCY.THIS PROMPTED THE HOSPITAL ADMINISTRATION TO DEVELOP AN EMERGENCY ANDDISASTER PLAN,ON THE TOP OF THE PYRAMID.Rebuilding of the CSSD R E BU I L D I N G A C S S DA F T E R A D I S A S
12、T E R-B E I RU TWh a t t h a t m e a n :Rebuilding a CSSD MAKING NEW CSSD WHITHOUTCOMPLETELY REPLACMENTPLAN FOR REBUILDING 1.In c r e a s e t h e n u m b e r o f t h e p e r s o n w o r k in g in t h e CS S D.2.In c r e a s e t h e n u m b e r o f s u r g ic a l in s t r u m e n t s .3.In c r e a s
13、e t h e n u m b e r o f it e m s a n d m e d ic a l e q u ip m e n t u s e d in t h e c s s d.4.U p g r a d e t h e d a t e o f s t e r iliz a t io n .f r o m 6 m o n t h s t o 1 y e a r a c c o r d in g t o t h e r e s u lt c u lt u r e fo r it e m a f t e r 10 m o n t h s o f s t e r iliz a t io n
14、 .5.Es t a b lis h m e n t o f a n e w d is a s t e r w a r e h o u s e .6.In c r e a s e t h e n u m b e r o f lin e n a n d s h e e t s .7.In c r e a s e t h e n u m b e r o f t h e p e r s o n w o r k in g in t h e la u n d r y .8.Cr e a t e a g r o u p o f w o r k e r s in t h e CS S D fo r Dis
15、a s t e r.9.S t u d y d a t a o f s u r g ic a l in s t r u m e n t s a n d m e d ic a l s u p p lie s t h a t w e r e u s e d in d is a s t e r.10.Cr e a t e a f a s t c y c le in t h e s t e r ilis e r fo r e m e r g e n c y a n d d is a s t e r u s e d.WHAT HAS BEEN DONE FROM THE PLAN?Nu mb e r o
16、 fBe f o r e Di s a s t e rAf t e r Di s a s t e rP e r s o n i n t h e CS S D1215P e r s o n i nt h e l a u n d r y810It e msa n d Me d i c a l a n d s u r g i c a l e q u i p me n tM2*ML i n e n a n d s h e e t sl2*lS u r g i c a l i n s t r u me n ts2*sCREATE A GROUP OF WORKERS IN THE CSSD FOR DI
17、SASTER.Why?Why?t o c o v e r a n y s h o r t a g e s t h a t m a y o c c u r a s a r e s u lt o f t h e d is a s t e r.DISASTER WAREHOUSE:(STERIL STORE)It is a p la c e c o n n e c t e d t o t h e s t e r iliz a t io n d e p a r t m e n t ,a llo c a t e d t o d is a s t e r s a n d e m e r g e n c i
18、e s,d e s ig n e d a c c o r d in g t o in t e r n a t io n a l p r in c ip le s .T h e s t o r e c o n t a in s a ll t h e s u r g ic a l t o o ls a n d o t h e r m e d ic a l s u p p lie s y o u n e e d .All in d ic a t o r s a n d t h e v a lid it y d a t e a r e m o n it o r e d o n a d a ily b
19、a s is t o e n s u r e t h e ir v a lid it y ,a n d t o b e n e f it f r o m t h e m in e m e r g e n c y s it u a t io n s o r d u r in g d is a s t e r s.SOURCES ADOPTED FOR REBUILDING We w e r e a b le t o r e b u ild t h e d e p a r t m e n t w it h a ll t h e n e c e s s a r y m e d ic a l a n
20、d in d u s t r ia l s u p p lie s a v a ila b le t o u s.We a d d t o t h a t e v e r y t h in g t h a t f r ie n d ly c o u n t r ie s f r o m t h e Eu r o p e a n U n io n a n d o u r Ar a b b r o t h e r s a n d o t h e r s c o u n t r ie s p r o v id e d a n d s e n t t o u s in t e r m s o f m
21、e d ic a l e q u ip m e n t a n d s u r g ic a l s u p p lie s.T h u s,w e w e r e a b le t o b y p a s s t h e c a r d a n d r e b u ild t h e d e p a r t m e n t w it h a ll t h e n e c e s s a r y s p e c if ic a t io n s.All o f t h is w a s d o n e in c o o r d in a t io n w it h t h e L e b a
22、n e s e M in is t r y o f He a lt h o r u n d e r it s s u p e r v is io n.CONCLUSIONCONCLUSIONDis a s t e r s a n d e m e r g e n c ie s a r e s u d d e n a n d d o n o t h a v e a s p e c if ic t im e,d u r in g w h ic h w e m a y n e e d la r g e n u m b e r s o f r e a d y-t o-u s e s t e r ile
23、m e d ic a l s u p p lie s a n d s u r g ic a l e q u ip m e n t a n d it e m s .All o f t h is is b a s e d m a in ly o n t h e s t e r iliz a t io n d e p a r t m e n t.We a r eM a s t e r s o f DIS AS T ERMy show is over.Qu e s t i o n sTHANKSS p e c ia l t h a n k s t o WFHS S a n d AS T ER fo r t h e in v it a t io n t o p a r t ic ip a t e in t h is c o n fe r e n c e.We t h a n k e v e r y o n e w h o h e lp e d u s t o o v e r c o m e t h e d is a s t e r.THANK YOU FOR YOUR INTEREST AND ATTENTION