To come up with a plan that works best for CS as it
is now, while thinking ahead for the future planned OR
department expansion, Meggs turned to Scott Wood of
Lista and Joe Figueroa of Figueroa Medical & Associates. The Lista team came up with its recommendations after careful
review of the workflow, numerous drawings of options, and revisions
based on Meggs’ feedback.
The new space includes eight new surgical instrument preparation
and packing work stations, where technicians put together sets of
instruments that are placed in trays, wrapped and stored, then later
placed in the sterilizer.
Technicians begin by taking clean unsterile instruments from the
cabinetry, where they are stored in fully adjustable pull-out slotted
drawers equipped with labeled dividers and partitions. They select
the needed instruments and assemble the case on work stations that
are equipped with a stainless steel work surface and an overhead
shelving system set up for a flat panel monitor. Supplies are stored
under the cabinet. Technicians are also supplied with a magnifier so
they can see the instruments to ensure they are completely cleaned,
and spot any fragments before instruments are packed and put into
sterilization. The work stations also include their own integrated power strips and overhead lighting so technicians can clearly identify and
inspect the instruments and supplies.
The technicians then take the instrumentation to the wrapping
station, where it is wrapped for sterilization. Unlike the past system,
which used individual tables that had wasted space underneath the
counter, the Lista system provides storage for all the necessary special
wrapping supplies, stored in 84-inch by 57-inch roll-out drawers on
two of the four sides. According to Meggs, this system works well be-
cause technicians no longer need to walk around looking for supplies,
which definitely increases productivity. He says, “The goal is to get
everything the technician needs in one place, including tags, arrows,
biological indicators, sterilization tape, and filters, so the tray is com-
plete when it’s wrapped and put out for sterilization.”
When the trays come out of the sterilizer, and before they go up
to the OR, they are placed in the Lista storage wall system on heavy
roll-out trays. Specialty services are color-coded and CS mimics the
Reorganizing Morristown Medical
Center's surgical instrument storage,
preparation, and sterilization area
improved productivity, accommodated
future hospital growth, and helped
maximize available space.
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