Anaesthetic Procedure Packs Ensuring maximum barrier precautions

Transcription

1 Anaesthetic Procedure Packs Ensuring maximum barrier precautions

2 Anaesthetic Procedure Packs Ensuring maximum barrier precautions It has been estimated that infections associated with care in hospitals affect 9% of patients in NHS hospitals each year. They cost the NHS approximately 1 billion and contribute to the deaths of approximately 5,000 patients. As such hospital acquired infection has become a major current concern and there have been a number of recent proposals and (1, 2) initiatives to reduce its incidence. The Association of Anaesthetists, aware of this current concern, established a working party in conjunction with the Hospital Infection Society and the Medical Devices Agency, to provide advice on infection control in anaesthesia practice. (3) It was found that carrying out procedures in an operating theatre does not pose a lower risk of infection than other hospital locations and the risk of infection, depends on the procedure and on the level of barrier protection, rather than the surrounding environment. (3,4,5) As such the Association of Anaesthetists recommend that when central neural spaces are penetrated full aseptic precautions are required for example:- Insertion of central venous catheters Spinal, epidural and caudal procedures (3) In line with these recommendations, Vygon has worked to develop a range of basic and customised procedure packs to provide maximum barrier precautions, therefore reducing the risk of infection to the patient. CONTENTS Basic Set 3 Spinal Procedure Pack 5 Customised Procedure Packs 7

3 BASIC SET Code: NPC: FYV029 The general, rather than the specific content of the Basic Set makes this pack suitable for departments and units that perform a variety of procedures. Busy Medical and Surgical Directorates may use this set for lumbar puncture, CVC and arterial line placement. In the operating theatre environment it is used for procedures such as Epidural catheter placement and Spinal injections. Outer Wrap 75 x 90cm Large sterile field protects against accidental contamination during the assembly of components and accessories. Hand Towel For hand drying before gowning and applying gloves. Contents Tray Contents tray serves as a receptacle for carrying sharps and clinical waste for safe disposal. Gallipot with 4 Ball Swabs Add prep solution directly to gallipot containing ball swabs. Gallipot may be taken to patient to avoid Prep Forceps Use to lift and hold ball swabs during skin prepping. Large Ball Swabs x 2 Use to remove excess skin prep solutions and blood 18g 5µm Filter Needle Use to draw up and filter solutions prior to injection. Aperture Drape 80 x 70cm Use to drape operative area and maintain total barrier protection during the invasive procedure. Syringes & Hypo Needle 2.5, 5, and 10ml Luer Slip Syringe with 21g (1 1/2 ) and 25g (5/8 ) Hypo Needles. Use together to create skin wheal and infiltrate local anaesthetic. Vygon UK Ltd Anaesthetic Procedure Packs 3 4

4 SPINAL Code: NPC: FYV030 Considering the nature of this intricate procedure, the contents have been chosen to minimise difficulties, whilst providing all the essential components needed to perform a spinal procedure. As the pressure on the syringe can be high during the delivery of the intrathecal injection down the fine bore spinal needle, a 3ml luer lock syringe is included in this set to avoid risk of disconnection. The set also contains a drape with an offset aperture. The drape measures 80 x 70cm, which makes it suitable for application when the patient is in either the sitting or lateral position and provides total barrier protection throughout the procedure. Outer Wrap 75 x 90cm Large sterile field protects against accidental contamination during the assembly of components and accessories. For hand drying before gowning and applying gloves. Contents Tray Contents tray serves as a receptacle for carrying sharps and clinical waste for safe disposal. Aperture Drape 80 x 70cm Whitacre Spinal Needle (25g x 90mm) Use to drape operative area and maintain total barrier protection during the invasive procedure. For delivery of intrathecal anaesthetic solution. Steel introducer with conical shaped hub for smooth introduction of the Spinal needle. Pencil point needle minimises the risk of post-spinal headache. 3ml Syringe Luer Lock To prevent disconnection of the syringe. Gallipot with 4 Ball Swabs Add prep solution directly to gallipot containing ball swabs. Gallipot may be taken to patient to avoid Prep Forcep Use to lift and hold ball swabs during skin prepping. Large Ball Swabs x 2 Use to remove excess skin prep solutions and blood 18g 5µm Filter Needle Use to draw up and filter solutions prior to injection. Syringes & Hypo Needles 2.5, 5, and 10ml Luer Slip Syringe with 21g (1 1/2 ) and 25g (5/8 ) Hypo Needles. Use together to create skin wheal and infiltrate local anaesthetic. 5 Vygon UK Ltd Anaesthetic Procedure Packs Vygon UK Ltd Anaesthetic Procedure Packs 6

5 1 x Tray 17 x 10 x 3cm 1 x Syringe 2.5ml LS 1 x Syringe 5ml LS 2 x Gauze Balls XRO Large 4 x Gauze Balls XRO Small 1 x Filter Needle 18G 2 PE Fen Dia 8 cm 1 x Outer Wrap CUSTOM Code: Customisation provides you with the ability to tailor make a pack specific to your requirements whilst also providing maximum barrier precautions, therefore reducing the associated risk of infection to the patient. SAVING TIME AND MONEY With the ever increasing demand to improve the efficiency of hospitals and utilise available time, custom packs help by reducing the stock items required for the procedure, thereby decreasing waste, ordering costs and packaging. This in turn allows skilled clinicians the time for hands on care to patients by reducing set up time. REDUCING THE RISK OF INFECTION The components available in Vygon s customised procedure packs have been specifically selected for their high quality and in the case of sterile drapes to provide maximum barrier protection hence helping to reduce the risk of infection to the patient. OUR COMMITMENT TO YOU The receipt of your initial order is only the start of the process. Your custom pack will be tracked and monitored throughout its journey to you by a dedicated sales support person. This ensures on time delivery and consistent supply throughout its life. In addition, on receipt of your initial order a welcome pack will be delivered including contact details and posters of your new pack. A sales executive is also always on hand to provide any additional training, help and advice needed to ensure your pack is a success. NOW IN STOCK Example welcome pack Kime General Hospitals Basic Procedure Set Kime Hospitals NHS Trust Code: Pack Contents 1 x Syringe 10ml LS 1 x Hypodermic Needle 21G x x Hypodermic Needle 25G x 5/8 1 x Hand Towels 1 x Gallipot Rectangular 60ml White 1 x Forceps Blue 1 x Drape, Anaesthesia, 60 x 60 cm, Designed and Printed by Vygon UK Ltd Vygon (UK) Ltd, Bridge Road, Cirencester, Gloucestershire, GL7 1PT. Tel: Fax: Web: customerservice@vygon.co.uk - Content correct as of 06/07 Code: VY000 7 Vygon UK Ltd Anaesthetic Procedure Packs Vygon UK Ltd Anaesthetic Procedure Packs 8

6 References 1. Association of Anaesthetists of Great Britain and Ireland: Infection control in anaesthesia. November National Association of Theatre Nurses: Universal precautions and infection control in the peri-operative setting. NATN Harrogate The Hospital Infection Control Practices Advisory Committee: Guidelines for isolation procedures in hospitals. Part II. Am. J. Infect. Control. 1996; 24: Behaviours and rituals in the operating theatre - a report from the Hospital Infection Society Working Group on Infection Control in Operating Theatres. Hospital Infection Society West, K. H. and Cohen, M. L. Standard precautions a new approach to reducing infection transmission in the hospital setting. J. Intraven. Nurs. 1997; 20: Pearson M.L. Hospital Infection Control Practices Advisory Committee: Guidelines for prevention of intravascular device related infections. Infection Control and Hospital Epidemiology 1994; 15: Fletcher S.J. Bodenham AR. Catheter-related sepsis, an overview. Br Journal of Intensive Care 1999; 9: Custom Pack Component Choice SPINAL NEEDLES 1. (Whitacre) Spinal needle with introducer 90mm, 25G (181.05) 2. (Whitacre) Spinal needle with introducer 90mm, 27G (181.04) 3. (Whitacre) Spinal needle with introducer 90mm, 26G (181.94) 4. (Whitacre) Spinal needle 90mm, 22G (181.07) EPIDURAL COMPONENTS 1. Epidural catheter XRO 19G, 1.0 x 0.6mm, C.D.T 3 eyes 2. Epidural catheter XRO 20G, 0.85 x 0.45mm, C.D.T 3 eyes 3. Tuohy needle, 80mm, 16G 4. Tuohy needle, 80mm, 18G 5. Filter Loss of resistance device 10ml 7. Tuohy Trocar 16G HYPO NEEDLES 1. Hypo needle 19G x 2" (CREAM) 2. Hypo needle 21G x 1 ½" (GREEN) 3. Hypo needle 23G x 1" (BLUE) 4. Hypo needle 23G x 1¼" (BLUE) 5. Hypo needle 25G x 5 /8" (ORANGE) 6. Hypo needle 25G x 1" (ORANGE) 7. Hypo needle 27G x ½" (GREY) 8. Drawing up needle 18G x 1½" (PINK) QTY I would like to receive a quotation for a pack containing the components indicated based on a volume of packs per annum. The price quoted would remain fixed for 24 months and is given on the understanding that this would be a two year agreement. (Minimum 1000 packs per annum) Current Use: Notes DRAPES x 70cm Drape Adhesive on short edge x 70cm Aperture Drape Adhesive on short edge x 70cm Offset Aperture Drape Adhesive on short edge and aperture x 60cm Opaque Visudrape Adhesive on short edge and aperture x 100cm Clear Offset Aperture Drape Adhesive on edge, aperture and sticky tabs at bottom. Estimated Price: Sales Exec.: Name: Designation: SYRINGES 1. Syringe 2.5ml, luer slip Department: 2. Syringe 3ml, luer lock 3. Syringe 5ml Luer Slip: Luer Lock: Hospital: 4. Syringe 10ml 5. Syringe 20ml Luer Slip: Luer Slip: Luer Lock: Luer Lock: Address: SWABS 1. Swabs 7.5 x 7.5cm Colour: Ply: Swabs 10 x 10cm Colour: Ply: Swabs ball, large, XRO 4. Swabs ball, small, XRO 5. Swabs 10 x 10cm, 4 ply, non woven ANCILLARY ITEMS 1. Hand towel, 30 x 40cm Telephone: Ext: 2. Gallipot 60ml 3. Sponge stick, 6" Signature: Date: 4. Filter needle 5µm, 18G, 50mm 5. Filter needle 5µm, 19G, 50mm 6. Filter straw 95mm PACK TO BE LABELLED: 7. Mini scalpel No Scalpel No Blue prep forceps 10. Yellow disposal bag 35 x 45cm 9 Vygon UK Ltd Anaesthetic Procedure Packs ml ampoule of 0.9% saline 12. Transparent dressing, 15 x 10cm 13. Tape strips x 2, each strip 152 x 13mm 14. Crystalfix catheter fixation device Should our quotation be successful, the first delivery of this pack would be approximately 12 weeks from receipt of your order.

7 Vygon (UK) Ltd Web: ANAES/PKS Content correct as of 11/08