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File: 102596_sep96_decls5_0010.txt
Subject: NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN 91
Unit: FLEET HOSP
Parent Organization: NAVCENTCOM
Box ID: BX300052
Folder Title: FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Document Number: 58
Folder SEQ #: 11
UNCLASSIFIED
(F) A BIOLOGICAL INDICATOR SYSTEM DESIGNED FOR
MONITORING STEAM STERILIZATION EFFICIENCY OF EACH
STERILIZER ON A DAILY OR WEEKLY BASIS AND AFTER ANY
MAJOR REPAIRS. THIS SYSTEM CONSISTS OF THE TEST
AMPULES AND THE BIOLOGICAL INCUBATOR SPECIFIC TO THAT
SYSTEM (I.E. THE 3M ATTEST SYSTEM OR THE AMSCO PROFF
SYSTEM). THE BIOLOGICAL INDICATOR, THE CHEMICAL STEAM
INDICATOR STRIPS AND THE HEAT SENSITIVE STERILIZATION
TAPE TOGETHER WITH THE STERILIZER TEMPERATURE AND TIMER
READINGS PROVIDES THE OPERATOR A MORE ACCURATE PICTURE
OF CONSISTENT, HOSPITAL AND OPERATING ROOM SUITES.
C. LESSONS LEARNED: SPARE PARTS, PREVENTIVE MAINTENANCE
PROGRAM, AND THE CONTINUOUS AVAILABILITY OF CARE PRODUCTS FOR THE
INSTRUMENTS AND THE STERILIZER UNITS ARE OF PRIMARY IMPORTANCE,
IN ORDER TO SUSTAIN THE DEPARTMENT MISSION FOR STERILIZATION FOR
THE ENTIRE HOSPITAL.
D. RECOMMENDED ACTION: RECOMMENDED ACTIONS WOULD INCLUDE
DEPMEDS CONSIDERATION OF A SLIGHTLY MORE SOPHISTICATED STEAM
STERILIZER UNIT WHICH WOULD BE MORE CONSISTENT WITH THE OTHER
FIELD AND/OR FLEET HOSPITAL IMPROVEMENTS. SUGGESTED AREAS OF
CONSIDERATION ARE:
(1) HI-VAC CAPABILITY FOR POWER, DELICATE AND LUMENED
ITEMS.
(2) INCREASED LOAD SIZE TO ACCOMMODATE THE SIZE OF THE SETS
AND LINEN PACKS.
(3) INCREASED PROCESSING SPEED.
(4) CONVERTING TO CONTAINERIZED STORAGE AND STERILIZATION
SYSTEMS (SUCH AS AESCULAP OR GENESIS) WHICH WOULD INCREASE SHELF
LIFE (ESPECIALLY IN STERILE ANTAGONISTIC ENVIRONMENTS), DECREASED
D AND IMPROVED STORAGE AND SPACE CAPABILITY.
(5) INCORPORATE A BALSTON STEAM FILTER TYPE SYSTEM TO THE
STERILIZER.
(6) PLUMB THE STERILIZERS AND THE CENTRAL STERILE
REPROCESSING MODULES SO THEY COULD EASILY BE "MARRIED UP" DURING
SET UP OF THE SCR ISO'S.
(7) THE ABOVE MENTIONED SYSTEM COULD POTENTIALLY REDUCE THE
STERILIZER REQUIREMENTS TO ONE STEAM STERILIZER PER CSR ISO.
(8) IN ADDITION TO THE STEAM AND COLD STERILIZATION
CAPABILITIES, I STRONGLY RECOMMEND THAT DEPMEDS AUGMENT THE
OR/CSR PLATFORM WITH EITHER
(A) THE 3M STER-VAC 5XL TABLE TOP CANISTER ETO GAS
STERILIZATION UNIT, OR
UNCLASSIFIED
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Document 20 f:/Week-36/BX300052/FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837/navgram lessons learned f h f 1 jan 91 to 31 jan:1018961451347
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-36
Box ID = BX300052
Unit = FLEET HOSP
Parent Organization = NAVCENTCOM
Folder Title = FLEET HOSPITAL WORKING PAPERS VARIOUS SOURCES CNA 2837
Folder Seq # = 11
Subject = NAVGRAM LESSONS LEARNED F H F 1 JAN 91 TO 31 JAN
Document Seq # = 58
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 18-OCT-1996