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File: 102596_sep96_decls5_0010.txt
Page: 0010
Total Pages: 20

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