EQUIPMENT NURSES IN THE PROCUREMENT PROCESS Clearing the MUD Who - - PowerPoint PPT Presentation

IN THE PROCUREMENT PROCESS

EQUIPMENT NURSES

Clearing the MUD…

 Who are we?  Where do we sit in the procurement process?  What is our scope of practice – in procurement?  What is our scope of practice – what else do we do?  Who do we engage with?  What difference can we make?  Examples of working with end users.

Who are we?

• Registered Nurse

clinical background / patient care focus

• FT / PT – depending on the size of the Unit
• May also be involved in direct clinical patient care
• May be a Senior Nurse: ANUM / NUM

Equipment Nurse role incorporated into their

• verall duties
• Involved with purchase, evaluation (clinical and

financial) and maintenance of equipment and consumables

Where do Equipment Nurses sit in the procurement process?

What is our scope of practice – in procurement?

 Organise s

speci ecialty e equi uipment r requi uired ed f for “1 1 of

• ff” thea

eatre e case ases, s, i. i.e. it items s not he held in in st stock.

Involves: discussion with surgeon / obtain the product / arranging staff education / Company Rep available / organise payment

 Int

ntroduce Ne e New Pr Products:

Source items / provide “at least 3 quotes” /compare the market / discuss with colleagues / assess projected usage & cost / ensure HPV/TGA approved / present at Product Evaluation Committee / ensure new policies in place e.g.: new laser equipment

 Pr

Product Trials:

Develop trial / ensure stock available / arrange staff education / ensure transparency / evaluate / implement change / scale of a trial depends on the product (i.e.: 71 Consultant Surgeons in our 7 Theatre Suite – can we ever “achieve consensus”?!)

What is our scope of practice – in procurement?

 Inven

entory Ma Mana nagem emen ent: r re-usable le items & & con

• nsumable

les:

PAR level review / backorders / request credit notes / exchanges /

• rder equipment and consumables via FMIS (ORACLE)

 Pr

Product faul ults / reca ecalls:

Report issues / return item to company for assessment / act on recalls – physically remove stock, arrange replacement

 Consignm

nment nt S Stock:

Ensure robust re-order process in place / replenishment attended in a timely manner / review with Company Representative

 Business

ss Case Case in input:

collate & collect data / quotes for Business Cases for capital equipment & new equipment / consumables

 HPV:

V:

take part in PRGs (Product Review Groups) / report back issues

 Awarene

ness o

• f:

probity issues, confidentiality, conflict of interest / ACORN standards

What is our scope of practice – in procurement?

 ACO

CORN S Standa dards ds

 Australian College of Operating Room Nurses  Governing body for theatre nurses / guide policy & procedures  Standard: “Purchasing and Safety Considerations for New Equipment and

Instrumentation”

What is our scope of practice – what else do we do?

 Theat

atre B Bookin ings: s:

Review operating theatre lists with Elective Surgery Coordinator so there are no equipment clashes / equipment availability checked / issues highlighted

 Equipme

ipment R Repair airs: s:

arrange repair quotes / obtain loan equipment / pack & send / communicate with staff about what is “out” - via “Repairs Notice board” / organise payment / ensure cases not booked that require equipment that is “out for repair”

What is our scope of practice – what else do we do?

 Re

Re-usa sable I Instr truments: ts:

ALISA Instrument tracking System - Involves: photograph every instrument / producing tray lists - tool used for surgical count procedure

How do we implement change?

 Examp

mple: telescope damage (used in laparoscopic surgery)

 Noticed telescopes going out for repair regularly  Assess repair cost: $30,000 / annum  Found out where the issues occurs through discussion with company &

theatre staff

 Decide on solution:  protection sleeve – available but not utilised  additional staff education on the delicate nature of telescopes  Communicate with CSSD – change of practice: new sterilising procedure  Purchase protective sleeve via FMIS ($14.00 each)  Photograph new item / update ALISA paperwork  Provide additional education for staff – change of practice: new count

procedure

 Re-assess repair costs

Who do we engage with?

 Re

Report t to:

NUM (Nurse Unit Manager)

 Uni

nit S Staff: (in t n thea eatre)

Surgeons / Consultants / fellows / registrars / interns / Nurses / students /Theatre Technicians / Floor Coordinators / ANUMs / NUM / Perioperative service manager / executive

 CSSD (

(Cent entral Ster erilising S Sup upply D Dep epartmen ent)

 Hospit

ital S Staff:

Biomedical Engineers / Infection Prevention / Environmental Services Unit / Workplace Health & Safety / Theatre Bookings

 Suppl

ply s staff: :

Procurement / Buyers / Contract Managers / Supply Managers

What difference can we make?

 Streamline Processes: example, ordering process, largely

manual – moving to barcodes

 Standardise Products: review product groups  Point of contact: external and internal  Respond to changes in clinical practice  Respond to changes in the market – new products, act on

price variations, negotiate, save $$$

 Liaise with other hospital areas – through Product Evaluation

Committee

 Utilise Clinical Product Advisory group for assistance – our

network for the whole of Victoria

 HPV – Product Review Group – provide input on products

Working with end users…

 Example: Product Complaint  What’s that in the sterile linen?

Working with end users…

 Example: Prod

• duct C

t Complain aint

 What’s that in the sterile linen?

Working with end users…

 Example: Dealing

ng w with u unus usua ual r reque uests Surgeon: “Can I borrow some instruments?” Equipment Nurse: “What for?”

Motaba – Silverback Gorilla

I CAN SEE CLEARLY NOW THE MUD HAS GONE….

THANK YOU