Effective Date: August 31, 2006

Transcription

1 COALINGA STATE HOSPITAL NURSING POLICY AND PROCEDURE MANUAL SECTION Infection Control POLICY NUMBER: 1000 Effective Date: August 31, 2006 SUBJECT: CENTRAL SUPPLY 1. PURPOSE: Central Supply serves as a resource for medical supplies and equipment for the hospital. The mission of Central Supply is to render contaminated material safe for employee handling, processed materials safe for individuals, proper storage of pre-sterilized and processed materials, and the ordering and dispensing of items to all units and clinical areas including specialty needs individuals. 2. AUTHORITY: Title POLICY: The Unit Supervisor or designee (e.g. Treatment Room or Medication Room nursing staff) shall be responsible for assuring the following: 1. Sterile and non-sterile unit medical supplies (except those in Emergency Carts and Emergency Bags) shall be checked weekly, and outdated or damaged supplies shall be returned to Central Supply. 2. New supplies shall be ordered weekly as needed. 3. Suction machines shall be checked weekly to assure they are operational. Tubing shall be checked weekly and replaced as necessary. 4. Rubber supplies on the Emergency Cart (resuscitation bag and mask, esophageal airway, tourniquet, stethoscope tubing) shall be checked every three months and replaced as needed. 5. The unit supervisor shall retain written accountability for checking and updating of supplies. 6. All contaminated reusable sharps shall be placed in a puncture resistant, leak proof dust cover prior to transporting to Central Supply. 7. The supplies list shall be kept in stock on all units. -1-

2 4. GENERAL INFORMATION: 1. Central Supply is open 0730 to 1600 Monday through Friday. Supplies are delivered weekly to all units. When closed, access to Central Supply will be by the NOD. When specific supplies are needed, unit staff is to make inquiry from adjacent units. If unable to obtain the necessary supplies or equipment from adjacent units, the unit will contact the NOD for assistance with obtaining the supplies. 2. A sign-off section at the bottom right of the Central Supply Requisition Form (see Attachment C) to document weekly checking for outdated or damaged supplies. The following are some criteria for outdated and damaged sterile supplies and non-sterile gloves: 2.1 Prepackaged Sterile Items from Vendors: These shall be returned to Central Supply if they have reached a listed expiration date. Central Supply will list an appropriate expiration date (usually 1 year from the date sent to the unit) if the manufacturer has not done so. 2.2 Packages Sterilized at Coalinga: These sets (e.g. suture sets) are put in dust covers and have expiration dates of 6 months from sterilization listed. 2.3 Pre-Expiration Date Damage: Sterile items should be returned prior to expiration dates if the integrity of the package has been compromised, i.e. water damaged, separating at the edges, or yellowing. 2.4 Non-sterile Gloves: Non-sterile latex gloves that have been opened deteriorate within a period of 6-12 months. If they are stiff or discolored, or if a glove rips as it is put on, the whole box might have deteriorated, so return it. Unopened boxes should last for several years but should be returned if deteriorated sooner. Vinyl gloves have a longer shelf life than latex and may last for many years. 3. Emergency Cart sterile supplies are usable for six months unless opened or damaged. Central Supply checks the Emergency Cart twice a year replacing outdated supplies and other items that need to be replaced. 4. The Emergency Cart & Red or White Bag Accountability Record will be utilized to replace items used or removed during an emergency. 5. Items not stocked routinely in Central Supply, when deemed clinically necessary by the Chief Physician/Surgeon and approved by the Administrator of Medical Services, may be ordered. -2-

3 5. ORDERING AND RETURNING OF SUPPLIES AND EQUIPMENT: NURSING ACTION A. Return syringe wrappers or caps from vacationer needles for exchange Without correct exchanges, Unit Supervisor s signature is required on requisition. B. Rinse all suture sets in cold water and return to Central Supply 6. ATTACHMENT A: KEY POINTS A. Do not return disposable items (e.g. suture removal, I&D set, etc.). B. Do not return loose non-used suture needles from suture set with clean instruments. Reusable contaminated sharps shall be rinsed in cold water. Supplies and equipment (sterile and non-sterile) available from central supply) *ABD Pads *Betadine Swabs -Adapters Plastic and Metal -Adhesive Products: -Band-Aids 3/4" x 3", 2" x 4 ½" -Butterflies - Medium -Montgomery Straps -Tape: Adhesive - ½", 1", 3" -Hypoallergenic: Dermicel - 1" -Transparent 1" -Steri-Strips - packet of 3 -Airways *Alcohol Swabs -Anoscope, Disposable *Applicators: (Bulk 100/package) -2/package *Asepto Syringe Disposable -Bandages: -Ace - 2", 3", 4", 6" -Conforming gauze - 2", 4" -Conforming gauze - 1", 2", 3" -Band-Aids See Adhesive Products -Blood Pressure Apparatus *Bowls Disposable -Cahill Valve Masks *Catheter Sets (Disposable) -Clean Catch - Urine Disposable -Colostomy Bags Coloplast - Disposable -3- -Enema Unit Disposable -Eye Pads -Exam Paper - Table -Gloves: Vinyl and Latex Examining, Small, Medium, Large, and X Large - 100/box *Gloves: Medium or Large - 1 pr/pack -Goggles *Graduate (Disposable) -Hernia Belts -Ice Bags -Ice Packs - Instant Disposable *Incision and Drainage Sets disposable -Incontinent Pads (24 X 24), and - Disposable Incontinent Pads (lg.) -Irrigation Sets - Disposable -Isolation Gowns - Disposable -Lavage Tray -Lemon Glycerin Swabs *Levine Stomach Tube -Masks - Disposable -Mayo Stands *Nasal Packing Set *Needles - Assorted sizes *Ophthalmoscope - otoscope *Oxygen Supplies: Catheters, cannula, mask, connecting tube, -Humidifier Disposable -Oxygen Tanks -Oxygen concentrators

4 -Connectors: 5" plastic, Y plastic -Cotton Balls *Culture Tubes -CPAP Machine, and tubing -Dental Floss -Drinking Set Carafe -Doppler -Ear Curettes - Disposable *Ear Syringe - Bulb, (1) Metal Set -Disposable *INDICATES STERILE SUPPLY Supplies and equipment (sterile and non-sterile) available from central supply: -Packing: Iodoform gauze - 1/4", ½", 1" Plain gauze - 1/4", ½, 1" -Percussion hammer -Resuscitator - Manual, bag-valve-mask device (e.g. Ambu-type bag) -Sharps-container for needles and razors -Sitz Bath Kit - Disposable *Skin Scrub Tray Disposable -Slings - Triangular *Sponges: 4" x 4" (2/pkg.) 4" x 4" (100/pkg.) *Sputum Cups -Stethoscope -Stockings - Elastic: Small, Medium, Large,Extra-Large -Stool Specimen Cups *Suction Catheter Disposable -Suction tubing -Suction Machines -Suspensory - Medium, Large *Suture Removal Set - disposable *Syringes: 3cc/21g, 3cc/22g, 3cc/25g, 10cc, 20cc, 60cc, Insulin, Tuberculin - Disposable -Thermometer Sheaths -Tongue Blades - Air-filled Plastic Wooden - Bundle *Wooden One Tourniquet - 1" *Towels - 1/pkg. - Disposable (Barrier) -Tuning Fork *Urinary Drainage Sets and Leg Bags - (Disposable) -Urine Specimen Cups -Utensils: -Bedpans -Emesis Basins -Foot Basins -Urinals -Vacutainer Needles, Sleeves, and Blood Collection Tubes -Vaginal Speculums - Small Disposable *Vaseline Gauze - 3" x 9" -Vital Signs Monitor -Washcloths (Disposable) *INDICATES STERILE SUPPLY -4-

5 7. ATTACHMENT B: Checklist of supplies kept on all units All supplies on the units shall be checked weekly and outdated or damaged supplies shall be returned to Central Supply. 1. Diagnostic Equipment: -Blood Pressure Cuff -Stethoscope -Otoscope/Ophthalmoscope and 2 batteries. -Percussion Hammer -Tuning Fork -One Touch II or One Touch Profile -Glucose Measurement Machine -Digital thermometer (Specific to work site) -Vital Signs Monitor 2. Emergency Equipment: -Oxygen Equipment, Wrench, and Tubing -Suction Machine with Tubing Units with Crash Carts ONLY 3. Sterile Supplies: -Applicators -Clean Catch (2) Funnel and -Specimen Container -Conforming Gauze 2" and 4" -Ear Syringe -Over sponges - 3" x 4" -Suture Removal Set -Syringes - 10 (5cc), 10 (3cc) 4. Non-Sterile Supplies: -Adhesive Tape - ½", 1" -Anoscope disposable -Applicators -Bandage Scissors -Band-Aids (Large and Small) -Cotton Balls -Emesis Basin -Enema Unit -Gloves - Examining (100/box) -Ice Cap -Prep Alcohol Swabs -Requisition Pad -Roller Gauze - 1", 2", 3" -Sharps-container -Temp-A-Dots -Tongue Blades -Tourniquet -Urinal -Vaginal Speculum - -Disposable (Female Units) -Washcloths Disposable -Wash Packs -Wipes (6) -5-

6 8. ATTACHMENT C: CENTRAL SUPPLY REQUISITION Weekly orders must be in by 10:00 A.M. (S) = Sterile (NS) = Non Sterile Circle item(s) desired if multiple choice Ordered Received Description Ordered Received Description ABD's Tape, Adhesive (1/2") (1") Ace Wraps (2") (3") (4") Tape Hypoallergenic 1" (6") Alcohol Swipes Applicators (S) (NS) Asepto Syringes, 60cc disposable (S) Band-Aids (small) (large) Basins (round) (square) Bowels (S) Catheterization Tray Chux Clean Catch Kit (S) Cotton Balls (NS) Culturettes (S) Cups (stool) (urine) (NS) Diapers Ear Specula for Otoscope Ear Syringe Bulb(S) Egg Crate Mattress Pad Emesis Basin Enema Unit Eye Pads, Oval Gauze, conforming (2") (4") (S) Gauze, roller (1") (2") (3") (NS) Gauze, oversponge (4X4) (S) Gauze(2X2) (4X4) (NS) Gloves (NS) (sm) (med) (lg) (ex-lg) Gloves (S) (sm) (med) (lg) Humidifier I & D Set (transparent) (nylon) Ted Hose (sm) (med) (lg) (ex-lg) Temperature Probe Cover (ABCO Digital) (Welch Allyn) Temp-a-Dot Tissue Tongue Blades Tourniquet Urinal, Disposable WCSH Cloth, Disposable WCSH Pack Water Carafe Blood Draw Items: Lavender Tube Red Tube Gold Tube Blue Tube Vacutainer Holders Vacutainer Needle 21g Lab Bags One Touch II Supplies -6-

7 Ice Pack Test Strips Instant Cold Pack Lancets Lemon & Glycerin Swabs Strip Holder Nasal Cannula "J" Battery Needles (1") (1-1/2") "AAA" Battery Gauges (25) (23) (22) High/Low Solution (21) (20) (18) O2 Mask & Tubing Requisition Pad Sharps - Container Exchanges: (needle) (razor) Sling (sm) (med) (lg) Blood Pressure Cuff (ex-lg) (adult) (lg adult) Sputum Cup (S) Stethoscope Suction Catheter (14" Fr) Suture Set from Crash Cart (18" Fr) Suture Removal Set Syringe (3/21g) (3/22g) (3/25g) (5/21g)(butterfly, 23g) Restraints: Syringe (10cc) (20cc) Contact Central Supply for (TB) (Insulin, 1cc) order form MED ROOM STOCK CHECKED Unit # Date Requester Date FOR DAMAGED / OUTDATED ITEMS -7-