Last week we covered the basics of scan points to outline the minimum points that every facility should have in place. This week we are going a step further to outline the best practice instrument tracking scan points—the ones that’ll help you capitalize on the potential of your asset management solution ROI. 

Decontamination
Scan Point: Scanning case carts and trays to pre-soak.
Scanning to pre-soak before manual cleaning accounts for the location of all instruments and how long they are waiting to be cleaned.

Scan Point: Scanning case carts to the cart washer.
If you’re utilizing a cart washer on a consistent basis, scanning here provides proof that the case carts have been cleaned. If you’re manually cleaning case carts, this scan point can be used to track productivity for the work that was completed.  Since each case cart has a unique number, scanning here also shows the exact location of each case cart.

Scan Point: Scanning trays to the sink for hand wash.
By scanning to this location, facilities are able to put in any and all special instructions for handling and cleaning of the trays and instruments that require hand-wash.

Scan Point: Scanning items and trays to the Ultrasonic.
Scanning to the Ultrasonic provides documentation for which Ultrasonic the instruments were put through as well as proof that the task was completed. Scanning to this location also verifies all items going in an ultrasonic are compatible and prevents techs from putting instruments through the Ultrasonic that could damage them.

Scan Point: Scanning trays to washer staging.
If a facility is backed up, scanning to washer staging keeps track of trays while they are sitting and waiting to go into the washer. This allows facilities to keep track of how long they are backed up as well as the location of the tray. It’s another step that accounts for all items throughout the entire reprocessing loop at all times.

Scan Point: Scanning trays to the washer.
Scanning into the washer is similar to scanning into the sterilizer. Scanning to the washer also verifies all instruments going in a washer are not hand wash only. Additionally, if a problem with a contaminated instrument arises, facilities can track it back to the sterilizer and to the specific washer. Scanning to washers also provides reporting capabilities to show how many loads one specific or all washers run a day for new purchase justification.

Set Assembly
Scan Point: Scanning trays to pre-assembly staging.
This scan occurs right when items come out of the washer. If facilities are putting their trays on a shelf after the washer, scanning at this location helps them show and document exactly where items are. It also keeps track of how long the items sit on the shelf before moving to assembly.

Scan Point: Scanning trays to the pre-sterilization staging.
After trays are assembled and before they go into the sterilizer, facilities can scan to this staging area if they have a big lag period before they go into the sterilizer. Scanning here provides visibility to the location of those trays at all times and can be extremely helpful for bigger facilities that reprocess a large quantity of assets every day.

Sterilization
Scan Point: Scanning trays to the cool down area.
After trays come out of the sterilizer, they have to be cooled down properly before being put into storage or assembled with a case cart. Scanning here accounts for location of instrumentation during proper cooling before items are handled. 

Storage
Scan Point: Scanning trays, peel packs, and other items to the room, row, rack, bin in storage.
This scan point takes scanning to storage a step further. Rather than just scanning to the storage room, scanning to room, row, rack, bin provides more accurate documentation of tray/instrument locations and allows for quicker retrieval when items are needed. 

Case Cart Assembly
Scan Point: Scanning case carts for case tracking.
The OR interface will provide instrument tray needs for all cases.  Scanning instrument trays to a case cart will identify which trays have been sent for a specific case. This will also identify what case carts have been built but are still missing instrument trays.

Operating Room
Scan Point: Scanning case carts to the OR room.
Scanning case carts to a specific OR room changes the location of all instruments and trays on the case cart to the specific OR room. Since extra instruments are sometimes added, taken off, or swapped last minute, facilities can fully account the exact trays used on a case by scanning trays to a specific case number.

Scan Point: Scanning unused items to clean return or other storage.
All of the items that go up on a case cart might not always be used for a case. Some facilities choose to reprocess all items regardless of whether they were used or not and others will view them as still sterile and put them back into storage.  Scanning those unused items to clean return or other storage accounts for their location and verifies in the system that they are sterile and can be pulled for other trays or case carts.

Scan Point: Scanning case carts to post-op staging.
Many facilities have a dirty room where used case carts and trays sit before they go back down to decontamination, following a case completion. By scanning the actual dirty case cart to this staging area, both the OR and CSSD get visibility to those assets to make sure that nothing is missed between case completion and return to decontamination.

Best Practice Instrument Tracking Scan Points
Combine these scan point recommendations with the minimum scan points from last week to build your best practice instrument tracking scan points and generate ROI from your instrument tracking solution. Just having an instrument tracking and management solution isn't enough, you need the right instrument tracking scan points in the right places to get the best use of your solution.

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