View Full Version : How is 7.5.5 Preservation of Product applicable to Health Care Services?
MaryJames 9th April 2007, 03:04 AM Heyyys people yet another question!!!
How is this thing applicable incase of services especially in case of a Health care situation.
Thanks in Advance
al40 9th April 2007, 08:29 AM Heyyys people yet another question!!!
How is this thing applicable incase of services especially in case of a Health care situation.
Thanks in Advance
What type of heatlh care?
For example if you were a blood bank you would have to ensure your labeling and marking are readable, visually or by machine. You would ensure that documented procedures for segregating blood types and you would have to ensure you had suitable storage failities that include both physcial and enviromental protection.
Hope this helps some,
al40
bobdoering 9th April 2007, 12:32 PM First thing that came to my mind when I read the question was bed sores. But, I liked the blood example, too. :2cents: It is always a challenge to stretch these standards into the service area. For example, is 7.5.5 Preservation of Product applicable to a call center? What fun. :cool:
CarolX 9th April 2007, 02:17 PM What about free samples of medications? What about band-aids. Have you ever found one that fell in the back of the cabinet 10 years ago???
Sorry MaryJames, I don't mean to be silly. Just thought of a few off the top of the ol' skull.
vanputten 9th April 2007, 04:08 PM Hello All:
In general, what is the product in the Health Care industry? My thought is the product is health and not bandaids, pills, or blood.
Is the product in a cleaning service sponges and soap? or clenliness?
In my opinion, the examples listed are materials used to provide the service of health.
To the question, I am not sure how 7.5.5 applies to health care. Great question.
How does on preserve the conformtiy of the service of health care during internal processesing and delivery to the intended destination? I guess one could take the approach, in the examples given, that control of the tools and materials preserves the service.
Regards,
Dirk
Sidney Vianna 9th April 2007, 05:02 PM What type of heatlh care?That is the KEY question. Health care is too broad. Most service (intangible products) based organizations will have a component of hardware in their delivery, just like most (tangible) product supplier will have a component of service in their delivery.
One could come up with thousands of potential scenarios for preservation issues related to health care services.
Hypothetical one: Doctor spills coffee on the patients charts. Nurse can't read data and delivers wrong medication to the patient.
Hypothetical two: Needle is not sterile and is used to administer a drug, which leads to infection.
Hypothetical three: Medication is not kept under required environmental conditions and is spoiled.
As always in the Cove, the helpfulness of the responses depends tremendously on the clarity, specificity and details of the question. The original question has to be refined/expanded, imo.
CarolX 9th April 2007, 05:04 PM Dirk,
Great response.
My thought were on those items that may or may not have limited shelf life. Just as in the paint I apply to my parts, or the lock-tight I use to seal a screw - these limited shelf life items need control.
Just my nickels worth.
MaryJames 10th April 2007, 01:32 AM WoOOOOSsssh guysss!!! My apologies i should have been more specific. Anyway I am talking about a medical centre (department in a company) where employees come and get their initial assessment done and are reffered to other panel hospitals. Consultants, physicians are there. they have some machines like ECG, ultrasound and Xray as well. what i have sorted out is identification and tracebility can be done on the basis of the unique numbers alloted to service provided to employees.
Sidney Vianna 10th April 2007, 01:59 AM If you have not had a chance yet, you might consider getting a copy of the ISO document IWA-1:2005 Quality management systems -- Guidelines for process improvements in health service organizations (http://www.iso.ch/iso/en/CatalogueDetailPage.CatalogueDetail?CSNUMBER=41768).
The following is the supplemental text related to preservation:
7.5.5.1 Preservation of product - Supplemental
The organization should have documented procedures, for example Infection Control Manual, to provide for:
the maintenance of sterilization of appropriate facilities and equipment
the proper handling of materials and or purchased product
the restraint and seclusion, or isolation of patient clients as appropriate to prevent harm,
infection, contamination or communicable diseases.
control of medicines (‘including drugs and poisons)
control of medical tools
control of medical devices
The organization should use an inventory management system to optimize inventory turns over time and ensure stock rotation.
NOTE A “first in first out” or FIFO system is an example.
Marking and labeling should be legible and durable. Stock items in inventory should not be placed next to similar items in order to prevent inadvertent errors.
What to look for:
Are the patients “handled” according to procedures? Is transportation of patients done in a timely manner’ Are the outcomes of the care plan as expected or is the patient’s health taking a downturn? Are medications and hazardous materials stored properly, are protected .from theft, expiration dates, and misuse? Are there are procedures for the storage, distribution and handling of radioactive, investigational, and prescription and or narcotic medications regardless of where they are stored, transported, dispensed, and administered?
Guidance/example(s):
The organization should also provide .for the elimination of waste due to expiration of validity for product with limited shelf life. Using a FIFO method of stock rotation helps accomplish this. There should be a procedure .for reviewing the supplies inventory on a periodic basis for quantity and qualify. Expired supplies are removed or identified so they are not used for unintended purposes.
Inventory that is very slow moving is reviewed to ensure minimum inventory is kept to meet needs.
The organization should identify any applicable regulatory requirements pertaining to this clause, for example safe and appropriate restraint and seclusion of patients to prevent harm, infection or communicable diseases.
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