problem from their own unique
perspectives, which will help
you come up with a solution
that works for — and is under-
stood by — everyone, and
addresses all aspects of the
issue.
Educate. Once you iden-
tify the gaps in your pre-
treatment process, it's time to
school your staff on how you
expect things to be done. This
can be a combination of in-
person, online or printed mate-
rials. Make sure the education
is both comprehensive and
understandable, and that you address all of your staff's questions and
knowledge gaps. We were very deliberate; we'd tell them:
• "This is the open, unhinged position."
• "You need to take out the battery in this drill."
• "CSP, you need to see the blue spray on the instruments."
In true "see one, do one, teach one" fashion, have OR staff perform
a return demonstration of pretreatment to make sure they're comply-
ing fully.
Form precleaning teams in the OR. As we all know, ORs can
be intense and sometimes chaotic places. Getting back to
changing the culture: We encouraged our OR teams to establish a
process for pretreatment, and one of them came up with a great idea.
4
3
S E P T E M B E R 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 2 5
• NOT-SO-SPECIAL DELIVERY Heritage Valley's CSP staff was often
presented with carts like this, filled with dirty instruments that
weren't pretreated.
Heritage
Valley
Health
System
