Presentasi Padang, 11- May 2014

8/19/2019 Presentasi Padang, 11- May 2014

1/65

Out Patient Market

Titi Murdiningsih

Padang, 11 May 2014


2/65

OPM-Wound Management | Ika Rossalia | Page

Content

BBraun Company Profile

BBraun – Infection Control

Bbraun – Infection Control Group ofTherapy

2

BBraun-Infection Control Workshop


3/65


Content

Bbraun – Company Profile

3


4/65


Content

BBraun – Infection Control

4


5/65


Centre of Excellence – Infection Control

5

SligoWOUND

Boulogne/ParisSempach/ Switzerland

INFECTION CONTROL

Melsungen


6/65


Infection Control Group Therapy

6

Hands Skin/Body Wound Instruments Surface

Infection Control

Cleaning, Disinfection, Caring

Products

Comprehensive Protection for Healthy Environment


7/65


Content

Bbraun – Infection Control GroupTherapy

7

IC – Hands


8/65


Laboratory and Expert Reports

confirming product efficacy

Poor Hygiene is not always visible, however the effects andspread of life threatening infections are often very noticeable


9/65



10/65


90% infeksi berasal dari kontak langsung

Hands

spreadgerms

10


11/65


Simple evidence…

Hand hygiene is the single mosteffective measure to reduce HCAIs

11


12/65


Handwashing …

an action of the past(except when hands are visibly soiled)

Alcohol-basedhand rub

is standard of care

System change


13/65


Adequate handwashing withwater and soap requires40-60 seconds

Average time usually adoptedby health-care workers:


14/65


Time constraint =

major obstacle for hand hygiene

Handwashing: 40-60 seconds

Alcohol-based

handrubbing: 20–30 seconds

14


15/65


Rubs

Soap & Scrub

Trend di Eropa


16/65


Trend in Europe

From Scrub To Hand Rub

Application

Satisfaction + + + + +

PreferenceConfidence + + + + + + +

Disinfectant Iodine

Chlorhexidine

Alcohol Based

Without Chlorhexidine

Liquid type

<


17/65


Disinfeksi Tangan – Kapan ??

Cucilah tangan apabila tangan terlihat kotor !

Jika tangan tidak kotor, gunakanlah handrub !

Gunakanlah selalu Handrub untuk menjaga kebersihan !


18/65


5 Moments for Hand Hygiene


19/65

OPM-Wound Management | Ika Rossalia | Page19


20/65

OPM-Wound Management | Ika Rossalia | Page20


21/65


Content


21

IC – Instrument


22/65

OPM-Wound Management | Ika Rossalia | Page 22

International Standards for Reprocessing of Medical Devices

Cleaning Disinfection Sterilization

Cleaning Disinfection / Sterilization

Cleaning Disinfection

Critical Items: Medical devices that penetrate steri le tissue, cavity,

or blood (e.g. surgical instruments, cardiac catheters)

Semi-Critical Items: Medical devices that come in contact w ith

intact non-sterile mucous membranes (e.g. endoscopes)

Non-Critical Items: Medical devices that come in contact wi th

intact skin (e.g. EKG leads, non-invasive ultrasound probes)

Methods:

•Steam(Autoclave)•Ethylene

Oxide•H202

Gas/Plasma

•Ozone

STEPS:

STEPS:

STEPS:

S P A U L D I N

G ’ S

C L A S S I F

I C A T I O N

> Enzyme Cleaner > Liquid Chemical Germicide

> Enzyme Cleaner > Liquid Chemical Germicide for heat sensitive

> Enzyme Cleaner > Liquid Chemical Germicide


23/65

B. Braun Melsungen AG | Unternehmenspräsentation | Seite

Keselamatan Kerja ?

Seorang perawat (Maureen Spittles)HARUS pensiun dini akibat asma hebat.

Asma tsb akibat disinfektan instrumen.


24/65

B. Braun Melsungen AG | Unternehmenspräsentation | Seite

Penarikan Glutaraldehyde di Amerika


25/65


Tahun 2002, Inggris melarangkeras peredaran Glutaraldehyde

Sayangnya, di Indonesia masihbanyak beredar Glutaraldehyde

dengan berbagai merk


26/65


Stabimed – Cleaning and Disinfection in one step


27/65


Aldehyde free disinfectants prevent protein-fixing

Aldehydes

Alkylamines &

Phenols

prevent

protein-fixing

BETTER ALTERNATIVE:

contaminated

with blood

after machine

cleaning

after manual

disinfection

after steam

sterilization


28/65


Stabimed Dosing table15 mins30 mins45 mins60 mins


29/65


Instrument manual processing


30/65


Compatibility


31/65


Reprocessing Endoscopy Instrument - Manual

Cleaning with Helizyme rinse with water

use APD


32/65


Pemrosesan Instrumen Endoskopi - Manual

Disinfeksi dengan Stabimed Bilas dengan air

Keringkan dan simpan


33/65


Reprocessing Endoscopy Instrument – Automatic

1. 2.

3.


34/65


Stabimed is safe for staff


35/65


35

Stabimed is biodegradable


36/65


Content


36

IC – Surface


37/65


Indications

Surface disinfection of

medical devices wi th sensitive surfaces

ultrasound devices,

infusion pumps,

dentist’s chairs,

artificial leather beds.


38/65

B. Braun Melsungen AG | Company presentation | page

Microbiocidal Efficacy plus Cleaning Efficacy

mechanical action of the disintegrating foamsupports cleaning

Avian inf luenza 15 sec.

http://../MY%20Videos/Surface/M-foam%20pure.avi


39/65


Material Compatibility with Ultra Sonic Devices made by Hitachi


40/65


Material Compatibi lity with Ultra Sonic Devices made by Philips


41/65


Material Compatibi lity with Acrylic Glass


42/65


Compatibility with Acrylic Glass


43/65


Opportunities Inside B. Braun = To Live Sharing Expertise


44/65


Meliseptol® Foam pure is approved by Avitum for Dialog+

The preferred application method is wiping. Avoid spraying!

Best practice is to use Meliseptol® Wipes sensitive.


45/65


Recommended for artificial leather beds and chairs

H t M li t l R id®


46/65


2

How to use Meliseptol Rapid®

Hand Disinfection withSofta-Man® or Handwashing with

Softaskin ® + water , use handgloves

Spray Meliseptol Rapid ® on

cloth or tissue

Wet all surface until 1 munites Dispose of tissue and hand

gloves according to theguidelines.


47/65


Content


47

IC – Wound


48/65



49/65



50/65



51/65



52/65



53/65



54/65



55/65


The Stairway to amputation

55


56/65


Perawatan Luka B.Braun

Cleansing/WBP Moist Therapy Silver Dressing

56


57/65


The Problem – Biofilm

57

60% Luka Kronis memilik i Biof ilm, sehingga mengahambat utama proses

penyembuhan luka

Apakah i tu biof ilm?

Komunitas dinamis dari bakteri dan fungi yang

hidup dalam matrix yang terbuat dari gula danproteins

Mikroskop elektron menemukan bahwa rata-rata 60% dari sampel luka kronik memiliki biofilm

Biofilm yang matang dapat berkembang dalam2-4 hari dari awal kolonisasi pada luka

Biofilm dapat memberikan kontribusiperkembangan luka kronik


58/65


Bagaimana mendeteksi adanya biofilm ?

Biofilm tidak dapat dilihat dengan mata biasa

Pada luka, biofilm nampak seperti gel yang mengkilat danmirip dengan slough

Keberadaan biofilm hanya dapat dibuktikan denganmikroskop khusus untuk biopsi luka

58


59/65


http://www.biofilm.montana.edu/content/household-biofilms

59

http://www.biofilm.montana.edu/content/household-biofilmshttp://www.biofilm.montana.edu/content/household-biofilms


60/65



61/65



62/65



63/65



64/65


Do biofi lms form in all wound types?

Dari hasil biopsi, biofilm terdapat pada 60% luka kronik danhanya 6% pada luka akut.

64


65/65

SAVE LIVES Clean Your Hands

THANK YOU……

Presentasi Padang, 11- May 2014

Documents

Transcript of Presentasi Padang, 11- May 2014