tag:blogger.com,1999:blog-32053362.post1943127208333532232..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Returning to GembaPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-32053362.post-60224420075031461112009-05-13T22:57:00.000-04:002009-05-13T22:57:00.000-04:00It is obvious that Nasov and I were only viewing p...It is obvious that Nasov and I were only viewing pictures of your Gemba and we stand corrected!<br /><br />There is more than meets the eye (or picture) at a hospital the size of BIDMC. Keep up the good work!Bob Yoklnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-13619745003991266382009-05-13T12:20:00.000-04:002009-05-13T12:20:00.000-04:00A note from Frank Mitrano, our head of pharmacy:
...A note from Frank Mitrano, our head of pharmacy:<br /><br />The sterile products compounding area is comprised of three separate and distinct areas:<br /> Gowning and Scrubbing<br /> Anteroom or assembly/storage area<br /> Cleanroom or compounding area (referred to as buffer area in the USP standards)<br />We require that operators wear sterile gloves when they are in the cleanroom area only. They are not required in the anteroom or assembly area. This is consistent with USP standards and assures that those involved in the "less clean areas" don’t get as false sense of security that they are wearing sterile gloves and then pass from that area to the cleanroom compounding area with gloves that have been exposed to potential contaminants. I am glad to speak to anyone who has questions.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-74689116752953969022009-05-13T09:15:00.000-04:002009-05-13T09:15:00.000-04:00Paul, I just had a client (they have a separate in...Paul, I just had a client (they have a separate initiative than my value analysis supply savings) that was able to eliminate the clean room altogether buy using a clean chamber. Now they actually mix the drugs by using a set of rubber gloves that are external to the chamber thus they don't have to put on the gowns, masks, gloves, etc. (savings$$$). Picture the boy in the plastic bubble type of thing but a bigger chamber geared towards mixing drugs. <br /><br />My reason for monitoring it is that I was working with them on supply costs and we quickly realized a 95% elimination of gowns, supplies, gloves, etc.<br /><br />AND it guaranteed a sterile environment which most clean rooms cannot do...e.g., Nasov's question above with no gloves on in the Clean Room. <br /><br />Hope this is helpful.<br /><br /><br />P.S. BENCHMARK....This hospital uses the Space Suit type of gowns for their clean room but I noticed that is not the case in BIDMC's clean room.Bob Yoklhttp://www.strategicva.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-15925821738129325912009-05-13T07:32:00.000-04:002009-05-13T07:32:00.000-04:00Just curious -- why no gloves?Just curious -- why no gloves?nasovnoreply@blogger.com