presentasi padang, 11- may 2014
Post on 08-Jul-2018
220 Views
Preview:
TRANSCRIPT
-
8/19/2019 Presentasi Padang, 11- May 2014
1/65
Out Patient Market
Titi Murdiningsih
Padang, 11 May 2014
-
8/19/2019 Presentasi 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
-
8/19/2019 Presentasi Padang, 11- May 2014
3/65
OPM-Wound Management | Ika Rossalia | Page
Content
Bbraun – Company Profile
3
-
8/19/2019 Presentasi Padang, 11- May 2014
4/65
OPM-Wound Management | Ika Rossalia | Page
Content
BBraun – Infection Control
4
-
8/19/2019 Presentasi Padang, 11- May 2014
5/65
OPM-Wound Management | Ika Rossalia | Page
Centre of Excellence – Infection Control
5
SligoWOUND
Boulogne/ParisSempach/ Switzerland
INFECTION CONTROL
Melsungen
-
8/19/2019 Presentasi Padang, 11- May 2014
6/65
OPM-Wound Management | Ika Rossalia | Page
Infection Control Group Therapy
6
Hands Skin/Body Wound Instruments Surface
Infection Control
Cleaning, Disinfection, Caring
Products
Comprehensive Protection for Healthy Environment
-
8/19/2019 Presentasi Padang, 11- May 2014
7/65
OPM-Wound Management | Ika Rossalia | Page
Content
Bbraun – Infection Control GroupTherapy
7
IC – Hands
-
8/19/2019 Presentasi Padang, 11- May 2014
8/65
OPM-Wound Management | Ika Rossalia | Page
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
-
8/19/2019 Presentasi Padang, 11- May 2014
9/65
OPM-Wound Management | Ika Rossalia | Page
-
8/19/2019 Presentasi Padang, 11- May 2014
10/65
OPM-Wound Management | Ika Rossalia | Page
90% infeksi berasal dari kontak langsung
Hands
spreadgerms
10
-
8/19/2019 Presentasi Padang, 11- May 2014
11/65
OPM-Wound Management | Ika Rossalia | Page
Simple evidence…
Hand hygiene is the single mosteffective measure to reduce HCAIs
11
-
8/19/2019 Presentasi Padang, 11- May 2014
12/65
OPM-Wound Management | Ika Rossalia | Page
Handwashing …
an action of the past(except when hands are visibly soiled)
Alcohol-basedhand rub
is standard of care
System change
-
8/19/2019 Presentasi Padang, 11- May 2014
13/65
OPM-Wound Management | Ika Rossalia | Page
Adequate handwashing withwater and soap requires40-60 seconds
Average time usually adoptedby health-care workers:
-
8/19/2019 Presentasi Padang, 11- May 2014
14/65
OPM-Wound Management | Ika Rossalia | Page
Time constraint =
major obstacle for hand hygiene
Handwashing: 40-60 seconds
Alcohol-based
handrubbing: 20–30 seconds
14
-
8/19/2019 Presentasi Padang, 11- May 2014
15/65
OPM-Wound Management | Ika Rossalia | Page
Rubs
Soap & Scrub
Trend di Eropa
-
8/19/2019 Presentasi Padang, 11- May 2014
16/65
OPM-Wound Management | Ika Rossalia | Page
Trend in Europe
From Scrub To Hand Rub
Application
Satisfaction + + + + +
PreferenceConfidence + + + + + + +
Disinfectant Iodine
Chlorhexidine
Alcohol Based
Without Chlorhexidine
Liquid type
<
-
8/19/2019 Presentasi Padang, 11- May 2014
17/65
OPM-Wound Management | Ika Rossalia | Page
Disinfeksi Tangan – Kapan ??
Cucilah tangan apabila tangan terlihat kotor !
Jika tangan tidak kotor, gunakanlah handrub !
Gunakanlah selalu Handrub untuk menjaga kebersihan !
-
8/19/2019 Presentasi Padang, 11- May 2014
18/65
OPM-Wound Management | Ika Rossalia | Page
5 Moments for Hand Hygiene
-
8/19/2019 Presentasi Padang, 11- May 2014
19/65
OPM-Wound Management | Ika Rossalia | Page19
-
8/19/2019 Presentasi Padang, 11- May 2014
20/65
OPM-Wound Management | Ika Rossalia | Page20
-
8/19/2019 Presentasi Padang, 11- May 2014
21/65
OPM-Wound Management | Ika Rossalia | Page
Content
Bbraun – Infection Control GroupTherapy
21
IC – Instrument
-
8/19/2019 Presentasi Padang, 11- May 2014
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
-
8/19/2019 Presentasi Padang, 11- May 2014
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.
-
8/19/2019 Presentasi Padang, 11- May 2014
24/65
B. Braun Melsungen AG | Unternehmenspräsentation | Seite
Penarikan Glutaraldehyde di Amerika
-
8/19/2019 Presentasi Padang, 11- May 2014
25/65
OPM-Wound Management | Ika Rossalia | Page
Tahun 2002, Inggris melarangkeras peredaran Glutaraldehyde
Sayangnya, di Indonesia masihbanyak beredar Glutaraldehyde
dengan berbagai merk
-
8/19/2019 Presentasi Padang, 11- May 2014
26/65
OPM-Wound Management | Ika Rossalia | Page
Stabimed – Cleaning and Disinfection in one step
-
8/19/2019 Presentasi Padang, 11- May 2014
27/65
OPM-Wound Management | Ika Rossalia | Page 27
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
-
8/19/2019 Presentasi Padang, 11- May 2014
28/65
OPM-Wound Management | Ika Rossalia | Page 28
Stabimed Dosing table15 mins30 mins45 mins60 mins
-
8/19/2019 Presentasi Padang, 11- May 2014
29/65
OPM-Wound Management | Ika Rossalia | Page
Instrument manual processing
-
8/19/2019 Presentasi Padang, 11- May 2014
30/65
OPM-Wound Management | Ika Rossalia | Page
Compatibility
-
8/19/2019 Presentasi Padang, 11- May 2014
31/65
OPM-Wound Management | Ika Rossalia | Page
Reprocessing Endoscopy Instrument - Manual
Cleaning with Helizyme rinse with water
use APD
-
8/19/2019 Presentasi Padang, 11- May 2014
32/65
OPM-Wound Management | Ika Rossalia | Page
Pemrosesan Instrumen Endoskopi - Manual
Disinfeksi dengan Stabimed Bilas dengan air
Keringkan dan simpan
-
8/19/2019 Presentasi Padang, 11- May 2014
33/65
OPM-Wound Management | Ika Rossalia | Page
Reprocessing Endoscopy Instrument – Automatic
1. 2.
3.
-
8/19/2019 Presentasi Padang, 11- May 2014
34/65
OPM-Wound Management | Ika Rossalia | Page 34
Stabimed is safe for staff
-
8/19/2019 Presentasi Padang, 11- May 2014
35/65
OPM-Wound Management | Ika Rossalia | Page
35
Stabimed is biodegradable
-
8/19/2019 Presentasi Padang, 11- May 2014
36/65
OPM-Wound Management | Ika Rossalia | Page
Content
Bbraun – Infection Control GroupTherapy
36
IC – Surface
-
8/19/2019 Presentasi Padang, 11- May 2014
37/65
OPM-Wound Management | Ika Rossalia | Page
Indications
Surface disinfection of
medical devices wi th sensitive surfaces
ultrasound devices,
infusion pumps,
dentist’s chairs,
artificial leather beds.
-
8/19/2019 Presentasi Padang, 11- May 2014
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
-
8/19/2019 Presentasi Padang, 11- May 2014
39/65
OPM-Wound Management | Ika Rossalia | Page
Material Compatibility with Ultra Sonic Devices made by Hitachi
-
8/19/2019 Presentasi Padang, 11- May 2014
40/65
OPM-Wound Management | Ika Rossalia | Page
Material Compatibi lity with Ultra Sonic Devices made by Philips
-
8/19/2019 Presentasi Padang, 11- May 2014
41/65
OPM-Wound Management | Ika Rossalia | Page
Material Compatibi lity with Acrylic Glass
-
8/19/2019 Presentasi Padang, 11- May 2014
42/65
OPM-Wound Management | Ika Rossalia | Page
Compatibility with Acrylic Glass
-
8/19/2019 Presentasi Padang, 11- May 2014
43/65
OPM-Wound Management | Ika Rossalia | Page
Opportunities Inside B. Braun = To Live Sharing Expertise
-
8/19/2019 Presentasi Padang, 11- May 2014
44/65
OPM-Wound Management | Ika Rossalia | Page
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.
-
8/19/2019 Presentasi Padang, 11- May 2014
45/65
OPM-Wound Management | Ika Rossalia | Page
Recommended for artificial leather beds and chairs
H t M li t l R id®
-
8/19/2019 Presentasi Padang, 11- May 2014
46/65
OPM-Wound Management | Ika Rossalia | Page
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.
-
8/19/2019 Presentasi Padang, 11- May 2014
47/65
OPM-Wound Management | Ika Rossalia | Page
Content
Bbraun – Infection Control GroupTherapy
47
IC – Wound
-
8/19/2019 Presentasi Padang, 11- May 2014
48/65
OPM-Wound Management | Ika Rossalia | Page 48
-
8/19/2019 Presentasi Padang, 11- May 2014
49/65
OPM-Wound Management | Ika Rossalia | Page 49
-
8/19/2019 Presentasi Padang, 11- May 2014
50/65
OPM-Wound Management | Ika Rossalia | Page 50
-
8/19/2019 Presentasi Padang, 11- May 2014
51/65
OPM-Wound Management | Ika Rossalia | Page 51
-
8/19/2019 Presentasi Padang, 11- May 2014
52/65
OPM-Wound Management | Ika Rossalia | Page 52
-
8/19/2019 Presentasi Padang, 11- May 2014
53/65
OPM-Wound Management | Ika Rossalia | Page 53
-
8/19/2019 Presentasi Padang, 11- May 2014
54/65
OPM-Wound Management | Ika Rossalia | Page 54
-
8/19/2019 Presentasi Padang, 11- May 2014
55/65
OPM-Wound Management | Ika Rossalia | Page
The Stairway to amputation
55
-
8/19/2019 Presentasi Padang, 11- May 2014
56/65
OPM-Wound Management | Ika Rossalia | Page
Perawatan Luka B.Braun
Cleansing/WBP Moist Therapy Silver Dressing
56
-
8/19/2019 Presentasi Padang, 11- May 2014
57/65
OPM-Wound Management | Ika Rossalia | Page
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
-
8/19/2019 Presentasi Padang, 11- May 2014
58/65
OPM-Wound Management | Ika Rossalia | Page
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
-
8/19/2019 Presentasi Padang, 11- May 2014
59/65
OPM-Wound Management | Ika Rossalia | Page
http://www.biofilm.montana.edu/content/household-biofilms
59
http://www.biofilm.montana.edu/content/household-biofilmshttp://www.biofilm.montana.edu/content/household-biofilms
-
8/19/2019 Presentasi Padang, 11- May 2014
60/65
OPM-Wound Management | Ika Rossalia | Page 60
-
8/19/2019 Presentasi Padang, 11- May 2014
61/65
OPM-Wound Management | Ika Rossalia | Page 61
-
8/19/2019 Presentasi Padang, 11- May 2014
62/65
OPM-Wound Management | Ika Rossalia | Page 62
-
8/19/2019 Presentasi Padang, 11- May 2014
63/65
OPM-Wound Management | Ika Rossalia | Page 63
-
8/19/2019 Presentasi Padang, 11- May 2014
64/65
OPM-Wound Management | Ika Rossalia | Page
Do biofi lms form in all wound types?
Dari hasil biopsi, biofilm terdapat pada 60% luka kronik danhanya 6% pada luka akut.
64
-
8/19/2019 Presentasi Padang, 11- May 2014
65/65
SAVE LIVES Clean Your Hands
THANK YOU……
top related