Sustainability in Health Care: Examining Opportunities for Durable Medical Equipment Reuse and Recycling

2018 ◽  
Vol 72 (4_Supplement_1) ◽  
pp. 7211510195p1
Author(s):  
Jennifer Pitonyak
Author(s):  
Luis Serratosa ◽  
Efraim Kramer ◽  
Mats Börjesson

The cardiac-specific medical services plan, in and around a sports stadium or arena, should be carefully undertaken and individualized, in order to ensure safe, effective, and coordinated management of any sudden cardiac arrest (SCA). This is ensured practically by tailoring the designated number and skills of on-duty health-care personnel and by having adequate and appropriate medical equipment, effective communication systems, and the emergency medical service transportation logistics required to initiate cardiopulmonary resuscitation (CPR) and defibrillation within the first 3–5 minutes after SCA, regardless of the size or type of sport environment. The planning should be written down in a medical action plan (MAP) which should be communicated to all relevant and appropriate officials, health-care personnel, and, where relevant, participants and spectators. Relevant contact information regarding activation of the necessary emergency medical services, listing the sport environment health-care personnel, and continuous education and skills training are vital parts of the MAP.


2011 ◽  
Vol 53 (11) ◽  
pp. 2657-2661 ◽  
Author(s):  
Selcuk Helhel ◽  
Sukru Ozen ◽  
I. Bahadir Basyigit ◽  
Osman Kurnaz ◽  
Yunus E. Yoruk ◽  
...  

2013 ◽  
Vol 17 (3) ◽  
pp. 207-211
Author(s):  
Ilya Shoimer ◽  
Melanie Pratt

Background: Allergic contact dermatitis (ACD) to rubber accelerators is a common occurrence, especially in health care workers, but the risks in family caregivers are not as well documented. Objective: To document a case of a 66-year-old woman who developed recurrent, extensive flares of ACD from contact with rubber accelerators through caregiving. Method and Results: Patch testing revealed a positive reaction to two common rubber accelerators: carba mix (3+) and thiuram mix (3+). The patient described caring for her disabled husband, which involved handling rubberized medical equipment. Conclusion: Physicians should appreciate ACD in non-health care workers caused by rubber accelerators found in medical equipment. Individuals providing care for sick or elderly relatives should be further questioned on exposure to a hospital environment and contact with medical equipment.


1999 ◽  
Vol 18 (7) ◽  
pp. 60-62
Author(s):  
Barbara Bono

THERE IS AN OLD SAYING THAT politics makes strange bedfellows. With all the changes brought about by managed care, the same thing could be said of health care today. Nurses, especially in an NICU, recognize and value the concept of teamwork. We have always worked closely with a variety of medical professionals and often lead discussions related to a patient’s plan of care. But lately, it seems that members of our “teams” are diversifying, and we find ourselves working with people, groups, or organizations in a manner not previously envisioned. Although we have always worked collaboratively with other departments within the hospital, now we are also building relationships with community agencies and organizations, suppliers of durable medical equipment for home care use, and other nonhospital-based sources of support for patients and families.


Author(s):  
Harry Zhuang ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock ◽  
Fred Shaw

  Objectives: Nosocomial infection has always been a significant topic in the field of public health. The disinfection procedures involved in health care facilities are extremely important to prevent potential transmission of diseases. Therefore, this study was performed to compare the disinfection efficacy between three different disinfection methods (Accel wipes, Hubscrub industrial washer, and Steam vapor) on three pieces of non-critical medical equipment: wheelchairs, mattresses and bath chairs. Methods: The method used to evaluate the disinfection efficacy compared the reduction of contaminants count in the relative light unit using ATP monitoring methods. 30 samples of each of the three types of medical equipment were swabbed pre-disinfection and post-disinfection using the three disinfection methods. The recorded reduction number was then converted using log transformation. Statistical analysis was conducted using NCSS to assess differences between the disinfection methods. Results: The mean log-reduction of disinfection for Accel wipes, Hubscrub, and steam vapor were 1.067, 1.490, and 1.485 respectively. Steam vapor and Hubscrub displayed statistically significantly better disinfection efficacy compared to Accel wipes in terms of log reduction (overall p=0.000002). Conclusion: Hubscrub and steam vapor are better disinfectants compared to Accel wipes in terms of mean log reduction values; however, all three disinfection methods demonstrated effectiveness when cleaning and disinfecting non-critical medical equipment. For critical medical equipment, steam vapor and Hubscrub industrial washing are effective while Accel wipes do not meet the standards of high-level disinfection. As a result, combination usages of all three disinfection methods are recommended at health care facilities based on the categories of the medical equipment.  


2022 ◽  
pp. 6-14
Author(s):  
I.P. Abysheva ◽  

The health care system around the world, both in developed and developing countries, is struggling with the problem of managing the provision of health care in conditions of limited resources. The availability and use of various medical equipment at all levels of the healthcare system were emphasized for the efficient and high-quality provision of services. The main purpose of this review article is to assess the availability and use of medical devices and identify the registered causes affecting the availability and use of medical devices in healthcare institutions.


2009 ◽  
Vol 140 (5) ◽  
pp. 625-628 ◽  
Author(s):  
Udayan K. Shah ◽  
Douglas R. Johnston ◽  
Gina Maisto Smith ◽  
Barbara E. Ziv ◽  
James S. Reilly

This commentary details the providers, penalties, and affected regions resulting from US health care fraud and abuse prosecutions from January 2007 to March 2008. Database review found that over $3 billion in fines as well as incarceration in some cases were ordered for 21 convicted providers, 68 percent of whom were physicians, and to 41 nonproviders, most of whom were vendors of durable medical goods (36%), individual citizens (18%) and health care corporations (17%). Fewer claims were found against pharmaceutical firms (7%) and medical equipment manufacturers (4%). Most verdicts were in the state of Florida. False claims accounted for most of the violations for both providers and nonproviders. These severe repercussions of malfeasance should promote careful consideration and construction of the terms of engagement between health care providers, corporations, and payers.


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