Protocol of Health Centers’, Outpatient
and Emergency departments’
Consumables Management
Olga Siskou (***)
Angeliki Dreliozi (****)
Daphne Kaitelidou (**)
Panagiotis Prezerakos (*)
(*) Department of Nursing, University of
Peloponnese
(**) Department of Nursing, National and
Kapodistrian University of Athens
(***)Center for Health Services
Management and Evaluation Dept. of
Nursing University of Athens
(****) 3rd Regional Health Authority
Introduction
Due to the fiscal discipline that has been imposed the last 3
years in the Greek Health Sector, the financing of the primary
health care structures such as Health Centers (HC),
Outpatients (OD) and Emergency Departments (ED)
decreased significantly.
Despite the decrease in funding, HC, OD and ED have to
manage efficiently a lasting roughly constant number of
patients, which in some cases is higher than expected due
to difficulties in access to other health structures.
Purpose
The development of:
• an evidence -scientifically based and
• adjusted in Greek reality
protocol of Health Centers’, Outpatient and Emergency
departments’ Consumables Management
Source: http://ispdnetwork.org/http://ispdtrial.net/wp-content/uploads/2012/11/Protocol.jpeg
METHODOLOGY
Title:
“Building Capacity of Primary Health Care (PHC) in Peloponnese region, by
developing twelve (12) nursing care plans” (MIS: 374622)
Implementation:
University of Peloponnese
Co- funded:
Greek Government and European
Union in terms of National Strategic
Reference Framework (NSRF).
Steering Team:
Guidance, counseling support and feedback
Implementation Team:
Relevant scientific data review and nursing care plans development
HC’s, OD’s and ED’s Consumables Management Protocol
Content
Includes the entire spectrum of consumables' management
safe disposal
of the used
Receipt
documented
determination
of the
necessary
materials
placing the
order
proper
storage and
monitoring
the
consumption
of each
consumable
(consumables)
Documented Determination of the Necessary Materials
I) should be made ​taking into account the following criteria (MIRA,
2008* & ECHO, 2001a**):
• Necessity & Appropriateness
VEN (Vital-Essential-Non
Essential)
• Quality
• Cost
II) the method based on past consumption data by item was selected:
1. Selection the reference period
2. Calculation of the consumption of each consumable item during the
reference period
3. Aggregation of each supply’s loss and the period there was a
shortage
4. Reduction to the reference period and to all patients
*MΙRA-Medicines and Healthcare products Regulatory Agency (2008). Devices in Practice: a guide for professionals in health and social care. Crown copyright.
**ECHO (2001a). Medical supplies and equipment for primary health care. A practical resource for procurement and management. Section 1: Guiding principles
for selecting supplies and equipment pg 5-13.ECHO International Health Services Limited.
placing the order
To determine the exact quantity ordered the following should
be taken into account (ECHO, 2001b***):
o the time taken for an order to be completed
o the frequency of orders
o the safety stock and,
o the minimum and maximum stock levels.
***ECHO (2001b). Medical supplies and equipment for primary health care. A practical resource for procurement and management.
Section 2: Procurement and management of supplies and equipment pg 13-28. ECHO International Health Services Limited
Receipt, proper storage and monitoring
the consumption of each consumable
A number of good practices that should be adopted (ECHO,
2001b):
√ Check in comparison between the items that you receive and
those ordered
√ Check the integrity of the packaging
√ Check that out from the pack of each material is listed
prominently all the necessary information
√ Check expiration date
√ Make random checks of suitability
HC’s, OD’s and ED’s Consumables Management Protocol
Stages of Development
Steering Committee
for guidance, counseling support and feedback
Implementation team
for relevant scientific data review and protocol development
Literature
Review
(CINAHL,
Pubmed,
Scopus)
Best
Practices and
Institutional
Rules are
Described
Protocol
Development
pilot
application
through
clinical
seminars in 2
PHCS
Final
Protocol
Development
(submission
to the
Central
Health
Council)
Conclusions
The oxymoron of increasing number of patients to the
above Primary Health Care (PHC) structures while
funding is reducing should lead managers in taking
measures for the rational management of sparse
resources, in a way to ensure immediate provision of
safe and effective health care and also to eliminate any
chance of wastage.
The present protocol fills an existing gap in the
available tools for rational resource management by
nurses in PHC.