Author/Editor		Peric, Helena Kristina
Title		Uvajanje sprememb v operacijskih dvoranah - ekološka, organizacijska, kadrovska in ekonomska izhodišča
Translated title		Implementation of changes in operating theatres - ecological, staff and economic aspects
Type		članek
Source		Obz Zdrav Nege
Vol. and No.		Letnik 36, št. 2
Publication year		2002
Volume		str. 85-92
Language		slo
Abstract		Medical devices, manufactured for the purpose of draping patient and protective clothing of operating theatre staff; should be used in the operating theatres. Cotton materials are used mostly in Slovenian hospitals, which is professionally and legally disputable. Implementation of medical devices in the place of disputable cotton materials is demanding project that needs to address ecological, organisational, human resources and economical issues. Ecological issues relate to the life cycle assessments of the products and not only to waste disposal. Sufficient knowledge of present and future organisational processes is needed in order to implement changes successfully. Changes in organisational process lead to changes in human resources area-efficient problem solving in this area depends on application of human resources development in each institution. Use of professionally acceptable materials leads to less risk for postoperative infections, which means less pain and suffering for patients and also less cost for institution and society. Foreign and national cost calculation show savings with use of single use medical devices-nevertheless we should remember that professionally and legally disputable material is compared to professionally and legally acceptable one.
Summary		Za pokrivanje bolnika v operacijskih prostorih in osebno zaščito operacijskega osebja je potrebno uporabljati medicinske pripomočke, izdelane posebej v ta namen. V slovenskih bolnišnicah prevladujejo za ta namen bombažne tkanine, kar je strokovno in zakonodajno sporno. Uvajanje medicinskih pripomočkov namesto spornih bombažnih je zahteven projekt, pri katerem je potrebno upoštevati mdi ekološka, organizacijska, kadrovska in ekonomska izhodišča. Ekološka izhodišča niso le ravnanje z odpadki, temveč upoštevanje celomega življenjskega ciklusa izdelka. Za uspešno uvajanje sprememb je potrebno dobro poznati obstoječi organizacijski proces ter organizacijski proces, ki bo nadomestil obstoječega. Spremembe v organizacijskem procesu vplivajo tudi na kadrovske spremembe, katerih uspešno reševanje je odvisno od dodelanosti koncepta razvoja kadrov posamezne ustanove. Z uporabo strokovno neoporečnih materialov je tveganje za nastanek pooperativnih okužb manjše-vsaka pooperativna okužba pa pomeni manj bolečin in trpljenja za bolnika, pa tudi velik prihranek za zdravstveno ustanovo in državo. Izračuni stroškov v tujini in tudi doma kažejo na prihranek pri uporabi medicinskih pripomočkov Za enkramo uporabo, pri tem pa ne smemo pozabiti, da med seboj primerjamo strokovno in zakonodajno sprejemljiv ter strokovno in zakonodajno nesprejemljiv izdelek.
Descriptors		OPERATING ROOM NURSING COTTON MEDICAL WASTE