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In the Toulouse University Hospital, the Custom Surgical Tray (CST) were not referenced. The nurse had to prepare and open all the components of the procedure separately. This is a long and wasteful process.
CST brings together all the single-use medical devices necessary for an intervention, including draping and dressing elements, in the same single packaging.
Following the new local call for tenders on draping kits, and with the aim of standardizing and rationalizing practices, the implementation of CST within the requesting blocks whose orthopedic and traumatology block has been validated.
The hypothesis is that the CST would save time on preparing the trolley and on opening single-use equipment in the room while limiting the amount of waste.
To determine the social impact, the study assess the quality of life at work by measuring the difference, after implementing CST, in time needed for preparation of the trolley before entering the OR, for opening the instruments necessary by the surgical and circulating certified perioperative nurse (CNOR) in the Operating Room (OR), and for sorting the waste derived from the instrument's packages between plastic and paper after the intervention. In addition, the study assessed the biomechanical risk factors related to musculoskeletal disorders by evaluating the number of movements made by the CNOR when opening the instruments and sorting the waste, with and without CST. Finally, the study evaluate CNOR and surgeon's satisfaction after the implementation of CST.
To determine the ecologic impact, the difference in the number and weight of waste due to packaging of the disposable instruments, with and without CST was evaluated.
To determine the economic impact, the difference in cost of the instruments used, with and without CST was evaluated.
The hypothesis is that the use of CST enhances Sustainable Development (SD) by maintaining social development and environment protection, despite a possible additional cost.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | The medical staff was using the traditional surgical draping kit and single-packed sterile instruments (SPSI) that have to be opened separately |
| |
| experimental group | The medical staff was using only the single packed CST, and containing all the necessary single-use items like surgical blades, sutures, dressing, surgical drapes, syringes, compresses, surgical gloves, jerseys. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anterior Cruciate Ligament reconstruction (ACLR) | Procedure | A comparison between the two groups were done regarding the three following stages: (a) the preparation time of the trolley, which is the time taken by the CNOR to recover from the reserves all the single-packed sterile instruments (SPSI) necessary for the intervention or to recover the CST (b) the opening time of the instruments by the circulating nurse who opens the packages and gives them to the surgical nurse while respecting the sterility of the items, and by the surgical nurse who prepares the table for the intervention, and (c) the sorting time of the waste between plastic and paper at the end of the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Preparation time of the trolley | Compared the number of minutes to prepare the trolley between control and experimental group | 1 day |
| Opening time of the instruments | Compared the number of minutes to open all the instrument between control and experimental group | 1 day |
| Sorting time of the waste | Compared the number of minutes to sorting of the waste between control and experimental group | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| weight of trash packages | Compared the weight in grams of trash packages between control and experimental group | 1 day |
| Number of TRASH packages | Compared the Number of trash packages between control and experimental group |
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Inclusion Criteria:
Exclusion Criteria:
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All surgery of Anterior Cruciate Ligament reconstruction were study during the period between 15 february 2021 and 15 August 2021.
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| Name | Affiliation | Role |
|---|---|---|
| Etienne CAVAIGNAC | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UHToulouse | Toulouse | 31059 | France |
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| ID | Term |
|---|---|
| D059549 | Anterior Cruciate Ligament Reconstruction |
| ID | Term |
|---|---|
| D001178 | Arthroplasty |
| D019637 | Orthopedic Procedures |
| D013514 | Surgical Procedures, Operative |
| D019651 | Plastic Surgery Procedures |
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| 1 day |