Analyze the diversified management of medical low-value consumables?

With the increasing awareness of infection and self-protection, disposable items have been diversified and produced as in the spring, such as: caps, masks, gloves, syringes, surgical kits, etc., and are widely used in clinical practice. This paper combines the characteristics of medical low-value consumables in the operating room with the actual situation, and puts forward some suggestions on how to standardize the management, which are reported as follows.　1 The importance of the management of medical low-value consumables Medical low-value consumables refers to the disposable sanitary materials often used by hospitals in the process of carrying out medical services, including disposable syringes, infusion sets, blood transfusion sets, drainage bags, drainage tubes, indwelling needles, sterile gloves, surgical sutures (including imported sutures), surgical needles, surgical blades and so on [1]. Its varieties of models, application of large quantities, is the hospital to carry out daily medical and nursing work of the material basis. Take the operating room of our hospital as an example: the value of medical consumables in 2006 was 5,534,215,300,000, and in 2010 it increased to 8,122,971,100,000.The increase in the use of medical consumables during the three years was 0.47 times, and the annual rate was 13.6%. It is a stepwise growth.　2 The current situation of management of medical low-value consumables 2.1 Regulation of doctors' behavior: In the use of medical consumables, some doctors, for the sake of their own interests, directly contact with the supplier to buy, or ask patients to buy low-value consumables from the agent, the quality and price issues are difficult to guarantee, often substituting the best for the best, and substituting domestic products for imported ones, and so on.　2.2 Accuracy of charging: At present, most hospitals charge for medical consumables according to the operator's conscientious pricing, which is arbitrary, and the technical means are unable to strictly audit the accuracy of the price, and overcharging, undercharging and mischarging occur from time to time.　2.3 Risks: At present, there is no electronic record of medical consumables, and manual records are mainly used, with information dispersed in medical records, making it difficult to make timely and accurate inquiries in case of adverse reactions, which leads to an increasing number of medical disputes.　3 Countermeasures for the management of medical low-value consumables 3.1 Procurement management 3.1.1 Procurement process: first, the department should submit a written application when needed, including the name of the product applied for, specification and model, and the reason why it needs to be used. After this form is submitted to the Device Section, the competent purchasing personnel will initially audit the qualifications and issue a triplicate form, which will be filled out by the section, signed by the section chief and approved by the Device Section, the Finance Division and the Medical Insurance Office respectively before the purchase is made. One copy of the triplicate form is kept in the device section for record, one copy is handed over to the medical insurance office, and the other copy is handed over to the finance section. Breaking the traditional consumption of simple material procurement carried out independently by 1 or 2 sections. Instead, the formation of a multi-departmental linkage of mutual supervision, mutually responsible management mechanism.　3.1.2 Qualification audit: focus on the old, famous brand manufacturers. For new manufacturers can be tried first, the premise must have four certificates, namely, business license, product certification, production license, health permit. And provide quality commitment, agents also need to provide the manufacturer's authorization. Should regularly check the validity of the documents, found problems, timely replacement and processing. As far as possible, direct contact with manufacturers to reduce the intermediate agent link to meet clinical needs.　3.1.3 Comparison of goods: reach an agreement with the manufacturer in the process of purchasing goods, and make appropriate changes in the specifications, quantity and packaging of the products to make them more suitable for the needs.　3.2 Use of management 3.2.1 Place reasonable: disposable items should be light to take, light to put, placed in a cool, dry, stable fixed place. The outer package of disposable articles is generally plasticized, which is easily pierced by hard and sharp things, leading to the entry of bacteria and pollution.　3.2.2 Reasonable use: selective use of low-cost, affordable, such as hats, masks, gloves, incision dressings, syringes, infusion sets, trocars, suction tubes, negative-pressure suction devices, etc.; disposable abdominal packs, surgical gowns and other high-priced selective use of infected surgeries, liver function, two-to-half abnormalities, Hepatitis B, tuberculosis, etc.; no-damage sutures, absorbable threads, etc., relatively expensive, can be used according to clinical needs. Non-invasive sutures and absorbable sutures are relatively more expensive and can be used according to clinical needs.　3.2.3 Quantitative issuance: daily quantitative issuance and checking, each operating room is equipped with a set of regular disposable items, and daily filling and checking, for valuable, infrequently used, easy to lose items, daily timed or at any time special person to issue.　3.2.4 Asepsis requirements: For unused or suspected contaminated items, they should be repackaged, plasticized and sterilized by ethylene oxide at regular intervals.　4 Inventory management 4.1 Classification management: All kinds of items needed in the operating room, from syringes to mosquito killer tablets, etc., should be accounted for, with complete procedures for entering and leaving the warehouse, and summarized every month, so as to ensure that the accounts and items are in line with each other. If there is any discrepancy, the reason should be identified.　4.2 Planning: The approximate monthly demand for each type of item is calculated according to the monthly surgical volume for collection, and the average amount of each type of item collected in three months is taken as the relatively constant monthly planned demand. At the end of the month, when the inventory is taken according to the list, the planned quantity will be subtracted from the remaining quantity to be the planned quantity for the next month. After determining the quantity of each type of items to be collected, a plan will be drawn up for the collection and submitted to the Device Section.　4.3 Strict Receiving and Inspection: Upon receipt of goods, check and inspect each item according to the plan; at the same time, inspect the packaging and expiry date.　4.4 Categorized storage: disposable sterile articles and non-sterile articles are categorized and placed, and the storage room for disposable sterile articles is divided into several major areas (except for the special cabinet for storing valuable medical consumables), which are arranged in a clockwise direction by the first letter of the English language for disposable sterile articles, such as the drainage tube area (D area), glove area (G area), suture area (S area), and so on.　4.5 Specialized management: managed by the head nurse, all low-value consumables to take a one-time plan to receive, what is missing in the property management, to avoid the blindness of the one time more than the amount received.　5 Effectiveness evaluation with the continuous application of high and new technology in the field of medical care and medical modernization continues to promote the use of medical consumables, the use of the number of sharp increase in the procurement of medical supplies throughout the hospital accounted for the proportion of 50% to 60%, and some specialty hospitals even reached more than 80% [2]. Therefore, the good or bad management of medical consumables is directly related to the economic interests of hospitals. Therefore, starting from the standardization of medical consumables management process, improve the management system to ensure quality, accurate pricing, optimization of inventory management. The long-term survival and development of the hospital has an important significance. References: [1] Kind of Yinbao, Zhao Mary, Li Nan. Application status of medical consumables and its standardized management[J]. Journal of Medical Device Management,2005,29***6***:460. [2] Yu Chunhua, Tang Liming. From the perspective of modern management to discuss the hospital equipment "zero inventory"[J]. Journal of Medical Device Information,2004,20***2***:56.