1. 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 (****) 3 rd Regional Health Authority

2. 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.

3. 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.jpeghttp://ispdnetwork.org/http://ispdtrial.net/wp-content/uploads/2012/11/Protocol.jpeg

4. 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 METHODOLOGY

5. documented determination of the necessary materials placing the order Receipt proper storage and monitoring the consumption of each consumable safe disposal of the used (consumables) HC’s, OD’s and ED’s Consumables Management Protocol Content Includes the entire spectrum of consumables' management

6. 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.

7. 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

8. 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

9. 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) Steering Committee for guidance, counseling support and feedback HC’s, OD’s and ED’s Consumables Management Protocol Stages of Development

10. 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. Conclusions