1 ALTERNATIVES TO ETHYLENE OXIDE – HYDROGEN PEROXIDE PLASMA PRESENTED BY MARILYN CONDE, CCRST, MAOM, FCSP

2 WORK EXPERIENCE: Manager, Material Management at St. Francis Medical Center, Lynwood, Ca. for the past 15 years. Past President and Co-Founder of the California Central Service Association. Currently the Education Director of CCSA Has worked in the Central Service area for the last 20 years.

3 HISTORY OF ETO AT ST. FRANCIS Old Technology South Coast Air Quality Management District Rule 1405 St. Francis Medical Centers response to Rule 1450

4 HISTORY (CONTINUED) Joslyn ETO Sterilizer and Recovery System Reasons for the purchase (1991) Installation (1992) How items were sterilized during construction How has it worked?

– WHY CHANGE? ETO today Cost of ETO Environmental Monitoring Personnel Monitoring Turn around time of sterilized goods Safety issues Fees Preventative Maintenance and service

6 CASE TO ADMINISTRATION FOR CHANGE Obtain information from company manufacturing the Sterrad unit Complete the Capital Budget forms to accounting and COO for approval Write up the justification for the unit Submit a Business Case to go to the DOCHS Board of Directors for final approval

7 WHY HYDROGEN PEROXIDE PLASMA? No SCAQMD Fees No personnel monitoring No annual source testing No ETO cylinder rentals Ease of use 2-3 hour turn around time for good

8 SUCCESS MEASURES There will be a positive impact on savings in the operations budget Safety of the associates in Central Service using this unit Safety of the patients, nurses and physicians using the processed items from the unit

9 WHERE ARE WE NOW? WHAT NEEDS TO BE DONE? Submission of the Major Expenditure Request Form Write PO and order unit Set up Planning meetings for the installation Education of Associates

10 REMEMBER… In California, all ETO records (load information, associate monitoring, source testing, etc.) must be maintained for 30 years. This is per Title 8

11 QUESTIONS??? You can contact me at: Office & voice mail -(310) Fax – (310) –

12 THANK YOU.