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APPENDIX 1

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APPENDIX 2

Operatives order additional case cart Request of additional

case cart and diagnosis ready

Request arrives in

retrevial store Box scanned

Box booked and moved close the barcode’s

scanner

Boxes put inside the case cart Box moved to a

conveyor belt

Case cart close RFID reader Case cart moved to emergency

room

Second scenario: request of additional boxes in

retrevial store

(7)

Emergency room

Case cart close a RFID reader

Case cart in emergency

room Case cart scanned Case cart moved to operation theatre

Use additional and base boxes: operation theatre

Additional case cart emptied Additional case cart arrives

in operation theatre

Additional and base boxes

are scanned Surgical operation

Case carts wait in the conrner

Additional and base single use instruments are thrown and exit from the system

Case carts filled Boxes filled and moved

to own case cart

Case carts moved to the area of cleaning

(8)

Cleaning area: additional and base case cart

Case carts emptied Additional and base

boxes in cleaning area

Each box is scanned and instruments are taken

out

Boxes moved Pre_washing of instrument

Boxes washed in cabinet machine SAME TIME Instruments inserted in washing machine

Check each instrument Waiting washing

machine

Each instrument inserted in each box and a new barcode is attached (packaging)

Box scanned and inserted in autoclave

machine Box moved to a

conveyor belt

Base boxes inserted in «base case cart» and moved to base_additional

room

Waiting autoclave Additional boxes inserted in additional case cart

and are moved to automatic store

SAME TIME (1)

(2)

Instruments inserted in boxes: a label is attached

(9)

First scenario : request of base case cart:

base_additional room (1)

Base case cart close RFID reader Base case cart moved to

base_additiona room Case cart scanned Case cart moved to operation room

Store of additional boxes (2)

Case cart emptied and each box is scanned

Additional Case cart moved in automatic store

Boxes taken and inserted in

(10)

Third scenario: request of plan case cart

Boxes booked through a

computer Request sent in

automatic store Boxes scanned

Boxes moved close a computer

Boxes moved to a

conveyor Boxes inserted in a case cart

RFID reader Case cart moved to

RFID Case cart moved to the plan room

Plan room

Case cart passed close a

RFID reader Case cart arrives in this

room

Case cart moved to the area of operation theatre

(11)

Case cart is emptied Case carts arrives in

operation theatre

Use instruments in operation theatre

Boxes scanned Surgical operation Boxes scanned and single use instrument are

thrown

Boxes filled and inserted in case cart

Case cart moved to cleaning area

(12)

Case cart empty Plan case cart in

cleaning area

Each boxes is scanned and each instruments

are taken out

Box moved Pre-washing

instrument SAME TIME Instruments washed in washing machine

Boxes washed in cabinet

machine Wait washing machine Check each instrument

Each instrument is inserted in each box and a new barcode is attached(

packaging)

Box scanned and inserted in autoclave Box moved to a

conveyor belt

Plan boxes inserted in each plan case cart

Wait autoclave Case cart moved to plan room

Cleaning of plan boxes

Instruments iserted in a small boxes: a label is

(13)

Case cart emptied and each box is scanned Plan case cart arrives in

automatic store

Boxes taken and inserted in

own shelves automatically Plan boxes boxes wait

Store plan boxes in automatic store

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