Presentasi Padang, 11 - May 2014

Out Patient Market
Titi Murdiningsih
Padang, 11 May 2014
Content
BBraun Company Profile
BBraun Infection Control
Bbraun Infection Control Group of

Therapy
BBraun-Infection Control Workshop
OPM-Wound Management | Ika Rossalia | Page 2
Content
Bbraun Company Profile
Content
BBraun Infection Control
Centre of Excellence Infection Control

Sligo
WOUND
Melsungen
Boulogne/Paris
Sempach/ Switzerland
INFECTION CONTROL
Infection Control Group Therapy
Infection Control
Hands
Skin/Body
Wound
Instruments
Surface
Cleaning, Disinfection, Caring
Products
Comprehensive Protection for Healthy Environment

Content
Bbraun Infection Control Group

Therapy
IC Hands
Laboratory and Expert Reports

confirming product efficacy
Poor Hygiene is not always visible, however the effects and

spread of life threatening infections are often very noticeable
OPM-Wound Management | Ika Rossalia | Page
90% infeksi berasal dari kontak langsung
Hands
spread
germs
OPM-Wound Management | Ika Rossalia

10 | Page
Simple evidence
Hand hygiene is the single most
effective measure to reduce HCAIs

11 | Page
Handwashing
an action of the past
(except when hands are visibly soiled)
System change
Alcohol-based
hand rub
is standard of care
Time constraint =
major obstacle for hand hygiene
Adequate handwashing with

water and soap requires
40-60 seconds
Average time usually adopted
by health-care workers:
<10 seconds

13 | Page
Time constraint =
major obstacle for hand hygiene

14 | Page
Handwashing:
40-60 seconds
Alcohol-based
handrubbing:
2030 seconds
Trend di Eropa
Rubs
Soap & Scrub
Trend in Europe
From Scrub
To Hand Rub
++
+++
Application
Satisfaction
Preference
Confidence
+++
Disinfectant
Iodine
Chlorhexidine
<
++++
Alcohol Based
Without Chlorhexidine
Liquid type
Disinfeksi Tangan Kapan ??
Cucilah tangan apabila tangan terlihat kotor !

Jika tangan tidak kotor, gunakanlah handrub !
Gunakanlah selalu Handrub untuk menjaga kebersihan !
5 Moments for Hand Hygiene

19 | Page

20 | Page
Content

Therapy
IC Instrument
International Standards for Reprocessing of Medical Devices
SPAULDINGS CLASSIFICATION
Critical Items: Medical devices that penetrate sterile tissue, cavity,

or blood (e.g. surgical instruments, cardiac catheters)
STEPS:
Cleaning
Disinfection
> Enzyme Cleaner
> Liquid Chemical Germicide
Sterilization
Semi-Critical Items: Medical devices that come in contact with

intact non-sterile mucous membranes (e.g. endoscopes)
STEPS:
Cleaning
> Enzyme Cleaner
Disinfection / Sterilization
> Liquid Chemical Germicide for heat sensitive
Non-Critical Items: Medical devices that come in contact with

intact skin (e.g. EKG leads, non-invasive ultrasound probes)
STEPS:
Cleaning
> Enzyme Cleaner
Disinfection
> Liquid Chemical Germicide
22
Methods:
Steam
(Autoclave)
Ethylene
Oxide
H202
Gas/Plasma
Ozone
Keselamatan Kerja ?
Seorang perawat (Maureen Spittles)

HARUS pensiun dini akibat asma hebat.
Asma tsb akibat disinfektan instrumen.
B. Braun Melsungen AG | Unternehmensprsentation | Seite
Penarikan Glutaraldehyde di Amerika
B. Braun Melsungen AG | Unternehmensprsentation | Seite
Tahun 2002, Inggris melarang

keras peredaran Glutaraldehyde
Sayangnya, di Indonesia masih
banyak beredar Glutaraldehyde
dengan berbagai merk
Stabimed Cleaning and Disinfection in one step
Aldehyde free disinfectants prevent protein-fixing

contaminated
with blood
Aldehydes
BETTER ALTERNATIVE:
Alkylamines &
Phenols
prevent
protein-fixing
27
after machine
cleaning
after manual
disinfection
after steam
sterilization
Stabimed Dosing table

60 mins
45 mins
28
30 mins
15 mins
Instrument manual processing
Compatibility
Reprocessing Endoscopy Instrument - Manual
use APD
Cleaning with Helizyme
rinse with water
Pemrosesan Instrumen Endoskopi - Manual
Disinfeksi dengan Stabimed
Keringkan dan simpan
Bilas dengan air
Reprocessing Endoscopy Instrument Automatic
1.
2.
3.
Stabimed is safe for staff
34
Stabimed is biodegradable
Content

Therapy
IC Surface
Indications
Surface disinfection of
medical devices with sensitive surfaces
ultrasound devices,
infusion pumps,
dentists chairs,
artificial leather beds.
Microbiocidal Efficacy
plus
Cleaning Efficacy
mechanical action of the disintegrating foam
supports cleaning
Avian influenza
B. Braun Melsungen AG | Company presentation | page
15 sec.
Material Compatibility with Ultra Sonic Devices made by Hitachi
Material Compatibility with Ultra Sonic Devices made by Philips
Material Compatibility with Acrylic Glass
Compatibility with Acrylic Glass
Opportunities Inside B. Braun = To Live Sharing Expertise
Meliseptol Foam pure is approved by Avitum for Dialog+
The preferred application method is wiping. Avoid spraying!

Best practice is to use Meliseptol Wipes sensitive.
Recommended for artificial leather beds and chairs
How to use Meliseptol Rapid
2
Hand Disinfection with
Softa-Man or Handwashing with
Softaskin + water , use hand
gloves
Wet all surface until 1 munites

Spray Meliseptol Rapid on

cloth or tissue
Dispose of tissue and hand

gloves according to the
guidelines.
Content

Therapy
IC Wound
The Stairway to amputation
Perawatan Luka B.Braun

Cleansing/WBP Moist Therapy
56
Silver Dressing
The Problem Biofilm

60% Luka Kronis memiliki Biofilm, sehingga mengahambat utama proses
penyembuhan luka
Apakah itu biofilm?

Komunitas dinamis dari bakteri dan fungi yang
hidup dalam matrix yang terbuat dari gula dan
proteins
Mikroskop elektron menemukan bahwa ratarata 60% dari sampel luka kronik memiliki biofilm
Biofilm yang matang dapat berkembang dalam
2-4 hari dari awal kolonisasi pada luka
Biofilm dapat memberikan kontribusi
perkembangan luka kronik
Bagaimana mendeteksi adanya biofilm ?

Biofilm tidak dapat dilihat dengan mata biasa
Pada luka, biofilm nampak seperti gel yang mengkilat dan
mirip dengan slough
Keberadaan biofilm hanya dapat dibuktikan dengan
mikroskop khusus untuk biopsi luka
58
http://www.biofilm.montana.edu/content/household-biofilms
Do biofilms form in all wound types?
Dari hasil biopsi, biofilm terdapat pada 60% luka kronik dan
hanya 6% pada luka akut.
SAVE LIVES Clean Your Hands
THANK YOU

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Out Patient Market

BBraun Infection Control

Bbraun Infection Control Group of

BBraun-Infection Control Workshop

OPM-Wound Management | Ika Rossalia | Page 2

Bbraun Company Profile

OPM-Wound Management | Ika Rossalia | Page 3

BBraun Infection Control

OPM-Wound Management | Ika Rossalia | Page 4

Centre of Excellence Infection Control

OPM-Wound Management | Ika Rossalia | Page 5

Infection Control Group Therapy

Cleaning, Disinfection, Caring

Comprehensive Protection for Healthy Environment

Bbraun Infection Control Group

OPM-Wound Management | Ika Rossalia | Page 7

Laboratory and Expert Reports

Poor Hygiene is not always visible, however the effects and

OPM-Wound Management | Ika Rossalia | Page

90% infeksi berasal dari kontak langsung

OPM-Wound Management | Ika Rossalia

OPM-Wound Management | Ika Rossalia

Adequate handwashing with

OPM-Wound Management | Ika Rossalia

OPM-Wound Management | Ika Rossalia

Soap & Scrub

OPM-Wound Management | Ika Rossalia | Page

OPM-Wound Management | Ika Rossalia | Page

Disinfeksi Tangan Kapan ??

Cucilah tangan apabila tangan terlihat kotor !

Gunakanlah selalu Handrub untuk menjaga kebersihan !

OPM-Wound Management | Ika Rossalia | Page

5 Moments for Hand Hygiene

OPM-Wound Management | Ika Rossalia | Page

OPM-Wound Management | Ika Rossalia

OPM-Wound Management | Ika Rossalia

Bbraun Infection Control Group

OPM-Wound Management | Ika Rossalia | Page 21

International Standards for Reprocessing of Medical Devices

Critical Items: Medical devices that penetrate sterile tissue, cavity,

> Enzyme Cleaner

> Liquid Chemical Germicide

Semi-Critical Items: Medical devices that come in contact with

Non-Critical Items: Medical devices that come in contact with

OPM-Wound Management | Ika Rossalia | Page

Seorang perawat (Maureen Spittles)

Penarikan Glutaraldehyde di Amerika

B. Braun Melsungen AG | Unternehmensprsentation | Seite

Tahun 2002, Inggris melarang

Stabimed Cleaning and Disinfection in one step

OPM-Wound Management | Ika Rossalia | Page

Aldehyde free disinfectants prevent protein-fixing

OPM-Wound Management | Ika Rossalia | Page

Stabimed Dosing table

OPM-Wound Management | Ika Rossalia | Page

Instrument manual processing

OPM-Wound Management | Ika Rossalia | Page

OPM-Wound Management | Ika Rossalia | Page

Reprocessing Endoscopy Instrument - Manual

Cleaning with Helizyme

OPM-Wound Management | Ika Rossalia | Page

rinse with water

Pemrosesan Instrumen Endoskopi - Manual