2010-2011 nurses survey results

8/13/2019 2010-2011 Nurses Survey Results

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,

: , ,

March 8 10, 2011

Hyatt RegencyCincinnati, OH


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2011

2010 2009

2011 42

2010 63 2009 111


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Demographics

No answer

3%

No answer

3%


7/45

11-20 years

16%

21-30 years

46%

1-5

year

5%

6-10

years

11%

31+

years

22%

Education Level

College

(4 year)29%

Graduate School

54%

High

school

7%Some

college

7%

Technical

College

(2 year)

3%


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Manager

47%

Educator

21%

Charge Nurse

7%

Surgical Technician

4%

OR Nurse7%

Staff Nurse

14%

Hospital

88%

University

9%

Air

Transportation3%


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US

21%

United Kingdom

7%

Ireland

17%

India

7%

Iceland

21%

Other

7%

Greece

3%

Belgium

3%

Germany

7%

Croatia

7%


10/45

For medical device products where size/style/modelnumber is selection criteria during a surgicalprocedure, which type of packaging is preferred?Question #1

17.9%

78.6%

0.0%3.6%

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

90.0%

Single Barrier Double Barrier Neither No Preference

Responses(%)


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Which type of package do you prefer for sterilenon-implantable medical devices? (ranked individually)Question #2

13.6%13.6%31.8%9.1%13.6%4.5%13.6%CSR

4.3%26.1%21.7%8.7%21.7%13.0%4.3%Header Bag

4.5%22.7%13.6%22.7%27.3%9.1%0.0%Single Barrier pouch

9.1%22.7%18.2%18.2%27.3%4.5%0.0%Single Barrier tray

41.7%29.2%12.5%8.3%4.2%4.2%0.0%Double Barrier Tray inside a peelpouch

47.8%34.8%4.3%8.7%0.0%0.0%4.3%Double Barrier Peel Pouch

25.0%37.5%12.5%12.5%0.0%8.3%4.2%Double Barrier Sealed Trays

StronglypreferLike

IndifferentDislike

StronglyDislike

Don'tuse

Don'tknow


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Which type of package do you prefer for sterilelong-term implantable medical devices?(ranked individually)Question #3

9.5%0.0%19.0%33.3%14.3%9.5%14.3%CSR

0.0%15.0%5.0%35.0%35.0%10.0%0.0%Header Bag

0.0%10.0%10.0%45.0%25.0%10.0%0.0%Single Barrier pouch

0.0%5.0%25.0%35.0%25.0%10.0%0.0%Single Barrier tray

38.1%38.1%9.5%9.5%0.0%0.0%4.8%

Double Barrier Tray inside a

peel pouch

30.0%55.0%10.0%0.0%5.0%0.0%0.0%Double Barrier Peel Pouch

73.9%17.4%4.3%0.0%0.0%4.3%0.0%Double Barrier Sealed Trays

StronglypreferLikeIndifferentDislike

StronglyDislike

Don'tuse

Don'tknow


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Do you believe a double entry packaging providesa more sterile device?Question #4

other

18%

No

18%Yes

64%


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If you prefer a device with a double barrier, whichattributes are important?Question #5

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Ease of Presentation

Provides more protection to maintain sterility

Room for error in preparing for surgery

(dropping)

Easier for flipping/dumping

Responses (%)


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If you prefer a single barrier medical device, whichattributes are important?Question #6

0% 10% 20% 30% 40% 50% 60% 70% 80%

Quicker access to

product

Eliminates waste

Easier to see product

Responses (%)


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Did you ever use a device where sterility wasquestionable?Question #7

Yes

18%

No

82%


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What happens when the circulating nurse drops thesterile package before presenting to the sterilenurse?Question #8

Discard

26%

Nothing

4%

Re-sterilize

19%

Present from

inner package

19%

Inspect

32%


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For products used in a patients care, are theproducts or product lot numbers recorded?Question #9

Both product andlot number

recorded

60%

Neither arerecorded

11%

Lot Number

11%

Product

18%


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How are patient records and the products usedduring their care recorded in your facility?Question #10

Manually

(written)

37%

Do not know

7%

Combination of

methods

30%

Scanned

7% Key Entered

19%


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If you manually record patient records, do you findextra product labels helpful?Question #11

No

4%

NA

8%

Yes88%


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Is it important for you to see the product (clearpackaging)?Question #12

No

15%

Yes

85%


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With respect to labeling of medical devicepackaging, please rank the following in order ofleast important (1) to most important (5)?Question #13

4.5%13.6%13.6%4.5%18.2%45.5%

Manufacturer's instructions for use provided viaweb or CD

0.0%10.0%15.0%30.0%40.0%5.0%

Manufacturer's instructions for use in everypackage

0.0%19.0%14.3%28.6%23.8%14.3%Color coded labelling

0.0%30.0%40.0%10.0%15.0%5.0%Easily read text/font labelling

0.0%45.8%12.5%25.0%4.2%12.5%

Identification of manufacturer, model number anduse before date

NA54321


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Do you read the Use Before Date on the packageor in the labeling?Question #14

Before Use

100%


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Do you inspect the sterile package for damage/defects prior to opening the package?Question #15

While opening15%

Before

opening

85%


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Once a sterile package is opened, do you examinethe seal for a clean peel or defects?Question #16

No

39%

Yes

61%


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What layers of the sterile package get inspectedfor integrity?Question #17

Outer layer

46%Both

54%

Inner layer

0%


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Which of the following packaging defects wouldlead you to question the sterility of its contents?Question #18

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100

%

Scuffs or scrape marks

Dents

Folds/crease marks

Holes/tears

Dirt/hair/foreign materials inside the package

Dirt/hair/foreign materials outside the package

None of the above

Responses (%)


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How often do you flip or dump a device rather thanpresent it for picking?Question #19

Sometimes30%

Rarely

31%

Always

4%

Don't

Know8%

Frequently

19%

Never

8%


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How often do the following defects occur inpouches?Question #20

0.0%3.8%7.7%38.5%50.0%Dirt/hair/foreign materials

0.0%0.0%50.0%34.6%15.4%Holes/tears

0.0%12.0%44.0%40.0%4.0%Folds/crease marks

0.0%0.0%32.0%56.0%12.0%Dents

0.0%4.0%44.0%36.0%16.0%Scuffs or scrape marks

AlwaysFrequentlySometimesRarelyNever


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How often do the following defects occur intrays?Question #21

0.0%0.0%4.5%50.0%45.5%Dirt/hair/foreign materials

0.0%0.0%17.4%56.5%26.1%Holes/tears

0.0%0.0%22.7%59.1%18.2%Folds/crease marks

0.0%0.0%39.1%43.5%17.4%Dents

0.0%4.3%34.8%39.1%21.7%Scuffs or scrape marks



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Please indicate below which parts of the labels orLabeling are most useful in the selection/use ofMedical products/devices.Question #22

0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

Graphics

Model Number

Color Coding

Font size

Expiration (use before) date

Sterilization process indicator tape or label

Bar code for inventory control

Method of sterilization

Responses (%)


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Which packaging characteristics have causedrecurrent and/or significant issues for you in thepast?Question #23

0.0%9.5%33.3%38.1%9.5%9.5%Labels or labeling

0.0%0.0%43.5%43.5%4.3%8.7%Device removal

0.0%0.0%22.7%36.4%0.0%40.9%Snap fit trays/clamshells

0.0%4.8%14.3%52.4%9.5%19.0%

Porous pkg material (Tyvek) separating or

shredding upon opening

0.0%16.7%37.5%29.2%8.3%8.3%

Porous pkg material (paper) separating orshredding upon opening

0.0%13.6%45.5%22.7%4.5%13.6%Package material tearing

0.0%13.6%45.5%13.6%13.6%13.6%Header bag opening feature

0.0%22.7%31.8%22.7%9.1%13.6%Corner peel opening of peel pouch

0.0%8.7%43.5%17.4%17.4%13.0%Chevron opening of peel pouch

4.3%13.0%26.1%30.4%17.4%8.7%

Opening mechanism for rigid or flexibletrays


Don't

know


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How do you achieve aseptic presentation ofdevices that have multiple loose items containedwithin the same sterile package?Question #24

Dumping

10%

Picking

64%

Never use

10%

Flipping

16%


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If you have a patient with a latex allergy, you?Question #25

check all labels

and if not

labelled must

contactmanufacturer

92%

treat patient

as normal

4%

check all labels and if

not labelled assume

product is latex-free

4%


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Comparison to US Response Similar Preference Trends

Preference for double barrier

Differences

Clean peel inspection

Inner layer examination

Flipping or dumping common practices

Demographics

Slightly younger population

Higher education

Gender


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How are non-contaminated trays disposed ofin your facility?Question #1

Trash

39%

Recycled53%

Biohazard

8%


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How are non-contaminated pouches disposedof in your facility?Question #2

Trash

62%

Biohazard

15%

Recycled

23%


39/45

Does your facility have a recycling programfor medical packaging?Question #3

No

54%

Yes46%


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If you have a recycling program, how difficultis it to use?Question #4

Easy

40%

Don't know

40%

Somewhat

difficult20%


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Comparison to US Response How are trays and pouches disposed of in your facility?

90%: Trash

Does your facility recycle sterile packaging?

87.0%: No

How easy is it to recycle sterile packaging at yourfacility?

65.2%: Impossible, no place to recycle


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Improvements

Distribution of Survey

Work closely with EORNA and other associations, globallyOpen for global responses

TranslationsContinue using online networking sites (Linked In, etc.)

Earlier distribution (August or September)Translations

SpanishItalian

GermanFrench

Increase Industry InvolvementAORN booth

Nurses incentives


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Acknowledgements


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2010-2011 nurses survey results

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