Staff sizing in the material and sterilization center of a university hospital

Martins, Junior Franco; Antunes, Arthur Velloso

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Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 53 • 2019 • https://doi.org/10.1590/S1980-220X2018027703496 copy

Staff sizing in the material and sterilization center of a university hospital

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To apply the standard time parameters of nursing activities proposed by COFEN Resolution No. 543/2017 to determine the number of nursing technicians in the material and sterilization center of a university hospital and compare the projected framework with the existing one in the sector.

Method

An exploratory and descriptive study with data collection performed on the sterilization control sheets and direct observation of the work process stages in the different sector areas.

Results

Only one of the 15 described activities was not conducted in the sector; those most performed which presented more workload and required more personnel were the receiving of contaminated materials and the organization and distribution of sterilized materials; the areas that required the highest number of employees were for materials preparation and cleaning/disinfection. No difference was observed between the number of staff required in the different work shifts, and the calculated staff quantity was similar to that existing in the result of the staff sizing performed using the functional sites.

Conclusion

The proposals analyzed in this study can be used to calculate staff size in the studied sector and in other institutions.

Sterilization; Personnel Downsizing; Nursing Staff, Hospital; Workload

ACTIVITY	DAYS OF THE WEEK							DAILY MEAN

	Mon.	Tues.	Wed.	Thurs.	Fri.	Sat.	Sun.
Materials received from consumer units	1,513	1,212	1,463	1,196	1,232	686	641	1,134.71
Cleaning materials	922	758	1,041	745	702	349	275	684.57
Reception of materials on consignment	24	13	25	15	17	21	9	17.71
Conference of consignment materials after surgery	24	13	25	15	17	21	9	17.71
Return of consignment materials to supplier companies	24	13	25	15	17	21	9	17.71
Drying of materials and distribution on the preparation benches	921	783	1,084	735	702	333	275	690.43
Inspection, testing and separation of clean materials or instruments	1,101	798	1,233	751	775	333	323	759.14
Assembly and packaging of materials and instruments	840	585	1,041	538	855	229	248	619.43
Assembly and packaging of ventilator assistance kits or circuits	41	85	126	53	70	84	23	68.86
Load assembly and follow-up of the sterilization cycle	19	20	22	19	16	8	10	16.29
Removal of the sterile load and verification of the effectiveness of the sterilization process	19	20	22	19	16	8	10	16.29
Storage of sterile materials and clothing	48	32	29	28	23	10	13	26.14
Loading of transport vehicles for consumer units	0	0	0	0	0	0	0	0
Organization and control of the environment and sterile materials	1,154	1,004	1,155	966	946	584	594	914.71
Distribution of sterile materials and clothing to consumer units	1,208	1,004	1,155	957	916	566	595	914.43

ACTIVITIES	WORKLOAD

	Mon.	Tues.	Wed.	Thurs.	Fri.	Sat.	Sun.	DAILY MEAN
Materials received from consumer units	49.93	40.00	48.28	39.47	40.66	22.64	21.15	37.45
Cleaning materials	30.43	25.01	34.35	24.59	23.17	11.52	9.08	22.59
Reception of materials on consignment	2.40	1.30	2.50	1.50	1.70	2.10	0.90	1.77
Conference of consignment materials after surgery	3.60	1.95	3.75	2.25	2.55	3.15	1.35	2.66
Return of consignment materials to supplier companies	1.20	0.65	1.25	0.75	0.85	1.05	0.45	0.89
Drying of materials and distribution on the preparation benches	46.05	39.15	54.20	36.75	35.10	16.65	13.75	34.52
Inspection, testing and separation of clean materials or instruments	55.05	39.90	61.65	37.55	38.75	16.65	16.15	37.96
Assembly and packaging of materials and instruments	42.00	29.25	52.05	26.90	42.75	11.45	12.40	30.97
Assembly and packaging of ventilator assistance kits or circuits	1.35	2.81	4.16	1.75	2.31	2.77	0.76	2.27
Load assembly and follow-up of the sterilization cycle	2.53	2.66	2.93	2.53	2.13	1.06	1.33	2.17
Removal of the sterile load and verification of the effectiveness of the sterilization process	0.95	1.00	1.10	0.95	0.80	0.40	0.50	0.81
Storage of sterile materials and clothing	3.17	2.11	1.91	1.85	1.52	0.66	0.86	1.73
Loading of transport vehicles for consumer units	18.46	16.06	18.48	15.46	15.14	9.34	9.50	14.64
Organization and control of the environment and sterile materials	39.86	33.13	38.12	31.58	30.23	18.68	19.64	30.18

Total*	296.98	234.98	324.73	223.86	237.64	118.12	107.81	220.59

ACTIVITIES	NUMBER OF EMPLOYEES							MEAN

	Mon.	Tues.	Wed.	Thurs.	Fri.	Sat.	Sun.
Materials received from consumer units	11.16	8.94	10.80	8.83	9.09	5.06	4.73	8.37
Cleaning materials	6.80	5.59	7.68	5.50	5.18	2.58	2.03	5.05
Reception of materials on consignment	0.54	0.29	0.56	0.34	0.38	0.47	0.20	0.40
Conference of consignment materials after surgery	0.81	0.44	0.84	0.50	0.57	0.70	0.30	0.59
Return of consignment materials to supplier companies	0.27	0.15	0.28	0.17	0.19	0.23	0.10	0.20
Drying of materials and distribution on the preparation benches	10.30	8.75	12.12	8.22	7.85	3.72	3.07	7.72
Inspection, testing and separation of clean materials or instruments	12.31	8.92	13.79	8.40	8.66	3.72	3.61	8.49
Assembly and packaging of materials and instruments	9.39	6.54	11.64	6.02	9.56	2.56	2.77	6.93
Assembly and packaging of ventilator assistance kits or circuits	0.30	0.63	0.93	0.39	0.52	0.62	0.17	0.51
Load assembly and follow-up of the sterilization cycle	0.57	0.59	0.65	0.57	0.48	0.24	0.30	0.48
Removal of the sterile load and verification of the effectiveness of the sterilization process	0.21	0.22	0.25	0.21	0.18	0.09	0.11	0.18
Storage of sterile materials and clothing	0.71	0.47	0.43	0.41	0.34	0.15	0.19	0.39
Loading of transport vehicles for consumer units	0.00	0.00	0.00	0.00	0.00	0.00	0.00	0.00
Organization and control of the environment and sterile materials	4.13	3.59	4.13	3.46	3.38	2.09	2.13	3.27
Materials received from consumer units	8.91	7.41	8.52	7.06	6.76	4.18	4.39	6.75

Total*	66.41	52.54	72.61	50.06	53.14	26.41	24.11	49.32

AREAS	NUMBER OF EMPLOYEES

	Mon.	Tues.	Wed.	Thurs.	Fri.	Sat.	Sun.	MEAN*
Cleaning/disinfection	19.08	15.45	19.78	15.22	15.1	8.03	7.05	14.24
Control of consigned materials	1.55	0.84	1.62	0.97	1.1	1.35	0.58	1.14
Materials preparation	30.24	23.25	35.96	21.57	24.89	9.9	9	22.12
Sterilization	0.55	0.58	0.64	0.55	0.47	0.23	0.29	0.47
Storage and distribution of sterile materials and clothing	14.91	12.52	14.29	11.94	11.44	6.99	7.32	11.34

Total	66.33	52.64	72.28	50.25	52.98	26.50	24.24	49.32

MSC AREA	MORNING	AFTERNOON	NIGHT	MEAN
Cleaning	4.4	4.7	4.43	4.51
Control of consigned materials	0	0.2	0.3	0.17
Materials preparation	8.1	7.1	8.49	7.90
Sterilization	0.1	0.1	0.1	0.10
Storage and distribution of sterile materials and clothing	2	5	3	3.33

Total*	14.6	17.1	16.32	16.01

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Arthur Velloso Antunes. Rua Dr. Luiz Antônio Waack, 1069, Bairro Umuarama. CEP 38405-327 – Uberlândia, MG, Brazil. arthurantunes22@gmail.com