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A code against misuse
1. A CODE AGAINST MISUSE
(APPROPRIATE USE) OF
MEDICAL CONSUMABLES
1. Alwaysassessthe clientwell before
decidingwhatisneededbyhim/her
2. Knowthe type and specificationof item
neededbythe clientbeforeyouopenit
for use
3. Everystaff memberusingamedical
consumable fora clientshouldbe
knowledgeable inthe use of suchan item.
However,
a. Traineesmustbe inductedproperly
before the use of an item
b. If in doubt,consulta colleague who
knowssothat you do notwaste
resources
4. If the procedure cando witha cheaper
formof an itemdonot use the expensive
form.For example:
a. Do not opena surgical glove if youare
justgoingto cleanor do something
demandinglessinfectioncontrol
measure- the disposable glove cando
it
b. Carbolicsoapis betterusedinhand-
washingthanliquidsoap – the
carbolicsoap isevenbetter,
scientifically,foritsantibacterial
activitythanthe liquidsoap
c. To do dusting,autilityglove isbetter
than a surgical glove
5. Recordand documentinthe appropriate
record book the itemsusedimmediately
afterthe procedure
6. Recordthe proper/improperperformance
of the consignmentof the iteminthe
Consumable Performance Book (CPB)
7. Improper/properuse of consumables
shouldfeature atUnitMeetingse.g.
a. The knowledgeableshouldteach
maintenance of equipment
b. Explainthe use of any newdevice
8. Be drivenbyhonestyratherthangreed –
do nottake consumable itemsawayfrom
beingusedforthe patient(itcouldbe you
or your relationwhomaysufferfornon-
availabilitylater);itisa breachof service
code of ethicstodo so
9. EveryUnit musthave a store withall store
managementprinciplesinplace
a. A store witha securitylockhavingall
logisticstomanage a store in a very
simple manner
b. Movementof items toand fromthe
Unit store shall be guidedby
requisitionandissuingbooks,
supportedbybincards whichhelpto
determine minimum,reorderlevels
c. A separate userbookto recordthe
use of an itemimmediatelyitisused
be maintainedtobe verifiedbythe
Unit leaderregularly
10. Requisitionshouldbe basedon
consumptionpatternof the Unitotherwise
properlyjustified
“A medical consumable is to be used to
the benefit of the client and the health
worker. Misuse undermines the integrity
of staff much as it robs the state (nation)
and puts the client in danger of death. It is
our understanding that any article
(consumable item) stolen and or misused
is a step in the direction of killing one or
two of our clients; and it could be any of
us. With this understanding, we of Ho
Municipal Hospital, on this day of 23rd of
May 2012,enact for ourselves this code as
a guide to effective and efficientuse of any
item meant to be used to the benefit of
clients of whom we all could be victims or
beneficiaries. We uphold this in the name
of all our belief systems.”
2. 11. Unit In-chargesmustbe honestto
requestforONLY whattheyneedat a
time
12. ApprovingOfficersshouldcross-check
requisitionbeforesigningit
13. Do not overstock;reportexcessesof
consumablesunderyourcare to main
storesfor redistribution
14. Users mustagree on qualityof
consumablesbeforethey(consumables)
are distributed
15. Use ItemsinUser storeswithexpirydates
closeror nearer1st
, on 1st
in 1st
out basis
16. Unit in-chargesshouldnotleave items
anyhowforusers,but shouldequally
supply
17. Handingovershouldinclude state of
medical consumablesanytime
18. Unit Leaders shouldbe trainedinstores
management,supervisionand&simple
Human Resource issues
19. Users mustgive feedbackon
CONSUMABLE PERFORMANCEBOOKCPB
usage of consumables
a. User-endsshouldhave a
CONSUMABLE PERFORMANCEBOOK
(CPB)
b. User shouldenteranydeviationfrom
the ideal performance of a
consumable item
c. SupplyOfficermust reviewthe CPB
bookon monthlybasis
d. SupplyOfficershouldsupplyitemsto
a User Unit on submissionof itsCPB
anytime
20. The ProcurementOfficershouldcirculate
and post,on quarterly basis,the unitcost
of consumablesinUserUnits
21. The SupplyOfficershouldindicate overall
cost of itemsissuedtoeachunitand give
a monthlytotal
22. Excellentsupervisionwouldleadto
improveduse of consumables
a. Managers whoare to supervise must
be well trainedtobe able to supervise
b. Whenany User isindoubt,the
immediate supervisormustbe
consulted
c. Supervisorsmustregularlymeetto
compare notesand improve system
delivery
d. Personsnewtosituationsshouldbe
takenthroughtrainingtoenhance
theirabilitytohandle the use of
consumables
e. Users of itemsshouldbe made to
participate inthe choice of items
f. Supervisorsmustrecognisethe
importance andcontributionsof their
subordinates
g. Everybodyisresponsible forhisorher
actionsand accountable forwhatever
decisionsare taken;butthe ultimate
responsibilitylieswiththe supervisor
WE NEED EFFORT,
DEDICATION,
COMMITMENT AND
DEVOTION TO DOING THE
RIGHT THING, TO THE
RIGHT PERSON AND AT
THE RIGHT TIME; AND BE
DRIVEN BY HONESTY AND
LOVE FOR BENEFICIARIES
OF CONSUMABLE USE. YOU
MAY BE THAT
BENEFICIARY OR VICTIM
TECHNICAL TEAM
1. Ms InnocentiaAnthonio
2. Ms Uel Deletsu
3. Dr Atsu Seake-Kwawu
4. Dr K. G. Normanyo
5. Dr Hubert Aheto
6. Ms GiftyNkansah
7. Ms BridgetAmegah
8. Ms Lucy Bonuedi
9. Mr SimonDzokoto
10. Mr GodfredOsei-Frimpong