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Regional distribution centres.

Regional Distribution Centres are designed for all items of a volume nature. While medical and surgical items are a component, so too are textiles, food, stationary, etc. An RDC is a complete entity. We recognise, however, that medical and surgical items need special consideration. It is necessary to produce conditions that are equal to, if not better than, that of the suppliers. The Scientific and Technical Branch of the DHSS have inspected the Mersey RDC. They have made a number of recommendations to bring it up to GMP standard for the storage and handling of sterile goods. Most of these have been implemented, although some are still awaited. Suppliers are obliged to meet these standards so I feel we should be no different. My message to you is that Regional Distribution Centres certainly work, provided that there is open and frank debate and that all concerned are fully involved.

Equipment and Supplies, Hospital↗

Quality attainment in SPD.

The Muskogee Regional Medical Center is a 360-bed, non-profit institution located in northeastern Oklahoma. Approximately 950 OR, endoscopy lab, and outpatient procedures are performed at the medical center each month. The success of these procedures often depends on the quality of the service that SPD provides. This article provides some background on the medical center's SPD department, and describes the quality attainment program we designed to measure the competence of our services.

Central Supply, Hospital↗

Establishing and maintaining efficient courier services.

Your couriers are your link to your outreach customers. They represent your facility to and carry information (and, of course, specimens) from the communities you service. When establishing your outreach program, who is in the driver's seat and how specimens will be transported are primary concerns. Cost-conscious laboratorians rely on a variety of courier options, from transporting specimens on foot using refrigerated Styrofoam nylon packs to calling taxis to contracting with drivers to having a dedicated arrangement with in-house employees. Often, the expense and bother of maintaining a fleet of cars and drivers, probably most desirable in terms of control and standardizing processes, forces laboratory managers to seek alternatives that may not sound practical or reliable, but that actually do work quite well. Whatever courier route you choose, you should emphasize to your carriers the respect you have for the precious cargo they carry. Of course, there must be no doubt about specimen integrity, carefully and conscientiously maintained from its source to you. But the integrity of your organization is also in the hands of those who accept the responsibility of bringing you all of those potential questions to be answered. Your livelihood depends on it. Just be as certain as possible that your customers want to celebrate--not shoot--your messenger.

Community-Institutional Relations↗