{"id":1851,"date":"2007-10-01T01:00:00","date_gmt":"2007-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/integration-dune-unite-fonctionnelle-dendoscopies-digestives-a-unplateau-commun-dactivites-endoscopiques-et-de-desinfection-de-laconception-a-la-realisation\/"},"modified":"2018-10-20T18:39:48","modified_gmt":"2018-10-20T16:39:48","slug":"integration-dune-unite-fonctionnelle-dendoscopies-digestives-a-unplateau-commun-dactivites-endoscopiques-et-de-desinfection-de-laconception-a-la-realisation","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/integration-dune-unite-fonctionnelle-dendoscopies-digestives-a-unplateau-commun-dactivites-endoscopiques-et-de-desinfection-de-laconception-a-la-realisation\/","title":{"rendered":"INTEGRATION D\u2019UNE UNITE FONCTIONNELLE D\u2019ENDOSCOPIES DIGESTIVES A UN\nPLATEAU COMMUN D\u2019ACTIVITES ENDOSCOPIQUES ET DE DESINFECTION : DE LA\nCONCEPTION A LA REALISATION"},"content":{"rendered":"

2007<\/strong><\/p>\n

A. Fleury (1), P. Martres (2), O. Danne (1)
\n(1) Service de Gastro-Ent\u00e9rologie, H\u00f4pital Ren\u00e9 Dubos, Pontoise
\n(2) Laboratoire de Microbiologie-Hygi\u00e8ne, H\u00f4pital Ren\u00e9 Dubos, Pontoise<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02007-09-01 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction
\nL \u2019activit\u00e9 d\u2019Endoscopies Digestives au Centre Hospitalier de Pontoise s\u2019effectue sur 2
\nsites: les actes n\u00e9cessitant une anesth\u00e9sie g\u00e9n\u00e9rale sont r\u00e9alis\u00e9s au Bloc Op\u00e9ratoire,
\nceux pratiqu\u00e9s sous neuroleptanalg\u00e9sie ou sans anesth\u00e9sie sont effectu\u00e9s au sein de
\nl\u2019Unit\u00e9 Fonctionnelle des Explorations Digestives. En 2003, un projet de d\u00e9m\u00e9nagement
\nde cette unit\u00e9 a \u00e9t\u00e9 envisag\u00e9 afin de rapprocher l\u2019activit\u00e9 endoscopique du Bloc
\nOp\u00e9ratoire et de regrouper toute l\u2019activit\u00e9 au sein du m\u00eame site. Par ailleurs, le CLIN
\nd\u00e9plorait la multiplication des infrastructures d\u2019endoscopies et de ce fait des lieux de
\nd\u00e9sinfections des endoscopes (Explorations de Pneumologie, d\u2019Urologie,
\nR\u00e9animations\u2026), \u00e9clat\u00e9s sur 10 sites diff\u00e9rents avec \u00e0 chaque fois un protocole
\nsp\u00e9cifique de d\u00e9sinfection des endoscopes.
\nContexte
\nL\u2019opportunit\u00e9 de cr\u00e9ation de nouveaux locaux en 2005, aux surfaces avantageuses
\n(1200m\u00b2), attenant au bloc op\u00e9ratoire a permis d\u2019envisager l\u2019organisation d\u2019un plateau
\ncommun d\u2019endoscopies. Cette nouvelle structure concentrera d\u00e9sormais en un seul lieu
\nles activit\u00e9s endoscopiques des services de Gastroent\u00e9rologie, d\u2019Urologie et de
\nPneumologie. Une unit\u00e9 centralis\u00e9e de d\u00e9sinfection sera int\u00e9gr\u00e9e \u00e0 ce plateau commun,
\nregroupant 6000 endoscopies par an. L \u2019int\u00e9r\u00eat de ce regroupement permettra
\nd\u2019homog\u00e9n\u00e9iser les proc\u00e9dures de traitement des endoscopes et d\u2019assurer, gr\u00e2ce \u00e0 la
\nmutualisation du personnel soignant, la prise en charge de ces dispositifs m\u00e9dicaux,
\ngardes, astreintes et week-end compris.
\nElaboration du projet
\nChacune des 3 sp\u00e9cialit\u00e9s a travaill\u00e9 d\u2019abord isol\u00e9ment puis lors de rencontres
\nmultidisciplinaires avec les acteurs concern\u00e9s (m\u00e9decins, personnels soignants,
\ning\u00e9nieurs, architectes, hygi\u00e9nistes) pour concevoir le plan et organiser le
\nfonctionnement de leurs plateaux d\u2019endoscopies en tenant compte du circuit des
\npatients et des endoscopes. Puis le projet architectural de l\u2019unit\u00e9 centralis\u00e9e de
\nd\u00e9sinfection int\u00e9gr\u00e9e au sein des 3 sites d\u2019endoscopie a \u00e9t\u00e9 \u00e9labor\u00e9, en prenant en
\nconsid\u00e9ration un certain nombre de contraintes : surface minimale n\u00e9cessaire \u00e0 une
\nqualit\u00e9 de travail optimale (environ 40m\u00b2), salle de stockage des endoscopes d\u00e9sinfect\u00e9s
\nind\u00e9pendante (13m\u00b2), prise en charge de la d\u00e9sinfection du mat\u00e9riel destin\u00e9 aux cavit\u00e9s
\nst\u00e9riles et non st\u00e9riles par des proc\u00e9dures manuelles et automatis\u00e9es, respect des
\ncrit\u00e8res d\u2019ergonomie et d\u2019hygi\u00e8ne.
\nLe service de gastroent\u00e9rologie a b\u00e9n\u00e9fici\u00e9 de l\u2019opportunit\u00e9 du d\u00e9m\u00e9nagement pour
\nstructurer son Unit\u00e9 Fonctionnelle d\u2019Endoscopies Digestives (regroupement des
\nconsultations, cr\u00e9ation d\u2019une Unit\u00e9 d\u2019Hospitalisation Ambulatoire pour les actes sous
\nanesth\u00e9sie g\u00e9n\u00e9rale)
\nConclusions
\nMalgr\u00e9 nos r\u00e9ticences \u00e0 modifier nos habitudes de travail, ce projet va se concr\u00e9tiser. Il
\nva permettre d\u2019int\u00e9grer l\u2019Unit\u00e9 Fonctionnelle des Explorations Digestives au bloc
\nop\u00e9ratoire facilitant ainsi les examens sous anesth\u00e9sie g\u00e9n\u00e9rale et de cr\u00e9er une unit\u00e9
\ncentralis\u00e9e de d\u00e9sinfection des endoscopes commune \u00e0 deux autres plateaux techniques
\n(Urologie, Pneumologie) avec la perspective d\u2019am\u00e9liorer les pratiques de d\u00e9sinfection
\n24h\/24 des endoscopes.
\nANGH Copyright 2007<\/p>\n","protected":false},"excerpt":{"rendered":"

2007 A. Fleury (1), P. Martres (2), O. Danne (1) (1) Service de Gastro-Ent\u00e9rologie, H\u00f4pital Ren\u00e9 Dubos, Pontoise (2) Laboratoire de Microbiologie-Hygi\u00e8ne, H\u00f4pital Ren\u00e9 Dubos, Pontoise Gastroent\u00e9rologie – \u00a02007-09-01 –\u00a0CO – ________________________________ Introduction L \u2019activit\u00e9 d\u2019Endoscopies Digestives au Centre Hospitalier de Pontoise s\u2019effectue sur 2 sites: les actes n\u00e9cessitant une anesth\u00e9sie g\u00e9n\u00e9rale sont r\u00e9alis\u00e9s au […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[18],"class_list":["post-1851","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-18"],"yoast_head":"\nINTEGRATION D\u2019UNE UNITE FONCTIONNELLE D\u2019ENDOSCOPIES DIGESTIVES A UN PLATEAU COMMUN D\u2019ACTIVITES ENDOSCOPIQUES ET DE DESINFECTION : DE LA CONCEPTION A LA REALISATION - 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