Stryker Neptune Suction

Presented by: Charito Ward, RN

Zero Budget Presentation
NUR 4240
Business of Healthcare in Complex Systems
9/25/2016
I Pledge
Wall suction

Wall suction in the operating room requires a wall adapter, suction tree,
suction canisters
Often these suction trees do not have long enough tubing from the wall to the
area it needs to be at
Creates trip hazards in the operating room
Very common to have a component on the suction tree broken due to over
use, weight of fluid etc.
Canister capacity is a low volume in relation to what is used in certain
surgical cases.
Need to use solidifier in order for fluid to coagulate in canister so it can be
disposed of properly.
Why Neptune suction?

The Neptune suction machine provides powerful suction to multiple tools at

the same time without loss of suction during surgery.

100% closed system to protect operating room staff from biohazards

Detects amount of fluid suctioned for accurate blood loss

Reduces biohazard waste, materials, and unnecessary staff time

Wasted time, money, and man power

When wall suction is utilized in a knee or shoulder arthroscopy the case can
require several liters of fluid to be used for the case.
With wall suction currently in our facility the largest canister capacity is 2 liters
per canister. When an arthroscopic case requires 12 liters of fluid or more that is
SIX canisters used for the fluid to be collected in the canisters. According to
quickmedical.com each canister cost $3.77 each if 6 of these canisters are used
the cost is $22.62 each time
Solidifier is currently being used, our facility uses the Red Z, drop in pack which
can only solidify 1500 mls of fluid the cost of these are $1.20 each, with 2 being
used for each canister the cost of the solidifier alone is $14.40
The total weight of each canister with the solidifier in it is a little over four
pounds each, with six canisters being used at four pounds that is 24 pounds that
will be placed in a biohazard bag to be disposed of.
Wasted time, money, and man power
continued.
According to greenpracticehealth.org the cost of Regulated Medical Waste or
(RMW) can cost anywhere from .20 cents to .50 cents per pound, with an
average of 24 pounds per arthroscopic case this can cost $4.80 to $12.00 just
for the disposal. We average around three to four athroscopic procedures a
day. Hospitals average close to 40 tons of RMW each year!
Staff is needed to collect the waste, solidify it, and place it in the proper
receptacles, if the operating room staff helps the average salary of the
employees is roughly $20 per hour, typically each turnover for an arthroscopic
case is 30 minutes dedicating close to $60+ per employee each day just to
handle the suction containers, solidification process, and disposal of canisters.
Up to 5 people in each room turnover this can cost over $300 per employee
each day.
Each day our operating room spends $1500 for just RMW.
How the Neptune suction system can
save!
Although the exact price for a Neptune suction system from Stryker is not
immediately available, they have been sold on ebay for $2,500.00 for the
system.
Only one staff person is required to dock the Neptune to be emptied and
cleaned, they attach the system and walk away, cleaning the Neptune is only
a two minute process.
The Neptune has a 24 liter capacity and can be used until filled, the only
thing that needs to be changed out between cases is the manifold attachment
that costs .60 each.
The Neptune automatically disposes into a closed system to be picked up
monthly, the cost is much cheaper than per pound basis.
About the Neptune suction system

https://youtu.be/dYSyppbgYDI
The savings continue

Thanks to the Neptune suction system the facility will:

No longer need staff to dispose of fluid RMW

No longer need to purchase canisters all the time

No long need to purchase solidifier

Other alternatives: Option 1- change
from rigid canister to canister liner
We continue to use wall suction, change the hard suction canisters and
purchase the disposable suction liner inserts
The inserts are much lighter than what we currently use
The inserts are slightly more expensive than what we are currently paying
averaging $3.96 per canister where the canisters we currently use cost $3.77
each.
Solidifier still needs to be added to the liner canisters for proper disposal
The weight of the canisters with solidifier will decrease in weight by one and
one-half pounds.
Savings come from the decreased pounds of RMW
Option 2: Change the canister to liner
and change the solidifier
By changing current canister to a suction liner and changing the solidifier to
one that has a 2000ml capacity.
These changes can reduce weight of canister and waste of 2 solidifier per
canister to 1 packet of solidifier per canister.
The cost of the 2000ml packets increase the price by .51 cents per solidifier
packet averaging $1.71 per packet but saves $3.94 cents per arthroscopic
case due to increasing the solidifier capacity to 2000ml
The staff is still needed to discard the canisters properly, but the reduction in
waste and supplies still save the facility money.
Option 3: Keep current canisters but
change the solidifier
We can keep the came canisters we have at the cost of $3.77 per canister but
change the solidifier to the 2000 ml one.
The weight would stay the same but we save $1.20 per canister by not having
to use 2 of the solidifiers we are currently using.
We would save $10.71 per arthroscopic surgery case.
Man power would still be the same, as will the RMW cost.
Conclusion

Initially to purchase the new Neptune suction system may be costly, it will for
for its self in 2 years time.
The purchase of the system will quicken room turn over times, less money
will be wasted on canisters and solidifiers
RMW cost will decrease for the hospital yearly.
So, they question is: Why not have the Neptune suction system
References:

Material and Waste Streams. (2016). Retrieved September 25, 2016, from
https://practicegreenhealth.org/topics/waste/waste-categories-types

Neptune 2 In-service. (2013, March 20). Retrieved September 25, 2016, from
https://youtu.be/dYSyppbgYDI
Selecting, B. (n.d.). Fluid Solidifier Single-Dose Pack | Safetec. Retrieved
September 25, 2016, from http://www.quickmedical.com/safetec-red-z-
green-z-fluid-solidifier-diamond-pouches.html
http://
www.quickmedical.com/bemis-hydrophobic-disposable-suction-canisters.html