Internal fixation in MSF
A protocol for starting an orthopaedic programme with internal fixation exists for the MSF missions.
The authorization to practise internal fixations in an MSF mission must meet all the criteria listed in the reference document. They are absolute minimum criteria checked and signed by a referent before implementing such a programme.
The articles can only be used in projects where the prerequisites for internal fixation are already in place and internal fixation is ongoing with good follow up of surgical complications and surgical infections.
Only orthopedic surgeons are allowed to use these sets.
For information follows a non-exhaustive and non-detailed list about the means which must be present.
Material means
- Operation suite: electricity, air, water, electric cautery, tourniquet, single use gowns, surgical gloves, alcohol hand rub, iodineskin preparations...
- Sterilization: existing sterilization circuit (clean/dirty), autoclave with cycle at 134°C, MSF protocols for sterilization, tracability and sterilization indicators ...
- Radiology: must be present...
- Laboratory: blood transfusion, bacteriology examinations...
- In Patient Department: clear separation infected and not...
Human Resources
- OT nurse
- Ward nurse
- Surgeons: qualified "MSF" orthopedics
- Physiotherapist
- Prothesist
- Anesthetist...
Protocols
- Antibiotics
- Thromboembolic prevention
- Pain
Data collection
- Data collection according existing forms
Organization
- Implementing evaluation systems in the different parts: sterilization, data collection, complications, anesthaesia quality, mortality...
All articles for internal fixation are closed: manufacturer is STRYKER or SIGN.
Codification of the articles: manufacturer (STRY or SIGN) followed by the reference of the manufacturer.
The content of these lists may change for several reasons. MSF is always looking for the best products in terms of quality/price ratio and the manufacturer can also update his product list.