BackgroundIn exercising their hospital activity, the pharmacist is faced with multiple tasks that can compromise, for security reasons, a positive trend in the health status of patients.There are areas that are traditionally regarded as critical (preparation of non-sterile formulations, handling cytotoxic or other sterile mixtures).The Cytotoxic Preparation Manual, by the Portuguese Council in Hospital Pharmacy Specialty, states: “double checking should be implemented in the critical steps of the preparation process. Double checking should be carried out independently by a second person or by a computerised system”. Compliance with this recommendation is not uniform in the various hospitals due to a shortage of human resources.PurposeTo create conditions for the fulfilment of the double validation process by eliminating the actual and permanent physical presence of a second element in the preparation of sterile room mixtures, keeping the final quality of the process.Material and methodsMultiple image capture methods in handling the environment in the laminar air flow chamber were tested, after consultation with the national Data Protection Authority, which enabled such viewing. The final solution was a system composed of special glasses with a high definition camera which enables real time recording with up to 30 images per second and marking of critical points that can be downloaded to a computer for a verification process.ResultsThe test phase was successfully passed, after correct viewing images in the real work environment. The ocular device allows the use of a visor and does not interfere with the manipulation. It allows identification of the drug, solvent validation and identification of a reconstituted final volume for the patient and medical prescription. The validation can be done elsewhere from the pharmaceutical services, outside the clean room, and consists of the display of marked critical points and, in doubtful cases, the full view of the event. This validation reduces by at least 75% the time allocated to the second element.ConclusionThe possibility of implementation/maintenance of the double validation process, reducing by more than 75% of the associated workload and elimination of sterile equipment required for entry into the clean room, enables compliance with the rules of the Cytotoxic Preparation Manual, with rationalisation of associated resources.References and/or AcknowledgementsManual de Preparação de CitotóxicosNo conflict of interest.
Collaborative Working Environment (CWE) is an enhanced operation integration concept through the use of seamless connection of hardware and software tools, defined business processes, people and tele-presence facility. Additionally Collaborative Working Environment is any form (physical or virtual) in which teams can come together to discuss, in a bid to reach a common decision. It is expected, the solutions from this implementation will provide a common data-set for faster decision making through collaboration between functions or teams regardless of location. The went operational in Shell Nigeria Offshore assets Operations Collaboration Centre took place in December 2014 and this paper aims to describe the benefits in the project implementation and process embedment. The discussion will equally highlight the change brought about in Bonga asset operation integration following the delivery of the collaborative working environment in the offshore asset with Bonga field being the first deepwater field sub-Sahara Africa. Key indicators in observed benefits include; impact on safety, team-integration, speed in quality decision making and significant reduction in cost related to field logistics. In extension, overall impact on the business objective and work culture has been reviewed. It has been established that with this project implementation exceptional benefit has been achieved in team collaboration and quality decision making. It is acknowledged that this way of working has delivered short term benefits but the objective is to sustain and improve on the day-to-day operational benefits. The recommendations from this paper could assist in similar project implementation and embedment efforts elsewhere in the oil and gas industry.
The Zino Hub is a very active gas hub within the Niger Delta region responsible for the delivery of major gas production and growth projects for key customers both in the export gas domain and IPP space. There are 38 producing gas wells completed across 19 reservoirs within this hub. These wells are pivotal to the delivery of gas to ensure the daily contractual agreements allotted to the hub is met. Due to the prolific and high level of gas deliverability within the hub, the Well, Reservoir and Facility Management Plan (WRFM) is highly prioritized, rigorously challenged and implemented. As a part of the regulatory and WRFM fix the basics requirement, these reservoirs are monitored regularly to ensure they are produced under very healthy and acceptable reservoir practices. Yearly budget allocations for surveillance drives the quality and quantity of data acquired over these reservoirs. Over the years, the major source of pressure acquisition from these wells have been via gauges deployed through wireline. This of course has inherent challenges spanning from human resource deployment to acquisition sites in the face of current danger of kidnaps, high logistics cost and man power shortage, well site accessibility, unforeseen danger associated with well entries, inability to acquire data concurrently on demand without jeopardizing production (deferments) and many other threats such as escalated costs ensuing from community restiveness and demands Recently, there has been a gradual shift from the wireline pressure acquisitions to the deployment of Permanent Down Hole Gauges with surface read out facilities for some of these wells. The value and convenience vis a vis the wireline deployment can never be over emphasized. On the front line is the cost reduction achieved in surveillance cost via these PDHG deployment. The interface feeders deliver well and reservoir data directly from the wells to the office there by facilitating insitu monitoring of reservoir and well parameters and very quick analysis are done to ensure healthy production of these wells within their operating envelopes. Well performance and diagnosis are done often on demand because consistent data is available daily. The benefits accruing from this deployment is transparently contributing to a more robust, accurate and readily available data to the engineers and end users. This paper will highlight the obvious benefits of this deployment and, also recommend future improvements that would facilitate better analytical result.
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