Stress-test an implant loaner delay by proving that each hold window and restore rule can place delayed implants inside the planned lane, survive override pressure, and avoid trapping OR teams inside a green supply slide that hides long-lived soft holds.
Implant loaner delays often list a vendor checklist while leaving restore behavior, override authority, and abort ownership implicit. Those edges decide whether a late tray stays inside the implant packet or leaves a broken start path live under peak volume. The exercise should follow actual loaner inventories, case maps, and escalation paths rather than a clean vendor dashboard.
Map the loaner hold windows
List every implant loaner delay class with its response window, waive rule, override behavior, owners, and notification channels. Mark paths that cannot reverse without a manual amendment. Attach the last three implant loaner delay incidents with raw timelines and any waivers. Include the source of truth for open loaner counts during the observation window.
Name detect, hold, divert, abort, and restore owners with exit conditions. Write the point after which a stuck implant would require a different case plan, then review whether that action is still permitted. Capture maximum acceptable dwell in measurable units, including which procedure classes are excluded from the delay path and why.
Delay drills to time on purpose
- A specialty implant keeps a side-channel while the aggregate loaner dashboard stays green.
- A restore has already left an implant desk without a trusted delay state.
- The primary loaner dashboard lags beyond the planned observation window.
- An operator skips a delay gate because a first-case cutoff is near.
- Automated and human divert messages collide under the new delay rule.
For each drill, identify detection time, room impact, containment, and the authority to force an implant loaner delay rollback. Require commands and dashboard links in the runbook.
Close the spike with named owners
Run the package in Pingpong with perioperative, central sterile, OR ops, and supply seats. Ask perioperative which patient decision becomes unsafe first if loaners still stick after the claimed window. Ask OR ops whether macros can absorb a forced override. Ask owners to show the exact loaner version or export used as the exit condition.
Related reviews include a tray turnaround SLA, the central sterile ops lead seat, an instrument tray shortage stress test, and a sterile processing rewrite. Browse the war-game decisions hub for adjacent controls.
Authorize the published delay path only after a timed drill restores usable hold hygiene inside the documented budget without an undocumented manual step.