AS/NZS 4187 Section 7 re monitoring of sterilizers and associated equipment

[Brenda Anderson]

I am interested to know how people interpret the statement in AS/NZS
4187:2003 Section 7.1

All stages of the sterilization process shall be developed and
documented to ensure that the items can be sterilized.

The process shall be reliably reproduced and routinely monitored to the
desired probability of a non sterile item.

Routinely monitored (is where I want input) I realize each step will be
written up in a policy/procedure manual- but how is the procedure
monitored to know the policy is being followed.

All stages are then listed:

(a) cleaning – how is manual cleaning monitored??

(b) Inspection – how is the inspection process monitored??

(c) Assembly – How is the assembly process monitored??

Etc…………….. goes to (k) validation of the process

I realize that the sterilizers and washer/ disinfectors have monitoring
mechanisms in place (i.e bowie dick, soil tests etc and these are
monitoring the performance of the machines) – I am interested in the
process indicators for the manual components of the process?

This is a theme of accreditation standard 3….3.16.1 – quality control
systems to monitor each stage of handling or items requiring
reprocessing.

I would appreciate any comments or even better – audit tools

Regards

Brenda Anderson

Mrs. Brenda Anderson
Regional Infection Control Consultant
Hume Region Infection Control Resource and Consulting Service
Northeast Health Wangaratta

Northeast Health Wangaratta
Green St, Wangaratta, VIC 3677

Brenda.Anderson@hume.org.au
http://www.nhw.hume.org.au

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[Roel Castillo]

Hi Brenda

Kindly refer to link:
http://www.cec.health.nsw.gov.au/resources/environmental-cleaning-sop/environmental-cleaning
Here are some insights:

a) Cleaning – daily residues checks at random – paying attention to hard to clean and cannulised instruments (logged/recorded)

b) Inspection – dirty items, items for repair/sharpening, electrosurgical testing, missing items/parts of an item, functionality compromises – all documented

c) Assembly – missing parts of an item, random processed sterile item check, end user non-conforming incident reports

Among others give me a ring on or email me if you need to explore further.
I would assume the link would suffice to get you through.
Happy to help.
Cheers
Roel

Roel Castillo
Project Officer SSD
[The Chris O`Brien Lifehouse at RPA]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050

[Lifehouse Shop]
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*hWK4nY*

I am interested to know how people interpret the statement in AS/NZS 4187:2003 Section 7.1

All stages of the sterilization process shall be developed and documented to ensure that the items can be sterilized.
The process shall be reliably reproduced and routinely monitored to the desired probability of a non sterile item.

Routinely monitored (is where I want input) I realize each step will be written up in a policy/procedure manual- but how is the procedure monitored to know the policy is being followed.

All stages are then listed:
(a) cleaning – how is manual cleaning monitored??
(b) Inspection – how is the inspection process monitored??
(c) Assembly – How is the assembly process monitored??
Etc…………….. goes to (k) validation of the process
I realize that the sterilizers and washer/ disinfectors have monitoring mechanisms in place (i.e bowie dick, soil tests etc and these are monitoring the performance of the machines) – I am interested in the process indicators for the manual components of the process?

This is a theme of accreditation standard 3….3.16.1 – quality control systems to monitor each stage of handling or items requiring reprocessing.

I would appreciate any comments or even better – audit tools

Regards
Brenda Anderson

Mrs. Brenda Anderson
Regional Infection Control Consultant
Hume Region Infection Control Resource and Consulting Service
Northeast Health Wangaratta

Northeast Health Wangaratta
Green St, Wangaratta, VIC 3677

Brenda.Anderson@hume.org.au
http://www.nhw.hume.org.au

______________________________________________________________________
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[John Ferguson]

http://www.asid.net.au/gramnegative has all the presentations from the recent MRGN Superbug meeting

http://hicsigwiki.asid.net.au/index.php?titleInfection_control_related_blogs_and_forums
has a listing of interesting infection control and other blogs/forums
please let me know of any other!

regards
JOhn

Dr John Ferguson
Director, Infection Prevention & Control, Hunter New England Health
Tel 61 2 4921 4444 | Fax 61 2 4921 4440 | Mob +61 428 885 573 | john.ferguson@hnehealth.nsw.gov.au | http://www.hicsiganz.org

[cid:image001.jpg@01CE9C08.664655C0]

Hi Brenda

Kindly refer to link:
http://www.cec.health.nsw.gov.au/resources/environmental-cleaning-sop/environmental-cleaning
Here are some insights:

Cleaning daily residues checks at random paying attention to hard to clean and cannulised instruments (logged/recorded)

Inspection dirty items, items for repair/sharpening, electrosurgical testing, missing items/parts of an item, functionality compromises all documented

Assembly missing parts of an item, random processed sterile item check, end user non-conforming incident reports

Among others give me a ring on or email me if you need to explore further.
I would assume the link would suffice to get you through.
Happy to help.
Cheers
Roel

Roel Castillo
Project Officer SSD
[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LHRPA2.jpg]
Level 5, 119-143 Missenden Road
Camperdown NSW 2050
PO BOX M5 Missenden Road NSW 2050

[http://26ce8fadfb6948b4a758-9559b8fa969cb9cd67545a880c32734b.r23.cf2.rackcdn.com/LifehouseShop2.jpg]
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*hWK4nY*

I am interested to know how people interpret the statement in AS/NZS 4187:2003 Section 7.1

All stages of the sterilization process shall be developed and documented to ensure that the items can be sterilized.
The process shall be reliably reproduced and routinely monitored to the desired probability of a non sterile item.

Routinely monitored (is where I want input) I realize each step will be written up in a policy/procedure manual- but how is the procedure monitored to know the policy is being followed.

All stages are then listed:
(a) cleaning – how is manual cleaning monitored??
(b) Inspection how is the inspection process monitored??
(c) Assembly How is the assembly process monitored??
Etc.. goes to (k) validation of the process
I realize that the sterilizers and washer/ disinfectors have monitoring mechanisms in place (i.e bowie dick, soil tests etc and these are monitoring the performance of the machines) I am interested in the process indicators for the manual components of the process?

This is a theme of accreditation standard 3.3.16.1 quality control systems to monitor each stage of handling or items requiring reprocessing.

I would appreciate any comments or even better audit tools

Regards
Brenda Anderson

Mrs. Brenda Anderson
Regional Infection Control Consultant
Hume Region Infection Control Resource and Consulting Service
Northeast Health Wangaratta

Northeast Health Wangaratta
Green St, Wangaratta, VIC 3677

Brenda.Anderson@hume.org.au
http://www.nhw.hume.org.au

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
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______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

______________________________________________________________________
This email has been scanned by the Symantec Email Security.cloud service.
For more information please visit http://www.symanteccloud.com
______________________________________________________________________
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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[SDH Manager]

Hi Brenda,

We didnt seem to have any issues with accreditation concerning our processes, we simply have medtrax record books to keep track of our sterilisation processes. We also do internal audits.

However, if you need any audit tools, you can go to the QLD Health site. I note they actually havent got any up for Standard 3 yet, but should very soon, so just keep an eye on this site, if you havent already discovered it.

http://www.health.qld.gov.au/psq/safetyand quality/nsqhss-audit-tools.asp

Regards

Tina Owens, RN

Clinical Manager

Southport Day Hospital

Tel: (07) 5555 7800 / Fax: (07) 55557801

Mb: 0419 026 091

Email: manager@southportdayhospital.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Brenda Anderson
Sent: Thursday, 15 August 2013 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: AS/NZS 4187 Section 7 re monitoring of sterilizers and associated equipment

I am interested to know how people interpret the statement in AS/NZS 4187:2003 Section 7.1

All stages of the sterilization process shall be developed and documented to ensure that the items can be sterilized.

The process shall be reliably reproduced and routinely monitored to the desired probability of a non sterile item.

Routinely monitored (is where I want input) I realize each step will be written up in a policy/procedure manual- but how is the procedure monitored to know the policy is being followed.

All stages are then listed:

(a) cleaning – how is manual cleaning monitored??

(b) Inspection how is the inspection process monitored??

(c) Assembly How is the assembly process monitored??

Etc.. goes to (k) validation of the process

I realize that the sterilizers and washer/ disinfectors have monitoring mechanisms in place (i.e bowie dick, soil tests etc and these are monitoring the performance of the machines) I am interested in the process indicators for the manual components of the process?

This is a theme of accreditation standard 3.3.16.1 quality control systems to monitor each stage of handling or items requiring reprocessing.

I would appreciate any comments or even better audit tools

Regards

Brenda Anderson

Mrs. Brenda Anderson
Regional Infection Control Consultant
Hume Region Infection Control Resource and Consulting Service
Northeast Health Wangaratta

Northeast Health Wangaratta
Green St, Wangaratta, VIC 3677

Brenda.Anderson@hume.org.au
http://www.nhw.hume.org.au

Tel: 03 5722 5486
Mob: 0429 412 780

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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[Joe-Anne Bendall]

Hi
Before our accreditation in April, we underwent an AS4187 audit by independent auditors. We had evidence of our audit results, actions against recommendations and all our quality auditing requirements. We had developed a number of quality activities for the sterilizing unit

They were very happy with our compliance and noted it as an excellent unit during the accreditation summation.

I would be very happy to discuss this if you wanted to give me a call

Thanks

Joe-Anne Bendall

Joe-anne Bendall | Clinical Nurse Consultant Infection Prevention and Control
Sydney Hospital and Sydney Eye Hospital
8 Macquarie St
SYDNEY NSW 2000
| ph +61 2 9382 7199 |page 22070 via switch 9382 7111| 7 Fax 93827510 |
Mobile 0418984255 | Joe-anne.Bendall@SESIAHS.HEALTH.NSW.GOV.AU

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of SDH Manager
Sent: Monday, 19 August 2013 10:32 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: AS/NZS 4187 Section 7 re monitoring of sterilizers and associated equipment

Hi Brenda,

We didnt seem to have any issues with accreditation concerning our processes, we simply have medtrax record books to keep track of our sterilisation processes. We also do internal audits.

However, if you need any audit tools, you can go to the QLD Health site. I note they actually havent got any up for Standard 3 yet, but should very soon, so just keep an eye on this site, if you havent already discovered it.

http://www.health.qld.gov.au/psq/safetyand quality/nsqhss-audit-tools.asp

Regards

Tina Owens, RN
Clinical Manager
Southport Day Hospital
Tel: (07) 5555 7800 / Fax: (07) 55557801
Mb: 0419 026 091
Email: manager@southportdayhospital.com.au

From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Brenda Anderson
Sent: Thursday, 15 August 2013 12:38 PM
To: AICALIST@AICALIST.ORG.AU
Subject: AS/NZS 4187 Section 7 re monitoring of sterilizers and associated equipment

I am interested to know how people interpret the statement in AS/NZS 4187:2003 Section 7.1

All stages of the sterilization process shall be developed and documented to ensure that the items can be sterilized.
The process shall be reliably reproduced and routinely monitored to the desired probability of a non sterile item.

Routinely monitored (is where I want input) I realize each step will be written up in a policy/procedure manual- but how is the procedure monitored to know the policy is being followed.

All stages are then listed:
(a) cleaning – how is manual cleaning monitored??
(b) Inspection how is the inspection process monitored??
(c) Assembly How is the assembly process monitored??
Etc.. goes to (k) validation of the process
I realize that the sterilizers and washer/ disinfectors have monitoring mechanisms in place (i.e bowie dick, soil tests etc and these are monitoring the performance of the machines) I am interested in the process indicators for the manual components of the process?

This is a theme of accreditation standard 3.3.16.1 quality control systems to monitor each stage of handling or items requiring reprocessing.

I would appreciate any comments or even better audit tools

Regards
Brenda Anderson

Mrs. Brenda Anderson
Regional Infection Control Consultant
Hume Region Infection Control Resource and Consulting Service
Northeast Health Wangaratta

Northeast Health Wangaratta
Green St, Wangaratta, VIC 3677

Brenda.Anderson@hume.org.au
http://www.nhw.hume.org.au

Tel: 03 5722 5486
Mob: 0429 412 780

Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of ACIPC.

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Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au

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