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AS/NZS 4187. Validation – performance qualification

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  • #74972
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hello brains trust,

    I am seeking information about what different organisations do for the performance qualification (PQ) aspect of the annual validation for the reprocessing of reusable medical devices. The standards mention that this can be performed by “suitably trained in-house personnel or a suitably experienced and qualified external contractor.”

    So the question is do you do this yourself in house? Or do you contract out?

    If you do this in house – would be prepared to share how you report this?

    If you contract out – can you share details of the contractor offline please?

    I am curious about a contracted service, historically this seems to have been part of the service provided by the equipment supplier. I wonder if this is a conflict of interest? I have also noted that the reports generated by the supplier tend to only focus on the equipment supplied and not on the ‘whole of RMD process’ which is going to be the requirement.

    Any assistance is greatly appreciated and information received will be treated confidentially and with respect.

    Kind regards,

    Mandy Davidson
    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A

    Clinical Nurse Consultant – 4187 Implementation project

    Infection Prevention & Control

    [cid:image001.png@01D3A193.4E4B0480]

    T

    07 4433 1873 | 0402 987 432

    E

    Mandy.Davidson@health.qld.gov.au

    W

    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service

    100 Angus Smith Drive, Douglas, QLD 4814

    [Facebook-Icon] [Twitter-Icon] [Linkedin-Icon]

    Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

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    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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    #74975
    Coralie Tyrrell
    Participant

    Author:
    Coralie Tyrrell

    Position:
    CNC Infection Control

    Organisation:
    West Gippsland Healthcare Group

    State:

    Hi Mandy
    We use an independent Biomedical service to complete all our annual validations for our reprocessing equipment. Sterilizers, Instrument washers, drying cabinet, ultrasonic washer and heat sealer.
    Regards
    Coralie

    Coralie Tyrrell | Manager Infection Prevention & Control | P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
    West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au

    ”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”

    [cid:image001.jpg@01CEB51E.65D9EC30]
    [for inclusion in email signature_small size]

    Please consider the environment before printing this email

    Hello brains trust,

    I am seeking information about what different organisations do for the performance qualification (PQ) aspect of the annual validation for the reprocessing of reusable medical devices. The standards mention that this can be performed by “suitably trained in-house personnel or a suitably experienced and qualified external contractor.”

    So the question is do you do this yourself in house? Or do you contract out?

    If you do this in house – would be prepared to share how you report this?

    If you contract out – can you share details of the contractor offline please?

    I am curious about a contracted service, historically this seems to have been part of the service provided by the equipment supplier. I wonder if this is a conflict of interest? I have also noted that the reports generated by the supplier tend to only focus on the equipment supplied and not on the ‘whole of RMD process’ which is going to be the requirement.

    Any assistance is greatly appreciated and information received will be treated confidentially and with respect.

    Kind regards,

    Mandy Davidson
    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A

    Clinical Nurse Consultant – 4187 Implementation project

    Infection Prevention & Control

    [cid:image001.png@01D3A193.4E4B0480]

    T

    07 4433 1873 | 0402 987 432

    E

    Mandy.Davidson@health.qld.gov.au

    W

    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service

    100 Angus Smith Drive, Douglas, QLD 4814

    [Facebook-Icon] [Twitter-Icon] [Linkedin-Icon]

    Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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

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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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

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    #74976
    Tina Muller
    Participant

    Author:
    Tina Muller

    Position:

    Organisation:

    State:

    Morning Mandy,

    We have this built into our Service Agreement.
    The steriliser Company conduct the validations ,at no out of packet expense.

    Regards,
    Tina

    Tina Muller
    Clinical Nurse Consultant / Perioperative & CSD.
    Mackay Hospital and Health Service
    P: 07 4885 5387
    E:tina.muller@health.qld.gov.au

    [Email Signature]

    Hi Mandy
    We use an independent Biomedical service to complete all our annual validations for our reprocessing equipment. Sterilizers, Instrument washers, drying cabinet, ultrasonic washer and heat sealer.
    Regards
    Coralie

    Coralie Tyrrell | Manager Infection Prevention & Control | P: 03 56230625 | E: coralie.tyrrell@wghg.com.au
    West Gippsland Healthcare Group | 41 Landsborough Street | Warragul Vic 3820 | http://www.wghg.com.au

    ”WGHG strives to attract and retain a highly talented learning workforce that engages with a level of pride and passion in improving the health and wellbeing of its community”

    [cid:image001.jpg@01CEB51E.65D9EC30]
    [for inclusion in email signature_small size]

    Please consider the environment before printing this email

    Hello brains trust,

    I am seeking information about what different organisations do for the performance qualification (PQ) aspect of the annual validation for the reprocessing of reusable medical devices. The standards mention that this can be performed by “suitably trained in-house personnel or a suitably experienced and qualified external contractor.”

    So the question is do you do this yourself in house? Or do you contract out?

    If you do this in house – would be prepared to share how you report this?

    If you contract out – can you share details of the contractor offline please?

    I am curious about a contracted service, historically this seems to have been part of the service provided by the equipment supplier. I wonder if this is a conflict of interest? I have also noted that the reports generated by the supplier tend to only focus on the equipment supplied and not on the ‘whole of RMD process’ which is going to be the requirement.

    Any assistance is greatly appreciated and information received will be treated confidentially and with respect.

    Kind regards,

    Mandy Davidson
    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A

    Clinical Nurse Consultant – 4187 Implementation project

    Infection Prevention & Control

    [cid:image001.png@01D3A193.4E4B0480]

    T

    07 4433 1873 | 0402 987 432

    E

    Mandy.Davidson@health.qld.gov.au

    W

    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service

    100 Angus Smith Drive, Douglas, QLD 4814

    [Facebook-Icon] [Twitter-Icon] [Linkedin-Icon]

    Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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 acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

    You can unsubscribe manually from this list by sending ‘signoff acipclist’ (without the quotes) to listserv@aicalist.org.au
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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 acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

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

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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 acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

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

    #74977
    Morris, Sylvia (Health)
    Participant

    Author:
    Morris, Sylvia (Health)

    Position:

    Organisation:

    State:

    Validation is a complex business and it is easier going with companies that do this on a regular basis for most equipment rather than try and do it in house. Generally the people who are the manufacturers/suppliers of the equipment can provide a validation service. Occasionally people use validation staff from a competitor or companies set up to perform validations.

    For simple equipment such as heat sealers and benchtop ultrasonic machines, dryers and these can be validated by commercial products and electrical checks and done primarily in house. However the standards for dryers and ultrasonic cleaners are currently being updated so this may get more complicated.

    However validation of a washer disinfector and steam or low temperature sterilisers should be done by people who do this on a regular basis in con junction with staff from the facility. The validation of each type of machinery is different so individual reports are required other than a one report for all.

    I don’t believe there is conflict of interest if the correct process is followed and sterilisation services overviews the process. The main issue is being very clear on what is being asked for and planning the process in advance. The company should follow ISO and Australian Standards. It is also critical for validators to work closely with staff and use the instrumentation and sets processed in the facility.

    The reports are usually self explanatory and should be accepted and if successful countersigned by both the validator and manager and a copy kept in the CSSD.

    Hope this helps.

    Best wishes

    Sylvia

    Sylvia Morris
    Sterilising and Reusable Medical Device Reprocessing State Coordinator
    Infection Control Service
    Communicable Disease Control Branch
    Public Health and Clinical Systems
    SA Health
    Government of South Australia

    HCW infection prevention: http://www.sahealth.sa.gov.auinfectionprevention
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

    This email may contain confidential information, which also may be legally privileged. Only the intended recipient(s) may access, use, distribute or copy this email. If this email is received in error, please inform the sender by return email and delete the original. If there are doubts about the validity of this message, please contact the sender by telephone. It is the recipient’s responsibility to check the email and any attached files for viruses.

    Hello brains trust,

    I am seeking information about what different organisations do for the performance qualification (PQ) aspect of the annual validation for the reprocessing of reusable medical devices. The standards mention that this can be performed by “suitably trained in-house personnel or a suitably experienced and qualified external contractor.”

    So the question is do you do this yourself in house? Or do you contract out?

    If you do this in house – would be prepared to share how you report this?

    If you contract out – can you share details of the contractor offline please?

    I am curious about a contracted service, historically this seems to have been part of the service provided by the equipment supplier. I wonder if this is a conflict of interest? I have also noted that the reports generated by the supplier tend to only focus on the equipment supplied and not on the ‘whole of RMD process’ which is going to be the requirement.

    Any assistance is greatly appreciated and information received will be treated confidentially and with respect.

    Kind regards,

    Mandy Davidson
    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE; Immunisation cred; CICP-A

    Clinical Nurse Consultant – 4187 Implementation project

    Infection Prevention & Control

    [cid:image001.png@01D3A193.4E4B0480]

    T

    07 4433 1873 | 0402 987 432

    E

    Mandy.Davidson@health.qld.gov.au

    W

    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service

    100 Angus Smith Drive, Douglas, QLD 4814

    [Facebook-Icon] [Twitter-Icon] [Linkedin-Icon]

    Townsville Hospital and Health Service acknowledges the Traditional Owners of the land, and pays respect to Elders past, present and future

    ********************************************************************************

    This email, including any attachments sent with it, is confidential and for the sole use of the intended recipient(s). This confidentiality is not waived or lost, if you receive it and you are not the intended recipient(s), or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this email is strictly prohibited. The information contained in this email, including any attachment sent with it, may be subject to a statutory duty of confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email in error, you are asked to immediately notify the sender by telephone collect on Australia +61 1800 198 175 or by return email. You should also delete this email, and any copies, from your computer system network and destroy any hard copies produced.

    If not an intended recipient of this email, you must not copy, distribute or take any action(s) that relies on it; any form of disclosure, modification, distribution and/or publication of this email is also prohibited.

    Although Queensland Health takes all reasonable steps to ensure this email does not contain malicious software, Queensland Health does not accept responsibility for the consequences if any person’s computer inadvertently suffers any disruption to services, loss of information, harm or is infected with a virus, other malicious computer programme or code that may occur as a consequence of receiving this email.

    Unless stated otherwise, this email represents only the views of the sender and not the views of the Queensland Government.

    **********************************************************************************
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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 acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

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

    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

    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 acipclist@acipc.org.au

    To send a message to the list administrator send an email to admin@acipc.org.au

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    #74978
    karenbooth1@BIGPOND.COM Subject: Re: AS/NZS 4187. Validation – performance qualification In-Reply-To:
    Participant

    Author:
    karenbooth1@BIGPOND.COM Subject: Re: AS/NZS 4187. Validation – performance qualification In-Reply-To:

    Position:

    Organisation:

    State:

    Hi All,

    from a general practice / primary clinic point, we always use accredited
    external validation services. Pressure readings, printouts, spore test are
    all required to be done 6 monthly. All electrical equipment, vax fridges,
    monitors etc. are checked & tagged annually.

    Cheers

    Karen

    Karen Booth

    RN BHSCN GAICD

    President APNA

    Australian Primary Health Care Nurses Association

    M: 0411 898 884

    karenbooth1@bigpond.com

    APNA Office
    Level 2, 159 Dorcas St, South Melbourne VIC 3205
    T: (03) 9669 7400 F: (03) 9669 7499 http://www.apna.asn.au

    Sylvia (Health)
    performance qualification

    Validation is a complex business and it is easier going with companies that
    do this on a regular basis for most equipment rather than try and do it in
    house. Generally the people who are the manufacturers/suppliers of the
    equipment can provide a validation service. Occasionally people use
    validation staff from a competitor or companies set up to perform
    validations.

    For simple equipment such as heat sealers and benchtop ultrasonic machines,
    dryers and these can be validated by commercial products and electrical
    checks and done primarily in house. However the standards for dryers and
    ultrasonic cleaners are currently being updated so this may get more
    complicated.

    However validation of a washer disinfector and steam or low temperature
    sterilisers should be done by people who do this on a regular basis in con
    junction with staff from the facility. The validation of each type of
    machinery is different so individual reports are required other than a one
    report for all.

    I don’t believe there is conflict of interest if the correct process is
    followed and sterilisation services overviews the process. The main issue is
    being very clear on what is being asked for and planning the process in
    advance. The company should follow ISO and Australian Standards. It is also
    critical for validators to work closely with staff and use the
    instrumentation and sets processed in the facility.

    The reports are usually self explanatory and should be accepted and if
    successful countersigned by both the validator and manager and a copy kept
    in the CSSD.

    Hope this helps.

    Best wishes

    Sylvia

    Sylvia Morris

    Sterilising and Reusable Medical Device Reprocessing State Coordinator
    Infection Control Service
    Communicable Disease Control Branch
    Public Health and Clinical Systems
    SA Health
    Government of South Australia

    HCW infection prevention:

    http://www.sahealth.sa.gov.auinfectionprevention

    General public:
    http://www.sahealth.sa.gov.au/hospitalinfections

    This email may contain confidential information, which also may be legally
    privileged. Only the intended recipient(s) may access, use, distribute or
    copy this email. If this email is received in error, please inform the
    sender by return email and delete the original. If there are doubts about
    the validity of this message, please contact the sender by telephone. It is
    the recipient’s responsibility to check the email and any attached files for
    viruses.

    Mandy DAVIDSON
    qualification

    Hello brains trust,

    I am seeking information about what different organisations do for the
    performance qualification (PQ) aspect of the annual validation for the
    reprocessing of reusable medical devices. The standards mention that this
    can be performed by “suitably trained in-house personnel or a suitably
    experienced and qualified external contractor.”

    So the question is do you do this yourself in house? Or do you contract out?

    If you do this in house – would be prepared to share how you report this?

    If you contract out – can you share details of the contractor offline
    please?

    I am curious about a contracted service, historically this seems to have
    been part of the service provided by the equipment supplier. I wonder if
    this is a conflict of interest? I have also noted that the reports generated
    by the supplier tend to only focus on the equipment supplied and not on the
    ‘whole of RMD process’ which is going to be the requirement.

    Any assistance is greatly appreciated and information received will be
    treated confidentially and with respect.

    Kind regards,

    Mandy Davidson

    RN; GCert Inf Pre & Cont; MPHTM; Cert III Sterilisation; Cert IV TAE;
    Immunisation cred; CICP-A

    Clinical Nurse Consultant – 4187 Implementation project

    Infection Prevention & Control

    T

    07 4433 1873 | 0402 987 432

    E

    Mandy.Davidson@health.qld.gov.au

    W

    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service

    100 Angus Smith Drive, Douglas, QLD 4814

    Townsville Hospital and Health Service acknowledges the Traditional Owners
    of the land, and pays respect to Elders past, present and future

    ****************************************************************************
    ****

    This email, including any attachments sent with it, is confidential and for
    the sole use of the intended recipient(s). This confidentiality is not
    waived or lost, if you receive it and you are not the intended recipient(s),
    or if it is transmitted/received in error.

    Any unauthorised use, alteration, disclosure, distribution or review of this
    email is strictly prohibited. The information contained in this email,
    including any attachment sent with it, may be subject to a statutory duty of
    confidentiality if it relates to health service matters.

    If you are not the intended recipient(s), or if you have received this email
    in error, you are asked to immediately notify the sender by telephone
    collect on Australia +61 1800 198 175 or by return email. You should also
    delete this email, and any copies, from your computer system network and
    destroy any hard copies produced.

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