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Hello all
Despite a clear hospital policy in regard to the ‘Handling and Disposal of Explanted Items and Human Tissue’ some of the orthopaedic surgeons continue to request that metal plates, screws and prosthesis be reprocessed in CSSD.
One of the surgeons has recently written to the hospital stating that the reason for these ongoing reprocessing requests is that:
‘It is relevant to examine explanted prostheses to gain further understanding of wear patterns, bone ingrowth or the lack of ingrowth, and metal or polyethylene failure. These items do not pose a threat. They are routinely examined in similar manner in Public Institutions, after sterilization.’
I strongly support the hospital’s policy that the explanted items should not be reprocessed but the surgeon is adamant that this practice routinely occurs in many public hospitals.I would really appreciate feedback from other hospitals in regard to this issue.
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington Road
Toorak Gardens
South Australia 5065________________________________
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Hi Lyndall
I have been invovlved in a group developing a WA Health state policy in relation to this issue. Currently it is still draft and out for consultation.
Hopefully it should be available on website by end of month. It states:
While the Department of Health does not support the release of human tissue or explanted medical devices, because of the potential public health risks associated with the uncontrolled storage and disposal, consideration will be given to requests for the return of human tissue or explanted medical devices for reasons of cultural, religious, or personal conviction.There is a section specifically on explanted devices.
If you would like further information you can email me directly
Kind Regards
RebeccaRebecca McCann Program Manager
Healthcare Associated Infection Unit (HAIU)
Communicable Disease Control Directorate Department of Health
Grace Vaughan House
227 Stubbs Terrace
SHENTON PARK WA 6008
T:08 9388 4859 M:0439 920 819 F:08 9388 4888
E:rebecca.mccann@health.wa.gov.auThe contents of this e-mail transmission are intended for the named recipients only and may contain confidential and/or privileged information. If you received this message in error, you must not copy, duplicate, forward, print or otherwise distribute any information contained herein, but must ensure that this e-mail is permanently deleted and advise the sender immediately.
________________________________
Hello all
Despite a clear hospital policy in regard to the Handling and Disposal of Explanted Items and Human Tissue some of the orthopaedic surgeons continue to request that metal plates, screws and prosthesis be reprocessed in CSSD.
One of the surgeons has recently written to the hospital stating that the reason for these ongoing reprocessing requests is that:
It is relevant to examine explanted prostheses to gain further understanding of wear patterns, bone ingrowth or the lack of ingrowth, and metal or polyethylene failure. These items do not pose a threat. They are routinely examined in similar manner in Public Institutions, after sterilization.
I strongly support the hospitals policy that the explanted items should not be reprocessed but the surgeon is adamant that this practice routinely occurs in many public hospitals.
I would really appreciate feedback from other hospitals in regard to this issue.
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington RoadToorak Gardens
South Australia 5065
________________________________
This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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Our (a public hospital) policy is also that these Items not be
processsed after removal. Perhaps you could use the line that your
health service is not registered to reprocess single use items?
I believe that it is up to the companies to do a research project on the
impact of wear and tear on the implants which would need ethical
approval and strict guidelines on the use and dispoasal of the implants
once removed from the body.
LynLyn Golden
Infection Prevention & Control Manager
Echuca Regional Health
Helping Everyone To Be And Stay Healthy
DISCLAIMER:This e-mail and any attachments may be confidential. You must
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notify us immediately and delete the e-mail and all copies. Echuca
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attached files, whether caused by the negligence of the sender or not.
The content and opinions in this e-mail are not necessarily those of
Echuca Regional Health.________________________________
Behalf Of Lyndall Finn
Hello all
Despite a clear hospital policy in regard to the ‘Handling and Disposal
of Explanted Items and Human Tissue’ some of the orthopaedic surgeons
continue to request that metal plates, screws and prosthesis be
reprocessed in CSSD.One of the surgeons has recently written to the hospital stating that
the reason for these ongoing reprocessing requests is that:‘It is relevant to examine explanted prostheses to gain further
understanding of wear patterns, bone ingrowth or the lack of ingrowth,
and metal or polyethylene failure. These items do not pose a threat.
They are routinely examined in similar manner in Public Institutions,
after sterilization.’I strongly support the hospital’s policy that the explanted items should
not be reprocessed but the surgeon is adamant that this practice
routinely occurs in many public hospitals.I would really appreciate feedback from other hospitals in regard to
this issue.Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington RoadToorak Gardens
South Australia 5065
________________________________
This email is intended only for the use of the individual or entity
named above and may contain information that is confidential and
privileged. If you are not the intended recipient, you are hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.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.auTo send a message to the list administrator send an email to
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(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.
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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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Hi Lyndall,
Our facility does not routinely allow for the return of these items to patients. However there is provision for their return in specific circumstances (e.g. cultural, religious, legal reasons) this request needs to be made in advance so that it can be fully considered and appropriately prepared for.
I am only aware of this happening on a couple of occasions in 5 years and the request has never been from a surgeon.
Kind Regards,
Fiona De Sousa
Infection Prevention & Control Coordinator
Sydney Adventist Hospital
185 Fox Valley Road, Wahroonga, NSW, 2076
________________________________
Hi Lyndall
I have been invovlved in a group developing a WA Health state policy in relation to this issue. Currently it is still draft and out for consultation.
Hopefully it should be available on website by end of month. It states:
While the Department of Health does not support the release of human tissue or explanted medical devices, because of the potential public health risks associated with the uncontrolled storage and disposal, consideration will be given to requests for the return of human tissue or explanted medical devices for reasons of cultural, religious, or personal conviction.
There is a section specifically on explanted devices.
If you would like further information you can email me directly
Kind Regards
Rebecca
Rebecca McCann Program Manager
Healthcare Associated Infection Unit (HAIU)
Communicable Disease Control Directorate Department of Health
Grace Vaughan House
227 Stubbs Terrace
SHENTON PARK WA 6008
T:08 9388 4859 M:0439 920 819 F:08 9388 4888
E:rebecca.mccann@health.wa.gov.auThe contents of this e-mail transmission are intended for the named recipients only and may contain confidential and/or privileged information. If you received this message in error, you must not copy, duplicate, forward, print or otherwise distribute any information contained herein, but must ensure that this e-mail is permanently deleted and advise the sender immediately.
________________________________
Hello all
Despite a clear hospital policy in regard to the Handling and Disposal of Explanted Items and Human Tissue some of the orthopaedic surgeons continue to request that metal plates, screws and prosthesis be reprocessed in CSSD.
One of the surgeons has recently written to the hospital stating that the reason for these ongoing reprocessing requests is that:
It is relevant to examine explanted prostheses to gain further understanding of wear patterns, bone ingrowth or the lack of ingrowth, and metal or polyethylene failure. These items do not pose a threat. They are routinely examined in similar manner in Public Institutions, after sterilization.
I strongly support the hospitals policy that the explanted items should not be reprocessed but the surgeon is adamant that this practice routinely occurs in many public hospitals.
I would really appreciate feedback from other hospitals in regard to this issue.
Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington RoadToorak Gardens
South Australia 5065
________________________________
This email is intended only for the use of the individual or entity named above and may contain information that is confidential and privileged. If you are not the intended recipient, you are hereby notified that any dissemination, distribution or copying of this email is strictly prohibited. If you receive this email in error, could you please notify us by return email and delete it and any attachments from your system. Even though this message is scanned no representation is made that this email or any attachments are free of viruses or other defects. Virus scanning is recommended and is the responsibility of the recipient.
Messages posted to this list are solely the opinion of the authors, and do not represent the opinion of AICA.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
To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
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Hi Lyndall,
I fully agree with Lyn’s comments below. The company have the
obligation to undertake specific research. At the Royal Hobart Hospital
we comply with the requirement specified in AS/NZ 4187 1.5 WARNING: DO
NOT REPROCESS EX-PLANTED MEDICAL/DENTAL DEVICES. I fail to see how your
organisation could support an alternate directive from a surgeon in this
matter.Good luck!
Kind regards
Rachel
Rachel Thomson
Nurse Unit Manager
Infection Prevention & Control Unit
Royal Hobart Hospital
E: rachel.thomson@dhhs.tas.gov.au
________________________________
Behalf Of Lyn A. Golden
Our (a public hospital) policy is also that these Items not be
processsed after removal. Perhaps you could use the line that your
health service is not registered to reprocess single use items?I believe that it is up to the companies to do a research project on the
impact of wear and tear on the implants which would need ethical
approval and strict guidelines on the use and dispoasal of the implants
once removed from the body.Lyn
Lyn Golden
Infection Prevention & Control Manager
Echuca Regional Health
Helping Everyone To Be And Stay Healthy
DISCLAIMER:This e-mail and any attachments may be confidential. You must
not disclose or use the information in this e-mail if you are not the
intended recipient. If you have received this e-mail in error, please
notify us immediately and delete the e-mail and all copies. Echuca
Regional Health does not guarantee that this e-mail is virus or error
free. The attached files are provided and may only be used on the basis
that the user assumes all responsibility for any loss, damage or
consequence resulting directly or indirectly from the use of the
attached files, whether caused by the negligence of the sender or not.
The content and opinions in this e-mail are not necessarily those of
Echuca Regional Health.________________________________
Behalf Of Lyndall Finn
Hello all
Despite a clear hospital policy in regard to the ‘Handling and Disposal
of Explanted Items and Human Tissue’ some of the orthopaedic surgeons
continue to request that metal plates, screws and prosthesis be
reprocessed in CSSD.One of the surgeons has recently written to the hospital stating that
the reason for these ongoing reprocessing requests is that:‘It is relevant to examine explanted prostheses to gain further
understanding of wear patterns, bone ingrowth or the lack of ingrowth,
and metal or polyethylene failure. These items do not pose a threat.
They are routinely examined in similar manner in Public Institutions,
after sterilization.’I strongly support the hospital’s policy that the explanted items should
not be reprocessed but the surgeon is adamant that this practice
routinely occurs in many public hospitals.I would really appreciate feedback from other hospitals in regard to
this issue.Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington RoadToorak Gardens
South Australia 5065
________________________________
This email is intended only for the use of the individual or entity
named above and may contain information that is confidential and
privileged. If you are not the intended recipient, you are hereby
notified that any dissemination, distribution or copying of this email
is strictly prohibited. If you receive this email in error, could you
please notify us by return email and delete it and any attachments from
your system. Even though this message is scanned no representation is
made that this email or any attachments are free of viruses or other
defects. Virus scanning is recommended and is the responsibility of the
recipient.
Messages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.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.auTo send a message to the list administrator send an email to
aicalist-request@aicalist.org.au.You can unsubscribe from this list be sending ‘signoff aicalist’
(without the quotes) to listserv@aicalist.org.auMessages posted to this list are solely the opinion of the authors, and
do not represent the opinion of AICA.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
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