FW: Discussion request

[HABERFIELD Kate M (SVHM)]

Generally my experience has been that it is not possible to clean up explanted prosthesis to allow safe handling of the item. Even if the gross tissue can be removed, a fine ‘film’ can adhere to the surface which has not been possible to remove using routine practices.
Regards
Kate

Kate Haberfield

Nurse Unit Manager
Sterile Processing Centre
St Vincent’s Hospital (Melbourne)
03 9288 4462
kate.haberfield@svhm.org.au

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

________________________________

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

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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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