Holes in sterile surgical wrap

[Beckingham, Wendy]

Currently at the Canberra Hospital we are experiencing problems related to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or Operating Rooms. If any one has had this issue I am wondering f you would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

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[Kathy Wilson]

Hi Wendy
We have in the past had some problems but mainly with metal trays that have feet on the base. I approached the company who could not come up with a solution so we transferred the instruments to plastic trays.
Kathy

—–Original Message—–

Currently at the Canberra Hospital we are experiencing problems related to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or Operating Rooms. If any one has had this issue I am wondering f you would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
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[Jane Tomlinson]

Hi Wendy
Advice from our CSSD NUM>
Could be due to a number a reasons. Starting point could be how heavy are the items that are being wrapped – may need to split big trays to reduce weight, how items are handled and stored, multiple handling or dragging across wire rack shelving ( can obtain transport trays for heavy items), most wraps come in a variety of weights (thickness) – maybe heavier weight wrap is required for some heavy trays, use of tray liners can help, loan set containers are always an issue as many of them have sharp legs protruding or are damaged with sharp pieces.
Sometimes an extended drying cycle on a steam sterilizer (would have to be over 30mins) can cause wrap to be brittle.
In my experience it is usually due to the excess handling of sterile stock and/or storage situations. Staff at times have no option but to drag heavy trays or trays that are stored to high. The transport trays are recommended here. For the loan sets – if you are not happy with the tray containers that are sent from the company decant to own baskets.
Best idea is to utilize the company that supplies the wrap to check batch loads of wrap and help source the problem.
Changing wrap is a pain as you would have to validate sterilizers again for the new wrap.
Hope this may help
Marg Wedge NUM
RCH CSSD
Jane Tomlinson RN
CNC Infection Management and Prevention Service (IMPS)
Royal Children’s Hospital

South Tower Ground Floor
3636 8111 pager 42841
office 3636 7856
email: jane_tomlinson@health.qld.gov.au

>>> “Beckingham, Wendy” 16/12/10 11:26 >>>
Currently at the Canberra Hospital we are experiencing problems related to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or Operating Rooms. If any one has had this issue I am wondering f you would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
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[Wishart, Michael]

Hi Wendy

Comments from our CSD NUM

“The company that supplies our wraps provided transport trays free of
charge (if you buy their product) for moving the trays between CSD and
theatre. This has reduced the instances of holes and splits
significantly. We also had to decant some company orthopaedic trays as
the feet and bottom corners caused splitting.

It was suggested (rep) that some hospitals use sponge on the corners of
orthopaedic containers, but I did not like that idea.”

Cheers
Michael

Michael Wishart | GPH – Infection Control Coordinator
Infection Prevention is everyone’s business!

GPH – Quality & Safety Unit (Infection Control) | Greenslopes Private
Hospital
Newdegate Street, Greenslopes QLD 4120
t: 07 3394 7919 | f: 07 3394 7985
e: WishartM@ramsayhealth.com.au | w: http://www.ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.
—–Original Message—–
Behalf Of Beckingham, Wendy

Currently at the Canberra Hospital we are experiencing problems related
to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or
Operating Rooms. If any one has had this issue I am wondering f you
would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

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[Thomson, Rachel EA]

Hi Wendy,

Our CSD Manager has indicated that this issue has not been seen at the
RHH. Please see an extract of her email below;

We have not experienced this but I have no information of what type of
wrap they use. Also we use plastic trays to transport wrapped items to
prevent such things as rips and holes, especially heavier trays.
Cheers

Carol Barber

Nurse Unit Manager

Central Sterilising Department

Royal Hobart Hospital

GPO Box 1061

Hobart 7001

Email:carol.barber@dhhs.tas.gov.au

Kind regards,
Rachel

Rachel Thomson
Nurse Unit Manager
Infection Prevention & Control
B: 6222 8658
E: rachel.thomson@dhhs.tas.gov.au

—–Original Message—–
Behalf Of Beckingham, Wendy

Currently at the Canberra Hospital we are experiencing problems related
to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or
Operating Rooms. If any one has had this issue I am wondering f you
would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also
privileged. If you are not the intended recipient, please notify the
sender and delete all copies of this transmission along with any
attachments immediately. You should not copy or use it for any purpose,
nor disclose its contents to any other person.
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[Carien Coleman]

Hi Wendy,

I spoke to our OT NUM and fortunately we haven’t had any issues with
holes or splits. What she did mention was that they use a transport
tray for heavy items like orthopaedic sets. It is supplied free of
charge from the manufacturer of our polypropylene wrap. I hope this helps.

Regards,
Carien

Carien Coleman | Infection Control CNC
Sunshine Coast Private Hospital
Syd Lingard Drive | BUDERIM QLD 4556
PO Box 5050 | Maroochydore BC QLD 4558
T: (07) 5430 3245 | F: (07) 5430 3442
E: carien.coleman@uchealth.com

—–Original Message—–

Currently at the Canberra Hospital we are experiencing problems related to the surgical wrap developing small holes and splits.

I am wondering has anyone else had issues around this in their CSD or Operating Rooms. If any one has had this issue I am wondering f you would share your solution to resolve this.

Would love to hear from you on this matter

Wendy Beckingham
CNC Infection Control
The Canberra Hospital
pager 50390 or phone 43695

———————————————————————–
This email, and any attachments, may be confidential and also privileged. If you are not the intended recipient, please notify the sender and delete all copies of this transmission along with any attachments immediately. You should not copy or use it for any purpose, nor disclose its contents to any other person.
———————————————————————–

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