Re: Implant sets

[Wishart, Michael]

Hi Tain

Easiest way to discuss this is to refer to the CHRISP fact sheet, which is in accordance with the TGA information sheet on screw banks.

http://www.health.qld.gov.au/chrisp/resources/sbanks_factsheet.pdf

I have seen ‘screw bank’ systems set up with individually packaged screws where each screw is disposed of if the package is opened within an operative field (not reprocessed and placed back in the ‘screw bank’). The main issue seems to be to try and get the surgeons used to using sizing charts and not actually handling different sizes of the screws before use.

Hope this helps a bit.

Cheers
Michael

Michael Wishart

Infection Control Coordinator
Quality & Safety Unit | Greenslopes Private Hospital
Newdegate St, Greenslopes QLD 4120
tel: 07 3394 7919 | pager 047 | fax 07 3394 7985

e: WishartM@ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please consider the environment before printing this email.

—–Original Message—–
Good afternoon all
I am wondering if you can supply me with supporting information in regards to implant sets. i.e. screw banks in particular.
There is discussion with the reprocessing of screw banks that are supposedly single use devices and then not having them available anymore. This option is causing great concern.
I would appreciate any information facilities are doing please.
Regards

Tain Gardiner | Clinical Nurse Manager
Infection Prevention & Management, Royal Darwin Hospital | Department of Health and Families
Rocklands Drive, Casuarina, NT 0811 | ‘Postal Address’ PO Box 41326, Casuarina, NT 0811
p… (08) 89228045 pager # 239| f… (08) 8928889 | e… Tain.Gardiner@nt.gov.au | http://www.nt.gov.au/health
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[Glenys.Harrington@HEALTH.VIC.GOV.AU Subject: Re: Implant sets In-Reply-To:]

Michael,

Seems there is consensus around the issue in QLD and that the
interpretation is similar/same as the TGA interpretation of the standard.

However in Victoria the interpretation of the standard and recommendations
are that “health services should move away from screw banks to a system
that can identify and tract individual items to a patient”.

As these individual items cannot be individually labelled/marked it seems
that the only way to “track individual items” is to package them
individually.

The matter needs to be clarified by the HE-023 Committee of Standards
Australia which has responsibility for reviewing AS/NZS4187. I understand
the matter had been discussed by the committee and as mentioned due to a
reorganisation within Standards Australia there has been some delay in
progressing the review and the clarification of the issue.

Hopefully there will be a national consensus following completion of the
review process.

Regards

Glenys

Glenys Harrington, Infection Control Consultant |Communicable Disease
Prevention and Control | Public Health
Department of Health | Level 14 50 Lonsdale Street Melbourne Victoria 3000
Australia
t. 1300 651 160 (03 909 65123) | f. 03 909 69174 | e.
glenys.harrington@dhs.vic.gov.au | http://www.health.vic.gov.au/ideas

From:
“Wishart, Michael”
To:
AICALIST@AICALIST.ORG.AU
Date:
12/08/2010 06:24 PM
Subject:
Sent by:
AICA Infexion Connexion

Hi Tain

Easiest way to discuss this is to refer to the CHRISP fact sheet, which is
in accordance with the TGA information sheet on screw banks.

http://www.health.qld.gov.au/chrisp/resources/sbanks_factsheet.pdf

I have seen ‘screw bank’ systems set up with individually packaged screws
where each screw is disposed of if the package is opened within an
operative field (not reprocessed and placed back in the ‘screw bank’). The
main issue seems to be to try and get the surgeons used to using sizing
charts and not actually handling different sizes of the screws before use.

Hope this helps a bit.

Cheers
Michael

Michael Wishart

Infection Control Coordinator
Quality & Safety Unit | Greenslopes Private Hospital
Newdegate St, Greenslopes QLD 4120
tel: 07 3394 7919 | pager 047 | fax 07 3394 7985

e: WishartM@ramsayhealth.com.au

Ramsay Health Care is an environmentally responsible corporation, please
consider the environment before printing this email.

—–Original Message—–

Good afternoon all
I am wondering if you can supply me with supporting information in regards
to implant sets. i.e. screw banks in particular.
There is discussion with the reprocessing of screw banks that are
supposedly single use devices and then not having them available anymore.
This option is causing great concern.
I would appreciate any information facilities are doing please.
Regards

Tain Gardiner | Clinical Nurse Manager
Infection Prevention & Management, Royal Darwin Hospital | Department of
Health and Families
Rocklands Drive, Casuarina, NT 0811 | ‘Postal Address’ PO Box 41326,
Casuarina, NT 0811
p… (08) 89228045 pager # 239| f… (08) 8928889 | e…
Tain.Gardiner@nt.gov.au | http://www.nt.gov.au/health
Department of Health and Families is a Smoke Free Workplace
If you are not the intended recipient of this message, any use, disclosure
or copying of the message or any attachments is unauthorised.
If you have received this message in error, please advise the sender. No
representation is given that attached files are free from viruses or other
defects.
Scanning for viruses is recommended.

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
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This e-mail message and any accompanying files may contain
information that is confidential and subject to privilege. If you
are not the intended recipient, and have received the e-mail
in error, you are notified that any use, dissemination,
distribution, forwarding, printing or copying of the message
and any attached files is strictly prohibited. If you have
received this e-mail message in error please immediately
advise the sender by return e-mail, or telephone 1800 243 903.
You must destroy the original transmission and its contents.
Any views expressed within this communication are those of
the individual sender, except where the sender specifically
states them to be the views of Ramsay Health Care.
This communication should not be copied or disseminated
without permission.
————————————————————————

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

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the quotes) to listserv@aicalist.org.au

_________________________________________________________________________________

This email contains confidential information intended only for the person named above and may be subject to legal privilege. If you are not the intended recipient, any disclosure, copying or use of this information is prohibited. The Department provides no guarantee that this communication is free of virus or that it has not been intercepted or interfered with. If you have received this email in error or have any other concerns regarding its transmission, please notify Postmaster@dhs.vic.gov.au
_________________________________________________________________________________

Messages 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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