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Retention of Records in Sterilising Departments

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  • #75959
    joe.bendall@BIGPOND.COM Subject: Retention of Records in Sterilising Departments MIME-Version: 1.0 Content-Type: multipart/alternative; boundary=”—-=_NextPart_001_0178_01D58FD5.CC321D20″ Message-ID:
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    joe.bendall@BIGPOND.COM Subject: Retention of Records in Sterilising Departments MIME-Version: 1.0 Content-Type: multipart/alternative; boundary=”—-=_NextPart_001_0178_01D58FD5.CC321D20″ Message-ID:

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    Good morning everyone

    I have discussed the retention of records in sterilising departments with
    several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not
    specific for sterilisation departments. They make blanket statements eg
    Quality Assurance (7 years), Accreditation (10years), Significant
    Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in
    each State/Territory?

    Thank you

    Joe

    INFECTION CONTROL REVIEW PTY LTD

    Joe-Anne Bendall Consulting

    ABN 98630512284

    Joe.bendall@bigpond.com

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    #75961
    Andrew Ellis
    Participant

    Author:
    Andrew Ellis

    Position:
    State Coordinator, Sterilisation & Reprocessing

    Organisation:
    SA Health

    State:

    Afternoon Joe,

    When I first came on to manage a CSSD in SA government hospital around 2010, I made similar enquiries to our State Records department. This was in part due to a towering pile of physical records in the sub-sub-basement of the building, going back many years and of dubious completion. The requirement in AS4187:2003 at the time was that sterilisation records should be “controlled and retrievable” and I had come upon a situation which was neither.

    The General Disposal Schedule for government health records made no reference to sterilisation and reprocessing, so I worked with a couple of officers in State Records to add something into the next version. AS4187 had already specified the list of documents which shall be kept in the running of a reprocessing facility, so we decided that the entry should read “…as required by Standards” or similar. That way, regulatory changes to the required documentation would just carry over.

    As for the retention period, the advice of State Records was that of a 15 year period.

    Section 3.8.2 of the GDS28 was the final product.

    We then had a wonderful time cataloguing, re-boxing and sending all of the records off for storage. Luckily the hospital where I am involved now has a fully electronic tracking system, so the volume of physical records is not only greatly reduced but we can make more of them electronic themselves.

    Regards,

    Andrew Ellis
    Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
    Infection Control Service | Communicable Disease Control Branch
    Health Regulation & Protection
    Department for Health and Wellbeing | Government of South Australia
    Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    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.

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

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    #75962
    kerrin Maher
    Participant

    Author:
    kerrin Maher

    Position:

    Organisation:

    State:

    Good Afternoon,
    My understanding is that for traceability records for sterilising must be kept for 10 yrs.

    Cheers

    Kerrin Maher RN BN
    Nurse Unit Manager | Central Sterilising Department
    QEll Jubilee Hospital | Metro South Health
    Kessels Road QLD 4108
    t. 07 31826151
    e. kerrin.maher@health.qld.gov.au

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

    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.

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

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    #75963
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi Joe-Anne 🙂

    In NSW, a new version of the General Retention and Disposal Authority: GDA17 was issued this year.

    It … covers records documenting the function of the provision of health care to patients and clients of New South Wales public offices.

    You can scroll down the page that opens on this link: https://www.records.nsw.gov.au/recordkeeping/rules/gdas/gda17
    and on the left-hide side in Downloads – you can download a pdf of the new document ‘with justifications for the amendments’.

    For the past few years the GDA17 has required that sterilisation records be retained for 15 years, and that still applies in the revised document:

    1.17.0 Sterilisation of equipment

    The sterilisation of instruments, items and equipment used in surgical and medical procedures. 1.17.1

    PATIENT/CLIENT TREATMENT AND CARE- Sterilisation of equipment

    Records relating to the sterilisation of surgical instruments and equipment, e.g. log books, registers.

    Retain minimum of 15 years after action completed, then destroy

    Justification/Remarks: Confirms 2004 disposal action. Sterilisation registers record details of item sterilised as well as details of the temperatures, times, gas mix etc. This information may be vital in responding to legal inquiries or litigation about patient care. 15 years equates to the retention of patient records in Group A Hospitals and meets (and exceeds by 3 years) the statute of limitations for personal injury claims.

    Best Regards,
    Marilyn

    Marilyn Harris

    CNC Infection Prevention & Control | Sydney Dental Hospital and Oral Health Services, SLHD
    Sydney Dental Hospital, 2 Chalmers Street, SURRY HILLS 2010
    Tel 02 9293 3276 | Fax 02 9293 3488 | marilyn.harris@health.nsw.gov.au

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

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

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    #75964
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi
    Have you checked with your District Health Information officer in your hospital or Local Health District. They should have the information.

    Fefe Lawson

    Sent from my Samsung Galaxy smartphone.

    ——– Original message ——–

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

    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.

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    #75966
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi all
    In Victoria – PROS 11/06 Retention and disposal authority for patient information records Public record office of Victoria 2011 page 49.

    7.1.1 Sterilization records that identify individual patients – Held by agency 15 years.
    It is dated 2011 and do not have access to confirm the currency of the document – but this shows where to look

    Regards,
    Lesley Lewis
    Regional Infection Control Consultant | Hume Region Infection Control Resource and Consulting Service
    Lesley.Lewis@nhw.org.au

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    #75970
    Anonymous
    Inactive

    Author:
    Anonymous

    Position:

    Organisation:

    State:

    Hi all,

    I must admit, I have been meaning to look this up as well. I was lead to understand that it was different for records that pertain to children, in Queensland.

    For a child or surgery involving a child the record needed to be kept for 5 or 7 years after they had turned 21 years of age. Considering the school dental program, this is mind boggling!

    This was information I received when I was doing my Certificate III in Sterilisation. If anyone has any further clarification, it would be appreciated as well.

    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@01D3A192.E1513890]
    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.

    Hi,
    As a matter of interest I looked up Queensland retention records as it has been updated. Sterilising services has been omitted and now comes under patient records. Interestingly it states 15years from the last occasion of service!!!!! How do you determine the last occasion of service. Luckily most of our are now recorded electronically so not really an issue.
    Cheers Kerrin

    Kerrin Maher RN BN
    Nurse Unit Manager | Central Sterilising Department
    QEll Jubilee Hospital | Metro South Health
    Kessels Road QLD 4108
    t. 07 31826151
    e. kerrin.maher@health.qld.gov.au

    Afternoon Joe,

    When I first came on to manage a CSSD in SA government hospital around 2010, I made similar enquiries to our State Records department. This was in part due to a towering pile of physical records in the sub-sub-basement of the building, going back many years and of dubious completion. The requirement in AS4187:2003 at the time was that sterilisation records should be “controlled and retrievable” and I had come upon a situation which was neither.

    The General Disposal Schedule for government health records made no reference to sterilisation and reprocessing, so I worked with a couple of officers in State Records to add something into the next version. AS4187 had already specified the list of documents which shall be kept in the running of a reprocessing facility, so we decided that the entry should read “…as required by Standards” or similar. That way, regulatory changes to the required documentation would just carry over.

    As for the retention period, the advice of State Records was that of a 15 year period.

    Section 3.8.2 of the GDS28 was the final product.

    We then had a wonderful time cataloguing, re-boxing and sending all of the records off for storage. Luckily the hospital where I am involved now has a fully electronic tracking system, so the volume of physical records is not only greatly reduced but we can make more of them electronic themselves.

    Regards,

    Andrew Ellis
    Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
    Infection Control Service | Communicable Disease Control Branch
    Health Regulation & Protection
    Department for Health and Wellbeing | Government of South Australia
    Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    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.

    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

    INFECTION CONTROL REVIEW PTY LTD
    Joe-Anne Bendall Consulting
    ABN 98630512284

    Joe.bendall@bigpond.com
    [Infection Control Review Logo – small2]

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

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

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    #75971
    Debra Lee
    Participant

    Author:
    Debra Lee

    Position:

    Organisation:

    State:

    It also has implications for all caesarean procedures.

    Cheers,
    Deb

    (Make Prevention Your Intention)

    IMPS – Redcliffe
    P: (07) 3883 7300
    debra_lee@health.qld.gov.au

    Hi all,

    I must admit, I have been meaning to look this up as well. I was lead to understand that it was different for records that pertain to children, in Queensland.

    For a child or surgery involving a child the record needed to be kept for 5 or 7 years after they had turned 21 years of age. Considering the school dental program, this is mind boggling!

    This was information I received when I was doing my Certificate III in Sterilisation. If anyone has any further clarification, it would be appreciated as well.

    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

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    07 4433 1873 | 0402 987 432
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    Mandy.Davidson@health.qld.gov.au
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    http://www.health.qld.gov.au/townsville

    Townsville Hospital and Health Service
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    Hi,
    As a matter of interest I looked up Queensland retention records as it has been updated. Sterilising services has been omitted and now comes under patient records. Interestingly it states 15years from the last occasion of service!!!!! How do you determine the last occasion of service. Luckily most of our are now recorded electronically so not really an issue.
    Cheers Kerrin

    Kerrin Maher RN BN
    Nurse Unit Manager | Central Sterilising Department
    QEll Jubilee Hospital | Metro South Health
    Kessels Road QLD 4108
    t. 07 31826151
    e. kerrin.maher@health.qld.gov.au

    Afternoon Joe,

    When I first came on to manage a CSSD in SA government hospital around 2010, I made similar enquiries to our State Records department. This was in part due to a towering pile of physical records in the sub-sub-basement of the building, going back many years and of dubious completion. The requirement in AS4187:2003 at the time was that sterilisation records should be “controlled and retrievable” and I had come upon a situation which was neither.

    The General Disposal Schedule for government health records made no reference to sterilisation and reprocessing, so I worked with a couple of officers in State Records to add something into the next version. AS4187 had already specified the list of documents which shall be kept in the running of a reprocessing facility, so we decided that the entry should read “…as required by Standards” or similar. That way, regulatory changes to the required documentation would just carry over.

    As for the retention period, the advice of State Records was that of a 15 year period.

    Section 3.8.2 of the GDS28 was the final product.

    We then had a wonderful time cataloguing, re-boxing and sending all of the records off for storage. Luckily the hospital where I am involved now has a fully electronic tracking system, so the volume of physical records is not only greatly reduced but we can make more of them electronic themselves.

    Regards,

    Andrew Ellis
    Sterilising and Reusable Medical Device Reprocessing State Coordinator (Part Time: Monday/Friday)
    Infection Control Service | Communicable Disease Control Branch
    Health Regulation & Protection
    Department for Health and Wellbeing | Government of South Australia
    Level 3 | Citi Centre | 11 Hindmarsh Square | Adelaide SA 5000
    HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
    General public: http://www.sahealth.sa.gov.au/hospitalinfections

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    Good morning everyone

    I have discussed the retention of records in sterilising departments with several people and I get different answers!

    I have checked NSW Records and their retention rules but they are not specific for sterilisation departments. They make blanket statements eg Quality Assurance (7 years), Accreditation (10years), Significant Investigations (State Archive).

    Does anyone have any more definitive information? Will it be different in each State/Territory?

    Thank you
    Joe

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    #75972
    SUBSCRIBE AICALIST Heidi Gettons
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    I have been having the discussion regarding this thread today with our Health Information team who are responsible for ensuring we comply with standards . We currently keep all our sterilisation logs for 7 years. We still have a manual system with instrument tray labels (containing sterilisation date, load number) being placed in the patients medical record when used. These records are discarded 7 years if an adult. Seeing these records are patient identified, do they need to be kept for 15 years not 7?

    Heidi Gettons
    Infection Control
    The Bays Healthcare

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