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Dear All,
Does anyone know of or have an acceptable range/bench mark for sterile processing failure/near misses(realising zero may not be achievable all the time).
It is something that crops up now and again at our IPC committee meetings? Would be grateful for some guidance.Many thanks in advance
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
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Hi Jayne
I asked this question of David McNamara, our CSSD guru….
As per our updated policy – refers to ASNZS4187.2104 Section 2.5.2 Nonconformance (one word in standards – I used to have as non-conformance) – I have attached the latest Policy version (attached) awaiting to be presented to the policy Committee.
‘Nonconforming reusable medical device(s) shall include those items that do not meet acceptance criteria after completion of cleaning, disinfection and sterilization processes. Documentation is to be maintained of the investigation performed for a nonconforming RMD’. (Standards direct quote).
It is now a necessity to keep and report Nonconformance records – generally speaking to a central committee as we do here to the ICSM – we just have been doing it longer and more specific than most. The Standards have been out now for 2 years and all HSO with CSDs should be reporting this information e.g. the reporting line however is prone to local HSO interpretation and even within the SVHA it is hard to get any benchmarking e.g. SVHM Public – the OT NUM demands that THE CSD NUM only reports to her and has not passed on anything to the IFC.
However there is also a report for Recall of items from failed sterilizer cycles and proof that items have been recovered & not used & has subsequent investigations as per HSO process. HSNPH has never had a sterilizer fail where any items have been distributed. I treat this as a separate issue as does not fall under the umbrella of Nonconformance but ‘Recall’.
Benchmarks for Nonconformance is a variable thing dependant on how you keep your records and what you report! About 8 years ago there was a speaker at the National SRACA conference who gave a ‘benchmark’ of 2% for net CSD error/ fault rate. Note I use this on the CSD report. If you want further information you can refer to the attached policy. Just as a note – electronic tracking system never had Nonconformance as part of thire records till I had put into the Meditrax system > 20 years ago – all electronic tracking systems now have it available. Fact – I have been speaking on this subject at State and National conferences for >15years.
Regards
David L McNamara
CSSD Manager
Holy Spirit Northside Private Hospital
p 07 3326 3904 | f 07 3326 3907
a 627 Rode Road, Chermside Q 4032
e david.mcnamara@svha.org.au
wwww.holyspiritnorthside.org.auIf you want a copy of our non-conformance policy I could email it to you separately.
Cheers
MichaelMichael Wishart
Infection Control CoordinatorA627 Rode Road, Chermside QLD 4032
P(07) 3326 3068| F(07) 3607 2226| Emichael.wishart@svha.org.au| W http://www.hsnph.org.auPlease consider the environment before printing this email
—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Jayne OConnor
Sent: Tuesday, 31 October 2017 12:39 PM
To: AICALIST@AICALIST.ORG.AU
Subject: sterile processing near missesDear All,
Does anyone know of or have an acceptable range/bench mark for sterile processing failure/near misses(realising zero may not be achievable all the time).
It is something that crops up now and again at our IPC committee meetings? Would be grateful for some guidance.Many thanks in advance
Jayne O’Connor RN,BSc.Inf.Cont.
IPC Co-Ordinator
Sydney Adventist Hospital
185 Fox Valley Rd.,
Wahroonga 2076Tel DD: (02) 9487 9732
Mobile: 0406752685Email: jayne.oconnor@sah.org.au
[Description: 5 moments hand hygiene]CAUTION: This message may contain both confidential and privileged information intended for the addressee named above.
If you are not the intended recipient you are hereby notified that any dissemination, distribution or reproduction of this message is prohibited. If you have received this message in error please notify the sender immediately, then destroy the original message.
Any views expressed in this message are solely those of the individual sender, except where the sender is specifically authorised by Adventist HealthCare Limited to state that they are the views of Adventist HealthCare Limited.
_____________________________________________________________________
This e-mail has been scanned for viruses by Symantec Hosted Services Scanning Services – powered by MessageLabs. For further information visit http://www.messagelabs.comMESSAGES 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.
Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
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This email and any attachments to it (the “Email”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. If you are not the intended recipient of the Email, please notify the sender immediately by return email, delete the Email, and do not copy, print, retransmit, store or act in reliance on the Email. St Vincent’s Health Australia (“SVHA”) does not guarantee that the Email is free from errors, viruses or interference. Emails to and from SVHA or its related entities may be scanned and filtered in locations outside Australia.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.
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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