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  • #73648
    Matthew Mason
    Participant

    Author:
    Matthew Mason

    Position:
    Lecturer

    Organisation:
    University of the Sunshine Coast

    State:
    QLD

    Hi All,
    Just wondering if I’m in the wrong here thinking that sterilising equipment bought from the local hardware actually isn’t appropriate? http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442 Sure I wouldn’t want to transfer the patient, but I see this as a very slippery slope.
    Cheers Matt

    Matt Mason
    Lecturer, School of Nursing & Midwifery,
    University of the Sunshine Coast.
    USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
    CRICOS Provider No: 01595D
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    #73652
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Position:

    Organisation:

    State:
    NSW

    It seems some surgeons have a different view from infection preventionists and sterilisation technicians on this issue. I once had to stop a surgeon from making a device with hardware store PVC and using in it a surgical procedure. He couldnt see the problem!

    You cant just get any object and sterile it and hope the item can be sterilised by the process you use. It has to be validated. You would have to demonstrate the bolt cutters were able to be subjected to the sterilisation process without any of the components being altered or leaching toxic substances, as well as the sterilant penetrating all parts of the item.

    If the bolt cutters were exactly the same brand as the medical device, and from the same manufacturer using exactly the same materials, it might be feasible. But most hardware store bolt cutters would not be, so the sterilisation manager should have appropriately refused a request to sterilise them.

    Sterilisation services can often be put under enormous pressure to sterilise inappropriate items.

    My thoughts, anyway.

    Cheers
    Michael

    Michael Wishart
    Infection Control Coordinator

    A 627 Rode Road, Chermside QLD 4032
    P (07) 3326 3068 | F (07) 3607 2226 | E michael.wishart@svha.org.au | W http://www.hsnph.org.au
    [cid:image001.png@01D01926.61F1C2B0] [cid:image002.png@01D2964F.9DA82170]
    P Please consider the environment before printing this email

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthew Mason
    Sent: Friday, 3 March 2017 4:58 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Surgical equipment.

    Hi All,
    Just wondering if I’m in the wrong here thinking that sterilising equipment bought from the local hardware actually isn’t appropriate? http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442 Sure I wouldn’t want to transfer the patient, but I see this as a very slippery slope.
    Cheers Matt

    Matt Mason
    Lecturer, School of Nursing & Midwifery,
    University of the Sunshine Coast.
    USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
    CRICOS Provider No: 01595D
    Please consider the environment before printing this email.
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    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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

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    #73654
    Lesley Alway
    Participant

    Author:
    Lesley Alway

    Position:

    Organisation:

    State:

    Dear Matt, The underlying issue is that Medical equipment includint RMD (
    reusable Medical Devicess) have to be approved for use suitability ,
    cleaning and sterilisation capacity by the TGA, therefore any equipment
    which has not been approved is not suitable for use.

    Regards

    Lesley Alway

    Director

    Strategic Health Resources.

    0408 324 727

    03 94390534

    Director Australian Health Design Council

    [image: Logowithtxt_AHDC]

    *From:* ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] *On
    Behalf Of *Matthew Mason
    *Sent:* Friday, 3 March 2017 5:58 PM
    *To:* AICALIST@AICALIST.ORG.AU
    *Subject:* Surgical equipment.

    Hi All,

    Just wondering if I’m in the wrong here thinking that sterilising equipment
    bought from the local hardware actually isn’t appropriate?
    http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442
    Sure
    I wouldn’t want to transfer the patient, but I see this as a very slippery
    slope.

    Cheers Matt

    Matt Mason

    Lecturer, School of Nursing & Midwifery,

    University of the Sunshine Coast.

    USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
    CRICOS Provider No: 01595D
    Please consider the environment before printing this email.
    This email is confidential. If received in error, please delete it from
    your system.

    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
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    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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    #73656
    Roel Castillo
    Participant

    Author:
    Roel Castillo

    Position:

    Organisation:

    State:

    Hi all

    This is a photo of the bolt cutter. Agree with Michael, and Matt you are right. We dont need to explain further with this photo.

    http://www.bombalatimes.com.au/story/4497314/bolt-cutters-rejected-for-operation-on-bega-hospital-patient/?cs=12

    For all your comment

    Roel Castillo
    Sterilising Services Unit Manager

    Macquarie University Hospital
    3 Technology Place
    Macquarie University, NSW 2109, Australia
    Locked Bag 2231, North Ryde BC, NSW 1670

    T: +61 2 9812 3213 I M: +61 0 434 496 829
    Email: roel.castillo@muh.org.au
    http://www.muh.org.au

    [cid:image001.jpg@01D2966A.8A9B50A0]

    Macquarie University Hospital is Australias first and only private hospital on a University campus. We are committed to delivering superior clinical outcomes and a positive patient experience through the best available care and technology.
    Disclaimer: This message is intended for the addressee named and may contain confidential information. If you are not the intended recipient, please delete it and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of Macquarie University Hospital.

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Lesley Alway
    Sent: Monday, 6 March 2017 10:37 AM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Re: Surgical equipment.

    Dear Matt, The underlying issue is that Medical equipment includint RMD ( reusable Medical Devicess) have to be approved for use suitability , cleaning and sterilisation capacity by the TGA, therefore any equipment which has not been approved is not suitable for use.
    Regards

    Lesley Alway
    Director
    Strategic Health Resources.
    0408 324 727
    03 94390534
    Director Australian Health Design Council
    [Logowithtxt_AHDC]

    From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Matthew Mason
    Sent: Friday, 3 March 2017 5:58 PM
    To: AICALIST@AICALIST.ORG.AU
    Subject: Surgical equipment.

    Hi All,
    Just wondering if I’m in the wrong here thinking that sterilising equipment bought from the local hardware actually isn’t appropriate? http://www.abc.net.au/news/2017-03-03/bega-hospital-left-with-one-orthopaedic-surgeon/8322442 Sure I wouldn’t want to transfer the patient, but I see this as a very slippery slope.
    Cheers Matt

    Matt Mason
    Lecturer, School of Nursing & Midwifery,
    University of the Sunshine Coast.
    USC, Locked Bag 4, Maroochydore DC, Queensland, 4558 Australia.
    CRICOS Provider No: 01595D
    Please consider the environment before printing this email.
    This email is confidential. If received in error, please delete it from your system.
    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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    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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