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Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
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Hi ,
I agree , temperature / humidity / cleanliness / security etc all need to be considered, the same as what is required when we store in a sterile stock room. There should be no difference .
Regards
Sally[cid:image003.jpg@01D783C5.D31C4440]Sally Holmes
Quality Manager and Infection Control & Prevention Coordinator
Lakeview Private Hospital|17-19 Solent Circuit Norwest NSW 2153
http://www.lakeviewprivate.com.auHello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
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Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D783CA.D5DEA650]
p | 5132 1200
e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840http://www.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
[cid:image001.jpg@01D783BD.03C21E70]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Thanks Jenny,
That is ours too, I am looking for evidence to back up my argument. I thought there may have been a standard out there I haven’t found yet ? 🙂
Brigid .
Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D783CA.D5DEA650]
p | 5132 1200
e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840http://www.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
[cid:image001.jpg@01D783BD.03C21E70]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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http://www.mailguard.com.au/mgMESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Brigid,
As others have pointed out, it is commonplace to fully reprocess RMDs on arrival at the destination facility. For RMDs on loan from another facility this is straightforward. There are a couple of other situations I have encountered where this may not necessarily be as simple;
In a business continuity mode, facilities may have a reciprocal arrangement to perform some or all of the reprocessing at a companion site. AS/NZS4187 notes that “Where any activities encompassed by this Standard are undertaken by an external contractor, HSOs shall ensure that an agreement is in place that identifies the responsibilities of each party, including the requirement to comply with this Standard”. Assuming that agreement covers the chain of custody of the RMDs adequately, it is not out of the question. I’ve made use of this in the short term when I managed a couple of metropolitan hospitals and we ran into temporary contingencies. Of course, the triggers for activating the plan have to be suitably risk managed and accepted by the organisation ahead of time, and documentation has to ensure the process is robust throughout. In such a case, transport conditions, manifests and so on should be considered. It would have been acceptable as a routine practice.
Some day surgeries use commercial sterilisation providers for relatively low volume, low complexity RMDs. In my capacity with the private health regulator in SA, we sometime evaluate facilities which entirely outsource their reprocessing to such an agency and only have dispatch and receipt areas. In other states I know that there are vehicles which are advertised as “4187 compliant” when this option is taken.
Finally, I have visited a number of regional health networks in which the low volume of RMD turnover and the cost of refurbishment of individual, isolated CSSDs has driven a hub-and-spoke model. In this case and the one above, outsourcing has removed the capacity to reprocess RMDs on arrival, and is of course the point. A great deal of work has been undertaken by one region to risk manage transport and turnover of RMDs versus non-compliant facilities and understaffing.
The first example is different in that a hospital with a normally functioning CSSD should reprocess RMDs coming in on loan as a matter of course. However the other examples show that when taking into account transport conditions, contractual arrangements and risk management, there may be some circumstances in which it is possible or necessary.
Regards,
Andrew Ellis
Sterilising and Reusable Medical Device Reprocessing State Coordinator
Infection Control Service | Communicable Disease Control Branch
Health Regulation & Protection
Department for Health and Wellbeing | Government of South Australia
Level 13 | 25 Grenfell Street | Adelaide SA 5000
HCW infection prevention: http://www.sahealth.sa.gov.au/infectionprevention
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Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
[cid:image001.jpg@01D3EDE4.6644D5F0]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Everyone,
As Andrew pointed out, AS/NZS4187 has always allowed for off-site reprocessing, providing there was a suitable agreement in place between the two facilities and the method of transport protects the items from the risk of contamination and compromise of sterility.
In fact the 2003 edition stated on page73
Sterile items intended for distribution outside the health care facility shall be securely packed and protected against damage and contamination during transportation. Transport vehicles should have adequate means of segregation and be able to meet the requirements of Clause 9.2.1 – which specified cleanliness, surfaces, temperature and humidity.
Kind Regards
Terry McAuley
Director
MSc Medical Device DecontaminationPO BOX 2249, Greenvale, VIC Australia 3059
[cid:image001.png@01D783CF.4FB219E0]
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Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
[cid:image001.jpg@01D783BD.03C21E70]MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.
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Hi Kelly
The issue here is one of validation of storage conditions. A commercially available single use item has packaging that has been validated under certain conditions, which will include things like transport. Reusable items reprocessed and packaged within a facility are only validated for ideal storage (eg idea temp/humidity and minimal handling/movement on fixed shelving), so you cannot assume it will be still be sterile unless you encase it in something that protects it (like your transporter of your commercial reusable trays does. And presumably has validated).
I am old enough to remember the days loan sets for orthopaedic procedures used to be sent from facility to facility without being reprocessed again, and I can remember opening some trays in theatre with a patient prepped and almost vomiting due to the dried crud still on the instruments that had supposed been cleaned and resterilised at the last facility used at!
There is a major difference between validation of commercially packaged goods and validation of facility packaged goods as far as storage conditions go. AS/NZS:4187:2014 quite rightly requires facility reprocessed goods to be reprocessed and resterilised on arrival to a different facility, unless there has been validation of storage and transport conditions for the items in question.
Cheers
MichaelMichael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
E michael.wishart@svha.org.au |
W https://www.svphn.org.auSt Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
E michael.wishart@svha.org.au |
W https://www.svphb.org.au[http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]
[cid:image001.png@01D72F93.FCA8FC30]
Hi Brigid,
We outsource all our sterilising to another healthcare facility. We are a small rural health care facility that does minor day procedures. It was not possible to do sterilising onsite due to staff and other issues. We have contracts in place, and all our equipment is shipped an hard walled plastic containers. Part of the contract is the facility we outsource through must show us annual compliance to AS4187. Most of our products are single use though, and there is not large amounts of instruments going back and forth. I am not sure why you would resterilise when it gets to a destination if the packaging is intact and not damaged in anyway. I don’t know of any service that resterilises single use trays or sterile gloves??Kind regards,
Kelly
I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present. [cid:image004.png@01D3E2D8.4A07E100][cid:image001.png@01D3593E.B14EC410]
Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.Thanks Jenny,
That is ours too, I am looking for evidence to back up my argument. I thought there may have been a standard out there I haven’t found yet ? 🙂
Brigid .
Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D783CA.D5DEA650]
p | 5132 1200
e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840http://www.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
The information in this e-mail is intended solely for the addressee named. It may contain legally privileged or confidential information that is subject to copyright. If you are not the intended recipient you must not use, disclose copy or distribute this communication. If you have received this message in error, please delete the e-mail and notify the sender. No representation is made that this e-mail is free of viruses. Virus scanning is recommended and is the responsibility of the recipient.
[cid:image001.jpg@01D783BD.03C21E70]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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Thanks Kelly,
We don’t resterilise single use items. It was RMD’s I was asking about. It is happening less often as we purchase our own equipment.
Regards
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
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[cid:image001.jpg@01D3EDE4.6644D5F0]Hi Brigid,
We outsource all our sterilising to another healthcare facility. We are a small rural health care facility that does minor day procedures. It was not possible to do sterilising onsite due to staff and other issues. We have contracts in place, and all our equipment is shipped an hard walled plastic containers. Part of the contract is the facility we outsource through must show us annual compliance to AS4187. Most of our products are single use though, and there is not large amounts of instruments going back and forth. I am not sure why you would resterilise when it gets to a destination if the packaging is intact and not damaged in anyway. I don’t know of any service that resterilises single use trays or sterile gloves??Kind regards,
Kelly
I acknowledge the traditional owners of the land on which we work and live, and respect their ongoing custodianship of the land. I pay respect to Aboriginal people, and Elders past and present. [cid:image004.png@01D3E2D8.4A07E100][cid:image001.png@01D3593E.B14EC410]
Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
P Reduce, re-use, recycle. Please consider the environment before printing this e-mail.Thanks Jenny,
That is ours too, I am looking for evidence to back up my argument. I thought there may have been a standard out there I haven’t found yet ? 🙂
Brigid .
Hi Brigid – our policy is to resterilise anything that comes from another facility – even if its sealed in plastic
JennyJenny McCarthy
Infection Prevention and Control Coordinator[cid:image001.png@01D783CA.D5DEA650]
p | 5132 1200
e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840http://www.maryvaleph.com.au
Maryvale Private Hospital acknowledges the traditional owners of country, the Gunaikurnai nation,
and recognises their continuing connection to land, waters and culture.
We pay our respects to their Elders past, present and emerging.Hello Brains truss,
Could someone please point me in the right direction for standards for transporting instrument trays and RMD’s between hospitals? I understand they must be reprocessed prior to use in the next hospital as sterility cannot be guaranteed. Though some staff members are saying if transported in sealed plastic dust covers it is ok to use. I disagree, though the 4187 standards are a bit generic in this aspect.
My belief was that if to be transported from one hospital to another, many factors needed to be taken into account including , transport vehicle, humidity etc. The hospitals are about 30mins apart.
Thanks
Brigid Robertson
Brigid Robertson | Clinical Nurse Educator Perioperative Services
Palmerston Regional Hospital | Top End Health ServicePh: (08) 7979 9619
e … brigid.robertson@nt.gov.au
w… http://www.nt.gov.au/healthOur Vision: Building Better Care | Better Health | Better Communities Together
Our Values: Teamwork and Trust | Excellence and Equity | Honesty and Accountability | Service and InnovationTop End Health Service is a Smoke Free Workplace
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