[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

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—–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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