[Roel Castillo]

Hi all

Please re check ARTG Certificate.

I believe this utilizes warmed medical grade air. Please ensure IQ, OQ and PQ is done at commissioning and annual PQ and preventative maintenance in place.
A topic of interest ( includes documentation and audit as required):

* How do you monitor effectiveness of seal

* How do you monitor “purity of medical grade air”

* Preventative maintenance and replacement of associated parts

* All other required time associated use by date and microbial monitoring

Happy reprocessing

Roel Beltran 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
http://www.muh.org.au

Good morning all,

I have been approached regarding introducing a new technology for endoscope reprocessing. This device enables fast scope channel drying and storage using “activated air”. The scope is stored in a dedicated sealed bag which can also be used for transport with barcode traceability. The facility currently does not have HEPA filtered forced air drying cabinets and sees this new technology as a possible alternative process to meet GESA/GNECA and AS:4187 compliance.

The device has recently been granted a ATG certificate.

I would love to hear thoughts from anyone who has also reviewed this product. Happy to provide product name off line.

Have a nice day,
Helen

Helen Newman

Infection Prevention and Control CNC CICP| Infection Management and Control Service
Shellharbour and Kiama Hospitals
Tel 02 4295 2416 | Mobile 0475823959 | Fax 02 4295 2497 | Helen.Newman@health.nsw.gov.au
http://www.health.nsw.gov.au

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[Roel Castillo]

Hi Members

We have to rely on recommendations of AS 4187:2014. Individual health service organizations shall write their own policy towards managing identified risk associated with this. We are fortunate in NSW to have not experienced this, as far as I am aware. Below are parts of the Standard that could be beneficial.

* 5.6.1: Shall provide the physical environment and equipment necessary…..this includes the requirements for environmental control…e.g…..humidity, air flow…

* 9.5…processed RMDs shall be stored in a manner that prevents/minimizes the risk of contamination….

* A9.5(g) RH should be controlled within the range 35%-70%
(h) AS 1668.2 applies, HB260 and AHFG

Some interesting reads: (last one from TerryM)

http://www.csao.net/files/pdfs/High%20Humidity%20in%20Sterile%20Storage%20CSA%20July%202007.pdf
http://www.spdceus.com/ceus/pdf/sterile_storage.pdf
http://www.idhjournal.com.au/article/S1835-5617(16)30185-5/fulltext

An interesting one that can be more “relaxing”:

http://www.infectioncontroltoday.com/news/2013/02/researchers-investigate-effects-of-temperature-air-humidity-on-sterility-of-wrapped-packages.aspx

We do monitor our environmental conditions on all sterile stock areas. “Out of range” readings are reported immediately and our facilities management application software and does its job. This means an automated log of service providers is generated in an email to “fix” associated issues.

I don’t believe there is any need to have another guideline/document. If we have the standards recommendations, it is incumbent upon individual facilities to comply in maintaining what is required, in this case RH- 35%-70%.

Happy storing

Roel Beltran 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
http://www.muh.org.au

[cid:image001.jpg@01D03EEF.C9D3C830]

Macquarie University Hospital is Australia’s 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.

Dear List Members,

Does anyone have guidelines for managing high humidity events in CSSD sterile store areas?

We have found that there seems to be have been an increased number of extreme heat and humidity weather events experienced in Victoria over the last two summers causing issues in sterile store areas and operating rooms in some of our health services.

There seems to be a lack of clear advice on what to do should the readings exceed the acceptable humidity levels in healthcare sterile storage areas. How long can items be exposed to humidity levels outside the recommended range and at what point should action be taken? That is, reprocessing of reusable sterile stock or disposal of commercially processed single-use medical devices exposed to high humidity.

Given the high cost of reprocessing reusable medical devices or disposal of single use medical devices it would be very useful to have a consensus document to guide actions in such an event.

1. Are other health services experiencing high humidity events?

1. Is the humidity level in your CSSD sterile store area monitored and recorded daily?

1. Do you have an existing policy/procedure for managing high humidity events in CSSD sterile store areas?

1. Do you think there is a need for a contemporary Australian document guiding action in a high humidity event?

I look forward to hearing your thoughts on this issue.

Regards,

Mary

Mary Smith
Regional Infection Control Advisor
(Working days – Monday to Thursday)

Rural and Regional Health Branch / Grampians
Department of Health and Human Services

21 McLachlan Street, Horsham, Victoria, 3400
t. 03 5381 9703 | m. 0419 447 491
e. mary.smith@dhhs.vic.gov.au
w. http://www.dhhs.vic.gov.au
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[Roel Castillo]

Hi team

In addition to the guidance compliance to the AS 4187 is required. It must be emphasized as well that this limitation is subject to compliance with:

5.6.10 – cleaning of facility (including associated equipment – re storage cabinets) to maintain hygienic conditions at all times
5.6.14 – Ventilation in storage areas must comply with AS 1668.2
10.3.1 – cabinets with filters (we have one for our probes storage cabinet) must be checked and changed regularly.

These parts ensure integrity of processed item prior to patient reuse, expiry use by dates taken into account.

I hope this helps

Roel Beltran 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
http://www.muh.org.au

[cid:image001.jpg@01D03EEF.C9D3C830]

Macquarie University Hospital is Australia’s 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.

Hi

Just seeking clarification as to whether the storage cupboard for a processed TOE probe requires HEPA filtration.

Regarding storage, the current ACIPC / ASUM guidelines (2017) state :

“after cleaning, all transducers must be stored in an appropriate environment to protect from environmental contamination (AS/NZS4187:2014, Table 5.1). It is recommended that a specific cabinet is used, but if this is not available the minimum standard recommended is a clean disposable cover applied to the transducer to mitigate risks from environmental contaminants”

So I gather as HEPA filtration is not mentioned, that it is not a requirement. Is my understanding correct?

Kind Regards

Linda McCaskill
Infection Control Manager
Ashford Hospital
55 Anzac Highway, Ashford, SA 5035
t: 8375 5209 (external) or ext 4209 (internal) e: linda.mccaskill@acha.org.au
Please note I work Monday – Thursday

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[Roel Castillo]

Hi all

First we have reusable (reprocessable) blades with single use disposable ones as options on high risk patients e.g. +TB. Yes we are able to track as a basic requirement of compliance to Standard 3.17 and applicable parts of AS 4187:2014 (2.2(m); 2.4.3 and 9.4). Single use items have labels you can attach to patient medical records (scanning in cases of digital applications of patient management system as applicable).

Second, ensure preventative maintenance schedule is in contract post device warranty. Usually we have a year warranty of functionality; it would be beneficial to have a preventative maintenance contract. This will provide regular assessment of functionality of your devices. It is also included in AS 4187:2014 – 2.2.3(k); 5.1.3; 6.4.2.

I hope this helps

Roel Beltran 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
http://www.muh.org.au

[cid:image001.jpg@01D03EEF.C9D3C830]

Macquarie University Hospital is Australia’s 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.

Hi all,

We are interested to know how other organisations are managing their laryngoscope blades. This is something that we are currently looking at.

A couple of questions;

Firstly, are most organisations using disposable or reprocessable blades? Secondly, if you are reprocessing blades, are you able to track them to a patient i.e. do clinicians put the sticker in the notes?

And finally, particularly for resus areas, do you find that clinicians leave blade packets open in order to check the lights regularly? How are you managing this as a contamination risk?

Thank you,

Gemma

Gemma Klintworth
Senior Infection Prevention Nurse Consultant
Accredited Nurse Immuniser
CIPC-E
Infection Prevention and Healthcare Epidemiology
e G.Klintworth@alfred.org.au
m 0439 582 107
t 03 9076 3139

Alfred Health
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Melbourne VIC 3004
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VIC 3181 Australia
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[Roel Castillo]

Hi Christine

I hope this helps: http://www.health.nsw.gov.au/sabs/Documents/2014-sn-001.PDF

Regards

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
http://www.muh.org.au

[cid:image001.jpg@01D2A94E.833AAE90]

Macquarie University Hospital is Australia’s 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.

Hi Christine,

Do you mean for disinfection of devices or disinfection of the environment?

Regards

Glenys

Glenys Harrington
Infection Control Consultancy (ICC)
P.O. Box 6385
Melbourne
Australia, 3004
M: +61 404816434
E: infexion@ozemail.com.au

Hello Everyone,

Does anyone have any information or evidence to say that wipes used for disinfection are effective? I had thought they were unreliable for several reasons, including operator actions which could be insufficient. I will be interested to hear comments ,as there has been a small suggestion they might be used here,

Regards, Christine

Regards, Christine

Christine Taylor,
Network Manager,
Sterilising Services,
Coffs Clinical Network,
Coffs Harbour Base Hospital

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[Roel Castillo]

Hi all

EN285 please. If you are talking about the need to have a pass though steriliser then I can only have this:

* AS 4187:2014 – 5.6.2 only emphasized the need to have a unidirectional workflow from the dirty to clean areas. In this context, the integrity of the processed item is at greater risk of recontamination and best practice suggests to have a pass through if it is feasible. It is not explicit though,

* on the other hand AHFG assumed: https://aushfg-prod-com-au.s3.amazonaws.com/HPU_B.0190_6_2.pdf
“The size of the area will be dependent on the number and type of sterilizers installed. Pass through sterilizers are assumed as this provides the necessary separation of loading and unloading zones within the sterilization area”

Hope this helps

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

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
http://www.muh.org.au

[cid:image001.jpg@01D2A4BB.0D6DB960]

Macquarie University Hospital is Australia’s 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.

Good Morning,

Could someone direct me to the standard regarding pass through Sterilizers please, with many thanks,

Regards, Christine

Christine Taylor,
Network Manager,
Sterilising Services,
Coffs Clinical Network,
Coffs Harbour Base Hospital

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[Roel Castillo]

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
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[Roel Castillo]

Hi

Please email me, I will send workflow/policy/procedure.

Also too MUH SSU has started 2D marking of NEURO/OPHTHALMIC and ENT instruments which is useful if we need to do a look back.

roel.castillo@muh.org.au

These might be of interest to read.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4748700/
https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/div-classtitleguideline-for-disinfection-and-sterilization-of-prion-contaminated-medical-instrumentsdiv/2546FE55471E220B294E5B5C9EEE421E

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@01D27E16.FD9FE320]

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.

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From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of John Ferguson
Sent: Wednesday, 1 February 2017 1:04 PM
To: AICALIST@AICALIST.ORG.AU
Subject: CJD policies

Dear all,

Wed be grateful to look at your current policies as ours is well out of date (am aware of the national document) .

In common with many, many of our CSDs have adopted enzyme agents that are prion active and validated to reduce same by required proportion which adds a layer of safety. Im interested to learn to what extent others have been able to wind back parallel systems for sterilisation by having a mainstream approach that is of proven effectiveness against prions?

Thanks
John

Dr John Ferguson MBBS DTM&H FRACP FRCPA
Microbiologist | Pathology North, NSW Pathology
Infectious Diseases Physician | Immunology and Infectious Diseases Unit
Conjoint Assoc. Professor | University of Newcastle
John Hunter Hospital, Locked Bag 1, Newcastle Mail Centre, NSW 2310, Australia
T: 61 2 49214444 | F: 61 2 49214440 | M: +61(0)428 885573 (Speed Dial 67607) | Tw @mdjkf

Follow http://www.aimed.net.au, the HNE Health/Pathology North site for practical discussions about antibiotic use.
Follow http://www.idmicnepal.net for microbiology and infectious diseases post graduate resources and discussions.
Follow http://www.biochemcase.wordpress.com for moderated case discussions from a renowned clinical biochemistry expert.

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Unless explicitly attributed, the opinions expressed in this email are those of the author only and do not represent the official view of Hunter New England Local Health District nor the New South Wales Government.

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[Roel Castillo]

Hi

Please refer to:

https://healthfacilityguidelines.com.au/

Regards

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
http://www.muh.org.au

[cid:image001.jpg@01D03EEF.C9D3C830]

Macquarie University Hospital is Australia’s 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.

—–Original Message—–

Morning Brains trust 🙂

Our facility are in the process of planning for a hybrid theatre, I would like to know if there are any standards written for them? Also has anyone been involved in the planning and completion of a hybrid theatre? If so do you have open ceiling control rooms?

Our team are requesting that a 2.1 meter wall (with glass)door free is built for the control room instead of floor to ceiling wall. There reason being it’s easier to communicate with the surgeon!!

Thus far I have said NO to the 2.1 meter wall hence my question here today. I’d be happy for any advice.

Many thanks

Jayne

Jayne O’Connor RN,BSc.Inf.Cont.

IPC Co-Ordinator

Sydney Adventist Hospital

185 Fox Valley Rd.,

Wahroonga 2076

Tel DD: (02) 9487 9732

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[Roel Castillo]

Hi Calvin

Correct me if I see it otherwise. This is simple Spaulding non critical item. Decontamination is suffice. It is of equal importance to require the manufacturer of instructions for reprocessing and establish functionality of the device when exposed to the rights of detailed decontamination. If it can withstand thermal disinfection (anaesthetic cycle) would advise to do that. It is important to preserve the integrity of the processed item as exposure to a historical microbial medium is at play.
I understand the limitations of operational budgetary constraints, but I would endeavour to at least HLD. I hope this helps.

I did work at a place that sterilise them at 121C.

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
http://www.muh.org.au

[cid:image001.jpg@01D03EEF.C9D3C830]

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.

On 25 Jun 2016, at 18:21, Sony SO <sony@HA.ORG.HK> wrote:

Dear All,

We would like to have your comment for the captioned scenario, to sterilize or high-level disinfect the used of kits between each use by the same mother is not practical nor necessary. And to provide a new, sterile kit to each mother for every use is cost prohibitive.

Your advise will be a tremendous help.

Yours sincerely,

Sony SO

Nursing Officer, Infection Control Team

CND WONG TAI SIN HOSPITAL

HONG KONG SAR, CHINA

office phone: +852 2125-2922; fax: +852 3523-0752

HA email sony@ha.org.hk;

http://www.ha.org.hk/visitor/ha_hosp_details.asp?Content_ID100154&LangENG
Please consider the environment before printing this e-mail

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[Roel Castillo]

Hi Terry

Some clinical publications below to refer to instead of 3M.

http://www.journalofhospitalinfection.com/article/S0195-6701(08)00127-8/abstract?cc=y=
http://journals.cambridge.org/action/displayAbstract?fromPage=online&aid=9372985&fileId=S0195941700037310

Regards

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@01D03EEF.C9D3C830]

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 Terry Grimmond
Sent: Thursday, 16 June 2016 7:57 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Any ATP levels mentioned in Standards or Guidelines

Apart from 3M’s “80% Pass at 250”, has anyone seen specific ATP RLU levels for Patient-room cleaning “efficacy” in Standards, State Health Guidelines, CDC, etc?

Terry Grimmond FASM, BAgrSc, GrDpAdEd
Consultant Microbiologist
Grimmond and Associates
Ph (NZ): +64 7 855 3212
Mob (NZ): +64 274 365 140
E: terry@terrygrimmond.com
[Twitter_logo_blue]: @terrygrimmond
W: http://terrygrimmond.com
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[Roel Castillo]

Hi Glenys

Thanks for the query.

As applicable to the specific reprocessing equipment in use in the facility, relevant current standard in particular to those cited as normative references ( which is technically a part of the AS 4187:2014) should be available. Due to enormous of content of a whole standard which is not applicable, it is suffice to have the parts cited to be purchased alone, whereas others are required in whole. The required is enumerated in Section 1.3 of the standard. The impression is that information is available to comply with its requirements of compliance. So yes, you are only required to have reference material relevant to compliance and for those equipment/devices that is applicable to your facility.

The services are independent infection control consultants specialising in Sterilisation and Disinfection. You can send me an email in regards to this.

I hope this helps.

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

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Glenys Harrington
Sent: Monday, 6 June 2016 2:31 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

Hi Roel,

Many thanks for the update and advice for ICPs.

I understand from some ICPs that sourcing the ISO standards as referenced in the AS:4187:2014 could be up to $10,000.

Are you saying that you can purchase specific sections of an ISO standard (i.e. the normative component of the compliance) rather than the whole standard and that this section includes specific details to enable auditing of a facility?

You mentioned independent organisation/s (comes with a price) that you can purchase audit tools from – can you provide the details and ill get some costings.

Many thanks in anticipation

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Roel Castillo
Sent: 6 June, 2016 1:32 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

Hi All

In relation to questions posted below. I will try my best to answer. Otherwise I can be contacted on my work email. Happy to help. I am lucky that the facility I work with happened to have an ISO accreditation 3 weeks ago. My role have given me the option to comply with some of the requirements of the AS 4187:2014.

– have organisations been able to access/obtain all the standards that you are required to meet in AS:4187:2014 (i.e. AS and ISO standards)? – Answer: Yes at the facility I am currently employed and at a previous facility I worked with. Please be aware that you are only required to access parts of the relevant standards specifically referred to as a normative component of the compliance. I have known managers in areas where they have purchased what is required.

– what was the cost associated with obtaining these standards (i.e. ISO standards)?
Answer: I wouldnt worry much about the cost of the ISO standards. It would be more on the equipment compliance, monitoring and contingencies attached to gaps if the required monitoring suggests resolution of issues ( how do you manage them?). An example is specific to Table 7.2 where are the requirements of water quality, endotoxin, among others are specified. Also too the AS 4187:2003 is referring to “older” AS standards compliance whereas the AS 4187:2014 refers to a more current and ISO (at that level) which is more stringent and technically demanding, so there are, unfortunately dollar values involved as with other compliance.

– have organisations been able to develop an audit tool that include standards (i.e. ISO standards) that are referred to in AS4187:2014?
Answer: There are independent organisation/s (comes with a price) that have prepared but I am not aware of the sufficiency of the audit. It would be interesting if the college would fund such an audit tool which I think many of us will be happy to be part of.

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
https://apac01.safelinks.protection.outlook.com/?url=www.muh.org.au&data=01%7c01%7cRoel.Castillo%40MUH.ORG.AU%7c950f16f211174ef6bc7b08d38dc3afad%7cde154fbf3b664e1a9f9f3f164fdc85e1%7c1&sdata=HReRUP4vzFBrtvq04KFCtBTGHlokfpIgvbVVdkqVohw%3d

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.

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Glenys Harrington
Sent: Monday, 6 June 2016 12:14 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

Dear All,

In relation to the ACSQHS advisory posted below Im interested to know the following:

– have organisations been able to access/obtain all the standards that you are required to meet in AS:4187:2014 (i.e. AS and ISO standards)?

– what was the cost associated with obtaining these standards (i.e. ISO standards)?

– have organisations been able to develop an audit tool that include standards (i.e. ISO standards) that are referred to in AS4187:2014?

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: 6 June, 2016 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

[Posted on behalf of Roel Castillo – Moderator]

Hi all

Please refer to link below. ACSQHS advisory in regards to compliance to the new AS:4187:2014:

https://apac01.safelinks.protection.outlook.com/?url=http%3a%2f%2fwww.safetyandquality.gov.au%2fpublications%2fadvisory-a1603-reprocessing-of-reusable-medical-devices-in-health-service-organisations%2f&data=01%7c01%7cRoel.Castillo%40MUH.ORG.AU%7c6923ac5e4084400687e008d38db7d5be%7cde154fbf3b664e1a9f9f3f164fdc85e1%7c1&sdata=vnzV3DmdelaFfK88P6Gy%2bJAvJKk4bmwFSDILFhyQJw8%3d

Regards

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
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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.
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[Roel Castillo]

Hi All

In relation to questions posted below. I will try my best to answer. Otherwise I can be contacted on my work email. Happy to help. I am lucky that the facility I work with happened to have an ISO accreditation 3 weeks ago. My role have given me the option to comply with some of the requirements of the AS 4187:2014.

– have organisations been able to access/obtain all the standards that you are required to meet in AS:4187:2014 (i.e. AS and ISO standards)? – Answer: Yes at the facility I am currently employed and at a previous facility I worked with. Please be aware that you are only required to access parts of the relevant standards specifically referred to as a normative component of the compliance. I have known managers in areas where they have purchased what is required.

– what was the cost associated with obtaining these standards (i.e. ISO standards)?
Answer: I wouldnt worry much about the cost of the ISO standards. It would be more on the equipment compliance, monitoring and contingencies attached to gaps if the required monitoring suggests resolution of issues ( how do you manage them?). An example is specific to Table 7.2 where are the requirements of water quality, endotoxin, among others are specified. Also too the AS 4187:2003 is referring to “older” AS standards compliance whereas the AS 4187:2014 refers to a more current and ISO (at that level) which is more stringent and technically demanding, so there are, unfortunately dollar values involved as with other compliance.

– have organisations been able to develop an audit tool that include standards (i.e. ISO standards) that are referred to in AS4187:2014?
Answer: There are independent organisation/s (comes with a price) that have prepared but I am not aware of the sufficiency of the audit. It would be interesting if the college would fund such an audit tool which I think many of us will be happy to be part of.

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

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.

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Glenys Harrington
Sent: Monday, 6 June 2016 12:14 PM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

Dear All,

In relation to the ACSQHS advisory posted below Im interested to know the following:

– have organisations been able to access/obtain all the standards that you are required to meet in AS:4187:2014 (i.e. AS and ISO standards)?

– what was the cost associated with obtaining these standards (i.e. ISO standards)?

– have organisations been able to develop an audit tool that include standards (i.e. ISO standards) that are referred to in AS4187:2014?

Regards

Glenys

Glenys Harrington
Consultant
Infection Control Consultancy (ICC)
PO Box 5202
Middle Park
Victoria, 3206
Australia
M: +61 404 816 434
infexion@ozemail.com.au
ABN 47533508426

—–Original Message—–
From: ACIPC Infexion Connexion [mailto:AICALIST@AICALIST.ORG.AU] On Behalf Of Michael Wishart
Sent: 6 June, 2016 9:48 AM
To: AICALIST@AICALIST.ORG.AU
Subject: Re: [ACIPC_Infexion_Connexion] Advisory No. A16/03AS: Reprocessing of reusable medical devices in health service organisations

[Posted on behalf of Roel Castillo – Moderator]

Hi all

Please refer to link below. ACSQHS advisory in regards to compliance to the new AS:4187:2014:

https://apac01.safelinks.protection.outlook.com/?url=http%3a%2f%2fwww.safetyandquality.gov.au%2fpublications%2fadvisory-a1603-reprocessing-of-reusable-medical-devices-in-health-service-organisations%2f&data=01%7c01%7cRoel.Castillo%40MUH.ORG.AU%7c6923ac5e4084400687e008d38db7d5be%7cde154fbf3b664e1a9f9f3f164fdc85e1%7c1&sdata=vnzV3DmdelaFfK88P6Gy%2bJAvJKk4bmwFSDILFhyQJw8%3d

Regards

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
https://apac01.safelinks.protection.outlook.com/?url=www.muh.org.au&data=01%7c01%7cRoel.Castillo%40MUH.ORG.AU%7c6923ac5e4084400687e008d38db7d5be%7cde154fbf3b664e1a9f9f3f164fdc85e1%7c1&sdata=esr%2fIJ9bpB384J6hVbIxAhqpFx5FW8JB7jXGieP9US4%3d

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.

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