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Re: FW: Discussion request

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Fiona de Sousa
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Fiona de Sousa

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Hi Lyndall,

Our facility does not routinely allow for the return of these items to patients. However there is provision for their return in specific circumstances (e.g. cultural, religious, legal reasons) this request needs to be made in advance so that it can be fully considered and appropriately prepared for.

I am only aware of this happening on a couple of occasions in 5 years and the request has never been from a surgeon.

Kind Regards,

Fiona De Sousa

Infection Prevention & Control Coordinator

Sydney Adventist Hospital

Fiona.Desousa@sah.org.au

185 Fox Valley Road, Wahroonga, NSW, 2076

________________________________

Hi Lyndall

I have been invovlved in a group developing a WA Health state policy in relation to this issue. Currently it is still draft and out for consultation.

Hopefully it should be available on website by end of month. It states:

While the Department of Health does not support the release of human tissue or explanted medical devices, because of the potential public health risks associated with the uncontrolled storage and disposal, consideration will be given to requests for the return of human tissue or explanted medical devices for reasons of cultural, religious, or personal conviction.

There is a section specifically on explanted devices.

If you would like further information you can email me directly

Kind Regards

Rebecca

Rebecca McCann Program Manager

Healthcare Associated Infection Unit (HAIU)
Communicable Disease Control Directorate Department of Health
Grace Vaughan House
227 Stubbs Terrace
SHENTON PARK WA 6008
T:08 9388 4859 M:0439 920 819 F:08 9388 4888
E:rebecca.mccann@health.wa.gov.au

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Hello all

Despite a clear hospital policy in regard to the Handling and Disposal of Explanted Items and Human Tissue some of the orthopaedic surgeons continue to request that metal plates, screws and prosthesis be reprocessed in CSSD.

One of the surgeons has recently written to the hospital stating that the reason for these ongoing reprocessing requests is that:

It is relevant to examine explanted prostheses to gain further understanding of wear patterns, bone ingrowth or the lack of ingrowth, and metal or polyethylene failure. These items do not pose a threat. They are routinely examined in similar manner in Public Institutions, after sterilization.

I strongly support the hospitals policy that the explanted items should not be reprocessed but the surgeon is adamant that this practice routinely occurs in many public hospitals.

I would really appreciate feedback from other hospitals in regard to this issue.

Lyndall Finn RN/RM Grad Dip Infectious Disease / Population Health
Infection Control Consultant
The Burnside War Memorial Hospital Inc.
120 Kensington Road

Toorak Gardens

South Australia 5065

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