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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
Michael
Michael Wishart | Infection Control Coordinator, CICP-E
St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
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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]
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Kelly Barton
Infection Prevention & Control Officer
RN BHSc (Nursing). Grad Cert (Infection Control)(Advanced Acute Care). Nurse Immuniser. Cert IV T&A
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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
Jenny
Jenny McCarthy
Infection Prevention and Control Coordinator
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e | jenny@maryvaleph.com.au
a | 286 Maryvale Road, Morwell, VIC 3840
http://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 Service
Ph: (08) 7979 9619
e … brigid.robertson@nt.gov.au
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