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- 1. Safe Handling and Management of Surgical Loan Kits Training Program for CSSD
- 2. The Training Program • Developed by the CSSD Education Group of the National Working Party • Based on the National Guide – Design and Handling of Surgical Instrument Transport Cases – May 2011 • Generic package – able to be adapted for each individual Health Service Organisation (HSO) • Individual needs should be taken into account 2
- 3. The Training Program Session Title: Safe Handling and Management of Surgical Loan Kits Learning Outcomes: At completion of this training program the participants should be able to: • Identify and control hazards in the loan set area • Follow the safe operating procedures for receipt and dispatch of surgical instrument transport cases • Use the equipment safely – transport case, lifters, trolleys 3
- 4. Definition: Surgical Loan Kit is a combination of fully laden surgical instrument transport cases and prostheses tubs on loan to Health Service Organisation for a surgical operation. • The National Guide provides practical guidance • Appropriate lifting equipment must be used when handling transport cases and surgical instrument trays • Trays 5kg - 7kg – use appropriate controls, including decanting 4
- 5. Pre-start checklist according to your (HSO)– Loan Set Area • Check for hazards – access and egress, how/where it arrives and leaves, prepare workstation and surrounds. • Report hazards and equipment issues, use of repair tags, maintenance issues • Equipment checks – mobile and/or fixed lifters are in good working order and are charged for the day. • Ensure wheeled platforms are in situ with transport cases – bottom of stack 5
- 6. Safe Operating Procedures Based on Processes for HSO – National Guide • RECEIPT – ‘Unpacking Surgical Loan Set Transport Cases’ • DESPATCH – ‘Packing Surgical Loan Set Transport Cases’ 6
- 7. Model transport case • Generic size • End opening • Slip sheets • Wheeled platform (dolly) • Stackable feature aimed at maximum height of two cases; able to place 1 x tub on top (locked into place) • Height to maximum of 1350 mm and weight of 80 kg 7
- 8. Demonstration Video The Video you are about to see will demonstrate the safe operating procedure for ; • The unpacking of surgical instrument sets from the transport cases. • Packing surgical loan instrument sets into transport cases.
- 9. Featured Health Service Organisation • This HSO is able to demonstrate minimal handling of the trays of the instrument sets • Specific area designed to load directly onto the washer disinfector trolleys. • All checking and handling of each tray is completed as it is unloaded onto the workstation. • The safe operating procedure supplied with this training package should be adjusted to individual HSO.
- 10. 10 QuickTime™ and a AVC Coding decompressor are needed to see this picture.
- 11. Practical Demonstration • Using the Safe Operating Procedures – Unpacking of Surgical Loan Set Transport Cases – Packing of Surgical Loan Set Transport Cases • Using appropriate equipment – lifters and trolleys • Supervision – buddy system 11
- 12. Assessment • Completion of Tasks as per the Safe Operating Procedures - Practical • Completion of Competency-based assessment form/checklist • Quiz, questionnaire or other assessment methods • Consideration of individual needs 12
- 13. Evaluation • Use of discomfort surveys as part of evaluation • Pre & Post Evaluation forms to identify areas of improvement for training, processes • Feedback • Supervision - buddy system - ongoing supervision by Manager and/or Manual Handling Coordinator 13
- 14. Resources • National Guide – Design and Handling of Surgical Instrument Transport Cases – May 2011 • Safe Work Australia – www.safeworkaustralia.gov.au • State and Territory Regulators • State and Territory Departments of Health • www.sraca.org.au • www.hwsa.org.au • www.workcover.nsw.gov.au 14
- 15. Resources • Australian Capital Territory- Worksafe ACT • Commonwealth – Comcare • New South Wales – Work Cover Authority of NSW • New Zealand – Ministry of Business, innovation and employment- health and safety • Northern Territory- NT Worksafe
- 16. Resources • Queensland – Workplace Health and safety Queensland, Department of Justice and Attorney – General (WHSQ) • South Australia – Safe Work SA • Tasmania- Workplace Standards Tasmania • Victoria- WorkSafe Victoria • Western Australia – WorkSafe WA
Notas do Editor
- Based on The National Guide – Design and Handling of Surgical Instrument Transport Cases – May 2011 Specific for CSSD facilities http://www.safeworkaustralia.gov.au/AboutSafeWorkAustralia/WhatWeDo/Publications/Documents/226/GuidelinesIntegratingOHS_NationalIndustryTrainingPackages_2008_PDF.pdf “ Guidelines for Integrating OHS into Industry Training Packages” – Safe Work Australia website – Note the above the link to this document Consideration for FSRACA / SRACA to develop and register the training package as per AQTF (Australian Quality Training Framework) standards for vocational education and training. The National Training Information Service records all training package qualifications and units of competency, and accredited courses. This training package can be considered for inclusion in the TAFE course for Sterilisation Technicians
- Each (HSO) shall have a policy and process for the complete management of surgical loan kits Each (HSO) should also have a process for managing staff who do not follow the procedures Trainers: Use the Session Plan which forms part of this program – include how training is provided, resources required, special needs This training program is to be delivered by your facilities’ manual handling coordinators, in conjunction with CSSD managers This training program will form part of CSSD induction process and on-going manual handling training for CSSD Provide participants with a copy of The National Guide Individual needs include language, literacy and numeracy levels; those who have had a history of injury and discomfort Some progression and improvements have been made in the introduction of manual handling aids and changes to manual handling practice in the Sterilising industry by other states over the last 8 years. However, there were challenges in implementing changes nationally.
- Trainers: Training can be conducted on-site SOPs are based on the National Guide – Processes for Hospitals The outcomes will minimise manual handling risks and reduce discomfort and injuries The outcomes will also lead to more streamlined processes that: Reduces the number of loan sets delivered Increased consignment sets Initiation of temporary consignments as required
- Definition as per Page 3 of the National Guide
- Trainers: Provide template of Checklist – Loan Set Area Show participants how to complete this checklist when checking environment and equipment Checklists should reflect these points and participants are trained in the completion of checklists at beginning of shifts Ensure the lifting equipment is stable and operates smoothly and is fully charged. Ensure equipment is fit for purpose
- These two SOPs are based on the Processes for Hospitals in the National Guide Trainers: Provide SOP template to participants SOP templates can be laminated and displayed at prominent areas of the Loan Set Area The SOPs template can be incorporated into a competency-based assessment tool to train CSSD staff – each facility can adapt when developing their assessment tool
- Employers should be mindful of those SLS trays that are outside design specifications within this Guide In this instance, carry out manual handling risk assessment Use safe/correct manual handling processes
- Trainer. HSO to adjust SOP to reflect your HSO environment and processes.
- Click onto the link to view the demonstration video.
- Trainers: Practical Demonstration should take place on-site Ensure all participants are provided with SOPs Allow ample time for participants to read and understand SOPs and complete practical demonstration
- Trainers: Determine the length of time required to conduct assessments; how often the assessments are conducted Consider individual needs – Culturally and Linguistically Diverse workforce; those with differing literacy levels; disabilities; prior injuries Assessments can include: quiz questionnaire – problem-solving Tool box talk – open questions Consideration for individual learning plans for participants that need additional support if they are not yet deemed competent; buddy system
- Trainers: Discomfort Survey can be used as part of evaluating effectiveness of new system using the new transport case – See Appendix C of Code of Practice – Hazardous Manual Tasks (Safe Work Australia) Design Evaluation Form to suit needs of each health care facility Distribute Evaluation Forms at end of session Evaluation Forms are used as a tool for continuous improvement Managers: Supervision of staff may include the buddy system for new staff and if any ongoing supervision required for those who do not follow procedures
- Adapt for each State and Territory