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
Safe HandlingandManagement of Surgical Loan KitsTraining Program forCSSD
The Training Program• Developed by the CSSD Education Group of theNational Working Party• Based on the National Guide – Design and Handling ofSurgical Instrument Transport Cases – May 2011• Generic package – able to be adapted for each individualHealth Service Organisation (HSO)• Individual needs should be taken into account2
The Training ProgramSession Title:Safe Handling and Management of Surgical Loan KitsLearning Outcomes:At completion of this training program the participantsshould be able to:• Identify and control hazards in the loan set area• Follow the safe operating procedures for receipt anddispatch of surgical instrument transport cases• Use the equipment safely – transport case, lifters,trolleys3
Definition:Surgical Loan Kit is a combination of fully ladensurgical instrument transport cases and prostheses tubson loan to Health Service Organisation for a surgicaloperation.• The National Guide provides practical guidance• Appropriate lifting equipment must be used whenhandling transport cases and surgical instrument trays• Trays 5kg - 7kg – use appropriate controls, includingdecanting4
Pre-start checklist according to your (HSO)–Loan Set Area• Check for hazards – access and egress, how/where itarrives and leaves, prepare workstation and surrounds.• Report hazards and equipment issues, use of repairtags, maintenance issues• Equipment checks – mobile and/or fixed lifters are ingood working order and are charged for the day.• Ensure wheeled platforms are in situ with transportcases – bottom of stack5
Safe Operating ProceduresBased on Processes for HSO – National Guide• RECEIPT– ‘Unpacking Surgical Loan Set Transport Cases’• DESPATCH– ‘Packing Surgical Loan Set Transport Cases’6
Model transport case• Generic size• End opening• Slip sheets• Wheeled platform (dolly)• Stackable feature aimed atmaximum height of twocases; able to place 1 x tubon top (locked into place)• Height to maximum of 1350mm and weight of 80 kg7
Demonstration VideoThe Video you are about to see will demonstrate the safeoperating procedure for ;• The unpacking of surgical instrument sets from thetransport cases.• Packing surgical loan instrument sets into transportcases.
Featured Health Service Organisation• This HSO is able to demonstrate minimal handling of thetrays of the instrument sets• Specific area designed to load directly onto the washerdisinfector trolleys.• All checking and handling of each tray is completed as it isunloaded onto the workstation.• The safe operating procedure supplied with this trainingpackage should be adjusted to individual HSO.
10QuickTime™ and aAVC Coding decompressorare needed to see this picture.
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 andtrolleys• Supervision – buddy system11
Assessment• Completion of Tasks as per the Safe OperatingProcedures - Practical• Completion of Competency-based assessmentform/checklist• Quiz, questionnaire or other assessmentmethods• Consideration of individual needs12
Evaluation• Use of discomfort surveys as part of evaluation• Pre & Post Evaluation forms to identify areas ofimprovement for training, processes• Feedback• Supervision- buddy system- ongoing supervision by Manager and/or ManualHandling Coordinator13
Resources• National Guide – Design and Handling of SurgicalInstrument 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.au14
Resources• Australian Capital Territory- Worksafe ACT• Commonwealth – Comcare• New South Wales – Work Cover Authority of NSW• New Zealand – Ministry of Business, innovation andemployment- health and safety• Northern Territory- NT Worksafe
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