Promotional Presentation for Executives and Managers The National Guide – Design and Handling of Surgical Instrument Transport Cases Promotional Presentation for Executives and Managers This Promotional Presentation was developed by the CSSD Education Group of the National Working Party 2 part package – this presentation and the training package of CSSD which includes the PPT presentation for “Safe Handling and Management of Surgical Loan Kits” To be disseminated to Public & Private Hospitals by State Departments of Health To be presented to Hospital Executives and General Managers

Purpose – Prevent or minimise Musculoskeletal Disorders (MSD) associated with Hazardous Manual Tasks The issue was highlighted more than 20 years ago HWSA “Safe Steps – Manual Handling Slips and Trips in Hospitals” Campaign 2008 identified manual handling issues in the handling of surgical loan sets across three industry sectors National Working Party formed in 2009 with WorkCover NSW as convenor – agreed design of transport case and developed the National Guide This project has highlighted the issues that have been ongoing for over 20 years nationally HWSA identified Hospitals with this issue but project identified issue across three industry sectors – hospitals, suppliers, couriers The design of tubs were not included in the Guide as some SLS are outside dimensions Some States have done work over the past 8 years

Legislation Work Health and Safety legislation – now in force in NSW from 1 January 2012 Work Health and Safety Act 2011 Work Health and Safety Regulation 2011 Safe Work Australia Code of Practice – Hazardous Manual Tasks Note not all States have enacted the WHS legislation in 2012 Other States will enact the WHS legislation in 2013 Safe Work Australia website : www.safeworkaustralia.gov.au Amend this slide to reflect your State or Territory’s safety legislation

Duties under Work Health and Safety legislation Work Health and Safety Act 2011 Section 19 – Primary duty of care of person conducting a business or undertaking (PCBU) Section 27 – Duties of officers Section 28 – Duties of workers Section 46 – Duty to consult with other duty holders Sections 47 to 49 – Duty to consult workers Work Health and Regulation 2011 Clauses 34 – 38 – General risk and workplace management Clause 60 – Person conducting a business or undertaking must manage risks associated with a hazardous manual task Amend this slide to reflect your State or Territory’s current safety legislation Section 19 (1), (2), (3)(a) to (g): so far as is reasonably practicable, provide and maintain safe work environment, plant, systems of work, information, training, instruction and supervision Section 27 – An officer of the PCBU must exercise due diligence to ensure that the PCBU complies with their duties under WHS legislation Section 46 – Primary PCBU must consult with other duty holders for the same matter (if more than one PCBU) e.g. Hospital and Supplier must consult with others, such as couriers Section 47 – PCBU must consult with workers who carry out work and are directly affected by the health and safety matter Sections 48, 49 – Nature of consultation and when consultation is required Clauses 34 to 38 – Risk management principles – identify, eliminate or control hazards Clause 60 – PCBU must manage risks relating to Musculoskeletal Disorder associated with a hazardous manual task

The National Guide Approved by HWSA Endorsed by the Surgical Loan Sets National Working Party membership Use this practical Guide as minimum standard or Other alternative course of action that achieves a better standard of health and safety HWSA – Heads of Workplace Safety Authorities

SLS Working Party National membership Evidence gathering Analysis of Results: Pre & Post Survey Results Engagement of Industrial Design Expert New transport case and system developed Tested and evaluated Transport case and system approved and endorsed The SLS Working Party was involved in gathering and analysing results from field visits; agreed on design concep for new transport case; agreed on new system Participants included (Suppliers, Hospitals and Couriers, Manufacturer) as detailed in The Guide: WorkCover NSW Dr Lance Green – industrial design expert from University of NSW ACORN Endeavour Couriers P/L Federation of Sterilising Research and Advisory Council of Australia (FSRACA) Golden Messenger Transport Johnson and Johnson Medical P/L Knox Private Hospital Medtronic Australasia P/L Messenger Post Couriers Northern Sydney Central Coast Area Health Service NSW Operating Theatre Association Queensland Health Smartline Machinery P/L Smartways Logistics Smith & Nephew Surgical P/L NSW & Victoria SRACA Sydney South West Area Health Service Synthes Australia P/L TNT Express TOLL Priority Zimmer P/L

SLS Working Party - ACHIEVEMENTS New transport case and system The National Guide CSSD Education Group of Working Party Generic footprint of CSSD requirements for space and equipment Promotional package Training package based on new processes in the Guide Includes competency-based assessments, checklists, E-learning, CD/DVD The CSSD Education Group of Working Party met over two days to develop the: Promotional PPT on the training package for CSSD on the new processes to come Competency-based assessments, checklists

Video & photos “Before” – using old road case “After” – using new transport case “Before” system highlighted fact that not one current lifter observed to lift/fit current road cases; fixed lifters used as storage or not used at all “After” system highlighted fact that new system designed using appropriate mechanical lifter – either mobile or fixed; no actual manual lifting required QUESTIONS TO ASK: Do you know the current process in your facility? What are the hazards & how are they controlled? How do you control the hazards in your facility?

Research Research included Inspections, taking Photographs, Risk Assessments and Discomfort Surveys Analysis of results led to hazards involved when using old road cases poor postures, awkward movements, repetitions, twisting and turning required when using old road cases discussion that identified need for new transport case WorkCover Team undertook field visits at Hospitals and Suppliers; met with Couriers as part of the research activity

Environment Space considerations for: Loan kit area Ramps Delivery & despatch Packing & unpacking Holding areas Loan kit area Ramps The loan kit area should be configured to eliminate or minimise the risks associated with manual tasks, including: • a designated area with adequate floor space for the systematic packing and unpacking of kits, including the manoeuvring of lifters and associated mobile equipment • designated holding and storage areas with adequate floor space • adequate access and egress with level non-slip floor surfaces • a work area that optimises work flow and minimises lifting and double handling • mechanical lifters and height adjustable work benches with fitted rollers • mobile equipment to assist with equipment handling and movement Further information for hospitals on recommended floor areas can be found in the Australasian Health Facility Guidelines, Revision V 4.0 (16 December 2010). Part B of the Guideline covers Health facility briefing and planning. Visit healthfacilityguidelines.com.au to view the guidelines.

Equipment & purchasing considerations Does your Purchasing Policy take into account preventing or minimising risk of MSD associated with hazardous manual tasks? Lifter (mobile or fixed) is fit for purpose Height adjustable workbench Rollers Mobile shelving MSD – Musculoskeletal Disorder Lifters should have good turning circle; smooth operation – no jerkiness

Transport case Design features Ergonomic professional design expert, Dr Lance Green Designed in consultation with the Working Party Replaced the old road cases Dr Lance Green, University of NSW, was engaged to design a new transport case that reduced manual handling

Transport case Generic 2 sizes End opening Slip sheets Wheeled platform (dolly) Stackable feature aimed at maximum height of two cases; able to place 1 x tub on top Height to maximum of 1350 mm and weight of 80 kg 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

Training package Funding provided by Federal Sterilising Research Advisory Council of Australia Training developed by National CSSD Sub Group To be customised for each State and Territory The training program for CSSD – “Safe Handling and Management of Surgical Loan Kits” is a generic training program that can be customised for each State and Territory

Benefits Cost reductions in overall workers compensation and lost time Decrease in injuries to workers and general discomfort Improved staff morale

Benefits Increased productivity – streamlined process – to manage risks associated with hazardous manual tasks; no double handling Flexibility can be tailored to each individual facility Up skilling opportunities for CSSD staff Staff’s personal development in areas of the CSSD can be assessed.

Where to get information - State bodies and Regulators www.workcover.nsw.gov.au www.hwsa.org.au www.health.nsw.gov.au www.sraca.org.au www.wfhss.com/html/members/au_fsraca_en.htm www.training.com.au http://www.safeworkaustralia.gov.au/AboutSafeWorkAustralia/WhatWeDo/Publications/Documents/226/GuidelinesIntegratingOHS_NationalIndustryTrainingPackages_2008_PDF.pdf 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 – the above is 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

Any questions? Thank you!