1. 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

2. 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

3. 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 :
Amend this slide to reflect your State or Territory’s safety legislation

4. 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

5. 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

6. 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

7. 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

8. 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?

9. 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

10. 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.

11. 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

12. 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

13. 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

14. 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

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

16. 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.

17. Where to get information - State bodies and Regulators
“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

18. Any questions? Thank you!