mr daniel to ha lions eye bank, hkeh. acknowledgements dr. victoria wong ms janice wong mr galen...
TRANSCRIPT
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Mr Daniel ToHA Lions Eye Bank, HKEH
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AcknowledgementsDr. Victoria Wong Ms Janice WongMr Galen CHOWEye Bank Staff
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Eye Donation Service
Solicit Recovery
Processing
Preservation EvaluationPackaging, Transportation..
DistributionConsent
Labeling
Occupational Safety & Health
Infection Control
HA Lions Eye BankHA Lions Eye Bank
Procurement Kit
Procurement Kit
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Previous PracticeProcurement Kit
Infection ControlInfection Control
Occupational Safety & HealthOccupational Safety & Health
Risk?Risk?
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Infection ControlKit
Characteristics:- Polyester
- Irregular Surface
- Soft
- Not waterproof
Environment:
-Place of Work:
Public Mortuary 23.3%
Hospital Mortuary 56.4%
Hospital Ward 18.0%
Hospital Operation Room 2.3%
-Object of Work:
Dead bodies
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All dead bodies are potentially infectious and STANDARD PRECAUTIONS should be implemented for every case.
Potential Risk of Infection
Precautions for Handling and Disposal of Dead Bodies
Department of HealthHospital AuthorityFood and Environmental Hygiene DepartmentMay 2010
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Risk of Infection
Pathogen Pathogen
Bacteria,
Mycoplasma,
Virus,
Fungus,etc
Bacteria,
Mycoplasma,
Virus,
Fungus,etc
Direct
Indirect
Direct
IndirectHostHost ReservoirReservoir
Patient:
- be Infected Potentially
Patient:
- be Infected Potentially Previous Kit:
Difficult to Disinfect
Previous Kit:
Difficult to DisinfectDanger!Danger!
Staff: - PPEStaff: - PPE
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Occupational HealthProcurement kit
- Size: 50 x 22 x 27 cm
- Weight: 8 Kg (with Material)
Lifting & Carrying - by one hand
- holding loads away form trunk- twisting- repetitive action
Carrying distance (50–200m)
Procurement kit- Size: 50 x 22 x 27 cm
- Weight: 8 Kg (with Material)
Lifting & Carrying - by one hand
- holding loads away form trunk- twisting- repetitive action
Carrying distance (50–200m)
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Maximum Load (1)
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992
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Maximum Load (2) Stand Straight w/o Twist
Held Against Body, Both Hands
Just Lift and lower
Carrying Distance < 10 m
Frequency: 1 lift / 2 min
Stand Straight w/o Twist
Held Against Body, Both Hands
Just Lift and lower
Carrying Distance < 10 m
Frequency: 1 lift / 2 min
One hand, Twist, Distance > 10 m = ↓ bearable load ~65%
One hand, Twist, Distance > 10 m = ↓ bearable load ~65%
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992
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Estimated Maximum Bearable Load
Standard One Hand Twist Distance
45° => 10%↓Over 10 m => ~20%↓
Man 20Kg 20 / 2 =10 Kg
10 x 0.9 = 9 Kg
9 x 0.8 = 7.2 Kg
Woman 13Kg13 / 2 =6.5 Kg
6.5 x 0.9 =5.8 Kg
5.8 x 0.8 = 4.6 Kg
The Weight of Previous Kit is 8 Kg.The Weight of Previous Kit is 8 Kg.Overloaded
Overloaded
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Risks of Lifting & Carrying Tired Strain Injury
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992
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Injuries - Kinds of accident
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992
Total case no. = 1,100,000Total case no. = 1,100,000
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Sites of Handling Injuries
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992
Total case no. = 1,100,000Total case no. = 1,100,000
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Content Material ↓Content Material ↓
Procurement kit?Procurement kit?
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Content Material
29 Items
Over 100 pcs
29 Items
Over 100 pcs
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Content Material ↓Content Material ↓
Procurement kit?Procurement kit?
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Easy to clean and disinfectEasy to carry Tissue ProtectionReducing the LoadWaterproof
What we need?
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Procurement Suitcase- Size: 50 x 22 x 38 cm
- Weight: 9 Kg (with Material)
Materials:- Leather
- Hard Surface
- Waterproof
- Wheels
- Pull rod
New Surgical Suitcase
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Handling MethodPull by one hand
Load Reduced 9 Kg ÷ 4 = 2.25 Kg
New Surgical Suitcase
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New Surgical SuitcaseLeather:
Smooth surface– Easy to clean and disinfect
1:49 Hypo-6 solution (bottom of Suitcase)
– Waterproof– Hard cover protecting tissue
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New Surgical Suitcase Contents
- Perfect order– Surgical instrument and
materials – Documents– PPE – ……
Easy to check!
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Additional Benefit
Checking List - Standardized
preparation- Efficient - LogQuality AssuranceQuality Assurance
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BenefitsSafety enhanced:
(a) Tissue, Staff : Infection Control
(b) Staff: OSHComplying international & HA standards EfficientEconomic: HK$890Standardize the procedureAudit Quality AssuranceQuality Assurance
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StandardsOSH of HK
HA Guidance Notes for Preliminary Risk Assessment on Manual Handling Operations (MHO). April 2011
HA & DH of HKPrecautions for Handling and Disposal of Dead Bodies. May 2010
EBAA Medical Standard. June 2011
FDAGuidelines for Environmental Infection Control in Health-Care FacilitiesRecommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC)
2003
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References*1. Manual Handling Operations Regulations 1992,Guidance on Regulations. HSE.UK
*2. Precautions for Handling and Disposal of Dead Bodies, Department of Health & Hospital Authority & Food and Environmental Hygiene Department, The 8th edition
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Thanks