Mr Daniel ToHA Lions Eye Bank, HKEH

AcknowledgementsDr. Victoria Wong Ms Janice WongMr Galen CHOWEye Bank Staff

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

Previous PracticeProcurement Kit

Infection ControlInfection Control

Occupational Safety & HealthOccupational Safety & Health

Risk?Risk?

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

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

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

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)

Maximum Load (1)

Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

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

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

Risks of Lifting & Carrying Tired Strain Injury

Manual Handling Operations Regulations. Health & Safety Executive. UK 1992Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

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

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

Content Material ↓Content Material ↓

Procurement kit?Procurement kit?

Content Material

29 Items

Over 100 pcs

29 Items

Over 100 pcs

Content Material ↓Content Material ↓

Procurement kit?Procurement kit?

Easy to clean and disinfectEasy to carry Tissue ProtectionReducing the LoadWaterproof

What we need?

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

Handling MethodPull by one hand

Load Reduced 9 Kg ÷ 4 = 2.25 Kg

New Surgical Suitcase

New Surgical SuitcaseLeather:

Smooth surface– Easy to clean and disinfect

1:49 Hypo-6 solution (bottom of Suitcase)

– Waterproof– Hard cover protecting tissue

New Surgical Suitcase Contents

- Perfect order– Surgical instrument and

materials – Documents– PPE – ……

Easy to check!

Additional Benefit

Checking List - Standardized

preparation- Efficient - LogQuality AssuranceQuality Assurance

BenefitsSafety enhanced:

(a) Tissue, Staff : Infection Control

(b) Staff: OSHComplying international & HA standards EfficientEconomic: HK$890Standardize the procedureAudit Quality AssuranceQuality Assurance

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

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

Thanks