Mr Daniel To HA Lions Eye Bank, HKEH From Eye Procurement Kit to Suitcase - Enhanced Occupational Safety & Infection Control Mr Daniel To HA Lions Eye Bank, HKEH

Acknowledgements Dr. Victoria Wong Ms Janice Wong Mr Galen CHOW Eye Bank Staff

Occupational Safety & Health HA Lions Eye Bank Packaging, Transportation.. Solicit Recovery Preservation Evaluation Consent Processing Labeling Distribution Occupational Safety & Health Infection Control Procurement Kit Eye Donation Service

Previous Practice Risk? Infection Control Occupational Safety & Health Procurement Kit Risk? Infection Control Occupational Safety & Health

Infection Control Kit Characteristics: Environment: 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

Potential Risk of Infection All dead bodies are potentially infectious and STANDARD PRECAUTIONS should be implemented for every case. Precautions for Handling and Disposal of Dead Bodies Department of Health Hospital Authority Food and Environmental Hygiene Department May 2010

Risk of Infection Pathogen Direct Indirect Reservoir Host Danger! Bacteria, Mycoplasma, Virus, Fungus,etc Pathogen Direct Indirect Reservoir Host Staff: - PPE Patient: - be Infected Potentially Previous Kit: Difficult to Disinfect Danger!

Occupational Health Procurement kit Lifting & Carrying 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 1992

One hand, Twist, Distance > 10 m 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 One hand, Twist, Distance > 10 m = ↓ bearable load ~65% Manual 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 13Kg 13 / 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. Overloaded

Risks of Lifting & Carrying Tired Strain Injury Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

Injuries - Kinds of accident Total case no. = 1,100,000 Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

Sites of Handling Injuries Total case no. = 1,100,000 Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

Content Material ↓ Procurement kit?

Content Material 29 Items Over 100 pcs

Content Material ↓ Procurement kit?

What we need? Easy to clean and disinfect Easy to carry Tissue Protection Reducing the Load Waterproof

New Surgical Suitcase Procurement Suitcase Materials: Size: 50 x 22 x 38 cm Weight: 9 Kg (with Material) Materials: Leather Hard Surface Waterproof Wheels Pull rod

New Surgical Suitcase Handling Method Load Reduced Pull by one hand 9 Kg ÷ 4 = 2.25 Kg

New Surgical Suitcase Leather: Smooth surface Easy to clean and disinfect 1:49 Hypo-6 solution (bottom of Suitcase) Waterproof Hard cover protecting tissue

New Surgical Suitcase Easy to check! Contents - Perfect order Surgical instrument and materials Documents PPE …… Easy to check!

Additional Benefit Quality Assurance Checking List - Standardized preparation - Efficient - Log Quality Assurance

Benefits Safety enhanced: (a) Tissue, Staff : Infection Control (b) Staff: OSH Complying international & HA standards Efficient Economic: HK$890 Standardize the procedure Audit Quality Assurance

Standards OSH of HK HA & DH of HK EBAA FDA HA Guidance Notes for Preliminary Risk Assessment on Manual Handling Operations (MHO). April 2011 HA & DH of HK Precautions for Handling and Disposal of Dead Bodies. May 2010 EBAA Medical Standard. June 2011 FDA Guidelines for Environmental Infection Control in Health-Care Facilities Recommendations 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