1. 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

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

3. 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

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

5. Infection Control Kit Characteristics: Environment:
Polyester
Irregular Surface
Soft
Not waterproof
Environment:
Place of Work:
Public Mortuary %
Hospital Mortuary %
Hospital Ward %
Hospital Operation Room %
Object of Work:
Dead bodies

6. 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

7. 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!

8. 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)

9. Maximum Load (1)
Manual Handling Operations Regulations. Health & Safety Executive. UK 1992

10. 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

11. 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

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

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

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

15. Content Material ↓
Procurement kit?

16. Content Material
29 Items
Over 100 pcs

17. Content Material ↓
Procurement kit?

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

19. 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

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

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

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

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

24. 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

25. 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

26. 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

27. Thanks