Supplyline Online Magazine June 2021 by Craigs Design & Print Ltd

JUNE 2021

SUPPLYLINE

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NZSSA New Zealand Sterile Sciences Association

www.nzssa.org Find out the latest on our own website!

Business Card Directory A QUICK AND HANDY DIRECTRY OF OUR STERILE SERVICES SUPPLIERS Richard Murray buscard.indd 2

5/11/18 3:07 pm

Neil Maclennan

Garry Gorham

Medical Products Manager

Business and Operations Manager

P: +64 9 276 3271 M: +64 21 499 101 E: nmaclennan @ crknz.co.nz

M: +64 21 554 789 P: +64 9 276 3271 E: ggorham@crknz.co.nz

3 Hotunui Drive Mount Wellington, Auckland P: +64 9 276 3271 F: +64 9 276 9645 www.crkennedy.co.nz

Lee Boucher

Dustin Habeck

Territory Manager– Infection Control New Zealand North and South Island Mobile Toll free

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NZ RegioNal MaNageR dustin.habeck@ecolab.com

+64 21 438 827 0800 1 438 4643

Getinge New Zealand Level 2, Building B 600 Great South Road Ellerslie Auckland 1051

T 0800 425 529 M +64 21 280 6869 W ecolab.com

lee.boucher@getinge.com

3 Hotunui Drive Mount Wellington, Auckland P: +64 9 276 3271 www.crkennedy.co.nz

Richard Steingold

DESIGN PROOF SIGN-OFF REQUIRED SIGN-OFF REQUIRED

BUSINESS DEVELOPMENT MANAGER richard.steingold@ecolab.com

7a Pacific Rise Mt WelliNgtoN aucklaNd 1060

Attention: Attention:

www.getinge.com/anz • Company Number: 2155217 • PO BOX 11177, Ellerslie, Auckland 1542

T 0800 425 529 M +64 21 0816 2290 ecolab.com Draper W/ Jason Hopper

Damian Damian Draper / Jason Hopper Surgical & Medical Systems Surgical & Medical Systems

7A PACIFIC RISE MT WELLINGTON AUCKLAND 1060

Date: 29 September 2015 Date: 29 September 2015 From: Andrea Rickerby From: Andrea Rickerby Proof:1 1 Proof: Page:1 of 1 of Page: 22

Tim Messenger

mitch varnam

Please: Please:

product specialist, infection prevention

Sale and Service Specialist – South Island

mvarnam@device.co.nz M +64 21 521 981 | P +64 9 215 0974 47 arrenway dr, albany, Auckland, New zealand

tmessenger@device.co.nz m +64 21 197 2472 | P +64 3 925 8567 47 ARRENWAY DR, ALBANY, AUCKLAND, NEW ZEALAND

TICK box below below TICK relevant relevant box Please supply third device SIGN happyto toproceed proceed SIGN ifif you are happy technology business JAMEScard. HENDERSON FAX aa signed signed copy FAX copy back backto tous us

Damian DamianDraper Draper Operations Manager

INTERMED MEDICAL LIMITED

Operations Manager

+64 274 972 445 +64 274 972 445 damian@surgicalsystems.co.nz

Leonie Jack NZSSA Member/Graduate Product Specialist - CSSD

damian@surgicalsystems.co.nz

021 246 4444

71 Apollo Drive, Albany 0632 , PO Box 33268 , Takapuna 0740 , Auckland New Zealand T 09 415 4800 F 09 415 9045 E leonie@intermed.co.nz FREE 0800 333 444 W www.intermed.co.nz

Annette Moffatt Account Manager 021 587 031 annette.moffatt@opritech.co.nz Customer Care 0800 32 40 32 Follow us:

opritech.co.nz

027 543 2266 | jhenderson@nzvalidation.co.nz 615 Peacockes Road, RD 2, Tamahere, Hamilton nzvalidation.co.nz

device.co.nz

0508 SURMED (0508 787 633)

+64 3 376 4046

F +64 AP PO 0508 (0508 787 8140, 633) New 3 376 4046 BoxSURMED 1336, Christchurch Zealand A PO Box 1336, Christchurch 8140, New Zealand www.surgicalsystems.co.nz www.surgicalsystems.co.nz

Maryanne Coyle

PLEASE FAX TO: 03 366 3017 DEADLINE: AS SOON AS PLEASE FAX TO: 03 366 3017 DEADLINE: AS SOON

CLINICAL ACCOUNT MANAGER

Mobile: 021 552 091 Telephone: (03) 385 0828 Fax: (03) 385 0829 Freephone: 0508 654 258 Email: mcoyle@remsystems.co.nz

please tick the box 3 please tick the box 3OK

Customer Services Direct Lines T: (09) 570 3288 F: (09) 570 3287 PO Box 90147, Victoria Street West, Auckland 1142, New Zealand

www.remsystems.co.nz

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Editor’s Note Tēnā koutou katoa Greetings

_ _ Tangata ako ana I te kaenga, te turanga ki te marae tau ana– A person nurtured in the community contributes strongly to society. Wow, where has this year gone! We have been super busy over here in the Wairarapa. We have had the opportunity to train 3 new staff recently, all of whom are doing the level 4, certificate in sterilising. This has been an amazing opportunity for us as a department as all 3 are brand new to sterilising and extremely engaged in their learning. There are some exciting times ahead at Wairarapa DHB as the relationship between SSD and theatre is also being improved upon largely due to new fresh faces. I have really enjoyed the emails going out around the country lately. As a network we can collectively improve

our service by not isolating ourselves in our own little corners of the world. Following the email trail regarding ronguers, I presented this, along with Shelaghs article from last Supplyline and have been able to remove from our shelves all of the ronguers that could not be dismantled for cleaning. Normally this would have been a real struggle, however with concerns from sterilising professionals from around the country being aired it made my life easy! I can’t often say that.

I hope you all enjoy the read, I hope to see a lot of you at conference in Christchurch this year. Stay safe, stay well and stay engaged. Nga mihi Tracey Kereopa

President’s Message Hello everyone. The year is marching on. Here we are in June. Soon we will be on the countdown to Christmas and summer. Why is the year going by so fast? Talking of things coming up, it will soon be time for the NZSSA conference which is being held in the Christchurch Town Hall in September. It is so exciting as it is our first conference in two years. Our trades are all excited to see you again as is your executive. For those of you employed by DHB’s your Directors of Allied Health Scientific and Technical are once again behind you attending. Online registration is open on the website, and there is an early bird cut-off date of the 31st July. Whenever a member brings up an issue, I try to raise that to the attention of all of you and your managers by putting the issue on the website. In the last edition of Supplyline I wrote about my journey with non-detachable rongeurs. I had looked at mine following a query from another DHB. It is wonderful to note that you are all taking this seriously. I have been copied into numerous emails stating that rongeurs are being replaced the length and breadth of NZ. It is wonderful to see what we can achieve by communicating with each other. In this edition of Supplyline you can view some of the photos which were taken at the Toi Ohomai graduation ceremony for our first batch of Diploma graduates (including myself). It was such a special day. I look forward to the next graduation ceremony for our certificate and diploma graduates.

Following on from the elections for the executive team for the period September 2021- 2024 we are pleased to announce there is a new executive team. You can see the profiles of the team in this edition of Supplyline. I would like to acknowledge those members of the executive who will not be returning for the new term They are; Kerry Nichols Wakefield Private Hospital Sue Woods

Burwood Hospital

Kevin Green

Northland DHB

Joel Enoka

Manuka Street Hospital Nelson

I thank them all for their contributions over the years and wish them well for their future endeavours. Finally, many of you will have been busy self-auditing against the standard AS NZS4187:2014 to meet the Ministry of Health deadline of 30 June 2020. Well done to you all. You can now use your findings as a gap analysis as we now have until February 2022 to be fully compliant. I shall keep you updated on the website as information comes through. Take care, look after yourselves and I will see you all in Christchurch in September. Shelagh Thomas

the journal of NEW ZEALAND STERILE SCIENCES ASSOCIATION

S U P P LY L I N E

Letter To The Editor Hi Tracey We are giving away our PJIM RFID Tunnel – purchased in 2017. 1. The purpose of purchasing this was to be able to monitor sterile implantable (screws, plates, trials etc) coming in and out of ADHB from loan companies. However, when the plan to purchase was made in 2016 – OR was not included in the plan and only to find out later that there is already a system in place at ADHB particularly managed by Orthopaedics. 2. Currently Smith And Nephew, Stryker, DePuy Synthes (Johnson & Johnson), Zimmer & Lima Orthopaedics use the system within New Zealand. You can use this system when ordering loan sets from these companies We only have Smith & Nephew in this system. The others are not in our system as we have another system/program for receiving loan sets order, arrival and return of loan sets that was already in place, thus we do not need the RFID tunnel system, otherwise, this is work duplication. About PJIM RFID Tunnel

and are also available with conveyor runners on either side for ease of use. Tunnel readers can identify many hundreds of items in boxes, trays or tubs, or on conveyor belts, quickly and reliably. Our tunnel readers are fully shielded and are well-suited for tracking of orthopaedic implant loan kits and performing stock reconciliation. For more information you can access this link: https://satoasiapacific.com/product/mstrp-5050/ We are giving this away for free using DHB Capital Equipment transfer process. All you need to do is complete the transfer process and arrange a courier to pick up the machine from ADHB. The purchase price was 97K and I am sure one CSSD out there would find this machine beneficial. I heard that negative feedback from Maureen this morning, but Waikato boasted about this machine and was the point of reference when a plan to purchase this machine was in mind by the previous CSSD leadership. I hope there is someone out there who is interested will contact SATO and find out the real story of this machine.

Bulk identification and tracking of stacked items with 100% accuracy made easy with PJM RFID

Kind Regards

Available with a 500x500mm aperture, this multi-axis tunnel reader will read and write to all PJM StackTag™ labels within the internal working volume of the tunnel, despite the orientation of the tags. Together with the MSTRP-6464 these two tunnels are able to handle a range of loan kit and consignment stock containers

Myrna T Tuva Sterile Sciences Services Manager Anaesthesia & Periop Directorate M +64 21 538 911 P 09 307 4949 ext 23418 E myrnat@adhb.govt.nz

What’s Happening Meetings sponsored by the NZSSA

Secretary: June Isted, June.Isted@hawkesbaydhb.govt.nz

These opportunities are provided for people involved with reprocessing reusable medical devices in any health service organization. Health service organizations include but are not restricted to hospitals, private practice clinics, general practice clinics, dental, tattoo and skin piercing studios, beauty therapy clinics. In addition to the conference in September The Association is sponsoring the Leaders Meetings.

Leaders meetings These meetings are targeted at the person leading reprocessing of medical devices at an operational and strategic level. There are many designations but if you have responsibility for running the service, coordinating or supporting staff then this meeting is for you. Each meeting will have a speaker or speakers presenting on key topics and the remainder of the day will be focused

S U P P LY L I N E

on discussion on operational issues and networking. We hope you enjoyed the June meeting. November 5 2021- Facilitator to be confirmed, any queries to Shelagh Thomas shelagh.thomas@huttvalleydhb.org.nz

Leaders meetings will be offered as zoom meetings to ensure the ability of leaders across NZ to participate.

S U P P LY L I N E – J U N E 2 0 2 1

If you have any queries please contact the facilitator. The programme for each meeting will be placed on this part of the website when they have been confirmed.

Lower North Island Regional Meeting – Wellington Venue: Wakefield Hospital Education Centre, Florence Street, Newtown Time: 0900 – 1300hrs Lower north Island regional meetings are sponsored By Intermed Provisional Dates:

InterMed Announcement InterMed Announcement InterMed Announcement InterMed is proud to partner with Healthmark Announcement asInterMed the exclusive Zealand distribubtor of InterMed is proudNew to partner with Healthmark their Sterile Services product range of Announcement asInterMed the exclusive New Zealand distribubtor

InterMed is proud to partner with Healthmark their Sterile Services product range as the exclusive New Zealand distribubtor of InterMed is proudServices to partner with Healthmark their Sterile product range as the exclusive New Zealand distribubtor of InterMed is proud to partner with Healthmark their Sterile Services product range as the exclusive New Zealand distribubtor of their Sterile Services product range

3 July 2021 13 November 2021 Programmes will be posted on the website when confirmed.

HEART OF THE HOSPITAL

Midland CSSD Regional Seminar These seminars started in the Bay of Plenty. It has proved very popular and well supported by the Bay and surrounding regions so they are again running in 2021. Midland CSSD Regional Seminars are sponsored By Essity 9 October 2021, Hamilton, 08.30 - 1300hrs Full details of venues and programme for the day will be provided on the website as they are confirmed. For any queries please contact Jenny Carston: jenny.carston@bopdhb.govt.nz

Go to www.hmark.com for information Goproduct to www.hmark.com for product information Go to www.hmark.com For enquires contact Leonie Jack for product information Go to www.hmark.com leonie@intermed.co.nz 021 246 4444 For enquires contactor Leonie Jack for product information leonie@intermed.co.nz or 021 246 4444 Go to www.hmark.com For enquires contact Leonie Jack for product information leonie@intermed.co.nz or 021 246 4444 For enquires contact Leonie Jack 71 Apollo Drive, Albany, Auckland 0632 leonie@intermed.co.nz P 0800 333 444 W www.intermed.co.nz or 021 246 4444 For enquires contact Leonie Jack 71 Apollo Drive, Albany, Auckland 0632 P 0800 333 444 W www.intermed.co.nz or 021 246 4444 leonie@intermed.co.nz

GEM Study Day - South Island South Island regional meetings are sponsored by Rem Systems These meetings are being sponsored by Rem Systems to provide valuable opportunities for networking and education. Dunedin, Saturday 22 May, 09.30 - 12.30hrs

71 Apollo Drive, Albany, Auckland 0632 P 0800 333 444 W www.intermed.co.nz

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71 Apollo Drive, Albany, Auckland 0632 P 0800 333 444 W www.intermed.co.nz E

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medical technology A S SO CI AT I ON OF N EW Z EA L A N D

2021 / 2022

Full details of venues and programme for the day will be provided on the website as they are confirmed. Please direct any queries to Maryanne Coyle, Rem Systems: mcoyle@remsystems.co.nz

V O C AT

the journal of NEW ZEALAND STERILE SCIENCES ASSOCIATION

71 Apollo Drive, Albany, Auckland 0632 P 0800 333 444 W www.intermed.co.nz

S U P P LY L I N E

Love your career

Job Vacancies Operating Theatre Sterile Services

Vacancies,

Crest

Lov life

Hospital

Crest Hospital is a private surgical hospital in Palmerston North serving the greater Manawatu region. Crest has 4 operating theatres which cover all major specialties plus endoscopy. We are looking for a dynamic, flexible and energetic Sterile Services Technician who can work flexible morning and afternoon hours Monday to Friday, with the very occasional Saturday.

Trainee/Technician/Team Leader Central Sterilising Unit

Love your •Love Traineeyour Technicians career • Qualified Technicians

Love y Love your lifest

Central Sterilising Unit opportunities Whangarei Hospital

Love career Love your your

Love your lifestyle Love your career lifestyle Love your Love your career lifestyle Love your Love your Love your Love your Love your Love your career lifestyle Love your Love your career lifestyle career lifestyle Trainee/Technician/Team Leader career lifestyle career lifestyle

Experience and qualifications in a high level functioning • Senior Technicians for a Team Leader opportunity sterile services department with instrument washers, In support of our expanding theatres we have opportunities within ou steam sterilisers, low temperature sterilisation and Unit (CSU) for qualified Sterilising Technicians. Applications are also steris scope processers will be a distinct advantage.Trainee/Technician/Team part way through training. Leader Trainee/Technician/Team Leader Leader However, we will offer on the job training and education Trainee/Technician/Team Central Sterilising Unit Trainee/Technician/Team Leader You will be required to work all mornings, afternoons and wee Central Sterilising Unit shifts, Central Sterilising Unit to the right person who is willing to learn about care Love your Love Trainee/Technician/Team Leader Central Sterilising Unit Trainee/Technician/Team Leader holidays on a rostered basis as well as regularyour on-call. Central Sterilising Unit Leader Sterilising Unit opportunities and processing of a variety of precise, delicate andCentralTrainee/Technician/Team Central Sterilising Unit Central Sterilising Unit opportunities Central Sterilising Unit career lifestyle Trainee/Technician/Team Leader Central Sterilising Unit Unit opportunities Central Sterilising opportunities Whangarei Central Sterilising Unit Trainee/Technician/Team Central Sterilising Central Sterilising Unit opportunities opportunities YouHospital will be part of Unit a diverse andLeader supportive team who all have a com Central Sterilising Whangarei Hospital Trainee/Technician/Team Leader Trainee/Technician/Team Leader Whangarei Hospital Unit extremely expensive surgical instruments. Whangarei Hospital Central Sterilising Whangarei Hospital Whangarei Hospital Central Sterilising Unit Unit opportunities • Trainee Technicians Central Sterilising Unit opportunities Central Sterilising Unit and enthusiasm to help you succeed! • Trainee Trainee Technicians Central Sterilising Unit Unit opportunities Central Sterilising Unit opportunities Central Sterilising • Technicians Whangarei Hospital Central Sterilising Unit opportunities We offer: • On the job training • Ongoing education • Competitive remuneration • A collegial work environment with high standards of quality care • Subsidised Southern Cross Health Insurance • Public holidays off

• Trainee Trainee Technicians Whangarei Hospital • Qualified Technicians • Technicians Qualified Technicians Whangarei Hospital Whangarei Hospital • Technicians Central Sterilising Unit opportunities Whangarei Hospital Trainee Technicians •• Qualified Qualified Technicians Central Sterilising Unit opportunities Qualified Technicians Senior Technicians for a Leader opportunity • Senior Technicians for a Team Leader • Trainee Technicians Central Sterilising Unit opportunities Senior Technicians Central Sterilising Unit opportunities Senior Technicians for a Team Team Leaderopportunity opportunity Whangarei Hospital • Trainee Technicians Central Sterilising Unit opportunities • Senior Technicians a Whangarei Hospital Trainee Technicians Central Sterilising Unitfor opportunities Senior Technicians for a Team Team Leader Leader opportunity opportunity ••Trainee/Technician/Team Trainee Technicians Qualified Technicians Qualified Technicians Whangarei Hospital • Trainee Technicians Leaderwithin Whangarei Hospital • Qualified Technicians Whangarei Hospital In support of our expanding theatres we have opportunities Central Sterilising • Qualified Technicians Whangarei Hospital In support of our expanding theatres we have opportunities withinour our Central Sterilising Qualified Technicians In support of our expanding theatres we have opportunities within our Central Sterilising • Trainee Technicians Senior Technicians for a Team Leader opportunity Qualified Technicians In support of our expanding theatres we have opportunities within our Central Sterilising • Trainee Technicians • Senior Technicians for aexciting Teamfor Leader opportunity • Senior Technicians a Team Leader In support of our expanding theatres we have opportunities within our Central Sterilising Unit (CSU) for qualified Sterilising Technicians. Applications are also invited from trainee’s • Trainee Technicians Senior Technicians for a Team Leader We also have an opportunity an experienced CSU Techn Senior Technicians for a Team Team Leader opportunity opportunity Unit (CSU) for qualified Sterilising Technicians. Applications areopportunity also invited from trainee’s • Trainee Technicians Unit (CSU) for qualified Sterilising Technicians. Applicationsfor are also invited from trainee’s Qualified Technicians Central Sterilising Unit Senior Technicians for a Leader opportunity • Trainee Technicians Unit (CSU) for qualified Sterilising Technicians. Applications are also invited from trainee’s Qualified Technicians • Trainee Technicians Unit (CSU) for qualified Sterilising Technicians. Applications are also invited from trainee’s part way through training. In support of our expanding theatres we have opportunities within our Central Sterilising • Qualified Technicians • Qualified Technicians part way through through training. Senior Technicians for a a theatres Team Leader opportunity In support ofTechnicians ourof expanding theatres we have have opportunities within within our Central Sterilising part way through training. • Qualified Technicians part way training. Senior Technicians for Team Leader opportunity In support of our expanding we opportunities our Central Sterilising minimum 5 years industry experience, toour lead and manage the da • Qualified part way through training. In support of our expanding theatres we have opportunities within Central Sterilising Unit (CSU)Technicians forour qualified Sterilising Technicians. Applications are also invited from trainee’s • Senior Technicians for a theatres TeamTechnicians. Leader opportunity In support of we have opportunities within our Central Sterilising InCentral support ofexpanding our expanding theatres we have opportunities within • Senior for a Team Leader opportunity Unit (CSU) for qualified Sterilising Applications are invited trainee’s Unit opportunities • Senior Technicians for a all Team Leader opportunity You will beSterilising required to work shifts, mornings, afternoons and weekends public Unit (CSU) for qualified Sterilising Technicians. Applications are also also invited /from from trainee’s • Senior Technicians for a Team Leader opportunity

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part of a diverse and supportive team who common passion, You will be required to work all shifts, mornings, afternoons anda / public care part of ahelp diverse and supportive team who all all have have a weekends common passion, care Senior Technicians and enthusiasm to you succeed! holidays on a basis as well as on-call. You will be of a diverse supportive team who all have a common passion, care Senior Technicians In support of our theatres weregular have opportunities within our Central Sterilising holidays onpart a rostered rostered basis as well as regular on-call. and enthusiasm toexpanding help you and succeed! Northland DHB recognises Māori as tāngata Whenua (first peoples) We also have an exciting opportunity for an experienced CSU Technician, ideally with a Senior Technicians You will be part of a diverse and supportive team who all have a common passion, care We also have an exciting opportunity for an experienced CSU Technician, ideally with a You will be part of a diverse and supportive team who all have a common passion, care and enthusiasm to help you succeed! Senior Technicians We also have anof exciting opportunity for an experienced Technician, ideally with a You will be part of a diverse and supportive team whomanage all CSU havethe a common common passion, care minimum of 5 industry experience, to lead and day day activity and and enthusiasm to help you succeed! part way through training. Senior Technicians You will be part diverse supportive team who all have a passion, care Senior Technicians minimum of 5 years years industry experience, toexperienced leadsupportive and manage the day to towho day activity and and enthusiasm toa help youaand succeed! Senior Technicians We also have an exciting opportunity forfor anat CSU Technician, ideally with aa common minimum of 5 years industry experience, to lead and manage the day to day activity and You will be part of diverse and team allwith have and enthusiasm to help minimum of 5 years industry experience, to lead and manage the day to day activity and and have prioritised Māori health. We understand our Te o Waita and enthusiasm to help you succeed! work flow and support ofyou thesucceed! CSU team Whangarei Hospital. We also have an exciting opportunity an experienced CSU Technician, ideally a Tiriti and enthusiasm to help you succeed! work flow and support of the CSU team at Whangarei Hospital. Senior Technicians We also have an exciting opportunity for an experienced CSU Technician, ideally with a You will be required to of work shifts, mornings, afternoons andTechnician, weekends /ideally public work flow and support of theall CSU team at Whangarei Hospital. Senior We also have an exciting opportunity for an experienced CSU Technician, ideally withand a and minimum offlow 5Technicians years industry experience, toat lead and the day day activity work and support the CSU team Whangarei Hospital. We also have an exciting opportunity for an experienced CSU with a minimum of 5to: years industry experience, to lead and manage manage the day toto day activity Senior Technicians We also have an exciting opportunity for an experienced CSU Technician, ideally with a and enthusiasm to help you succeed! Senior Technicians minimum of 5 years industry experience, to lead and manage the day to day activity and relation holidays on a rostered basis as well as regular on-call. Senior Technicians Northland DHB isexciting committed to team a system system that is Tiriti Tiriti (Treaty) based and one that actively minimum of 5 an years industry experience, to lead and manage manage the day to one day activity and Senior Technicians work flow and support ofindustry the CSU atat Whangarei Hospital. minimum of 5 years experience, to lead and the day to day activity and Northland DHB is committed to that is (Treaty) based and that actively We also have opportunity for an experienced CSU Technician, ideally with a work flow and support of the CSU team Whangarei Hospital. minimum of 5 an years industry experience, to lead and manage the day to one day activity and Northland DHB isexciting committed to a a system system that isfor Tiriti (Treaty) based and one that actively We also have exciting opportunity for an experienced CSU Technician, ideally with a work flow and support of the CSU team at Whangarei Hospital. Northland DHB is committed to a that is Tiriti (Treaty) based and that actively and purposefully invests equitable outcomes its Māori population. We also have an opportunity for an experienced CSU Technician, ideally with a work flow and support ofin the CSU team at Whangarei Hospital. work flow and support of the CSU team at Whangarei Hospital. We also have an exciting opportunity for an experienced CSU Technician, ideally with a and purposefully invests in equitable outcomes for its Māori population. minimum of 5 years experience, to lead and day to day activity You willhave be part of aindustry diverse and supportive team who all have athe common passion, careand work flow and support of the CSU team at Whangarei Hospital. We also an exciting opportunity for an experienced CSU Technician, ideally with a and purposefully invests in equitable outcomes for itsmanage Māori population. minimum of 5committed years industry experience, to lead and manage the day to one day activity and We also have an exciting opportunity forthat an experienced CSU Technician, ideally with a and purposefully invests in equitable outcomes for its Māori population. Senior Technicians Northland DHB is committed to a system that is Tiriti (Treaty) based and that actively minimum of 5 years industry experience, to lead and manage the day to day activity and Northland DHB is to a system is Tiriti (Treaty) based and one that actively • Stewardship minimum of 5 years industry experience, to lead and manage the day to day activity and work flow and support of the CSU team at Whangarei Hospital. Northland DHB is committed to a system that is Tiriti (Treaty) based and one that actively and enthusiasm to help you succeed! minimum of 5 years industry experience, to lead and manage the day to day activity and recognises Māori as tāngata Whenua (first peoples) of New Zealand work flow and support of the CSU team at Whangarei Hospital. Northland DHB is committed to a system that is Tiriti (Treaty) based and one that actively minimum of 5 years industry experience, to lead and manage the day to dayZealand activity and isinvests committed to a a as system that is Tiriti (Treaty) based and one that actively Northland DHB recognises Māori as tāngata Whenua (first peoples) of New and purposefully in equitable outcomes for its Māori population. work flow and support of the CSU team at Whangarei Hospital. is committed to system that is Tiriti (Treaty) based and one that actively and purposefully invests in equitable outcomes for its Māori population. 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We treat asexcellence they would like to be treated Whakawhitiwhiti korero Communication Wecommunicate communicate safely, openly and with with Vacancy No: AH21-031b respect to promote clear understanding Taumata teitei (hirangi) Excellence Our attitude of excellence inspires success, Whakawhitiwhiti korero Communication We communicate safely, openly and Taumata teitei (hirangi) Excellence Our attitude of inspires success, respect to promote clear understanding Vacancy No: AH21-031b competence, confidence and innovation respect to promote clear understanding and in your professional – all whilst Taumata teitei (hirangi) Excellence -development Our attitude of excellence inspires enjoying success,with everything the Vacancy No: AH21-031b respect to promote clear understanding respectrespect to promote clear understanding competence, confidence and innovation Vacancy No: AH21-031b Crest Hospital to promote clear understanding Closes: 28 May 2021 competence, confidence and innovation innovation respect toteitei promote clear understanding competence, confidence and Closes: May 2021 Taumata (hirangi) Excellence Our attitude of excellence Manaaki Caring - 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Apply jobs@northlanddhb.org.nz Apply online or email: jobs@northlanddhb.org.nz jobs@northlanddhb.org.nz Apply online or email: Vacancy No: AH21-031b Closes: 282021 May 2021 Respect - We treat others as they would like to be Apply online or email: jobs@northlanddhb.org.nz Whakaute mana) Closes: 28 May (tuku Applicants for this position must have NZ residency or

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Senior Technicians holidays onpart aon rostered basis as well well as regular regular on-call. holidays aaahelp rostered basis asteam well asall on-call. and enthusiasm to you succeed! on a rostered basis as as on-call. and enthusiasm to help you succeed! Seniorholidays Technicians You will be of diverse and supportive who all regular have a common passion, care and enthusiasm to help you succeed! We also have exciting opportunity for an team experienced CSU ideally with a You will be part of diverse and supportive who have a common care Unit (CSU) foranqualified Sterilising Technicians. Applications are Technician, also invited passion, from trainee’s

Enjoy Enjoy the the best best of of both. both. Enjoy the best of Enjoy the best best of of both. both. Enjoy the both. northlanddhb.org.nz Apply online or email: jobs@northlanddhb.org.nz northlanddhb.org.nz northlanddhb.org.nz Apply online or email: jobs@northlanddhb.org.nz Enjoy the best of both. northlanddhb.org.nz Manaaki Caring We nurture those around us, and treat all with dignity a Enjoy the best of both. Enjoy the northlanddhb.org.nz Enjoy the best best of of both. both.

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competence, confidence and innovation

S U P P LY L I N E

Vacancy No: AH21-031b Closes: 28 May 2021 northlanddhb.org.nz S U P P LY L I N E – J U N E 2 0 2 1 Apply online or email: jobs@northlanddhb.org.nz

Digital Solutions Supporting Safer Healthcare Patient safety and infection prevention during and after any procedure in hospital is critical. Ecolab has partnered with oneSOURCE to help departments like sterile processing and infection prevention have access to the digital resources that they need to maintain hygiene and patient safety, quickly and easily. Ecolab has a presence in 90% of hospitals in Australia and is a market leader in CSD, sterile processing and infection prevention solutions.

your tyle oneSOURCE Document Management Services, Inc., an

RLDatix company has an existing presence in Australia and is one of the leading healthcare management solutions in the industry globally. Both organisations understand the importance of compliance and are pleased to partner together to create streamlined access to oneSOURCE’s expansive archive of documents necessary for sterile processing, operating theatre and infection prevention environments.

“Strategic partnerships like this one with Ecolab continue to amplify oneSOURCE’s mission of providing healthcare professionals with the most up-to-date tools and resources for patient safety, said Heather Thomas, CMO entral Sterilising of oneSOURCE. “The impact of COVID-19 has cemented ed from trainee’s the need for a worldwide healthcare standardisation to ds / public keep patients safe and this partnership will enable us to help others reduce healthcare acquired infections and keep patients and staff safe,” said Thomas. n passion, care

Servicing thousands of healthcare providers across the world, Ecolab and oneSOURCE’s partnership will provide facilities with over 60,000 critical documents n, ideally with a day activityand and materials across its full suite of products which includes seven specialised databases. Ecolab’s credibility with trusted organisations such as FSRACA, one that actively GENCA and ACIPC coupled with oneSOURCE’s longew Zealandstanding track record with compliance and the U.S. obligationsbased in safety organisations will empower practitioners, facility executives and department leaders to access the up-to-date information they need to keep patient safety at the forefront of everything they do.

“The Ecolab team is excited to be bringing oneSOURCE to our hospital, healthcare and nursing facility he region we love, partners,” said Stephen Graham, Market Division stunning North Lead – Healthcare ANZ at Ecolab. “Ecolab is a trusted partner in the healthcare industry and has substantial experience in providing our customers with great digital tools to help provide quality patient care – this e treated tool will particularly benefit our sterile processing and infection prevention business.” and compassion

nly and withoneSOURCE is focused on expanding its global impact

uccess,

and establishing a greater saturation among the surgical instrument, long-term care, facilities maintenance, biomed and dental fields. As a must-have partner for top U.S. based healthcare organisations such as Mayo

Clinic, Sutter Health, VHA and HCA and Australian based facilities such as Royal Melbourne Hospitals, Gold Coast Hospitals, Mater Hospitals. oneSOURCE’s range of databases supports everything from facilities maintenance to surgical instruments to dental. About oneSOURCE oneSOURCE Document Management Services, Inc., an RLDatix company, is a leading healthcare management solution that enables facilities to stay in compliance 24/7 through its robust online platform equipped with the world’s most updated IFUs (instructions for use) and PM (preventative maintenance) Service Manuals. Since 2009 oneSOURCE has become a reliable resource for top U.S. based healthcare organizations such as Mayo Clinic, Sutter Health, and HCA and Australian based facilities such as Royal Melbourne Hospitals, Gold Coast Hospitals, and Mater Hospitals, and currently dominates the U.S. hospital market with more than 80% saturation. Approved and trusted by the Joint Commission, AAMI, CMS, and AAAHC, oneSOURCE’s accurate and up-to-date databases for the surgical and equipment, biomed, tissue and implants, longterm care, facilities maintenance, safety data sheets (SDS) and dental verticals improves patient safety and reduces healthcare-acquired infections. For additional information on oneSOURCE, visit onesourcedocs.com. About Ecolab A trusted partner at nearly three million customer locations, Ecolab (ECL) is the global leader in water, hygiene and infection prevention solutions and services. With annual sales of $12 billion and more than 44,000 associates, Ecolab delivers comprehensive solutions, data-driven insights, and personalized service to advance food safety, maintain clean and safe environments, optimize water and energy use, and improve operational efficiencies and sustainability for customers in the food, healthcare, hospitality and industrial markets in more than 170 countries around the world. For additional information about Ecolab, visit www.ecolab.com Follow us on LinkedIn @Ecolab, Twitter @Ecolab, Instagram @Ecolab_Inc and Facebook @Ecolab. For more information, please contact: Carrie-Ann Jefferies Communications Specialist Ecolab M +(61) 418 518 903 E carrie-ann.jefferies@ecolab.com

the journal of NEW ZEALAND STERILE SCIENCES ASSOCIATION

S U P P LY L I N E

DATA & DIGITAL MANAGEMENT TECHNOLOGIES

Access the most comprehensive source of IFUs and PM Service Manuals at your fingertips! INFECTION CONTROL

RISK MANAGEMENT

STERILE oneSOURCE documents database PROCESSING

• Reduces risk of sterile processing and maintenance errors • Promotes best practice and prevents HAIs

SURGICAL SERVICES • Provides access to the latest manufacturers

version BIOMEDICAL

• Offers unlimited access to a cloud based GI LABS 24/7 platform, • Meets compliance with IFU documentation for cleaning, decontaminating & sterilising clinical equipment and reusable surgical instruments

INFECTION CONTROL

STERILE PROCESSING

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GI LABS

BIOMEDICAL

PLEASE SPEAK TO YOUR HEALTHCARE MANAGER ON 0800 425 529 FOR FURTHER INFORMATION

ECOLAB HEALTHCARE ANZ www.ecolab.com

S UEHCA21024NZ P P Lr1 Y L I N E

15/06/21

NZ 0800 425 529 www.gallay.co.nz S U P P LY L I N E – J U N E 2 0 2 1

The Cupboard is Bare – Sterilisation Wrap Shortage Worldwide James Henderson, Director, New Zealand Validation Services

Over the past six months, the world of reusable medical device sterilisation has been in turmoil over the short supply of sterilisation wrap. This has been caused by the high demand in raw polypropylene materials associated with the increased demand for PPE manufacturing across the world. Covid-19 has certainly flipped the world onto its head! Consequently, we have had to source sterilisation wrap from other suppliers to make up the shortfall. This has created some confusion regarding whether Performance Re-Qualification is required or not. What follows may assist facilities in effectively meeting the standards whilst mitigating the wrap shortage crisis.

in times such as these, it is more important than ever to ensure we strive for standards compliance to maintain consistency in the quality of the RMD sterilisation process. It’s about the patient after all. James Henderson Director NZ Validation Services W www.nzvalidation.co.nz E admin@nzvalidation.co.nz

Importantly, one must note that a health service organisation (HSO) is required to complete an evaluation under section 10.5 of AS/NZS 4187:2014 (Assessment of Change). This section states “if the effectiveness of the process(es) might be altered adversely as a result of the change, then all or part of IQ, OQ, PQ shall be performed.” It is up to the HSO to make this determination on the information that has been provided to them. The assessment should be well documented and follow robust processes. Part of the HSO’s process is to request from the supplier, a copy of their manufacturer’s technical specification information. This data should be used to identity whether there is a need to requalify the sterilisation process in preparation for the change from one wrap supplier to another.

Toi Ohomai Institute of Technology Ltd NZ Certificate in Sterilising Technology Level 4

Using ISO:11607 as the reference, assess and compare the technical specification from the existing supplier versus the alternate supplier. Section 6.4 states the manufacturer must be able to provide “stability testing which demonstrates that the sterile barrier system maintains integrity over time.” The supplier must also demonstrate under Section 5.2, that the material is “impermeable to satisfy the requirement for a microbial barrier.” Also of significance, consider sterilisation wrap properties including grammage, basis weight, strip tensile, elongation and hydrohead. These properties should be listed in detail on documentation provided to you by your supplier. Where the HSO can confirm that the properties of their current sterilisation wrap do not differ from their alternate sterilisation wrap, Performance ReQualification may not be required. Minor differences in the sterilisation wrap properties, would indicate the HSO may only be required to perform a partial Performance Re-Qualification to determine performance suitability.

Joanne Margaret Brewer Diane Campbell John Francis Chellath Xavier Chad Rymon Ascalon Cordova Priya Darshani Deo Mia Olivia Francis Aurore Gonthier Donna Anne Hanlin Melanie Susan Hawtin Rajnesh Kumar Lesly Tatiana Madrid Santos Ancy Mathew Kathleen Angela McCarthy Praneel Narayan Juliana Wendy Oliver Allison Toni Orchard Anne-Mere Pau Soumya Ramanan Patrick Austen lovell Rogers Alexandra Sim Amber Meryl Edwina Stanton Jade Maddison Subritzky-Yates Adam James Tither Angela Maree Whelan Sophia Samuel

These are very challenging times for our industry and the journal of NEW ZEALAND STERILE SCIENCES ASSOCIATION

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Get to know the new Executive for 2021 - 2024. This year is important because members have taken the time to nominate the new executive for the period 2021- 2024. The process is complete and we are now able to introduce you to the new executive. Take time to read the bio’s for the incoming executive. You will also have the opportunity to meet the new executive at the conference and ratify the new executive at the Annual General Meeting, Friday 24 September, 7.30am, Christchurch Town Hall.

President: Shelagh Thomas Thank you for electing me as President of the Association. I am greatly honoured and humbled. Since entering the world of sterile sciences in 2006, it has become my passion. I quickly realised, that the technicians were the underdogs of the perioperative arena. My focus is to ensure that you have all been recognised for your knowledge and skills. I want to see that you are all afforded the same opportunities for professional development and progress as other health professionals. I started my career as a registered nurse and have had many fantastic opportunities with my nursing qualification. Nursing took me to amazing places to work and I met amazing people. Ultimately, it led me to Sterile Sciences. When I am not at work, I have seven grandchildren vying for my attention. I love to travel, though now my wings have been clipped and it is travel around NZ. Last year I achieved the Diploma In Sterilising Technology. I say no more study but who knows what might take my interest. There is still work to do, however this will be my last term of office as president of the association. For the next three years’ I will be seeking to grow someone into the role to lead you into the future.

Secretary: June Isted I have enjoyed working on the executive for the past two terms and very excited to represent all the NZSSA members once again for the next term. As an executive member, I have had the pleasure of organising the satchels and goodies for the past five conferences and have just finished organising these for our upcoming conference in September. I stepped in as Secretary last year when Jenny stood down and still learning this role with the help from Shelagh and Alison. I am looking forward to the next term and the knowledge I will learn in the role as

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secretary. As one of your executive members, I am more than happy for you to contact me direct at work if you require some advice or help. A little about my work history and myself for those who do not know me. I have worked in the Sterile Service Unit at Hawkes Bay hospital for the past 13 years. Four of these years as Team Leader, twenty months as Acting Manager and the past four years as Manager. I completed the Certificate in Sterilising Technology Level 3 in 2010 and went on to do my Certificate in Advanced Sterilising Technology Level 5 in 2013/14. At some stage I will be doing the diploma but have been too busy to even consider this at the moment. Our perioperative unit is currently undergoing expansion, with our unit changes starting in September through to March 2022.

Executive Member: Maureen Scott Hi my name is Maureen Scott and I am the Manager of the Sterilising Unit at Waikato Hospital. I have held this position since late 2015. I am also the Professional lead for the sterilising unit at Thames Hospital on the Coromandel Coast. I have worked in the sterilising unit for around 32 years. Over this time I have seen many changes and feel it is now an exciting time to be working in this profession. I have been on two visits to Fiji with the Cardiac team to help with Cardiac Surgery on behalf of the Friends of Fiji. This was an amazing experience where I got to meet and make new friends. I play golf as much as I can but find that work gets in the way on occasions, but I guess we can’t have everything. I also enjoy playing tennis even though I know I shouldn’t be after having a Knee replacement, but hey life is for living and enjoyment. I have four beautiful grandchildren with two of them living in Australia, hopefully all going well, I will get to visit them later in the year. I thoroughly enjoy my role in the unit and the staff that I work with are an amazing team, without them I couldn’t be the manager that I am today.

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Executive Member Martin Bird My name is Martin Bird, and am the Coordinator for Sterile Services at Dunedin Public Hospital with over 30 years’ experience.

where he now lives with his wife, three children, a teardrop caravan and an undiminished love of Canterbury rugby.

Executive Member: Sharon Moss

I am an Executive member of the New Zealand Sterile Scientific Association (professional association), of which I have contributed in various roles. I am an Educator Assessor for the NZSSA, having also graded papers for the Open Polytechnic for 6 years. I am currently part of the team who are proactively negotiating for equal pay for Allied Health Professionals, including Sterile Services. I am extremely passionate about Sterile Services which has led me to be proactive in bringing about improvements in practises within the industry here in New Zealand.

Executive Member: Jenny Carston Kia Ora My name is Jenny Carston most of you will probably know me as I have previously been on the Executive Committee. I have been a sterilising technician for the last 23 years, obtaining my Advanced Level 5 Sterilising Certificate and then went on to achieve my Diploma last year. Over the years I have watched how things have changed and how sterile processing has become more complex. I am passionate about our profession and have a vision to raise our profile nationally. Where can I see the NZSSA going in the future? With more members obtaining registration, I see greater recognition of our specialty and better understanding of the importance of our role.

Executive Member: Paul Moody Paul Moody is a Senior Product Development Manager at Fisher & Paykel Healthcare with over 20 years of experience designing and manufacturing medical devices. The past 5-6 years have included learning about the art of reprocessing – almost exclusively thanks to the members of the NZSSA – and sparked an interest in sustainable medical devices. Born in West Auckland, he grew up in Hong Kong before studying Mechanical Engineering at Canterbury University and Business at the University of Auckland. After a few years of building tin sheds in Southern California he returned to Auckland

I have been involved with the Sterile Service industry for twenty one years – a career which I am passionate about. As such I am a member of the NZ Sterile Sciences Association and completed my Certificate in Sterilising Technology in 2002, and my Advanced Sterilising Technology qualification in 2018. My experience working for Southern Cross Healthcare, my current employer, spans 17 years. In this time I have worked in various roles including healthcare assistant and Sterile Services team leader. Five years ago I was appointed as National Sterilising Services Manager for Southern Cross. Based in Christchurch my role involves travelling across the 15 wholly owned and Joint Venture Hospitals in the Southern Cross network, providing technical advice with the set-up of sterile services units in our new hospitals and the refurbishment of departments in our existing hospitals. My travel enables me to support, mentor and promote on-going education within all of our teams. It is both a challenging and rewarding position and my aim is to raise the awareness of our profession and encourage new recruits to make Sterile Service a viable career choice.

Executive Member: Tracey Kereopa My name is Tracey Kereopa and I have been involved in sterilising now for 12 years. I am the manager, SSD at Wairarapa DHB. I have been a member of the NZSSA executive for some time now and have learnt so much in my journey of sterilising from all of the passionate people that work in the industry. I am the current editor of Supplyline, which is a challenging job, however also very rewarding. I live with my partner and 13 year old son on a rural lifestyle block at Mt Bruce. My passion outside of work is rongoa Maori, which is developing slowly and a huge learning curve, however natural remedies are the way forward for my whanau and a lot of my friends. We have also purchased a campervan so spend a lot of time away in that at the moment, where I can be found either in the water fishing or diving or wandering around the ngahere gathering either food or medicine. I thoroughly enjoy the work life balance that is my existence at the moment and am looking forward to working for our profession for the next term. Nga mihi Tracey Kereopa

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Executive Member: Aileen Derby Hi, my name is Aileen Derby and I have worked in the sterilising technology field for 40 years now. During that time I have had a variety of roles, including Technician, Deputy Manager, Educator and Manager. I’ve also seen a huge number of changes, particularly with the technology that we use for processing RMDs; but also with the technology that our customers use. The sterilising field has certainly changed from when I first started working in a CSSD. Currently I am the Manager of the CSSD at Counties Manukau DHB in Auckland. There are two CSSD’s in CMDHB, one at Middlemore Hospital and one at Manukau Health Park. I have 60 staff members over both sites. I’m looking forward to being a NZSSA Executive Member. It is certainly a time of change for sterilising units around the country at the moment along with a number of other challenges. It is also an opportunity for growth and development as we respond to these changes and challenges going forward. Thank you Aileen Derby CSSD Manager CMDHB

Executive Member: Karen McCormick Hi I’m Karen McCormick and recently moved to Wellington as I am now a proud grandmother. Most of my life I have worked within the Medical/ Hospital environment and becoming a Community/Enrolled nurse working mainly the Theatre areas. Approximately 6 years ago I became interested in the processing of medical devices and trained at Royston Hospital. During my stay I recognised how passionate and excited I was to learn about the complexity of the reprocessing of instruments. Last September I took on a huge roll here at Capital and Coast Hospital as Sterile Service Manager. What drives me is providing the best care and outcome for our patient’s and also try to improve the quality and safety of care in our department and Organisation. Being selected to sit on the Sterile Services Executive means that I can share my knowledge, experience and support the Organisation plus, hopefully develop a strong safety culture where quality and safety is paramount.

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Why the health system needs to be more sustainable, and how you can help Oliver Hunt, Medsalv, www.medsalv.com

For a number of years now, consumer distaste for waste, carbon emissions, and unsustainable practices have had some very real impacts on the way all kinds of industries deliver products. Businesses have realised pollution is not so cool, have found ways to count their carbon calories, devised carbon reduction schemes, and figured out the various paths to becoming more sustainable operators. These are all things that consumers expect from organisations. While this environmentalist revolution has been brewing across industries, our healthcare sector has, for the most part, been immune from any real change. How bad is the sustainability of healthcare in the first place? Okay, first the bad news, then the good news. If the world’s healthcare sector was a single country, it would be the world’s fifth-largest biggest polluter by the amount of greenhouse gases it emits. Worldwide, the healthcare sector generates almost 5% of the world’s carbon emissions and is showing no signs of slowing down.

These energy-intensive processes are often conducted in parts of the world that do not use clean energy to power their factories - and this is often combined with low-cost labour. Not only is the total emissions footprint of a medical device a glaring issue, but the monumental amount of waste and pollution has become a widely accepted by-product of keeping our people healthy. Single use devices are a standard mode of operation, and hospitals are continuing to send masses of the stuff to the landfill on a daily basis. This is not a New Zealand specific issue. Even in the United States, data shows that the average patient is producing 10 kilograms of waste, even among top performing hospitals that earn environmental awards from Practice Greenhealth.

In fact, analysis in a Lancet Planet Health paper last year shows that the greenhouse gas emissions produced by the industry have not only shot up dramatically since the turn of the century, but are continually increasing to this day.

Much of this objectively bad practise can be attributed to a lack of consumer demand and understanding — how could a hospital patient know about the amount of waste, let alone demand change. Another part is the problem of NZ’s healthcare ‘monopsony’.

Zooming in on one problem in New Zealand, procurement, it is estimated that the importing of millions of dollars of devices, pharmaceuticals, and associated services - accounts for around 61 per cent of the sector’s emissions. This corresponds to around 6.6 million tonnes of CO2 equivalent emissions, per year. To give you a better idea, 1.1 billion tree seedlings are needed to grow for 10 years to sequester this amount of CO2 emissions (United States Environmental Protection Agency, 2021). Sadly, almost none of this is being captured by current reporting measurements.

Are we living in a healthcare ‘monopsony’, and what’s that got to do with sustainability?

The emissions profile of your medical devices Manufacturing, and processes leading up to it, is where most of a device‘s carbon footprint comes from. This comes from a combination of the processes used to extract and refine raw materials, manufacture plastics, and mine metals to make up these devices. One example of this would be in nylon, a common plastic that can be found in the majority of all medical devices. Manufacturing this stuff is an intensive process, requiring large amounts of energy and water. It also emits nitrous oxide, a greenhouse gas that is incredibly potent at nearly 300 times the equivalent impact of CO2.

Once materials are sourced for manufacturing, energyintensive processes must then be used to shape them and finally clean the resulting device. Processes applied to raw materials to change their shape or join them include, thermoforming, molding, welding, and forging.

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In economic terms, a ‘monopsony’ is when there is a single (or outsized) buyer in a market. With a dominant public healthcare system and relatively small private counterpart, New Zealand’s healthcare is, in no uncertain terms, a monopsony. Because the public health system is the dominant buyer, they are able to set the terms for the market. Right now we’re seeing that monopsony play out on Queen Street as nurses strike to try and get more money from an employer that sets the rate, knowing full well the nurses have very few other places to go to get better pay. This can result in situations like we’re seeing, with nurses feeling underpaid and undervalued, but it also shows up from a sustainability perspective, too. As the chief purchaser of goods, the New Zealand healthcare system also has an outsized impact on the sustainability of the stuff they buy. In a world dictated by price, this often means that we’re buying container loads of cheaply made stuff from all around the world — things so poorly made that they can only be used once before they get sent to the bin. S U P P LY L I N E – J U N E 2 0 2 1

This is true across the board. Every decision made by New Zealand’s healthcare system will have huge environmental consequences, which are often minimised or overlooked. For many of the readers of the NZSSA, learning that New Zealand healthcare doesn’t have the greenest reputation won’t come as a shock. Understanding where your hospital stands That was a lot of bad news all at once, but if we play it right, there are blue skies on the horizon. And the first step for any hospital to play it right, is to understand where the hospital stands in the first place. By measuring your organisation’s greenhouse gas emissions and carbon footprint, you can understand not just if things get worse, but also if you’re getting better as you try to actively reduce your hospital’s emissions. “Measuring against third-party standards provides a framework for reporting and adds rigour to sustainability initiatives as well as quantifying savings. When measuring your organisation’s greenhouse gas emissions, it is important to follow the accepted international standard for carbon accounting (ISO 14064 / GHG Protocol). In this way, your measurements will be robust and consistent with international standards. A number of companies offer greenhouse gas accounting as a service in New Zealand.” - Ministry of Health. After capturing your baseline vitals, you’re ready to make some changes. Choose medical devices which are able to be remanufactured Of all the potential changes, choosing to re-manufacture medical devices is currently the best bang for your buck in seeing a meaningful reduction in a hospital’s carbon footprint. In general, where reusable medical devices are used, they create a significantly smaller carbon footprint per use than when the equivalent single-use devices are used. The exception is when the re-usable device has a far more energy-intensive manufacturing process - which may be required to create or shape a more robust material. Carbon emissions from a single-use medical device (SUD) are typically significantly higher per use as the majority of a device’s carbon footprint is generated in the manufacturing process, while the carbon emissions created when cleaning a reusable device are typically negligible in comparison. Through remanufacturing, hospitals can get the benefits (Convenience, Infection Prevention, and Fewer Cleaning Requirements) of single-use devices, with less of the financial or environmental costs. If the device is damaged and rendered unusable, which can happen to reusable devices too, the comparative carbon emissions per use are likely to be lower than for an equivalent reusable one should it be damaged.

Choose clean energy At Medsalv, we choose Meridian energy to power us as they use wind and water to produce energy instead of fossil fuels. Where possible, use clean energy and invest in technologies that will reduce your carbon output. In the long term, these will have a financial benefit too. For many New Zealand hospitals these changes are already underway as the healthcare sector undergoes a radical shift from coal boilers into more progressive forms of energy. Opt for reusable items Instead of using and providing plastic, single-use items such as plastic water bottles, pill cups and drinking cups, choose reusable items or consider using biodegradable or compostable. New Zealand has an increasing number of great suppliers of eco packaging and supplies such as ecoware. Incentivise staff to consider alternative transport options Encourage active transport such as walking or cycling through staff competitions and incentives. These not only reduce emissions but also have positive health impacts. By identifying safe routes and providing infrastructure such as bike racks, plugs for e-bikes and scooters, e-bikes for staff to use and changing facilities, your hospital can dramatically reduce its overall impact. The use of electric vehicles reduces fuel costs and carbon emissions compared with fossil fuel powered transport fleets. Encouraging staff to carpool also has the power to reduce emissions. - Sustainability and the Health Sector. Reduce the number of flights taken, and offset the carbon emissions on all flights that have to be. Air travel is sometimes unavoidable with no equal alternatives - sometimes Zoom won’t cut the mustard. Airlines like Air New Zealand have implemented an optional initiative for you to offset the carbon emission you will produce by taking the flight. Usually, it costs a few dollars at most and your carbon emissions will be offset by the planting of trees. Reduce meat and dairy options It is now widely known the vast environmental impacts that the meat and dairy industry generate. Take inspiration from Hayek Hospital in Beirut, Lebanon who are the first hospital in the world to go fully vegan. Not only this, the frequency of people who are reducing their animal product intake or turning to a plant based lifestyle is greatly increasing. Adding more plant based options available for patients allows healthcare to reflect these changing consumer trends. References United States Environmental Protection Agency. (2021, March 01). Greenhouse Gas Equivalencies Calculator. United States Environmental Protection Agency. h t t p s : // w w w. e p a . g ov/e n e r g y/g r e e n h o u s e - g a s equivalencies-calculator

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NZSSA Conference Programme

22-24 September 2021

Christchurch Town Hall, Christchurch

Wednesday 22 September 0900 - 1530

NZSSA Executive Meeting

1800 - 2100

Registration & Trades Exhibition Opening & Welcome Function

Thursday 23 September 0815 – 0900

Registration

0900 – 0915

NZSSA Presidents Welcome Shelagh Thomas, CSSD Manager, Lower Hutt DHB

0915 - 1000

Key Note Speaker Dr Michelle Dickinson

1000 – 1040

Principal Sponsor – Speaker TBC

1040 - 1110

Morning Tea in the Trades Exhibition Hall

1110 - 1200

1200 - 1230

1230 – 1330

Sustainability Theme Annie Watt - Device Technologies Ltd Reprocessing on the seas Sharon Walls, Mercy Ships Lunch in the Trades Exhibition Hall Quick Fire Workshops / Q & A Sessions - Specialist Panel - Accreditation and Auditing, details to follow

1330- 1500

- Trades visit – small groups – 10 -15 minutes per stand. Numbers depend upon trades participating - Open forum discussion – Q & A general

1500 - 1530 1530 - 1600

1600 - 1630

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Afternoon Tea in the Trades Exhibition Hall Tikanga Hutt Valley District Health Board Rawiri Hirini Pou Decontamination and Sterilisation in a post pandemic world Julianne Schipelliti, Proline Pty

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1630 - 1645

End of day announcements Conference Buffet Dinner & Dance

1800 - 2400

Christchurch Transitional Cathedral, 234 Hereford Street, Christchurch Central City

Friday 24 September 0730 - 0900

NZSSA AGM, Working Breakfast NZSSA MEMBERS ONLY

0800 - 0900

Registration

0900 - 0905

Welcome & Housekeeping

0905 - 0950

0950 - 1030

1030 - 1100

Sustainability in the medical environment Oliver Hunt, Medsalv Sterilisation of Traditional RMD – A Case Study Tracey Kereopa, Campbell Macgregor Morning Tea in the Trades Exhibition Hall Quick Fire Workshops / Q & A Sessions: - Specialist Panel - Accreditation and Auditing, details to follow

1100 – 1230

- Trades visit – small groups – 10 -15 minutes per stand. Numbers depend upon trades participating - Open forum discussion – Q & A general

1230 - 1330

1330 - 1400

1400 - 1430

1430 - 1515

1515- 1600

1600- 1615

Lunch in the Trades Exhibition Hall Managing the unexpected Marie Lory, Theatre Manager, Christchurch Public Hospital Maintaining service in exceptional circumstances Christine Cox, Quality Facilitator, Christchurch Public Hospital TBC Nicole Lapanaitis, 3M Australia UV Light Cabinets Annette Moffatt Conference Closing Shelagh Thomas, CSSD Manager, Lower Hutt DHB

This programme will be updated regularly as it develops and speakers are confirmed. Some changes in order of speakers may also occur. the journal of NEW ZEALAND STERILE SCIENCES ASSOCIATION

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Ultrasonic Cleaners – When do I do the daily performance test? Terry McAuley, MSc Medical Device Decontamination.

With the release of the new edition of the Australian Standard for Ultrasonic Cleaners, AS2773 in 2019, some queries have been raised regarding the testing of ultrasonic cleaners. Here’s one example: I purchased and read the new ultrasonic standard yesterday and came across a potential ‘typo?’ which I am hoping you can clarify as it is very important.

My query is regarding the following two clauses: 6.2 Performance testing (normative) (b) “Daily functionality test after each day of use” and B.5 Operating Procedures (informative) “The performance of ultrasonic cleaners should be monitored each day of use [See Clause 6.2(b)].” The word ‘after’ has been only inserted in 6.2(b) and left out of the statement in B.5. Is the correct? In my view, it is counter-intuitive to performance test an ultrasonic cleaner at the end of the day.

Terry’s Response It is not a typo as such – basically ultrasonic cleaners are a ‘pre-treatment’ for RMDs prior to definitive cleaning i.e. in a WD or if a WD is not available – then ultrasonic cleaning followed by manual cleaning. Typically, when performing a test on the ultrasonic cleaner, people use a pencil load test or aluminium foil test. If you do the test in the morning and don’t empty the tank you pose a risk of galvanic corrosion or particulate contamination to the RMDs from residual graphite from the pencil or from the aluminium foil. Thus, best practice is to perform the test at the end of the day, prior to emptying the tank and leaving it clean and dry overnight. This also saves water and time. Alternatively, you can do the test at the start of the day, knowing that you will need to empty, refill, and degas the ultrasonic cleaner afterwards. People are going to ask – what if we find the ultrasonic wasn’t working at the end of the day? The answer is – as long as a further cleaning process [manual or automated] was performed after the RMDs were removed from the ultrasonic cleaner, then there is little risk to the patients. It would be the same situation if you tested an ultrasonic cleaner in the morning and found it not to be working on the morning of the following day, as you cannot say at what stage in the previous day the machine stopped working.

Please note that some RMDs don’t actually need the ultrasonic cleaning pre-treatment step unless this has been specifically stated in the manufacturer’s IFU as a requirement. For those facilities that do not use an ultrasonic cleaner at all, you should ensure that you have read all the RMDs IFU to be sure that none of you inventory require ultrasonic cleaning as a pre-treatment / pre-cleaning step prior to further processing. A classic example is that some brands / models of ophthalmic lens folders / inserters need to undergo ultrasonic cleaning according to the manufacturer’s IFU. Are you using your ultrasonic cleaner correctly? General rules of thumb are to (1) rinse gross debris off the open or dismantled RMD, (2) immerse RMDs in a single layer in the ultrasonic cleaner basket without overcrowding, ensuring air bubbles are removed from the lumens of cannulated RMDs or attaching cannulated RMDs to the cannulated adaptors in your ultrasonic cleaner, (3) close the lid of the ultrasonic cleaner and then (4) expose RMDs for the specified length of time and at the appropriate frequency as specified in either the RMD or ultrasonic cleaner manufacturer’s IFU and (5) remove the RMDs from the ultrasonic cleaner and subject to a further manual and / or automated cleaning process in accordance with the RMD manufacturer’s IFU, noting that the

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RMDs may need to be rinsed off after removal from the ultrasonic cleaner if cleaning agent chemistries in the washer-disinfector are not compatible. You might be thinking to yourself “that’s not how you were taught to use the ultrasonic cleaner”, for example I often see people manually clean the RMDs first, then expose them to the ultrasonic cleaner. After this process has finished, most people would rinse the RMDs in running water and then put them in the drying cabinet, for those RMDs that are manually cleaned. If you think I’m wrong, then this paper by Vassey et al. clearly demonstrated that “manual washing combined with ultrasonic cleaning was significantly less effective” than processing using manual cleaning alone or processing through a washer-disinfector.

However, when you think about it, most facilities only change the water once or twice a day and when soiled. So, by the time you have processed the 10th tray through the ultrasonic, all that debris that you have dislodged from the RMDs must still be in the solution in the ultrasonic cleaner’s tank, so by the time you have come to the 10th tray, rinsing may not be enough to remove the accumulated materials that have contaminated the water and detergent that remains on the RMDs surfaces. Will you need to review your practice? [Vasey et al. ‘A quantitative assessment of residual protein levels on dental instruments reprocessed by manual, ultrasonic and automated cleaning methods.’ DOI: 10.1038/sj.bdj.2011.144 ©British Dental Journal 2011]

46th NZSSA ANNUAL CONFERENCE 22 – 24 September 2021 Christchurch Town Hall

Strengthening for the Future Together Click here to register for conference now! Early bird rates finish 31 July 2021

See the NZSSA website for regular updates https://nzssa.org/upcoming-events/ 22

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NZSSA Executive 2018-2021 President:

Secretary:

Shelagh Thomas

June Isted

CSSD

Sterile Services Unit

Hutt Hospital

Hawkes Bay Hospital

Private Bag 31907

Omahu Road

Lower Hutt 5040

Hastings 4120

Phone: 04 566 6999 ext 2745

Phone: 06 8788109 ext. 6597

Mobile: 027 589 6473

Mobile: 027 727 3048

Email: shelagh.thomas@huttvalleydhb.org.nz

Email: june.isted@hawkesbaydhb.govt.nz

Treasurer:

Sue Woods (Librarian)

Alison Stewart

TSU

NZSSA Treasurer

Burwood Hospital

28 Brighton Street

Private Bag 4708

Island Bay

Christchurch 8140

Wellington 6023

Phone: 03 383 6836 ext. 99990

Mobile: 021 209 8127

Mobile: 027 711 1444

Email: nzsterilescienceassoc@gmail.com

Email: sue.woods@cdhb.health.nz

Kerry Nicholls

Martin Bird

CSD

Sterile Services

Wakefield Hospital

Dunedin Hospital

Private Bag 7909

Private Bag 1921

Wellington 6242

Dunedin 9054

Phone: 04 381 8100 ext. 5927

Phone: 03 470 9639

Mobile: 027 275 3603

Mobile: 027 812 6064

Email: Kerry.nicholls@wakefield.co.nz

Email: martin.bird@southerndhb.govt.nz

Kevin Green

Tracey Kereopa

Sterile Services Unit

Sterile Services

Whangarei Hospital

Wairarapa DHB

Maunu Road

Mobile: 0275 829 541

Whangarei

Email: Tracey.Kereopa@wairarapa.dhb.org.nz

Email: Kevin.Green@northlanddhb.org.nz Maureen Scott Sterile Services Waikato Hospital Pembroke Street Hamilton Email: Maureen.Scott@waikatodhb.health.nz

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PLEASE SPEAK TO YOUR HEALTHCARE MANAGER ON 0800 425 529 FOR FURTHER INFORMATION

ECOLAB HEALTHCARE ANZ www.ecolab.com

S U PEHCA21025NZ P L Y r1 L I N E

16/06/21

NZ 0800 425 529 www.gallay.co.nz S U P P LY L I N E – J U N E 2 0 2 1

Supplyline Online Magazine June 2021

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