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Posted

Hi Jens,

Thanks, your comments are mutually appreciated.

No " clean " doesn't mean much I suppose, there are however procedures such as

ET intubations that don't require more than that, as far as I know.

There are laws, true, and I admit to not be an authority on them, but there

are budgets too.

It would appear to me as though my professional duty of care can be met with

a non sterile ET tube and a non sterile laryngoscope blade. If I am wrong, I

will change.

Last time I spent time in a hospital though, they did not use sterile

procedures for handling of ET tubes.

Also, when I left the Ambulance Service of NSW a few years ago, we had open

pre cut tubes in our kits. This might have changed now.

I will check.

And yes many drugs become useless prior to their manufacturer's expiry date.

We have guidelines and recommendations for recognizing this as well.

The point there was, as you recognized, that the manufacturers do extend the

dates if asked.

By the way, in my remote practice, I do have an Autoclave, so that's not

really an issue where I work at the moment. (They are not all that

expensive)

As far as a common code of ethical practice is concerned; I am very much in

favor of a more universal, both clinical and ethical, code for the

professional (some say it is not one) group called Paramedics. I would also

be happy to change the name to something else less confusing.

Cheers,

Gösta

Re: Sterilized surgical equipment

>Date: Fri, 20 Oct 2006 06:35:32 -0700 (PDT)

>

>,

>I have been told by surgeons that in our environment (remote sites) that

>the stuff is good until it has been opened or gets wet or is dusty or

>dirty. If your kits are well wrapped (that is triple wrapped in plastic so

>they cannot be contaminated unless opened you are good until they are

>opened. Some may have arbitrary or subjective rules about the expiry of

>these things but there is little objective documentation to support them

>that I have found.

>Cheers,

>Steve

>

> Rundle <jeremy.rundle@... <mailto:jeremy.rundle%40gmail.com>

<mailto:jeremy.rundle%40gmail.com> >

wrote:

> Hey All,

>

> I was wondering if anyone out there can help me with the following

>question.

>

> How long can one keep pre-packed and sterilized surgical equipment before

>it

> needs to be sent back for re sterilization?

> Thanx in advance

> --

> Rundle

> Offshore Medic/ Health and Hygiene

> P.O. Box 257

> Gordon's Bay

> South Africa

> 7151

> Cell: +27 (0) 82 656 9747

>

>

Posted

Well,

Seems to me there is currently all of a sudden a huge fight brewing between

the diffirent qualifiactions world wide.

It makes me feel foolish and stupid for asking the question I asked. Thanks

for those that did take the time and actually answer me on my question.

Regards

On 10/22/06, Gosta Liljeqvist <gosta@...> wrote:

>

> Hi Jens,

> Thanks, your comments are mutually appreciated.

>

> No " clean " doesn't mean much I suppose, there are however procedures such

> as

> ET intubations that don't require more than that, as far as I know.

> There are laws, true, and I admit to not be an authority on them, but

> there

> are budgets too.

> It would appear to me as though my professional duty of care can be met

> with

> a non sterile ET tube and a non sterile laryngoscope blade. If I am wrong,

> I

> will change.

> Last time I spent time in a hospital though, they did not use sterile

> procedures for handling of ET tubes.

> Also, when I left the Ambulance Service of NSW a few years ago, we had

> open

> pre cut tubes in our kits. This might have changed now.

> I will check.

> And yes many drugs become useless prior to their manufacturer's expiry

> date.

> We have guidelines and recommendations for recognizing this as well.

> The point there was, as you recognized, that the manufacturers do extend

> the

> dates if asked.

>

> By the way, in my remote practice, I do have an Autoclave, so that's not

> really an issue where I work at the moment. (They are not all that

> expensive)

>

> As far as a common code of ethical practice is concerned; I am very much

> in

> favor of a more universal, both clinical and ethical, code for the

> professional (some say it is not one) group called Paramedics. I would

> also

> be happy to change the name to something else less confusing.

>

> Cheers,

> Gösta

>

>

> Re: Sterilized surgical equipment

> >Date: Fri, 20 Oct 2006 06:35:32 -0700 (PDT)

> >

> >,

> >I have been told by surgeons that in our environment (remote sites) that

> >the stuff is good until it has been opened or gets wet or is dusty or

> >dirty. If your kits are well wrapped (that is triple wrapped in plastic

> so

> >they cannot be contaminated unless opened you are good until they are

> >opened. Some may have arbitrary or subjective rules about the expiry of

> >these things but there is little objective documentation to support them

> >that I have found.

> >Cheers,

> >Steve

> >

> > Rundle <jeremy.rundle@... <mailto:jeremy.rundle%40gmail.com>

> <mailto:jeremy.rundle%40gmail.com> >

> wrote:

> > Hey All,

> >

> > I was wondering if anyone out there can help me with the following

> >question.

> >

> > How long can one keep pre-packed and sterilized surgical equipment

> before

> >it

> > needs to be sent back for re sterilization?

> > Thanx in advance

> > --

> > Rundle

> > Offshore Medic/ Health and Hygiene

> > P.O. Box 257

> > Gordon's Bay

> > South Africa

> > 7151

> > Cell: +27 (0) 82 656 9747

> >

> >

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