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Disposable instruments

Discussion in 'General Issues and Discussion Forum' started by michelle harris, Sep 28, 2009.

  1. carolethecatlover

    carolethecatlover Active Member

    What are pad files?
     
  2. footsiegirl

    footsiegirl Active Member

    a foot dresser or sander
     
  3. carolethecatlover

    carolethecatlover Active Member

    Pad file is a podiatry paddle? Got it. I discovered a great alternative at the Beauty school. Wooden scapulas ($1.40 in Chinatown) with a wider than the scapula strip of sanding paper stuck to it with double sided tape. You can use different grades of sandpaper, and remove it when used, and wash and sterilize. autoclave or cold, the scapula. the long handle makes it easier to use, and it is larger than any pod paddle. We are taught at Uni to use sanding disks and diamond debs, every thing in the fight against HK is needed in Australia.LOL.
     
  4. Hopefully they are still teaching good scapel tech. as well.

    I still think the D10 or Even D15 will get you better and faster results.
     
  5. footsiegirl

    footsiegirl Active Member

    I use a D10 with good results, but like to smooth the skin afterwards
     
  6. fishpod

    fishpod Well-Known Member

    hi i use disposables from patrick at disposable medical instruments cost 2.99 for pack 2.34 for assistants pack ie nippers and diamon deb they are pretty good and cheap of course i pass the cost on i use up to 3500 packs ayear plus nail op packs and separate individual instruments some are faulty u send em back and get a replacement customer service is great

    love you beasts who cold sterilise and use ovens do you still live in caves and c-rap in abucket

    ps gp surgeries are selling off autoclaves like lemmings ive personally got rid or 4 even sold one out of askip to chiromart for 500 quid personally would never use an autoclave to time consuming cleaning testing insurance maintenance printer works for abit then stops wat apain in the rear.
     
  7. Thank you for a thoughtful and well written post. I'm sure Patrick is pleased with your skilled and tactful endorsement.

    Perhaps "in caves" is where people learn how to use full stops, punctuation and civility. If your skill with a benchtop autoclave is similar to your skill with a keyboard then I think it wise you steer clear, as you appear to be trying to type with your elbows or clenched fists.

    I'll leave it there, I'm going to get down to my GP surgery! The kids would love a pet lemming!
     
  8. fishpod

    fishpod Well-Known Member

    you have noticed my lack of typing skills and lazines again robert, its all true however badly written and well meant
     
  9. Apart from the bit about living in caves and crapping in buckets!

    Benchtop sterilizers were quite adequate for the last 50 years. They allow people to have a wide choice of instruments. The Cost implications of multi use instruments mean higher grades of steel can be used, allowing for finer instruments, which I find particularly significant when taking a blacks file to an IGTN. I personally use both methods in PP depending on the process and disposables exclusively in the NHS. I think that both are ideas with merit. There are pro's and cons to each, and I feel to imply that those of our colleagues who use benchtop sterilizers are primitive is unjustified and stated in a somewhat condescending manner.

    Having said that, the independent umpire has just told me I'm grumpy today. So who knows?
     
  10. fishpod

    fishpod Well-Known Member

    dear robert iwas implying those people using cold sterilisation and ovens are primitive not people using autoclaves please read my badly typed post i choose not to autoclave but have nothing against the method. only against ovens and chlorhexidine soaks so sorry mate .
     
  11. Catfoot

    Catfoot Well-Known Member

    Fishpod,
    What about glass bead sterilisers eh? Some FHPs must still use them because there was one for sale recently on ebay.

    You have upset me with your use of disposable instruments - don't you love the environment? What about your Carbon Footprint ?

    CF
     
  12. 1956bigfoot

    1956bigfoot Welcome New Poster

    Hi Guys
    There are many good manufacturers of disposable instruments and I would recommend you use them if the patient has a blood born virus. Please dispose carefully after use. There are a number of different types of autoclave, but if we focus on steam then we are looking at 3 types, Type "N" non vacuum, Type S vacuum for non porous loads (UK only) Type "B" European standard vacuum for porous and non porous loads. Changes are being driven to achieve traceability and proof of a successful sterilization cycle hence a printer or data logger and the use of an emzime detergent in an 85 degree disinfection wash to remove the protein shell of a prion prior to autoclaving. Be careful in buying second hand autoclaves, most older machines do not have a printer and maintenance and calibration will cost more than the purchase. Try renting its a lot cheaper and no risk of ownership. I can help with this but do not want to be seen touting for business within the forum.
     
  13. cornmerchant

    cornmerchant Well-Known Member

    Fishpod

    You should be ashamed of yourself. Disposable instruments are environmentally, ergonomically, economically, and ethically unsound.
    You are generating approximate. .75 tons of waste instruments a year, or 560 kg. Where do you dispose of them? They are not recylable and do not degrade.

    Sod your grammar, where are your ethics?

    CM
     
  14. fishpod

    fishpod Well-Known Member

    sorry guys i have got amassive carbon footprint but i do have an allotment so hopefully that helps against my other bad behaviour. i dispose of them in massive yellow sharps boxes which are then collected weekly with all our other clinical waste.
     
  15. annadorsa

    annadorsa Member

    .... the way the world thinks these days , everything will be disposable! ... think of the environment ! .... the latest coffee machines with disposable capsules for each shot gets to me - but disposable instruments def takes the cake!!
     
  16. fishpod

    fishpod Well-Known Member

    catfoot as you know the glass bead sterilisers are totally sh-t dangerous and unproffessional people who use them have no contience.
     
  17. Catfoot

    Catfoot Well-Known Member

    Fishpod,
    I am not sure if you mean "no conscience" or whether you infer that these persons have no control over bodily functions?

    Either way, incidentally, I would tend to agree with you.

    Catfoot

    PS I hope this is not going to develop into a man thing with "my carbon footprint's bigger than yours"...... ?

    But I hope you have a very large allotment?
     
  18. fishpod

    fishpod Well-Known Member

    new id spelt it wrong was not refering to continence . got hooked on growing stuff to eat but dont really have the time for it all my friends think its mad
     
  19. fishpod

    fishpod Well-Known Member

    dear shelleybean research into cold sterilisation ur havin a laugh forget it. ps we no longer send small boys up chimneys, its the past and should stay there there is no modern research coz it does not work on prions or viruses.
     
  20. RobinP

    RobinP Well-Known Member

     
  21. fishpod

    fishpod Well-Known Member

    robin look at their website 2.99 plus vat if you order box 100 packs no postage u must speculate to accumulate ps negociate harder with patrick they are still the cheapest even with the vat if you want a sample pair i suppose u must pay the postage my first order was for 2500 pounds so i get good sevice plus discount i order 250/300 sets per month they offer the best prices for 100 packs 10 packs is of no consequence i suppose . .good luck tell patrick to send them freeand hemight get aregular customer they supply the nhs
     
  22. betafeet

    betafeet Active Member

    Robin have you gone disposable and what has been your experience on delivery and quality also have you managed to source any cheaper packs.

    Judith
     
  23. betafeet

    betafeet Active Member

    Have you got Patrick's website.

    Judith
     
    Last edited: Sep 26, 2011
  24. RobinP

    RobinP Well-Known Member

    Hi Judith,

    I do use(my clinic does - I am not the podiatrist) Podiatrist says the quality is very satisfactory. Delivery is different where I live - much longer as it is an island. I would imagine it is fine in the UK - 48 hours?

    Best thing in my opinion is that I can order online at night and at weekends which is generally the only time I get to do things like that.

    Website is http://www.disposablemedicalinstruments.co.uk/ .

    Come to think of it, I haven't had my free lottery scratch cards for any of the deliveries I have had!

    I don't find them particularly great to deal with on a personal level but they are efficient and provide good products at a good price so I can't complain.

    hope this helps

    Robin
     
  25. fishpod

    fishpod Well-Known Member

    dear robin im glad you found them satisfactory . and yes im missing my scratch card this month
     
  26. fishpod

    fishpod Well-Known Member

    dear beta feet you will not find them cheaper anywhere if you could i would be buying them. its patricks mantra i will not be beaten on price. so far so good.:drinks
     
  27. betafeet

    betafeet Active Member

    Thank you all for your help. I found Patrick from Disposable Medical Instruments most helpful he is putting together a 'Judith Pack' for me which will include:

    • New Style barrel straight edged nippers
    • Disposable 15 scalpel
    • File (emery type I don't like the diamond file)
    • Burr

    Cost of pack is £3.60 excluding VAT, I will pass the cost of £5 onto client which will include disposal of single use instruments. My intention is also to build up a stock of one off items we might use also when a full pack is not required.

    I'm looking forward to not sterilsing saving time and money on the costs of decontamination room update, servicing, cleaning fluids, packaging and any tracking and tracing elements which may come in the future.
     
  28. sussex hen

    sussex hen Member

    I have read this thread with great interest. I was forced from my job with the NHS after they went to CSSD and the instruments returned extremely stiff resulting in severe RSI from which I still have problems.
    It scares me that anyone in PP would consider inferior instuments to do their very valuable and necessary work.
    How would you deal with IGTN, involuted nail and children if all you have are thumping great nippers?
    I prefer the flexibility of a choice of size and style that are appropriate to the condition and client. Instruments that I can look after myself and ensure that they do ME no harm.
    I have just replaced my bench top steriliser (which is validated each year) to comply with current guidlines and I now have a printer but all it tells me is that each time I use the steriliser it performs correctly but I ensure that cleanliness of the instruments and the clinical surroundings are paramount and this is often remarked on and appreciated by my clients.
    Surely this is enough?
     
  29. LeonW

    LeonW Active Member

    What do u think of sterilizing disposable instruments often I feel they are made of low grade metal but if you get a good set they can be used multiple times before the metal fails
     
  30. Ella Hurrell

    Ella Hurrell Active Member

    Disposable instruments are just that - disposable. I don't know which country you are in or whether the rules differ, but in the UK, they will be marked and licensed for SINGLE USE only. This means they must not be re-used under any circumstances (even if it is physically possible to do so). The grade of metal is indeed not intended to be autoclavable in the clinic multiple times. I believe re-using single use items would render ones insurance invalid and, certainly in the NHS, is a disciplinary offence.
     
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