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(2) These procedures apply to all (3) Anatomy employees will only grant entry to the Anatomy Facility where they are able to confirm: (4) Prior to granting access to the Anatomy Facility, Anatomy employees will: (5) To be considered formally enrolled for the purposes of admittance to the UNE Anatomy Facility, enrolment in a relevant unit must be recorded upon the student's record in the University's student record system. Students who are not formally enrolled in a relevant unit at the time of seeking access, or who fail to produce a valid UNE student identification card, will not be granted access to the Anatomy Facility. No other form of identification will be accepted. (6) Prior to granting access to the Anatomy Facility, Anatomy employees will: (7) Repairs and general maintenance of the Anatomy Facility requiring internal access must be booked through the Estate and Built Environment (EBE) and the Anatomy Facility office. When booking contractors to conduct repairs and general maintenance of the Anatomy Facility, EBE will advise the contractors that they will be required to: (8) Once arrangements for repairs or general maintenance have been confirmed, EBE will notify Safety, Security and Information (SSAI) (if necessary) and the Anatomy Facility office, advising: (9) Upon arrival, EBE, or Safety, Security and Information (SSAI), will provide contractors with any necessary instructions and escort the contractor to the relevant area in the Anatomy Facility and/or arrange for a designated member of staff to be ready to meet the contractor upon arrival at the building. In the event that an anatomy employee will be unable to provide adequate supervision for the duration of the work, the designated staff member or nominee, will make arrangements for supervision to be provided by a UNE Safety and Security officer. (10) Prior to an Anatomy employee (or UNE Safety, Security and Information Officer) granting a contractor access to the Anatomy Facility, the employee will: (11) With respect to internal auditors, and external inspectors, prior to granting access to the Anatomy Facility, a designated Anatomy employee, will: (12) With respect to internal auditors, an Anatomy Office employee, or a designated anatomy employee must also ensure that each auditor has completed the necessary induction prior to granting access to the Anatomy Facility. (13) Certain users of the UNE Anatomy Facility must be supervised at all times when in an Anatomy Facility. Appropriate supervision will be determined by the Head of School or delegate, prior to admittance. The designated person will remain responsible for those users until they can: (14) Prior to accepting a body for donation, for medical/surgical/scientific teaching and/or medical/surgical/scientific research purposes, the University must establish clear consent for the procedures which may be applied to that body. This consent will be established using: (15) Enquiries are fielded and these forms are registered into the UNE body donor program as per the Body Donor Registration Procedure Manual Sections 1, 2 and 3. (16) Consent is to be given by the donor, and supported by the donor's designated executor or designated senior next of kin (as defined in the Anatomy Act, 1977 (NSW)), prior to the body being accepted into the Program. (17) In the event that the original consent from the donor or their next of kin is unclear, the Body Donor program must seek clarification from the relevant person needing to consent; whether it be the bequeathing donor, their enduring power of attorney, or their executor or next of kin. (18) If informed consent cannot be established, the body will not be accepted into the Body Donor Program. (19) In the event that a new area of consent arises, for example where it is believed that a medical/surgical teaching or research activity will go beyond the established boundaries of consent covered upon the three Body Donor Program registration forms, the matter must be referred to the Human Research Ethics Committee for investigation and advice. (20) If the Human Research Ethics Committee finds the activity acceptable, but deems it is not covered by the existing consent, the necessary consent must be obtained before conduct of the activity commences. (21) In reaching its decision, the Human Research Ethics Committee will determine whether it is appropriate to seek additional consent for an existing body with respect to the activity. As the University wishes to limit anxiety and inconvenience for next of kin, the Human Research Ethics Committee will only approve the seeking of additional consent for an existing donor body where: (22) In all other cases the University will address a lack of consent for a particular activity by updating the three Body Donor Program registration forms for application in respect of new donor bodies. (23) Where it is deemed appropriate to seek additional consent, this shall be done in accordance with the Human Anatomy Policy, after any necessary amendment has been made to the three Body Donor Program registration forms. (24) The Human Research Ethics Committee shall, in consultation with the Head of School or their delegate, conduct an ongoing review of the three Body Donor Program registration forms. This review will aim to ensure that the form: (25) Delivery of a body must be coordinated between the University's contracted funeral director and the UNE anatomy license holder(s) or authorised UNE receiving officer. Delivery must be scheduled to a time which ensures that at least one of the aforementioned inducted Anatomy Facility authorised staff is present at the time of delivery. (26) Prior to accepting a body, the Body Donor Program staff member must ensure that UNE has the capacity and capability to accept the body donor. This includes: (27) If the UNE Body Donor Program has reached full cool room capacity, has reached its annual quota, or there is a scheduled staff unavailability, the Pausing the Body Donor Program Procedure must be followed. In addition to this process, or if the UNE Body Donor Program is unable to accept for any other reason, respectfully inform the caller that UNE is unable to accept, gather their details and send a condolence letter and remove all records from the system. (28) If the UNE Body Donor program has the capacity to accept, continue to the next point. (29) To determine whether to accept the body donor, the body donor program staff must: (30) Prior to accepting a body into the UNE Mortuary, the designated Anatomy Facility staff member must ensure that adequate precautions have been taken to ensure that members of the University community, or general public do not witness the transfer of the body from the funeral director's vehicle, into the UNE Mortuary. (31) Approved bodies must be delivered to the UNE Mortuary and for verification and receipting purposes. (32) Bodies will only be accepted into the UNE Mortuary by the UNE anatomy license holder(s) or authorised UNE receiving officer. (33) Upon accepting a body, the designated UNE Anatomy staff member must: (34) Acceptance of a body into the UNE Body Donor Program is not guaranteed and may be excluded for the following reasons: (35) At the point of receipt into the UNE Mortuary each body is allocated a unique UNE cadaver identification number. The purpose of this number is to enable the University to identify all tissue belonging to that body at any given point in time and to re-unite all tissue belonging to that body, prior to disposal. (36) Anatomy staff members are required to firmly affix each dissected specimen with two (2) UNE cadaver identification tags, labelled with the specimen's unique UNE cadaver identification number. (37) Each UNE tagged body will be allocated its own cadaveric tissue collection bucket. The bucket will be clearly marked with the body's UNE cadaver identification number. During anatomical dissection, staff and students are required to place all human tissue removed from each specifically tagged cadaver, into that cadaver's allocated and specifically identified, human tissue bin. The majority of off-cut cadaveric tissue should be collected in this manner, although small amounts of anatomical waste may be disposed of as clinical waste. (38) In the case of human bodies, or tissues, received from another university, that university's originally allocated cadaver identification number will be used to identify that body and/or tissue. (39) Upon completion of teaching sessions using cadavers, body parts, sections and/or human tissues, the designated Anatomy Facility employees must place body parts, sections or human tissues in appropriate storage bags, bins or tanks. (40) All cadavers within their body bags, body parts, sections, and/or human tissues must be retained in the locked (security swipe card accessed) Anatomy Facility's dissection room, or storage room, until required (in accordance with Section (Storage, Retrieval and Handling of Human Bodies, Body Parts, Sections or Tissues) of these procedures). (41) Upon completion of anatomical dissection, each body will be enclosed within its specific body bag and any tissue removed from it, placed into its associated, specifically identified (UNE cadaver number), tissue bin, under the supervision of the designated Anatomy Facility employee. (42) Bodies and human tissues are only to be removed from storage equipment: (43) An Anatomy employee must retrieve, or supervise retrieval of human bodies, body parts, sections, or tissues from storage equipment. (44) When retrieving human bodies, body parts, sections or tissues from storage, the Anatomy employee must ensure that they adhere to all applicable safety procedures, and conducts themselves in accordance with the Human Anatomy Laboratory Safety Induction and Rules. (45) Upon retrieving a body, body part, section or tissue from storage equipment, prior to handling any other body, section or tissue, the Anatomy employee must ensure that the UNE cadaver identification number is firmly affixed to the body, body part, or section, or UNE cadaver identification number is correctly displayed upon the human tissue bin or specimen tank. (46) Before transferring body donors between universities, the necessity and capability of transferring must be discussed and agreed upon between each university’s anatomy license holders. (47) A Body transfer Agreement must be signed by a UNE anatomy license holder and an anatomy from the receiving/sending institution. (48) Anatomy lab staff of both universities should organise the transfer with the help of the UNE Transfer Checklist. (49) Bodies, body parts, sections or tissues may only be released to a UNE contracted certified undertaker, or other designated certified undertaker, for transfer between facilities where Anatomy teaching and research is conducted. Such transfer must only occur under the supervision of a nominated Anatomy Facility employee. In supervising such transfer, the person/persons, are responsible for ensuring that: (50) Each facility will have its own body transfer register. When a body or human tissue is moved from one facility to another: (51) Each facility's body transfer register is to be updated as transfers occur. Under no circumstances should bodies/body parts/sections/human tissues, be removed from, or introduced to, an anatomy facility without concurrent update of the relevant body transfer register. (52) Depending upon the purpose of the transfer, upon updating the body transfer register, the transfer supervisor must ensure that the body/human tissue is secured, either by placing it in appropriate storage or delivering it to an appropriate Anatomy employee. (53) Staff and students must submit a written application and obtain written approval before they record an image of a body or human tissue. The written application must specify: (54) Each Image must be separately referenced upon the application. (55) Applications to record image/s of a body/body part/section/human tissue are to be lodged with the Head of School or their delegate within the Anatomy Facility. (56) Upon receiving an application to record image/s of a body/body part/section/human tissue the UNE authorised Anatomy staff member will check that: (57) All requests to defer disposal of a body, or human tissue, must be lodged at least six months in advance of the approved final date for retention, so as to ensure that the University is in receipt of a decision before the approved retention date lapses; and (58) Details of all body donors’ time to cremate and a reminder to extend their retention where necessary/possible should be clearly accessible to Anatomy Facility staff in order for deadlines to be met. Such details should be presented on a notice such as those found in the Reminder to Cremate and extension Retention Checklist. (59) Bodies are normally retained for a maximum period of four years from death. At the time a donor signed their consent to donate their body, consent for prolonged retention (to eight years) may have been granted. (60) Where the need arises and consent is available, a request to extend the period of retention (beyond four years) may be submitted to the NSW Department of Health to seek approval to extend the approved retention period. (61) All requests to extend the approved retention period for a body are to be submitted to the NSW Department of Health via the Head, School of Rural Medicine at UNE. (62) Approval to extend the retention date for a body must be obtained in writing from the NSW Department of Health. Upon receipt of written approval, the UNE Anatomy Register must be updated to reflect the amended details regarding retention. (63) In the event that the Department of Health refuses to grant the extension, disposal of the body is to be arranged in accordance with the procedures as cited in "(61) Disposal". (64) Normally, all human tissue from a body must be re-united in preparation for disposal, except where: (65) At least two months before a body's approved retention date is due to lapse, the appropriate member of the Anatomy Facility will arrange for the body and all of its human tissue dissected from it (excluding any human tissue that is exempted from disposal in accordance with the Anatomy Act, 1977), to be re-united and placed in a coffin. (66) The UNE designated Anatomy Facility Office staff member will then commence arrangements for the disposal of the body. Such disposal is to be conducted in accordance with the Anatomy Act, 1977 and associated legislation and, so far as possible, is to comply with the wishes of the deceased. (67) With respect to cremation, at the time of release from the UNE Anatomy Facility the designated Anatomy Facility staff member(s) must provide the Funeral Director with: (68) With respect to burial, the UNE Anatomy Body Donor Program no longer offers the option to release body donors to bury. (69) At least one month prior to the arranged disposal date the Head of School or their delegate must instruct the designated Anatomy Facility Office staff member to confirm each body donor's wishes as to whether: (70) For the purpose of this policy: (71) Anatomical examination - refers to the examination of a body, body part, or section, including the dissection of a body, body part, or section, for the purposes of medical or scientific education. This excludes a formal forensic medical post mortem examination. (72) Anatomy employee - refers to a UNE employee who requires access to human bodies, body parts, sections, and/or tissue for the purposes of teaching anatomy for medical education purposes connected with medicine or science. (73) Anatomy Facility - refers to and is limited to rooms 118, 120, 122, 123, 124, 125 and 126 of the C013 Patricia O'Shane Building at the UNE Academic Campus in Armidale, NSW. These are the only places where UNE Body Donor Program cadaveric specimens may be stored and used whilst at UNE. The facility also encompasses records stored in room 121, and on the official UNE secure online record keeping system - Content Manager (TRIM). The anatomy facility is facilitated by rooms 111, 113, 115 and 117 though no cadaveric specimens are allowed in nor beyond these rooms. (74) Anatomy Register - refers to the official register recorded within the University's corporate record keeping system (TRIM). The register is kept and maintained in accordance with prevailing legislation, which details: (75) Anatomical waste - refers to a discarded biologic product, such as blood or other bodily fluid, fat, skin or other small amounts of human tissue removed from a cadaver that is undergoing preparation or dissection for anatomical examination. This waste material may be disposed of as clinical waste according to relevant requirements. (76) Body - refers to a dead human body, which may also be referred to as a cadaver. (77) Body part (sectioned part) - refers to a separated portion of a human body. (78) Confidential - relates to the non-disclosure of "personal information" as described within the NSW Health Records and Information Privacy Act, 2002. (79) Human tissue - refers to an organ, or other part of a human body. (80) Receiving officer - refers to the UNE Anatomy Technical Officer, or designated support staff member, who has completed induction training in relation to the receipt of a body into the UNE Mortuary. (81) Retained Body Part Register - refers to the most current version of the official register, filed within the University's corporate record keeping system (TRIM) in accordance with prevailing legislation. The register details: (82) Senior next of kin - means the most senior next-of-kin in the hierarchy of next of kin within the Anatomy Act 1977. If there is any confusion to this meaning, discuss this with an anatomy license holder or the body donor's solicitor. Human Anatomy Procedures
Section 1 - Overview and scope
Section 2 - Procedures
Admitting Users to the UNE Anatomy Facility
Admitting Students
Admitting UNE Staff
Admitting Contractors
Admitting Auditors/Inspectors
Departure of Admitted Parties to the Anatomy Facility
Enquiries and Obtaining Consent
Updating the UNE Body Donor Program Registration Forms
Receipt and Storage of Bodies
Tracking Bodies / Human Tissues during Anatomical Examination
Storage of Human Bodies, Sections, or Tissues
Retrieval and Handling of Human Bodies, Body Parts, Sections or Tissues
Transporting Human Bodies, Sections, or Tissues between Anatomy Facilities
Applying to Record Images of Human Bodies, Sections or Tissues
Disposal of Bodies and Human Tissues
Applications for Extended Retention of Bodies/Human Tissues
Extended Retention of a Body
Extended Retention of Tissue
Disposal
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Section 3 - Definitions