(1) These Procedures are intended to operationalise the associated Human Anatomy Policy and provide instruction regarding the management and utilization of the University of New England Anatomy Facility. The Procedures also outline UNE's requirements in respect to the receipt, handling, storage and disposal of donated Bodies. This includes bodies and parts of Bodies, donated directly to UNE as well as those procured by UNE from other universities. (2) These Procedures apply to the Human Anatomy Policy and are to be referred to and used by all University staff within the School of Rural Medicine, Students of the School as well as visitors to the Anatomy Facility and those using the facility's resources for any purpose. (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 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 Estate and Built Environment 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, the Estate and Built Environment will notify UNE Safety, Security and Information (if necessary) and the Anatomy Facility office advising: (9) Upon arrival Estate and Built Environment, or UNE Safety, Security and Information, 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, Security and Information Officer. (10) Prior to an Anatomy Employee (or UNE Safety and Security Officer) granting a contractor access to the 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 staff member, 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 his/her delegate, prior to admittance. The designated person will remain responsible for those users until they can: (14) Bodies must be delivered to the UNE mortuary. For verification and receipting purposes, Bodies will only be accepted into the mortuary by the authorised Anatomy Facility officer. (15) Delivery of a Body must be coordinated between the University's contracted funeral director and the authorised Anatomy Facility 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. (16) Prior to accepting a body, the designated Anatomy Facility staff member must ensure that there is sufficient cool room refrigerated storage capacity to accommodate the body, and that: (17) Prior to accepting a body into the Anatomy Facility' 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. (18) Upon accepting a body, the designated UNE Anatomy staff member must: (19) Acceptance of a body into the UNE Body Donor Program is not guaranteed and may be excluded for the following reasons: (20) 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: (21) A photocopy, witnessed by the designated Anatomy staff members from both universities will be acceptable. (22) 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. (23) Consent should be verified prior to receipt of the body, and it will be verified before the body's acceptance and use in the Program. (24) In the event that the original consent is unclear, the University shall seek clarification of consent from: (25) Clarification of consent will be sought, in writing, by the designated Anatomy staff member, and it will be obtained upon a UNE Body Donation Consent Form. When seeking consent, the donor, or senior available next of kin, will be provided with: (26) If informed consent cannot be established, the body will not be accepted into the donor program. (27) 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 UNE Body Donation Consent Form, the matter must be referred to the Human Research Ethics Committee for investigation and advice. (28) 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. (29) 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: (30) In all other cases the University will address a lack of consent for a particular activity by updating the UNE Body Donation Consent Form for application in respect of new donor bodies. (31) 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 UNE Body Donation Consent Form. (32) The Human Research Ethics Committee shall, in consultation with the Head of School or his/her delegate, conduct an ongoing review of the UNE Body Donation Consent Form. This review will aim to ensure that the form: (33) Bodies and human tissues are only to be removed from storage equipment: (34) An Anatomy Employee must retrieve, or supervise retrieval of human bodies, body parts, sections, or tissues from storage equipment. (35) When retrieving human bodies, body parts, sections or tissues from storage, the Anatomy employee must ensure that he/she adheres to all applicable safety procedures, and conducts himself/herself in accordance with the Anatomy Facility Code of Conduct. The Anatomy Facility Code of Conduct will be clearly displayed: (36) 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. (37) 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: (38) Each facility will have its own body transfer register. When a body or human tissue is moved from one facility to another: (39) 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. (40) 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. (41) 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. (42) Anatomy staff members are required to tag each body part with the body's UNE cadaver identification number as the body is dissected. Tags are to be firmly affixed to each body part. (43) Each UNE tagged body will be allocated its specific human tissue bin. That bin 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. (44) 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. (45) 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: (46) Each Image must be separately referenced upon the application. (47) Applications to record image/s of a body/body part/section/human tissue are to be lodged with the Head of School or his/her delegate within the Anatomy Facility. (48) 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: (49) Upon receiving an application to record an image of a body/body part/section/human tissue, the Head of School or his/her delegate will approve, and document approval of the image-taking make a determination in accordance with Photographs and Images of Human Bodies, Sections or Tissue section of the Human Anatomy Policy. He/she may also seek advice from the Human Research Ethics Committee should she/he deem it necessary, when considering specific image/s for the purposes of teaching and/or research. The Head of School or his/her delegate will notify the applicant of her/his decision in writing. In the event that the Head of School or his/her delegate wishes to approve the recording of the image (subject to additional requirements not specified in the original application) those additional requirements will be included in the notification to the applicant. Images may only be recorded after written approval has been received. (50) Having notified the applicant, the Head of School or his/her delegate will then forward the application, attached to a copy of her/his written determination, to the relevant Anatomy Facility office staff member for filing. (51) All images obtained shall be submitted to the Head of School or his/her delegate for inspection and approval prior to any release of images. Copies of all images made, will be submitted to the relevant Anatomy Facility Office staff member, to be filed and retained, and/or to be used for teaching purposes. (52) 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. 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. 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). (53) 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. (54) Bodies are normally retained for a maximum period of four years from death. At the time a donor signed his/her consent to donate his/her body, consent for prolonged retention (to eight years) may have been granted. (55) 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. (56) 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. (57) 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. (58) 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 at clause 60-65 Disposal. (59) Normally, all human tissue from a body must be re-united in preparation for disposal, except where: (60) 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. (61) 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. (62) With respect to cremation, at the time of release from the Anatomy Facility the designated Anatomy Facility staff member(s) must provide the Funeral Director with a copy of the: (63) With respect to burial, the designated Anatomy Facility staff member(s) must provide the Funeral Director with a copy of the: (64) At least one month prior to the arranged disposal date the Head of School or his/her delegate must instruct the designated Anatomy Facility Office staff member to confirm each body donor's wishes as to whether: (65) With respect to a burial, the donor at the time of enrolment to the UNE Body Donor Program, or the donor's estate, or the donor's family, must own a burial plot. (66) Collection of bodies must be coordinated between the UNE-contracted Funeral Director, the Head of School or his/her delegate and the designated Anatomy Facility Office staff member. Collection must be scheduled to ensure the Head of School (or his/her delegate) and a designated member of the Anatomy staff are present at the time of collection. (67) At the of collection of a body, the Head of School (or delegate) and the designated member of the Anatomy staff, will provide the Funeral Director with: (68) Immediately following collection of the body. The Head of School (or delegate), the designated member of the Anatomy staff and the UNE-contracted Funeral Director will: (69) Anatomical Examination means 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. (70) Anatomy Employee means the 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. (71) 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: (72) Body means a dead human body, which may also be referred to as a cadaver. (73) Body part (sectioned part) means a separated portion of a human body. (74) Confidential - relates to the non-disclosure of "personal information" as described within the NSW Health Records and Information Privacy Act, 2002. (75) Human tissue means an organ, or other part of an human body. (76) Receiving Officer means 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 anatomy mortuary. (77) 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: (78) Senior next of kin - is defined as per the Anatomy Act, 1977.Human Anatomy Procedures
Section 1 - Overview
Section 2 - Scope
Section 3 - Procedures
Admitting Users to the UNE Anatomy Facility
Admitting Students
Admitting UNE Staff (eg. FMS)
Admitting Contractors
Admitting Auditors/Inspectors
Departure of Admitted Parties
Receipt and Storage of Bodies
Obtaining Consent
Updating the UNE Body Consent Form
Storage, Retrieval and Handling of Human Bodies, Body Parts, Sections or Tissues
Transporting Human Bodies, Sections, or Tissues between Anatomy Facilities
Tracking Bodies / Human Tissues during Anatomical Examination
Applying to Record Images of Human Bodies, Sections or Tissues
Storage of Human Bodies, Sections, or Tissues
Disposal of Bodies and Human Tissues
Applications for Extended Retention of Bodies/Human Tissues
Deferring Disposal of a Body
Deferring Disposal of Tissue
Disposal
Collection of Bodies for Disposal
Top of PageSection 4 - Definitions
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For the purpose of this policy the following definitions apply.