EVIDENCE EXHIBIT XXVIII: "AUSTRALIAN ORTHOPAEDIC ASSOCIATION" (AOA) ABSURDLY MISTAKENS AUSTRALIAN CHIROPODY TRADE FOR "PSEUDO-PODIATRY": PROOF OF AN AOA FAILED FORMAL DUE DILIGENCE CAMPAIGN TO PROTECT THE PUBL

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WITHOUT PREJUDICE IN THE PUBLIC INTEREST FOR PURPOSES OF PUBLIC & PATIENT SAFETY AS A MATTER OF INTERNATIONAL HEALTH PROFESSIONS PUBLIC POLICY
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  A. -St iletin Vol. 1 1. No. ? - AuEust 199O HECOIlIMENDATION FORFHEVEHTICIN OF HI'I INFECTICN ANtr AiO$ ':OFI   SUFGICAL PEHSONNiL Oprratlng Fooflr Frotgctlon Surgieal Appareli t, Foql wear - wai+rptoof knt'e highsurgical sf'ce ccvets. 3. Gcwns'- water' irnpervicus.rowns. 3.' Gloves ..- dolble Elcves at al iirnes,  n knswn HIV lrfeclion. tripls giovesshouid be lvfirn \.iiih cisth gi0Yss 3e secr)nd lg'rer, {. lrlask - surgi6al irask wiil nrt pre-venl lransi'nissitn if spiaf iarat . i. l-i*ad ,--cver * rnaxirtuni ne.td en.J 5kifl ctvel FilBS;t le. i., . prrt6ciian -iiln€isppr.]priei6 q,r{er is a fuil lace shi*lC. iClassesaie inaderluaie with bloau{ an,i bone ant:HarirH'*'\+,;t rv6-spqraliva l-iiV testing ol pallents i, ftostine vairjnl+ry iqslrng oi all suigi- qal cdhaDsb.aic cnsBs. 2. Accident and emergencf i aurna 2..l l;louline vr)luntary test ng ii ccnscious E.? ll r-tn+qnscior-ts, reialive'l q+n' s€nl ar soprctral by CEC.  . ln he evenl ol refr-rsai +f palient, ccn-:iderthe paiient lil have pasiti"+ HtV status anq treal as such. lrolecii,in 0l Surgtffal tearn All personnel et risli -shou d bg rnfouraged to ha'/e Lheif Hiv statlis .nown, ..esoclated hsalth 4rrs u+srkerc ll iE recoqfliled and recomrntr lai 3ll at risH person,lei asscciate j wiih u.$ical inanagefient, who mey 'oe lloves, gowns dr ma$ks, Thsss shcuicJ be chaflged il bio3d contami- lr.'riir.ln p+netrates. $. Cc',rsr uxposed pins and t#ires, POLiCY SN TRAUMAMAHAGEMENT 1. ExcluCing miilor generat Bractitianer type injuries, 80-85 p€.i cent of alllraurna is onhopaedic. . E. Onhopaedic training is essonlial to ffi *nagE rnussulosk€ietai t/auma. 3. CrlhoFaedic surgeons inust havs itrput into the orgdnitalidn of accideflt an(i amsrgency lraurna in lha haspitat }y$tern, ': t . ,i. ., i., 4, OdhsFee{iic surgeons rflust bo noti- fied immedlatdiy 0f any orthopaedi0 iragma patient wiro is admitted ifllo trospiial and ihg admisslon musi be a joinl asmis$ion undEr 6il interested $. Treatrneni of ths orthopaedically tra' urnalised patlent, irrcluding {cllow up, ' is lhs responsibiliv ol th8 orlhopBedic ' $urgeao in charge ci lha patieni and shouia' r.dt be handed ov6r to lhs, rehabilitatlonists vrhose lunction is to ::l a perscn; \aith parrnafl6nt iniuries,for a job and not lo lreat the petient, d. ll lraumatology surgeons are to be ' sppolnled, they should bs selecled lrom onhccaedic surgeons who wish to do ihe irauma wori{load, including,the on-call camponenL ' 7. Apptopriate lraining in tl''u manags' . rlient of museulcskelelal ''aurne c8n6niy oe obtain*d by trainees selecled ta the Austraiian Orthspfledic Asso- ciation's Training Scheme, whichciurjes up to two ysars ol training in tl.ligerl of traufiHstructurss which derive from it and that ths lraining in and use of localanaesthesia in the t'eabnent of such conditlons b9 aPProved " '":r ?. That no palient be admitted tO e nos- pilal Bnd have a Eurgicai 6,rocadure pertormad by a pociiairisi urtla$s lilis is dona under the suPervision ol a qualifi+d medica Fraeulioft6l fitief th6n sn Enaestheiisl The'madical practitloner himsei, s th€ onB primat. liy resportsible ,or the ovsrall rnsn- agemeflt of the Patient and this iflcludes prg'aPerstlYe dlagnosis, tie operation iisell and the - Posi- opai'ative manag€ffienl A podiattist is not quali{ied for this overall rncn'agarnenl Pre-operaliva a$sessmcnt inctude$ th6 order of piain X-rays, CT and nuclear scans, Pathological tests, etc. 3, ldeally, it is the medical practiticner wno should carry . orjt Primary assessmenl and care and. whereindicated, refer d patlent to a par-a- medical di+cipline for prescribed trEalment. The Royal Australasian Collage olSurgeons and lhe Auskalian Ortho' paedic Assoclatlon wiil trantinus co-operall+n wllh tne Eoard qt Podiatry in each State of Auslralia and ln New Zaaland, and wiil assist in tha educa' ti0rr ol podiatrists involving superficial surgery of the foot,o.qly. The Fioyal Australasian College olSurgeons and ths Australien Ormo' paedlc Association recognise that lhesB recomrnendations cannct be enlorced by Pr$$ent legislation,a{lhough every practition€r, surgeorland podiatriot alike Is respoffiible at law; and they reaffirm tha,prineiple that surgsry shouid only'.b6'Per- Iormed by surgEanB, 8nd "he hlgFe'ttstandards of surgical cara can onlybe maintained by continuing educa' ilon 6nd experiBncs. res8arch, thBuse of improving technology, and c0' operation with other moqisal and para-medical colleaguer' \ PoLlcY oN F0DIATBY hecommendstl6ds: ontact with bcuT fluids irciuCin; i:lfid r:d ot[er body fluids clntaining qr ]'(3 t' ilcrostotic ancunis, should be pren- i. Tt at tne practico of tho podiatfi$ls be reslricted l0 ths treatrnsnl of condi' tron; ol ihe rkin ol lhe to.l and thosg rly iflSlrucldd an measulet t0 pieY+rt IIV csnlaflifiation. The dar:qers rri lat- .6tion rnd ne*oie slicit shau c i:; rnphasised. leneral HecommenCations . Do norush the eoetali,;e ptoc('dure, . Be cdrrticus at ail limes. . Frevenl glove ,Enetlation, ski.l 1ac- er.aticn atd needlB slicK:fijuni. Use instrumenl ties and n0 outn lecnnrque. Pass sharp ilstrurnanis and ne :dles on an rfllermedia(s lrey.Avoid suturing simuiianecusiy. fAxe exha Cgfe'#rth ii4rt;rSliU-
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