Health Care Commission: Medical waste special rectification came to focus on checking these

Medicine Network November 19 - Recently, the Inner Mongolia Health and Health Commission issued the "Inner Mongolia Autonomous Region medical institutions waste comprehensive management implementation plan (draft for comments).
mentioned in the report that by the end of 2020, the league cities should organize and carry out special corrective actions for waste in medical institutions.
Primary Physicians Commune found that, in addition to Inner Mongolia, in order to deeply implement the national document "Medical institutions waste comprehensive management work programme" (National Health Care Development (2020) No. 3) on the spirit - by the end of 2020 to complete centralized rectification, recently in many places have been issued relevant documents or carried out special medical waste remediation actions.
Primary medical institutions pay attention to, focus on these 7 projects before, less than 2 months from the end of the year, we must pay attention to, the following is the main content of the rectification: (1) medical institutions irregular classification and storage (2) irregular registration and handover of waste (3) false Reporting the amount of medical waste generated (4) illegal resold medical waste (5) medical waste disposal outside medical institutions out of closed-loop management (6) medical waste centralized disposal units without hazardous waste business license (7) the relevant enterprises illegal and illegal recovery and utilization of medical waste ... Among them, the most associated with primary health care institutions and the most error-prone are (1) and (2).
It is worth noting that since September this year, the implementation of the newly revised Solid Waste Pollution Prevention and Control Law has further strengthened the fight against illegal acts of unnormalized management and disposal of solid waste (including medical waste), and the amount of administrative penalties has been significantly increased from less than 200,000 yuan to more than 100,000 yuan and less than 1 million yuan.
in order to avoid punishment, the grass-roots physician commune for everyone to organize some dry goods, hasten to collect.
medical waste is divided into five categories, the correct collection of medical waste should be remembered, infectious waste carrying pathogenic microorganisms with the risk of causing the spread of infectious diseases.
1. Items contaminated with the patient's blood, body fluids and excreta, including: (1) cotton balls, cotton swab, drainage tampons, gauze and other dressings;
. The isolation of infectious disease patients or the household waste generated by patients suspected of infectious diseases received by medical institutions.
3. Media, specimens and strains of pathogens, venom preservation fluids.
4. Various abandoned medical specimens.
5. Discarded blood, serum.
6. Disposable medical supplies and disposable medical devices after use are considered infectious waste.
the correct treatment: 1. Collect medical garbage cans with yellow lids and set up special yellow medical garbage bags.
when the container is 3/4 full, the garbage bag is sealed and marked with a special logo.
2. Pathogen media, specimens and strains, toxic species preservation fluids, etc. of the Microbiological Laboratory are collected according to infectious waste after sterilization with pressure steam at the place of production.
3. Discarded specimens such as urine, chest and abdominal fluid, cerebrospinal fluid can be discharged directly into sewers with sewage treatment systems.
. Discarded blood, serum, feces samples and other infectious waste are placed in medical waste bags and covered medical bins.
5. Blood transfusion bags should be collected separately in yellow medical garbage bags after 24 hours of blood transfusion.
6. Waste (including household waste) generated by isolated or suspected infectious persons is packed in a double-layered yellow medical garbage bag.
, damaging waste can stab or cut the body's abandoned medical sharps.
1. Medical needles, stitches.
2. All kinds of medical sharps, including: scalpels, scalpels, surgical saws and so on.
3. Slides, glass test tubes, glass ampoules, etc.
correct treatment: put directly into the yellow medical special sharps box.
note: select the appropriate specifications of the sharp box, filled with 3/4 seal transshipment.
, human waste and the carcasses of medical experimental animals produced during the diagnosis and treatment of pathological waste.
1. Discarded human tissues, organs, etc. produced during surgery and other procedures.
2. Tissues and carcasses of medical experimental animals.
3. Pathologically sliced after the abandoned human tissue, pathological block, etc.
the correct treatment: 1. Put directly into the medical garbage bag and covered medical garbage can.
. The remains of fetuses and infants shall be incorporated into the management of remains in accordance with the Provisions of the Regulations on the Administration of Funerals.
, it is strictly prohibited to dispose of fetal remains or baby remains of more than 16 weeks of gyeta or weighing more than 500g as medical waste.
. The placenta after delivery is owned by the mother and no unit or individual may buy or sell the placenta.
should go through placental procedures with medical institutions before giving birth and file them with their medical history.
, drug waste expired, phased out, desalped or contaminated waste drugs.
1. Discarded generic medicines, such as antibiotics, over-the-counter medicines, etc.
2. Discarded cytotoxic and genotoxic drugs, including: (1) carcinogenic drugs such as thiopental, benzodiazepines, nitrosic mustard, cyclosporine, cyclophosphamide, amphetamines Nitrogen mustard, smostin, triphenylaminine, thiotide, etc.; (2) suspected carcinogenic drugs, such as cisplatin, fissamycin, amycin, phenytoxin, etc.; (3) immunosuppressants.
3. Discarded vaccines, blood products, etc.
Correct treatment methods: 1. Batch of expired, obsolete, desoed or contaminated waste drugs shall be collected and registered centrally by the Ministry of Pharmacy by type, returned to the manufacturer or handed over to a hazardous waste disposal agency for disposal.
2. A small amount of pharmaceutical waste, including discarded cytotoxic and genotoxic drugs, can be placed directly in medical waste bags and medical bins for infectious waste, but should be noted on the label.
, chemical waste has toxic, corrosive, flammable and explosive waste chemicals.
1. Chemical reagents discarded in medical imaging rooms and laboratories.
non-hazardous chemical wastes such as sugars, amino acids, some organic or inorganic salts, hazardous chemical wastes include toxic, corrosive (acids, alkalis, etc.), flammable and explosive substances.
Common hazardous chemical wastes produced in hospitals - formaldehyde; washing chemicals - fixed and development fluids containing hydroquinone, silver, dialdehyde, acetic acid, mitol, etc.; solvents - such as chloroform, tachloroethylene, tachloromethane, fluorine and other solvents (ethanol, isopropyl alcohol, methanol, acetone and nitropropanone, etc.);
2. Discarded mercury blood pressure meters, mercury thermometers.
3. Discarded chemical disinfectants such as peroxyacetic acid and dialdehyde.
treatment methods: 1. Bulk waste chemical reagents (e.g. ethanol, formaldehyde, xylene, etc.) should be handed over to specialized hazardous waste disposal agencies.
2. When medical appliances such as mercury-containing thermometers and blood pressure meters are scrapped, they shall be disposed of by specialized hazardous waste disposal agencies.
Standardized registration and handover, inspection came to avoid penalties 1. Section responsible for personnel and recycling personnel handover, in the "medical waste collection and transportation book" registration (time to be registered to a few points); 2. recyclers and medical waste staging point management personnel, collection and transportation to the staging point of the medical waste container inventory and inspection The registration shall be recorded in the Medical Waste Storage Register and shall be handed over, and at the time of handover between the staging point and the medical waste centralized disposal center, the registration shall include the source, type, weight or quantity of medical waste, the handover time, the final place to go and the signature of the handler.
signed by both parties, in two copies, one for each party, and the registration information shall be kept for at least three years.
Note: During the outbreak, the transfer of personnel between the medical waste generation department, transport personnel, staging office staff and medical waste disposal units shall be registered on a layer-by-layer basis and indicated that it originates from patients with pneumonia or suspected patients with new coronavirus infections.
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