Health Care Commission: Special treatment of medical waste has come

, the Inner Mongolia Health and Health Commission issued the "Inner Mongolia Autonomous Region medical institutions waste comprehensive management implementation plan (draft for comments).It is mentioned that by the end of 2020, the league cities should organize and carry out special corrective actions for waste in medical institutions.The Commune of Primary Physicians found that, in addition to Inner Mongolia, in order to deeply implement the relevant spirit of the National Document "Work Programme for the Comprehensive Management of Waste in Medical Institutions" (National Health Care Administration (2020) No. 3) - to complete centralized rectification by the end of 2020, the relevant documents have been issued in many recent places or carried out special medical waste remediation actions.

the attention of primary health care institutions, focusing on theAt present, 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) falsely reported 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 operating license(7) Related enterprises illegal and illegal recycling 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 new revision of the Solid Waste Pollution Environmental 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's commune for everyone to organize some dry goods, hasten to collect.

medical waste is divided into five categories, the correct collection should be

, 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, draining tampons, gauze and other dressings;(2) disposable sanitary products, disposable medical supplies and disposable medical equipment;(3) discarded clothing;(4) other items contaminated with the patient's blood, body fluids and excreta.2. Isolated infectious disease patients or suspected infectious disease patients treated by medical institutions.3. Media, specimens and strains of pathogens, venom preservation fluids.4. All kinds of discarded medical specimens.5. Discarded blood, serum.6. Disposable medical supplies and disposable medical devices after use are considered infectious waste.Correct handling method:1. Collected with yellow cover medical trash can, and set up a special yellow medical garbage bag. When the container is 3/4 full, the garbage bag is sealed and specially marked.2. Pathogen media, specimens and strains, venom preservation fluids, etc. of the microbial laboratory shall be collected according to infectious waste after sterilization with pressure steam at the place of production.3. Discarded urine, chest and abdominal water, cerebrospinal fluid and other specimens can be discharged directly into the sewers with sewage treatment system.   4. Discarded blood, serum, fecal specimens, and other infectious waste are placed in medical garbage bags and covered medical trash cans.   5. Blood transfusion bags should be collected separately in yellow medical garbage bags after 24 hours of blood transfusion.   6. Isolated infectious diseases or suspected infectious diseases of waste (including household waste) using double-layered yellow medical garbage bags closed packaging.

, damaged waste   An abandoned medical sharps that can stab or cut the human body.   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 handling method: directly into the yellow medical special sharps box. Note: Select the appropriate specifications of the sharp box, filled with 3/4 seal transport.

third, pathological waste   Human waste and the carcasses of medical laboratory animals produced during the diagnosis and treatment process.   1. Discarded human tissues, organs, etc. produced during surgery and other medical treatments.   2. Organization and carcasses of medical experimental animals.   3. Pathologically sliced after the abandoned human tissue, pathological block, etc.   Correct handling method: 1. Directly into the medical garbage bag and covered medical garbage can.   2. 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 with a gerf of more than 16 weeks of gyeta or a fetal weight of more than 500g as medical waste.   3. The placenta after delivery is owned by the mother, and no unit or individual may buy or sell the placenta. Before giving birth, the mother should go through placental procedures with the medical institution and file the medical history for examination.

, pharmaceutical waste   Expired, phased out, desurred, or contaminated discarded medicines.   1. Discarded general medicines, such as antibiotics, over-the-counter drugs, etc.   2. Discarded cytotoxic and genotoxic drugs, including: (1) carcinogenic drugs, such as thiopental, benzodiazepine, nitrosic mustard, cyclosporine, cyclophosphamide, amphetamine nitrogen mustard, smostatin, triamcinolone, thiopental, etc.; (2) suspected carcinogenic drugs, such as cisplatin, fissamycin, amycin, phenytoxin, etc.; (3) immunosuppressants.   3. Discarded vaccines, blood products, etc.   Correct treatment method: 1. Quantities of expired, obsolete, despotic or contaminated waste drugs shall be collected and registered centrally by the Ministry of Pharmacy by type and 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 marked on the label.

, chemical waste,   Waste chemicals that are toxic, corrosive, flammable and explosive.   1. Medical imaging room, laboratory abandoned chemical reagents.   Non-hazardous chemical wastes such as sugars, amino acids, some organic or inorganic salts, Hazardous chemical wastes include toxic, corrosive (acid and alkali, etc.), flammable and explosive substances. Common hazardous chemical wastes produced in hospitals - formaldehyde; washed 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, nitrate, etc.); other chemical wastes include disinfectants, detergents and waste oil cleaners.   2. Discarded mercury blood pressure meters, mercury thermometers.   3. Discarded chemical disinfectants such as peroxyacetic acid and dialdehyde.   Correct treatment: 1. Batch of waste chemical reagents (e.g. ethanol, formaldehyde, xylene, etc.) should be disposed of by a specialized hazardous waste disposal agency.   2. When medical equipment such as mercury-containing thermometers and blood pressure meters are scrapped, they shall be disposed of by specialized hazardous waste disposal agencies.

the registration and handover of the norms, inspection came to avoid   1. When the department is responsible for the handover of personnel and recycling personnel, it shall be registered in the Medical Waste Collection and Delivery Book (time to be registered to a few points); 2. Recovery personnel and management of medical waste staging points shall inventory and inspect the medical waste containers collected and transported to the staging point, recorded in the Medical Waste Storage Register and handed over the shift; 3. When the staging point is handed over to the medical waste centralized disposal center, it shall be registered on the Joint Medical Waste Transfer Bill, which shall include items such as the origin, type, weight or quantity of medical waste, the handover time, the final place to go and the signature of the handler.   4. Both parties sign, in two copies, each party holds one, the registration information is kept for at least 3 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 layer by layer and indicated that they originate from patients with pneumonia or suspected patients with new coronavirus infections. (Primary Physicians Commune)