1. 1 Classification and treatment of infectious wastes
1. 1. 1 grouping of infectious wastes: infectious wastes refer to articles contaminated by patients' blood, body fluids and excreta, including:
1. 1. 1 cotton balls, cotton swabs, drainage tampons, gauze and other dressings; Disposable sanitary articles, disposable medical articles and disposable medical devices; Waste clothes; Other articles contaminated by the patient's blood, body fluids and excreta.
1. 1. 1.2 Domestic garbage generated by patients with isolated infectious diseases or suspected infectious diseases admitted by medical institutions.
1. 1. 1.3 culture medium, specimens, strains and virus preservation solution of pathogens.
1. 1. 1.4 Various discarded medical specimens.
1. 1. 1.5 Waste blood and serum.
1. 1. 1.6 Disposable medical supplies and devices after use.
1. 1.2 infectious waste treatment
1. 1.2. 1 High-risk wastes such as culture medium, specimens, strains and virus seed preservation solution of pathogens in medical wastes shall be sterilized by pressure steam or chemically at the place of production, and then collected and treated as infectious wastes.
1. 1.2.2 Medical wastes generated by isolated patients with infectious diseases or suspected patients with infectious diseases shall be sealed with double-layer yellow medical waste plastic bags, marked in Chinese, registered by the generating department, recycled by the inpatient department and burned on the same day.
1. 1.2.3 sharps should be separated from other items contaminated by patients' blood, body fluids and excreta, and should be placed in the sharps box. Other articles should be sealed in yellow medical waste plastic bags, and Chinese labels should be attached to the yellow medical waste plastic bags or sharps boxes. After the sharps are registered by the generating department, they are recovered by the inpatient department and burned on the same day.
1.2 grouping and treatment of pathological wastes
1.2. 1 pathological waste grouping
1.2. 1. 1 discarded human tissues and organs produced in the process of surgery and other diagnosis and treatment.
1.2.2.2 tissues and corpses of medical laboratory animals.
1.2.2.3 Waste human tissues and pathological wax blocks after pathological sections.
1.2.2 pathological waste treatment
1.2.2. 1 Pathological wastes shall be sealed with yellow medical waste plastic bags and labeled in Chinese. After being registered by the generating department, it will be recycled by the inpatient department and burned on the same day.
1.2.2.2 The discarded limbs produced after the operation are preserved by the pathology department, collected regularly by the funeral home and burned.
1.3 Classification and treatment of destructive wastes
1.3. 1 hazardous waste grouping
1.3. 1. 1 medical needles and suture needles.
1.3. 1.2 Various medical sharp instruments, including scalpels, scalpels, scalpels, surgical saws, etc.
1.3. 1.3 slides, glass test tubes, glass ampoules, etc.
1.3.2 Disposal of destructive wastes: The abandoned destructive wastes should be put into sharp weapon boxes, sealed and labeled in Chinese. After registration by the department, it will be recycled by the inpatient department and burned on the same day. Sharp weapon box is not allowed to be opened after it is sealed.
1.4 chemical waste classification and treatment
1.4. 1 chemical waste grouping
1.4. 1. 1 medical imaging room and laboratory waste chemical reagents.
1.4. 1.2 waste chemical disinfectants such as peracetic acid and glutaraldehyde.
1.4. 1.3 abandoned mercury sphygmomanometer and mercury thermometer.
1.4.2 Disposal of chemical waste: When a batch of discarded chemical reagents, discarded disinfectants and medical devices such as thermometers and sphygmomanometers containing mercury are scrapped, they should be registered with the Office of Prevention and Infection Management before being disposed of by specialized agencies.
1.5 classification and treatment of medical wastes
1.5. 1 medical waste grouping
1.5. 1. 1 discarded general drugs, such as antibiotics and over-the-counter drugs.
1.5. 1.2 discarded cytotoxic drugs and genotoxic drugs, including:
1.5. 1.2. 1 Carcinogenic drugs, such as azathioprine, chlorambucil, naphthalene nitrogen mustard, cyclosporine, cyclophosphamide, nitrogen mustard amphetamine, smecta, tamoxifen, thiotepa, etc.
1.5. 1.2.2 suspected carcinogenic drugs, such as cisplatin, mitomycin, adriamycin and phenobarbital.
1.5. 1.2.3 immunosuppressant.
1.5. 1.3 discarded vaccines, blood products, etc.
1.5.2 Disposal of drug waste: abandoned narcotic drugs, psychotropic drugs, radioactive drugs and toxic drugs are uniformly handed over to the drug supervision department, which will handle them in accordance with relevant laws, administrative regulations and relevant national regulations and standards.
1.6 Disposal of other wastes: all kinds of glass, disposable plastics, infusion bottles and infusion bags that are not polluted by patients' blood, body fluids and excreta after use can be regarded as domestic garbage, packed in black plastic bags, placed separately from ordinary domestic garbage, labeled with Chinese, and recycled by the inpatient department.
2 Several important links in the collection, packaging and disposal of medical wastes 2. 1 Collection and packaging: When the medical wastes contained are 3/4 of the yellow medical waste plastic bags or sharp weapon boxes, the medical staff in the department should adopt effective sealing methods to make the yellow medical waste plastic bags or sharp weapon boxes tightly sealed.
2.2 Disposable: infectious waste, pathological waste and destructive waste placed in yellow medical waste plastic bags or sharp weapon boxes shall not be taken out. When the outer surface of yellow medical waste plastic bag or sharp weapon box is polluted by infectious waste, the polluted place should be disinfected or a layer of yellow medical waste plastic packaging should be added.
2.3 Medical waste treatment
2.3. 1 logo: The Chinese logo on the yellow medical waste plastic bag or sharp weapon box includes: medical waste generating unit, date of generation, category and special instructions.
2.3.2 Registration: Medical waste recycling machines and incinerators in various departments and inpatient departments should register medical wastes. The contents of registration include: medical waste generation department, generation time, category, weight, special instructions needed, signatures of medical waste recycling department and specialized personnel, signatures of recycling personnel and incineration personnel, and ensure that the information in the two registers is consistent.
2.3.3 Nissan Nissin: After medical wastes are classified by each department, they shall be properly kept by the medical staff of the department, and shall not be lost, scattered or spread. Medical waste recyclers in inpatient departments should check whether the labels, labels and seals of packages or containers meet the requirements before transporting medical wastes, and medical wastes that do not meet the requirements shall not be transported to the incinerator.
2.3.4 Dedicated car: The inpatient department uses a car every day to transport the classified and packaged medical wastes from the place where the medical wastes are generated to the incinerator according to the specified time and route. The collection vehicles should be covered, leak-proof, spill-proof, free from sharp edges and corners, and easy to load, unload and clean, and the sharp instruments should be separated from other medical wastes to ensure that medical wastes are not missed or lost in the recycling process. Medical waste transport vehicles should be cleaned and disinfected once a day.
2.3.5 Incineration: Incinerator shall have full-time and specialized personnel, and shall not take part-time medical waste transportation.