Minister xx
Chapter 1 General Principles
Article 1 In order to standardize the management of medical waste in medical and health institutions, and to effectively prevent and control the hazards of medical waste to human health and the environment, these Measures are formulated in accordance with the Regulations on the Management of Medical Waste.
Article 2 All types of medical and health institutions at all levels should be in accordance with the "Regulations on the Management of Medical Waste" and the provisions of this approach to the management of medical waste.
Article III of the Ministry of Health on the national health care institutions to supervise the management of medical waste.
The health administrative departments of local people's governments at or above the county level to supervise the management of medical waste in medical and health institutions in their administrative regions.
Chapter II of the medical and health institutions on the management of medical waste
Article IV of the medical and health institutions should be established, improve the responsibility of medical waste management system, its legal representative or the person in charge of the first responsibility, and effectively fulfill their responsibilities to ensure the safe management of medical waste.
Article V medical and health institutions should be based on relevant state laws, administrative regulations, departmental rules and normative documents, the development and implementation of medical waste management rules and regulations, workflow and requirements, the work of the relevant personnel and the work of the responsibility of the medical and health institutions in the event of loss of medical waste, leakage, proliferation and accidents in the emergency program. Contents include:
(a) medical waste in the health care institutions of medical waste generation sites on medical waste classification and collection methods and work requirements;
(b) medical waste in the health care institutions of medical waste generation sites, temporary storage sites of the work of the system and from the generation of the site of transport to the temporary storage site of the work requirements;
(c) medical waste in the health care organization (C) the transportation of medical waste within the medical and health institutions and medical waste to the medical waste disposal unit of the relevant handover, registration requirements;
(D) the process of medical waste management, special operating procedures and the occurrence of medical waste loss, leakage, proliferation, and emergency measures in the event of an accident;
(E) the classification of medical waste collection, transportation, temporary storage process of the staff of the occupational health and safety protection.
Article 6 medical and health institutions should be set up to monitor the management of medical waste or full-time (part-time) staff to perform the following duties:
(a) responsible for guiding and checking the classification of medical waste collection, transportation, temporary storage and disposal of machinery
The implementation of the work in the process;
(b) responsible for guiding and checking the classification of medical waste collection, transportation, temporary storage and disposal of machinery
(2) responsible for guiding and checking the medical waste Classification collection, transportation, temporary storage and disposal in the machine
occupational health and safety protection in the process;
(C) is responsible for organizing the loss of medical waste, leakage, proliferation and accidents occurring in the event of emergency treatment;
(D) is responsible for organizing the management of medical waste training;
(E) is responsible for the registration of medical waste and file management;
(E) is responsible for the registration of medical waste and file management;
(F) is responsible for the management of medical waste and file management;
(G) is responsible for the management of medical waste management And archives management;
(F) is responsible for timely analysis and treatment of other issues in the management of medical waste.
Article VII of medical and health institutions in the event of medical waste loss, leakage, proliferation, should be
within 48 hours to the location of the county-level people's government departments in charge of health administration, environmental protection and administrative departments to report on the investigation and treatment of the work is over, the health care institutions should be investigated and treated the results of the county-level people's government departments in charge of health administration, environmental protection and administrative departments. Administrative department of the county people's government.
The administrative department of health of the people's government at the county level reports to the administrative department of health of the local people's government at the provincial level on a monthly basis.
The administrative department of health of the people's government at the provincial level will summarize and report to the Ministry of Health every six months.
Article VIII of the medical and health institutions occurred due to improper management of medical waste led to the death of more than one person or more than three people with health damage, the need to provide medical care and on-site rescue of the causative agent of the major accidents, it should be reported to the local administrative department of health of the people's government at the county level, the competent department of environmental protection administration within 24 hours, and in accordance with the "Regulations on the Management of Medical Wastes". Take appropriate emergency treatment measures.
After receiving the report, the competent health administrative department of the people's government at the county level should report to the competent health administrative department of the people's government at the provincial level within 12 hours.
The administrative health department of the provincial people's government shall report to the Ministry of Health within 12 hours after receiving the report.
Occurrence of medical waste leading to the spread of infectious diseases or evidence that the spread of infectious diseases is likely to occur when the accident, it should be reported in accordance with the "Prevention and Control of Infectious Diseases Act" and the relevant provisions, and take appropriate measures.
Article IX medical and health institutions should be based on the classification of medical waste collection, delivery, temporary storage and disposal process within the institution requires professional and technical, occupational health and safety protection and emergency treatment knowledge, develop training programs for relevant staff and organization and implementation.
Chapter III classification, collection, transportation and temporary storage
Article 10 of the medical and health institutions should be in accordance with the "Classification of Medical Waste Catalog", the implementation of classification of medical waste management.
Article 11 medical and health institutions should be in accordance with the following requirements, timely classification and collection of medical waste:
(a) according to the category of medical waste, medical waste will be placed in accordance with the "medical waste special packaging, containers, standards and warning labels of the provisions of the packaging or containers";
(b) in the containment of medical waste, medical waste should be carefully checked before the packaging or containers. (b) Before containing medical waste, the packaging or containers should be carefully inspected to ensure that they are free from breakage, leakage and other defects;
(c) Infectious waste, pathological waste, injurious waste, pharmaceutical waste and chemical waste cannot be mixed for collection. A small amount of pharmaceutical waste can be mixed with infectious waste, but it should be indicated on the label;
(d) The management of discarded narcotic, psychotropic, radioactive, toxic and other pharmaceuticals and their related wastes
shall be carried out in accordance with the relevant laws, administrative regulations and the relevant national regulations and standards;
(e) Waste chemical reagents and disinfectants in bulk in chemical wastes should be handed over to specialized agencies for disposal;
(vi) Bulk . Mercury-containing thermometers, sphygmomanometers and other medical instruments scrapped, should be handed over to specialized institutions for disposal;
(vii) medical waste of pathogens in the medium, specimens and strains of bacteria, viruses preservation fluid and other high-risk waste, should first be generated at the location of pressure steam sterilization or chemical disinfection, and then collected and treated according to infectious wastes;
(viii) Isolated patients with infectious diseases or suspected infectious disease patients with infectious
excreta, should be strictly disinfected in accordance with national regulations, to meet the national emission standards before discharged into the sewage treatment system;
(ix) isolation of infectious disease patients or suspected infectious disease patients generated by the medical waste should be used in double-layer packaging, and timely sealing;
(x) put into packaging or containers of infectious wastes, infectious wastes, or other infectious wastes, or containers of infectious wastes, or containers of infectious wastes, or containers of infectious wastes, or containers of infectious wastes, or containers of infectious wastes. Or containers of infectious waste, pathological waste, injurious waste shall not be removed.
Article XII of the medical waste generation in health care institutions should have medical waste classification and collection of the location of the method of schematic diagrams or text description.
Article XIII contained medical waste up to 3 / 4 of the packaging or container, should use effective sealing methods, so that the packaging or container sealing tight, tight.
Article 14 When the outer surface of the packaging or container is contaminated with infectious waste, the contaminated area should be disinfected or an additional layer of packaging.
Article XV of medical waste containing each package, the outer surface of the container should have warning signs, in each package, the container should be tied to the Chinese label, the contents of the Chinese label should include: medical waste generator, the date of generation, the category and the need for special instructions and so on.
Article XVI of the transport personnel from the location of medical waste generated every day will be classified and packaged medical waste in accordance with the specified time and route to the internal designated temporary storage location.
Article 17 The transportation personnel in the transportation of medical waste, should check the packaging or container marking, labeling and sealing whether it meets the requirements, shall not meet the requirements of medical waste transported to the temporary storage site.
Article 18 The transportation personnel in the transportation of medical waste, should be prevented from causing damage to the packaging or containers and medical waste loss, leakage and proliferation, and to prevent direct contact with the body of medical waste.
Article 19 Transportation of medical waste should be used to prevent leakage, prevent spillage, no sharp edges and corners,
easy to load and unload and clean the special transportation tools.
Every day after the transport work, the transport tools should be cleaned and disinfected in a timely manner.
Article 20 of the medical and health institutions should be established to temporarily store medical waste facilities, equipment, medical waste shall not be stored in the open air; temporary storage of medical waste shall not exceed 2 days.
Article 21 of the medical and health institutions to establish temporary storage facilities for medical waste, equipment should meet the following requirements:
(a) away from the medical area, food processing areas, personnel activities and living garbage storage, convenient medical waste delivery personnel and delivery tools, vehicles in and out of the;
(b) have a tight closure, set up a special (part-time) personnel management, preventing non-staff contact with medical waste;
(C) anti-rodent, anti-mosquito, anti-fly, anti-cockroach safety measures;
(D) to prevent seepage and rainfall;
(E) easy to clean and disinfect;
(F) avoiding direct sunlight;
(VII) with obvious medical waste warning signs and "No smoking, eating and drinking" warning signs.
Article 22 temporary storage of pathological waste, should have low-temperature storage or antiseptic
conditions.
Article 23 The medical and health institutions should be handed over to the medical waste to obtain a county-level or above
People's Government administrative department of environmental protection license for centralized disposal of medical waste disposal units, in accordance with the hazardous waste transfer system to fill out and save the transfer of joint orders.
Article 24 of the medical and health institutions should be registered medical waste, registration should include the source of medical waste, type, weight or quantity, handover time, the final destination and the signature of the operator and other items. Registration information should be kept for at least three years.
Article 25 After the transfer of medical waste out of the temporary storage sites, facilities should be cleaned and disinfected in a timely manner.
Article 26 prohibits medical and health institutions and their staff to transfer, trade in medical waste.
Prohibition of non-collection, non-temporary storage site dumping, piling of medical waste, medical waste is prohibited to mix with other waste and domestic garbage.
Article 27 does not have the conditions of centralized disposal of medical waste in rural areas, health care institutions should be in accordance with the requirements of the local health administrative departments and environmental protection departments, their own local disposal of medical waste. Self-disposal of medical waste, should meet the following basic requirements:
(a) after the use of disposable medical devices and medical waste prone to human injury
should be disinfected and disfigured;
(b) can be incinerated, it should be incinerated in a timely manner;
(c) can not be incinerated, it should be sterilized and centralized landfill.
Article 28 of the medical and health institutions in the event of loss, leakage, proliferation of medical waste and accidents, should be in accordance with the following requirements to take emergency measures in a timely manner:
(a) to determine the loss, leakage, proliferation of medical waste categories, quantities, the time of occurrence, the scope of the impact and the degree of severity;
(b) organization of the relevant personnel as soon as possible in accordance with the emergency program. (ii) Organize the relevant personnel to deal with the scene of the leakage and spread of medical waste as soon as possible in accordance with the emergency plan;
(iii) When dealing with the area contaminated by medical waste, minimize the impact on the patients, medical personnel, other on-site personnel and the environment;
(iv) Adopt appropriate safety measures to disinfect or otherwise harmlessly dispose of the leakage and the contaminated area and articles, and, if necessary, to Seal off the contaminated area to prevent expansion of the contamination;
(v) When disinfecting the contaminated area of infectious waste, disinfection should be carried out from the least contaminated area to the most seriously contaminated area, and all used tools that may be contaminated should be disinfected as well;
(vi) The staff should be well-prepared with hygiene and safety protection to carry out their work.
After the treatment work, the health care organization should investigate the cause of the incident, and take effective preventive measures to prevent the occurrence of similar incidents.
Chapter IV personnel training and occupational safety protection
Article 29 of the medical and health institutions should be the organization's staff training to improve the understanding of all staff on the management of medical waste. Classification of medical waste engaged in the collection, transportation, temporary storage, disposal and other personnel and management, relevant laws and professional skills, safety protection and emergency treatment and other knowledge training.
Article 30 of the medical waste-related staff and management personnel shall meet the following requirements:
(a) master the relevant national laws, regulations, rules and regulations and relevant normative documents
provisions, familiar with the organization to formulate rules and regulations on the management of medical waste, the workflow and the requirements of the work;
(b) master the classification and collection, transport, temporary storage of medical waste (b) To master the correct methods
and operation procedures for the classification, collection, transportation and temporary storage of medical waste;
(c) To master the knowledge of safety, professional technology and occupational health
safety protection in the classification of medical waste;
(d) To master the measures for preventing injuries caused by stabbing and abrasion by medical waste in the process of classification, collection, transportation and temporary storage of medical waste as well as the treatment after the occurrence of injuries. Measures to prevent injuries from medical waste puncture, abrasion and other injuries during the collection, transportation, temporary storage and disposal process
and the measures to deal with after the occurrence of the measures;
(e) grasp the occurrence of medical waste loss, leakage, proliferation and accidents in the event of emergency treatment measures.
Article 31 medical and health institutions should be in accordance with the type of contact with medical waste and the risk of different sizes, to take appropriate and effective occupational health protection measures for the institution engaged in the classification of medical waste collection, transportation, temporary storage and disposal of personnel and management staff equipped with the necessary protective equipment, regular health checks, if necessary, immunization of the personnel concerned, to prevent their health damage. Health damage.
Article 32 The staff of medical and health institutions in the work of the occurrence of medical waste stabbed, bruised and other injuries, should take appropriate measures to deal with, and promptly report to the relevant departments within the institution.