1.1 Infectious Waste Grouping and Treatment
1.1.1 Infectious Waste Grouping: Infectious Waste is items contaminated by patient's blood, bodily fluids, and excreta, including:
1.1.1.1 Cotton balls, cotton swabs, drainage tampons, gauze, and other kinds of dressings; disposable hygiene products, disposable medical supplies, and disposable medical devices; Discarded bedclothes; other items contaminated by the patient's blood, body fluids, excreta.
1.1.1.2 Life wastes generated by patients with isolated infectious diseases or suspected infectious diseases admitted to medical institutions.
1.1.1.3 Culture media, specimens and preservation fluids of strains and viruses of pathogens.
1.1.1.4 All kinds of discarded medical specimens.
1.1.1.5 Discarded blood and serum.
1.1.1.6 Disposable medical supplies and disposable medical devices after use.
1.1.2 Infectious Waste Disposal
1.1.2.1 Highly hazardous wastes such as culture media of pathogens, specimens, and preservation fluids of bacterial strains and virulent strains of medical wastes should be firstly processed by pressure steam sterilization or chemical disinfection at the place of generation, and then be collected and treated according to infectious wastes.
1.1.2.2 Medical wastes generated by patients with infectious diseases in isolation or suspected infectious diseases should be sealed and packaged in double-layer yellow plastic bags for medical wastes, labeled in Chinese, and registered by the generating department before being collected by the inpatient department and incinerated on the same day.
1.1.2.3 Items contaminated by the patient's blood, body fluids, excreta should be separated from other items, sharps placed in a sharps box, other items with yellow medical waste plastic bags sealed packaging, and yellow medical waste plastic bags or sharps box labeled with Chinese labels, the generation of the Department of its registration, the inpatient unit by the unified recycling, incineration on the same day.
1.2 Pathological Waste Grouping and Treatment
1.2.1 Pathological Waste Grouping
1.2.1.1 Discarded human tissues, organs, etc. generated during surgery and other diagnostic and treatment processes.
1.2.2.2 Tissues and carcasses of medical laboratory animals.
1.2.2.3 Discarded human tissues, pathological wax blocks, etc. after pathological sectioning.
1.2.2 Disposal of Pathological Waste
1.2.2.1 Pathological waste should be packed in yellow medical waste plastic bags in airtight packaging, labeled with Chinese labels, and after the generating department registers them, they will be uniformly recovered by the inpatient department and incinerated on the same day.
1.2.2.2 Discarded large limbs generated after surgery are kept by the Department of Pathology and regularly collected by funeral parlors for incineration.
1.3 Grouping and Disposal of Injurious Wastes
1.3.1 Grouping of Injurious Wastes
1.3.1.1 Medical needles and suture needles.
1.3.1.2 Various types of medical sharps, including dissecting knives, scalpels, skin preparation knives, surgical saws, etc.
1.3.1.3 Slides, glass test tubes, glass ampoules, etc.
1.3.2 Disposal of injurious waste: discarded injurious waste should be put into the sharps box sealed packaging, labeled with Chinese labels, departmental registration of which, by the inpatient department of the unified recycling, the same day incineration. The sharps box is not allowed to be opened again after it is closed.
1.4 Chemical Waste Grouping and Disposal
1.4.1 Chemical Waste Grouping
1.4.1.1 Chemical reagents discarded in medical imaging room and laboratory.
1.4.1.2 Discarded chemical disinfectants such as peroxyacetic acid and glutaraldehyde.
1.4.1.3 Discarded mercury sphygmomanometers, mercury thermometers.
1.4.2 Chemical Waste Disposal: When waste chemical reagents, waste disinfectants and medical instruments containing mercury such as thermometers and sphygmomanometers are scrapped in bulk, they should be registered at the Prevention and Infection Management Office first, and then the Prevention and Infection Management Office will hand them over to specialized institutions for disposal.
1.5 Grouping and Disposal of Pharmaceutical Wastes
1.5.1 Grouping of Pharmaceutical Wastes
1.5.1.1 Discarded general medicines such as antimicrobials, over-the-counter medicines, etc.
1.5.1.2 Discarded cytotoxic drugs and genotoxic drugs, including:
1.5.1.2.1 Carcinogenic drugs, such as azathioprine, azulfidine phenylbutyrate, naphthyl azulfidine, cyclosporine, cyclophosphamide, azulfidine phenylpropionate, simostigmine, triamcinolone acetonide, thiotepa.
1.5.1.2.2 Drugs suspected of carcinogenicity, e.g., cisplatin, mitomycin, adriamycin, phenobarbital.
1.5.1.2.3 Immunosuppressive agents.
1.5.1.3 Discarded vaccines, blood products, etc.
1.5.2 Pharmaceutical Waste Disposal: Discarded narcotic, psychotropic, radioactive, toxic and other drugs should be uniformly handed over to the Drug Administration Section, the Drug Administration Section in accordance with the relevant laws, administrative regulations and the relevant state regulations and standards for disposal.
1.6 Disposal of other wastes: all kinds of glass, disposable plastics, infusion bottles and infusion bags which are not contaminated by patients' blood, body fluids and excreta after use can be regarded as domestic garbage, packaged in a black plastic bag, placed separately from ordinary domestic garbage, labeled with Chinese labels, and recycled for disposal by the inpatient department.
2 Several important links in the collection, packaging and treatment of medical waste 2.1 Collection and packaging: when the contained medical waste reaches 3/4 of the yellow medical waste plastic bag or sharps box, the medical staff of the department should use an effective sealing method to make the seal of the yellow medical waste plastic bag or sharps box tight and tight.
2.2 Disposable: infectious waste, pathologic waste, and injurious waste placed in the yellow medical waste plastic bag or sharps box shall not be removed. When the outer surface of the yellow medical waste plastic bag or sharps box is contaminated by infectious waste, the contaminated area should be sterilized or an additional layer of yellow medical waste plastic packaging should be added.
2.3 Medical Waste Disposal
2.3.1 Labeling: The contents of the Chinese label on the yellow medical waste plastic bag or sharps box include: medical waste generator, date of generation, category and special instructions needed.
2.3.2 registration: each department and inpatient medical waste recycling staff, incineration staff should be registered medical waste. The contents of the registration include: medical waste generation department, medical waste handover time, category, weight, need for special instructions, department with the recovery of medical waste specialists signatures of both sides, recycling personnel and incineration personnel signatures of both sides, and to ensure that the two registers are consistent with the information.
2.3.3 Daily clean-up: each department on the classification of medical waste by the department of medical staff in the proper custody, shall not be lost, scattered, spread. Before transporting medical waste, the medical waste collectors of the inpatient department should check whether the marking, labeling and sealing of the packages or containers are in compliance with the requirements, and should not transport the non-compliant medical waste to the incinerator.
2.3.4 Special person, special vehicle: inpatient department special person with a special car every day from the place of generation of medical waste will be classified and packaged medical waste in accordance with the specified time and route to the incinerator. Vehicles under the collection should use special vehicles that are covered, leak-proof, spill-proof, without sharp edges, easy to load and unload, and clean, and to keep sharp objects separate from other medical wastes, to ensure that medical wastes are not missed or lost on the way of collection. Medical waste transportation vehicles should be rinsed and disinfected once a day.
2.3.5 incineration: incinerators should be set up full-time, full-time, no part-time medical waste transportation and other work.