Minister Wu Yi
October 15, 2003
Attachment: Measures for the Management of Medical Waste in Medical and Health Care Institutions
Chapter 1 General Principles
Article 1 In order to standardize the management of medical waste in medical and health care institutions, and effectively prevent and control the hazards of medical waste to human health and the environment, in accordance with the "Regulations for the Management of Medical Waste", the following measures are The formulation of this approach.
Second, all levels and types of medical and health institutions 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 3 The Ministry of Health shall supervise the management of medical waste in medical and health institutions throughout the country.
The health administrative departments of local people's governments at or above the county level shall 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 4 of the medical and health institutions should establish and improve the medical waste management responsibility system, its legal representative or the person in charge of the first person, to effectively fulfill their responsibilities to ensure the safe management of medical waste.
Article 5 medical and health institutions shall, in accordance with relevant state laws, administrative regulations, departmental rules and normative documents, develop and implement the rules and regulations for the management of medical waste, the workflow and requirements, the work of the relevant personnel and the duties of the medical and health institutions in the event of loss, leakage, proliferation of medical waste and accidents in the emergency response program. The contents include:
(a) medical waste in health care institutions, medical waste generation sites on medical waste classification and collection methods and work requirements;
(b) medical waste in health care institutions, 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 institutions (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) medical waste management process of special operating procedures and the occurrence of medical waste loss, leakage, proliferation and emergency measures in case of accidents;
(E) medical waste classification, collection, transportation, temporary storage process of the staff of the relevant occupational health and safety protection.
Article VI of the medical and health institutions should be responsible for the establishment of medical waste management monitoring department 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 organic
structural process of the implementation of the various tasks;
(b) is responsible for guiding and checking the classification of medical waste collection, transportation, temporary storage and disposal of organic
(b) is responsible for guiding and checking the classification of medical waste, collection, transportation, temporary storage and disposal of medical waste (b) is responsible for guiding and checking the occupational health and safety protection of medical waste in the process of classification, collection, transportation, temporary storage and disposal within the organization;
(c) is responsible for organizing the emergency treatment of medical waste loss, leakage, proliferation and accidents;
(d) is responsible for organizing the training of medical waste management;
(e) is responsible for the registration of medical waste and the management of archives;
(f) is responsible for the management of medical waste registration and archives.
(f) responsible for timely analysis and treatment of other issues in the management of medical waste.
Article VII of the medical and health institutions in the event of medical waste loss, leakage, proliferation, should
within 48 hours to the location of the county-level people's government department in charge of health administration, the environmental protection department in charge of the report, the investigation and treatment of the end of the work, the health care institution shall be investigated and dealt with to the county-level people's government department in charge of health administration, the environmental protection department report. administrative department of the people's government at the county level, the administrative department of environmental protection report.
The administrative department of health of the people's government at the county level shall report to the administrative department of health of the people's government at the provincial level on a monthly basis.
The competent health administrative department of the provincial people's government summarizes and reports to the Ministry of Health every six months.
Article 8 In the event of a major accident caused by improper management of medical waste that results in the death of more than one person or damage to the health of more than three people, and requires the provision of medical care and on-site rescue of the person who caused the disease, the health administrative department of the local people's government at the county level and the administrative department of environmental protection shall report the incident to the competent department of health at the county level where it occurs, and in accordance with the "Regulations on the Management of Medical Waste", shall Take appropriate emergency treatment measures.
After receiving the report, the competent health administrative department of the people's government at the county level shall report to the competent health administrative department of the people's government at the provincial level within 12 hours.
After receiving the report, the competent health administrative department of the provincial people's government shall report to the Ministry of Health within 12 hours.
The occurrence of medical waste leading to the spread of infectious diseases or evidence that the spread of infectious diseases is likely to occur in the event of an accident, it shall 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 shall, according to the classification of medical waste collection, delivery, temporary storage and disposal of medical waste within the institution in the process of professional and technical, occupational health and safety protection and emergency treatment of knowledge required to formulate the relevant staff training program 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 and management of medical waste.
Article 11 Medical and health institutions shall collect medical waste in a timely and classified manner in accordance with the following requirements:
(1) According to the category of medical waste, the medical waste shall be separated into packages or containers that comply with the "Provisions on Standards and Warning Labels of Special Packages and Containers for Medical Waste";
(2) Before containing medical waste, the medical waste shall be carefully examined. (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 and collected. A small amount of pharmaceutical waste can be mixed with infectious waste, but it should be indicated on the label;
(iv) the management of waste 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;
(v) waste chemical reagents and disinfectants in bulk in chemical waste should be be handed over to specialized institutions for disposal;
(f) medical instruments containing mercury thermometers, sphygmomanometers and other medical instruments in bulk should be handed over to specialized institutions for disposal when they are scrapped;
(g) highly hazardous wastes such as culture media of pathogens, specimens and preservation fluid of strains of bacteria and venomous strains of pathogens in the medical wastes should be firstly sterilized by pressure steam at the place where they are generated, or chemically sterilized, and then treated as infectious wastes. Disinfection treatment, and then collected and treated as infectious waste;
(h) isolation of infectious disease patients or suspected infectious disease patients with infectious
excrement, should be strictly disinfected in accordance with national regulations, to meet the national emission standards before being discharged into the sewage system;
(ix) isolation of infectious disease patients or patients with suspected infectious disease patients produced (ix) The medical waste generated by patients with infectious diseases or patients with suspected infectious diseases in isolation shall use double-layer packaging and be sealed in a timely manner;
(x) Infectious waste, pathological waste, and injurious waste put into the packaging or containers shall not be removed.
Article XII of the medical waste generated in medical and health institutions should have medical waste classification and collection of the location of the method of schematic diagrams or written instructions.
Article XIII of the contained medical waste reaches 3/4 of the wrapper or container, should use an effective sealing method, so that the wrapper or container sealing tight and tight.
Article 14 When the outer surface of the packages or containers is contaminated by infectious waste, the contaminated place shall be disinfected or an additional layer of packaging shall be added.
Article XV of each package containing medical waste, the outer surface of the container should have warning signs, in each package, container should be tied to the Chinese label, the contents of the Chinese label should include: medical waste generation unit, date of generation, category and the need for special instructions.
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 site.
Article 17 The transportation personnel shall check whether the marking, labeling and sealing of the packages or containers meet the requirements before transporting the medical wastes, and shall not transport the medical wastes that do not meet the requirements to the temporary storage place.
Article 18 When transporting medical waste, the transportation personnel shall prevent damage to the packages or containers and the loss, leakage and spread of medical waste, and prevent the medical waste from coming into direct contact with the body.
Article 19 of the transport 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 transport tools.
After the daily transportation work, the transportation tools should be cleaned and disinfected in a timely manner.
Article 20 of the medical and health institutions shall establish medical waste temporary storage facilities, equipment, shall not be open storage of medical waste; 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 area, personnel activities and living garbage storage, convenient medical waste delivery personnel and delivery tools, vehicles in and out;
(b) a tight closure, with special (part-time) personnel (ii) have tightly closed measures, with special (part-time) personnel to manage and prevent non-staff from contacting the medical waste;
(iii) have safety measures against rats, mosquitoes, flies and cockroaches;
(iv) prevent seepage and rainfall;
(v) are easy to be cleaned and disinfected;
(vi) are protected from direct sunlight;
(vii) have obvious warning signs on the medical wastes and "No Smoking, Eating and Drinking" warning signs.
Article 22 Temporary storage of pathological waste, shall have low-temperature storage or antiseptic
conditions.
Article 23 of the medical and health institutions shall be medical waste to obtain permission from the administrative department of environmental protection at or above the county level
People's Government of the centralized disposal of medical waste disposal units, in accordance with the hazardous waste transfer system to fill out and save the transfer of the joint list.
Article 24 of the medical and health institutions shall register medical waste, the registration shall include the source, type, weight or quantity of medical waste, handover time, the final destination, as well as the signature of the operator and other items. Registration information to be kept for at least three years.
Article 25 of the medical waste transferred out, the temporary storage sites, facilities should be cleaned and disinfected in a timely manner.
Article 26 prohibits medical and health institutions and their staff from transferring, buying and selling medical waste.
It is prohibited to dump or pile up medical wastes in non-collection and non-temporary storage places, and it is prohibited to mix medical wastes with other wastes and domestic garbage.
Article 27 does not have the conditions of centralized disposal of medical waste in rural areas, medical and health institutions shall, in accordance with the requirements of the local health administrative department and the competent department of environmental protection, their own local disposal of medical waste. Self-disposal of medical waste, shall meet the following basic requirements:
(a) after the use of disposable medical instruments and medical waste easily caused by 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 medical waste loss, leakage, proliferation and accidents, shall take emergency measures in a timely manner in accordance with the following requirements:
(1) 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;
(2) organization of the relevant personnel as soon as possible in accordance with the emergency program. The scene of the occurrence of medical waste leakage, proliferation of treatment;
(3) the treatment of areas contaminated by medical waste, should minimize the impact on patients, medical personnel, other site personnel and the environment;
(4) take appropriate safety measures for disposal, disinfection of the leakage and contaminated areas, items, or other harmless disposal, and when necessary Seal off the contaminated area to prevent expansion of the contamination;
(v) When disinfecting the contaminated area of infectious waste, disinfection shall be carried out from the least contaminated area to the most seriously contaminated area, and all used tools that may be contaminated shall also be disinfected;
(vi) The staff shall carry out their work with proper hygiene and safety precautions.
After the treatment work is completed, the health care organization should investigate the cause of the incident and take effective precautions 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 staff's understanding of medical waste management. For personnel engaged in the classification of medical waste collection, transportation, temporary storage, disposal and other work and management personnel, relevant laws and professional technology, safety protection and emergency treatment and other knowledge training.
Article 30 The staff and management personnel related to medical waste shall meet the following requirements:
(1) Master the relevant national laws, regulations, rules and regulations and the provisions of relevant normative documents
and be familiar with the rules and regulations on medical waste management, workflow and work requirements formulated by the organization;
(2) Master the classification, collection, transportation, temporary storage and disposal of medical waste. (b) To master the correct methods
and operating 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 puncture and abrasion by medical waste in the process of the classification, collection, transportation and temporary storage of medical waste, as well as the treatment of injuries after the occurrence of such incidents. (e) To understand the emergency measures in case of loss, leakage, spreading and accidents of medical waste.
Article 31 Medical and health institutions shall, according to the type of contact with medical waste and the different size of the risk, take appropriate and effective occupational health protection measures for the institution engaged in the classification and collection of medical waste, 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.
Article 32 The staff of medical and health institutions shall take appropriate measures to deal with injuries such as stabbing and abrasion by medical wastes when they occur in the course of their work and report them to the relevant departments within the institutions in a timely manner.
Chapter V Supervision and Management
Article 33 The competent department of health administration of the local people's government at or above the county level shall, in accordance with the "Regulations on the Management of Medical Wastes" and the provisions of these Measures, carry out regular supervision and inspection and occasional spot checks of medical and health care institutions in the area under its jurisdiction.
Article 34 The main contents of the supervision, inspection and random check of medical and health institutions are:
(1) the regulations and systems of medical waste management and the implementation of such regulations and systems;
(2) the work of classified collection of medical wastes, transportation, temporary storage and disposal of medical wastes in the institutions;
status;
(3) the registration information and records of medical waste management;
(4) the records of medical wastes management;
The main contents of the supervision and inspection are as follows Records;
(d) medical waste management work, the safety and protection of relevant personnel;
(e) medical waste loss, leakage, proliferation and accidents reported and investigated
processing;
(f) on-site hygienic monitoring.
Article 35 The competent administrative department of health shall order the immediate elimination of hidden dangers in medical
healthcare institutions when they are found to exist during supervision and inspection or random inspection.
Article 36 The competent administrative department of health at or above the county level shall investigate and deal with violations of the "Regulations on the Management of Medical Waste" and the provisions of these Measures in accordance with law in health care institutions
occurring.
Article 37 occurs due to improper management of medical waste leads to the occurrence of infectious disease transmission accidents, or evidence of infectious disease transmission of accidents are likely to occur, the competent administrative department of health shall, in accordance with the "Regulations on the Management of Medical Wastes," the provisions of Article 40 of the timely adoption of appropriate measures.
Article 38 The medical and health institutions of the competent administrative department of health inspection, monitoring, investigation and evidence collection shall cooperate, shall not refuse and obstruction, shall not provide false materials.
Chapter VI Penalties
Article 39 Medical and health institutions in violation of the "Regulations on the Management of Medical Waste" and the provisions of these Measures, one of the following circumstances, the competent administrative department of health of the local people's government at or above the county level shall order a deadline for rectification, and give a warning; failing to do so, shall be subject to a fine of more than 2,000 yuan to 5,000 yuan:
(a) Failure to establish, sound medical waste management system, or failure to set up a monitoring department or full-time (part-time) staff;
(ii) failure to train the relevant personnel in relevant laws and professional skills, safety and protection to
and emergency treatment and other knowledge;
(iii) failure to register medical waste or failure to keep the registration data;
(iv) failure to institutionalize the (d) Failure to take occupational health protection measures for personnel and management personnel engaged in the classification, collection, transportation, temporary storage and disposal of medical waste within the institution;
(e) Failure to clean and disinfect the medical waste transportation tools in a timely manner after use;
(f) Failure to conduct regular inspections of the medical waste disposal facilities of the health care institutions that have built their own medical waste disposal facilities;
The sanitary effectiveness of the medical waste disposal facilities of the medical waste disposal facilities of the health care institutions that have built their own medical waste disposal facilities. waste disposal facilities of the hygienic effect of testing, evaluation, or failure to test, evaluation of the effect of archiving, reporting.
Article 40 Medical and health institutions in violation of the "Regulations on the Management of Medical Waste" and the provisions of these Measures, one of the following circumstances, the competent department of health administration of the local people's government at or above the county level shall order rectification within a certain period of time, give a warning, and may also impose a fine of not more than 5,000 yuan; overdue rectification, shall be imposed on more than 5,000 yuan to 30,000 yuan fine:
(a) medical waste Temporary storage location, facilities or equipment does not meet the health requirements;
(b) medical waste is not separated by category in special packaging or containers;
(c) the use of medical waste transportation tools do not meet the requirements.
Article 41 Medical and health institutions in violation of the "Regulations on the Management of Medical Waste" and the provisions of these Measures, one of the following circumstances, the competent department of health administration of the local people's government at or above the county level shall order rectification within a certain period of time, give a warning and impose a fine of 5,000 yuan or more than 10,000 yuan; overdue rectification shall be imposed a fine of 10,000 yuan or more than 30,000 yuan; cause the spread of infectious diseases, the original licensing The department shall suspend or revoke the license of the medical and health institutions; if a crime is constituted, the criminal responsibility shall be investigated according to law:
(a) Discarding medical waste in the medical and health institutions and dumping or piling up medical waste in the non-storage place or mixing the medical waste with other wastes and domestic garbage;
(b) Handing over medical waste to units or individuals who have not obtained the business license;
(c) Handing over medical waste to units or individuals who have not obtained the business license;
(d) Handing over medical waste to the medical and health institutions who have not obtained the business license. units or individuals;
(c) failing to strictly disinfect sewage, excreta of patients with infectious diseases and patients suspected of having infectious diseases in accordance with the provisions of the Regulations and these Measures, or failing to meet the national emission standards, discharged into the sewage treatment system;
(d) failing to manage the domestic garbage generated by patients with infectious diseases admitted to hospitals or patients suspected of having infectious diseases in accordance with the management of medical waste and disposal.
Article 42 The transfer, sale and purchase of medical waste by medical and health institutions shall be punished in accordance with Article 53 of the "Regulations on the Management of Medical Waste".
Article 43 If a medical and health institution fails to take emergency measures in case of loss, leakage or proliferation of medical waste, or fails to report to the competent administrative department of health in a timely manner, the competent administrative department of health of the local people's government at or above the county level shall order rectification, give a warning and impose a fine of not less than ten thousand yuan and not more than thirty thousand yuan; if the medical and health institution causes the spread of infectious diseases, it shall be subject to temporary suspension or revocation of its license to practice medicine and health care. Medical and health institutions practice license; constitutes a crime, shall be investigated for criminal responsibility.
Article 44 If a medical and health institution, without justifiable reasons, obstructs law enforcement officers of the competent administrative department of health in the performance of their duties, refuses to allow law enforcement officers to enter the site, or fails to cooperate with law enforcement authorities in inspection, monitoring, investigation and evidence collection, the competent administrative department of health of the local people's government at or above the county level shall order rectification and issue a warning; if the person refuses to rectify the situation, the original licensing authority shall suspend or revoke the license to practise in the medical and health institution. License to practice; violation of the "Chinese People's *** and State Security Administration Punishment Regulations", constituting a violation of public security management, the public security organs shall be punished according to law; constitutes a crime, shall be investigated for criminal responsibility.
Article 45 does not have the conditions of centralized disposal of medical waste in rural areas, medical and health institutions do not dispose of medical waste in accordance with the "Regulations on the Management of Medical Waste" and the requirements of these Measures, by the local people's government at or above the county level, the competent administrative department of health ordered to make corrections within a certain period of time, and shall be given a warning; if no corrections are made after the deadline, shall be sentenced to a fine of not less than 1,000 yuan and not more than 5,000 yuan; if it results in the spread of infectious diseases, shall be sent by the original Licensing department to suspend or revoke the license to practice health care institutions; constitutes a crime, shall be investigated for criminal responsibility.
Article 46 medical and health institutions in violation of the "Regulations on the Management of Medical Waste" and the provisions of these Measures, resulting in the spread of infectious diseases, causing damage to others, shall bear civil liability in accordance with the law.
Chapter VII Supplementary Provisions
Article 47 The medical and health institutions referred to in these Measures refers to the medical institutions in accordance with the provisions of the "Regulations on the Administration of Medical Institutions" to obtain "medical institutions license" and disease prevention and control institutions, blood collection institutions.
Article 48 These Measures shall come into force on the date of publication.