One, Implementation of the main responsibility of medical institutions
Medical institutions should attach great importance to the management of medical waste during the new coronavirus-infected pneumonia epidemic, and effectively implement the main responsibility of its legal representative is the first person responsible for the management of medical waste, medical waste generated by the specific departments and operators are directly responsible for. Medical institutions that have socialized their logistical services should strengthen the management of the institutions and personnel that provide logistical services, organize training, and urge them to master the basic requirements of medical waste management and effectively perform their duties. Increase environmental health improvement efforts, timely treatment of medical waste, to avoid the accumulation of various wastes, and strive to create a healthy and hygienic environment.
Two, strengthen the classification of medical waste collection (a) clear classification of the scope of collection. Medical institutions in the diagnosis and treatment of new coronavirus infection of pneumonia patients and suspected patients fever clinic and ward (room) generated waste, including medical waste and domestic garbage, should be in accordance with the classification of medical waste collection. (ii) Standardize packaging containers. There should be warning signs on the outer surface of special bags and sharps boxes for medical waste, and they should be carefully inspected before containing medical waste to ensure that they are free from breakage and leakage. Medical waste collection buckets should be foot-operated and with lids. When the medical waste reaches 3/4 of the bag or sharps box, it should be effectively sealed to ensure a tight seal. Should use double bags containing medical waste, using goose neck knot type sealing, layered sealing. (iii) Proper and safe collection. Classify and collect medical waste in a timely manner according to its category to ensure the safety of personnel and control the risk of infection. When the outer surface of bags and sharps boxes containing medical waste is contaminated by infectious waste, an additional layer of bags should be added. When collecting disposable isolation gowns, protective clothing and other items after use in a categorized manner, squeezing is strictly prohibited. Each bag, sharps box should be tied or paste Chinese labels, labels include: medical waste generator, generator, date of generation, category, and in the special instructions labeled "new coronavirus infection of pneumonia" or abbreviated as "new crown". (d) Disposal by region. Admission of new coronavirus infection of pneumonia patients and suspected patients with fever clinics and wards (rooms) of potentially contaminated areas and contaminated areas of medical waste, before leaving the contaminated area should be used to disinfect the surface of the bag by spraying 1000mg / L chlorine disinfectant (pay attention to spraying uniformly) or outside of the bag with a layer of medical waste packaging; clean area of medical waste generated in accordance with the conventional disposal of medical waste. (e) Do a good job of pathogenic specimens. Medical waste containing pathogenic specimens and related preservation of liquid and other high-risk waste, should be generated at the location of pressure steam sterilization or chemical disinfection treatment, and then in accordance with infectious waste collection and disposal. Third, strengthen the transportation and storage of medical waste (a) safe transportation management. Before transporting medical waste, the identification, labeling and sealing of the bag or sharps box should be checked to see if it meets the requirements. Staff in the delivery of medical waste, should be prevented from causing damage to the special bags and sharps box of medical waste, to prevent direct contact with the body of medical waste, to avoid the leakage and proliferation of medical waste. At the end of the daily delivery, cleaning and disinfection of delivery tools, chlorine disinfectant concentration of 1000mg / L; delivery tools contaminated by infectious medical waste should be disinfected in a timely manner. (B) standardize the storage and handover. Medical waste temporary storage should have tight closure measures, with staff management, to prevent non-staff contact with medical waste. Medical waste should be set up in the temporary storage of separate areas for storage, as soon as possible to the disposal of medical waste disposal unit for disposal. Disinfect the floor of the temporary storage place of medical waste with 1000mg/L chlorine disinfectant twice a day. The handover should be registered layer by layer between the medical waste generating department, the delivery personnel, the staff of the temporary storage office, and the transfer personnel of the medical waste disposal unit, with an explanation that it originates from patients or suspected patients with pneumonia infected by the new coronavirus. (iii) Proper transfer registration. Strictly implement the management of hazardous waste transfer coupons and register medical waste. The content of the registration includes the source, type, weight or quantity of the medical waste, the time of handover, the final destination and the signature of the person in charge, with a special indication of "new coronavirus-infected pneumonia" or "new coronary", and the registration information is kept for three years. Medical institutions should promptly notify the medical waste disposal unit for door-to-door collection and make appropriate records. Health administrative departments and medical institutions at all levels should strengthen information exchange with ecological and environmental departments and medical waste disposal units, and cooperate in the standardized disposal of medical waste during the outbreak of new coronavirus-infected pneumonia.
Legal basis
The full text of the Circular on Doing a Good Job of Medical Waste Management in Medical Institutions during the Pneumonia Epidemic of New Coronavirus Infection (hereinafter referred to as the "Circular")