Influential factors and strategies about the compliance of medical workers in classifying medical wastes / 中国实用护理杂志

Objective To explore the factors that may influence the compliance of medical workers in dealing with classifying medical wastes. Methods One hundred and sixteen medical workers participated in this investigation by applying self-designed questionnaire and live observation mode. Influential factors were evaluated by multi-factors analysis. Results The compliance percent of 116 medical workers was only 69.9%(351/502), which caused by low awareness of medical wastes. As much as 20.12 % (101/502) medical workers made mistakes when dealing with infectious wastes. Working experience, awareness of medical wastes, instruments and working load were associated with compliance of medical workers (P<0.05). Conclusions Low compliance of medical workers dealing with medical wastes were related to lacking working experience, low awareness of medical wastes, inappropriate instruments and heavy working load. In this case, improving management system of medical wastes, regular training and assessment, adding instruments and identification of medical wastes, increasing medical workers and simplifying the working process are effective approaches in increasing compliance of medical workers in dealing with medical wastes and improving quality of nursing management.

Development of pyrogenation treatment vehicle of medical wastes / 医疗卫生装备

Objective To develop a medical wastes pyrolysis vehicle for field hospital, countryside hospital and public emergencies.Methods Configuration design, thermodynamics theory, ergonomics and auto control technology were involved in to manufacture open-type compartment, on-board pyrolysis furnace, smoke control system, and pyrolysis furnace control and monitoring system.Results The vehicle passed 7 000 km reliability test, high-low temperature test, smoke emission test and army trials.Conclusion The vehicle behaves well in performances and environment protection, and gains high economic and social benefits.

Application research on new technology for on-board medical waste pyrolysis / 医疗卫生装备

Objective To explore the theories of medical waste pyrolysis system composition, waste pyrolysis process, flue gas treatment process and etc.Methods The composition and process of pyrolysis treatment system and flue gas cleaning system were studied with the theories of configuration design, physico-chemical analysis, thermodynamics, fluid mechanics and etc.Results The schemes were put forward for on-board pyrolysis furnace and flue gas cleaning system.Conclusion On-board medical waste pyrolysis system can be used to treat the infectious waste in public medical emergencies, and thus is worth popularizing practically.

Medical waste management in the hospital / 中华医院管理杂志

Enhanced management of the entire process of medical wastes, ranging from sorting collection, delivery, transport to temporary storage: compilation of the computerized management system for medical wastes: development of quality control inspection standards for medical wastes: all-staff training for the awareness of legal compliance for medical wastes, prevention of medical wastes from jeopardizing both human being and the environment.

Gerenciamento dos resíduos sólidos dos serviços de saúde: aspectos do manejo interno no município de Marituba, Pará, Brasil / Medical wastes management: aspects of internal handling in the city of Marituba, Pará State, Brazil

Os resíduos sólidos dos serviços de saúde (RSSS) oferecem risco potencial para saúde pública e meio ambiente perante um gerenciamento inadequado. Objetivou-se verificar aspectos do manejo interno dos RSSS do município paraense de Marituba. Através da aplicação de questionários e visitas de campo, realizou-se um estudo descritivo, observacional em treze estabelecimentos de saúde. O volume total de resíduos gerados era de cerca de 13.000kg/semana. Havia limitações nas diversas etapas do manejo interno, como a realização de tratamento interno somente num local, o armazenamento externo, que ocorria em quatro instituições e de maneira precária, entre outros. Também, havia conformidades como acondicionamento em sacos e recipientes adequados, segregação dos resíduos comuns. De modo geral, as normas federais não eram atendidas e o gerenciamento de RSSS dos estabelecimentos de saúde necessita de adequação na realização de todas as etapas do manejo, para controlar e diminuir os riscos e reduzir a quantidade de resíduos.

Medical wastes offer a potential risk to public health and the environment before an inadequate management. This study aims to verify aspects of internal handling of medical wastes in the city of Marituba, Pará State. By means of questionnaires and field visits, a descriptive and observational study was performed in 13 health establishments in the city. The total volume of generated medical wastes was about 13,000kg/week. There were deficiencies in many stages of the internal handling, for example the internal treatment that was performed in only one of the establishments, external storage made in 4 establishments and in precarious ways, among many others. Also, there were conformities as packing in adequate bags and containers as well as common waste separation. In general way, the federal norms were not accomplished and management of medical wastes in health establishments needs adequacy in every stage of the handling in order to control and reduce risks, decreasing the quantity of residues.

Medical Waste Management:A Survey / 中华医院感染学杂志

OBJECTIVE To standardize the classification,collection and transportation of the medical wastes in our hospital. METHODS A Manual of Administrative Measures for Medical Wastes was set according to the Regulations on Medical Waste Management stipulated by State Council.Field investigation,supervision,management and adjustment had been carried out.RESULTS The medical waste was strictly collected and separated in clinical departments.The dispensable sharp wastes should be collected in a special container.We adopted medical wastes preservation management in our hospital and records should be made when the staff exchange.The mixed medical wastes have been solved.While transporting the medical wastes,closed vans should be used in order to avoid wastes left on the road.After our measures were put in place good achievement was made.CONCLUSIONS Standardized training on separation,collection,transportation,preservation and settlement of medical wastes should be carried out among medical staff at all levels.The facilities for medical wastes settlement should be improved.Investigation,supervision and adjustment in this regard should be strengthened.

Management of Medical Wastes Guided by PDCA Loop Method / 中华医院感染学杂志

OBJECTIVE To find standard for the management of the medical waste through the plan,do,check and action(PDCA) loop method. METHODS Four steps of PDCA were done to treat the medical wastes. RESULTS Establishment of the effective management of organization and the feasible rules and regulations was an important pledge.Training,propaganda and education for enhancing every-one′s management consciousness were a considerable element.Matching institutions for treating medical waste was the most important basis.Examinations according to the formulated quality specification were the artifice. CONCLUSIONS PDCA loop method is one of the scientific management for treating the medical wastes.

The management of wasters in health service units at the high plateau

Investigation of medical wastes managing status in 699 central and communal health facilities of Tay Nguyen area in January, 2004. The results showed that: 33% hospitals had enough wastebasket putting in necessary areas. Hospitals were lacked of processing and transportation means. Almost medical wastes were hided or fired in waste hole in office's around areas. Medical wastes were processed together with living wastes. Sewage was not processed and sterilized before draining into public sewage system or direct draining to environment. The risk of environmental pollution was great