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Healthcare Waste Management at Hammoud University Hospital. 06 June, 2012. Waste Management Plan. 1-Baseline Assessment. √. Onsite survey conducted at both model facilities. Policies and Procedures Update. 2-Waste Management Program. Organizational structure and resources’ allocation
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Healthcare Waste Management at Hammoud University Hospital 06 June, 2012
Waste Management Plan 1-Baseline Assessment √ • Onsite survey conducted at both model facilities Policies and Procedures Update 2-Waste Management Program • Organizational structure and resources’ allocation • Policies & Procedures • Waste Handling • Capacity Building 3-Mercury Phaseout • Policies and Procedures • Replacement of thermometers
Baseline Assessment Findings • 96% Improper waste Segregation
Baseline Assessment Findings Results of the 22 days waste assessment 1 References: WHO, 1999; Chen et al., 2009 (for middle income countries) 2 Including pathological, infectious and sharp wastes (WHO, 1999)
Waste Management Plan 1-Baseline Assessment • Onsite survey conducted at both model facilities Policies and Procedures Update 2-Waste Management Program √ • Organizational structure and resources’ allocation • Policies & Procedures • Waste Handling • Capacity Building 3-Mercury Phaseout • Policies and Procedures • Replacement of thermometers
Waste Management Program – Organizational Structure Organizational Structure 1-Drafting the TORs of the waste management committee 2-Drafting the TORs of the waste management coordinators in each department 3-Creation of a coordination mechanism between departments (Setting responsibilities of different staff groups) Responsibilities for HCWM
Waste Management Program – Resources’ Allocation Specification of Waste Containers
Waste Management Program – Resources’ Allocation Specification of Sharp Containers
Waste Management Program – Resources’ Allocation Color Coding & Specification of Waste Bags
Waste Management Program – Resources’ Allocation Placement of Waste Containers & Sharp Boxes
Waste Management Program – Resources’ Allocation Number of Staff Needed for HCWM
Waste Management Program – Resources’ Allocation Requirements for Storage Areas
Waste Management Program – Policies & Procedures Policies and Procedures Drafted Policies: 1-Healthcare Waste Management Policy 2-Classification and Definitions 3-Waste Segregation Procedure 4-Waste Collection, Transport and storage Procedure 5-Cytotoxic Waste Management Procedure 6-Pathological Waste Management Procedure 7-Laboratory Waste Management Procedure 8-Spills Management Procedures
Waste Management Program – Policies & Procedures 9-Pharmaceutical waste management 10-Management of mercury contaminated waste and mercury containing devices 11-Waste minimization 12-Cleaning and disinfection 13-Environmentally preferable purchasing 14-Training management 15-Monitoring, inspection forms • 16-Audit procedures (Plastic bags, bins, PPEs, segregation, containment, Training coverage, Competencies & Compliance)
Waste Management Program – Monitoring & Reporting • Development of Performance Indicators, including: • Segregation efficiency • Training effectiveness • Stock control • Compliance to OHS • Compliance to reporting procedures • Compliance to collection, transport and storage procedures • Minimization effectiveness • Respect to green purchasing policy • Control of financial aspects
HCW Segregation Chart • Type Category of Waste Labeling & color coding • Paper • Plastic • Metal • Organic material • Blades • Needles • Ampoules • Blood or body • Fluids • Items contaminated • with blood and body fluids • Chemicals • Pharmaceuticals Municipal Sharps Infectious Hazardous
HCW Segregation Chart • Type Category of Waste Labeling & color coding • Items contaminated • with chemotherapy • Drugs • Sharps • contaminated • with chemotherapy • Drugs • Body parts & organs • Items • Contaminated with • Radioactive material Cytotoxic Cytotoxic Sharps Pathological Radioactive
Waste Management Program – Handling: Segregation
Waste Management Program – Handling Collection
Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Transport
Waste Management Program – Handling: Final Disposal
Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM
Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM
Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM
Waste Management Program – Capacity Building 1. 3. 2. EXAMPLE TEXT Go ahead and replace it with your own text. • Training Needs Assessment: • Six target groups • TNA = Desired competencies – Existing Competencies Training Material Development ToT & Training workshops 1 2 3
Waste Management Plan 1- Baseline Assessment • Onsite survey conducted at both model facilities Policies and Procedures Update 2-Waste Management Program • Organizational structure and resources’ allocation • Policies & Procedures • Waste Handling • Capacity Building 3-Mercury Phase-out • Replacement of mercury thermometers √
Mercury Phase-out Comparative Evaluation of Non-Mercury Thermometers and Healthcare Staff Preferences Comparative Evaluation of Non-Mercury Thermometers and Healthcare Staff Preferences Mercury thermometer Infrared Temporal Thermometer The Infrared temporal thermometer was chosen to replace mercury thermometers.