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Healthcare Waste Management at Hammoud University Hospital

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

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  1. Healthcare Waste Management at Hammoud University Hospital 06 June, 2012

  2. 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

  3. Baseline Assessment

  4. Baseline Assessment Findings • 96% Improper waste Segregation

  5. Baseline Assessment Findings

  6. Baseline Assessment Findings

  7. Baseline Assessment

  8. Baseline Assessment Findings

  9. Baseline Assessment Findings

  10. Baseline Assessment Findings

  11. 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)

  12. Baseline Assessment Findings

  13. 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

  14. Steps Of Proper Waste Management

  15. 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

  16. Waste Management Program – Resources’ Allocation Specification of Waste Containers

  17. Waste Management Program – Resources’ Allocation Specification of Sharp Containers

  18. Waste Management Program – Resources’ Allocation Color Coding & Specification of Waste Bags

  19. Waste Management Program – Resources’ Allocation Placement of Waste Containers & Sharp Boxes

  20. Waste Management Program – Resources’ Allocation Number of Staff Needed for HCWM

  21. Waste Management Program – Resources’ Allocation Requirements for Storage Areas

  22. 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

  23. 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)

  24. 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

  25. 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

  26. 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

  27. Waste Management Program – Handling: Segregation

  28. Waste Management Program – Handling Collection

  29. Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Transport

  30. Waste Management Program – Handling: Final Disposal

  31. Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM

  32. Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM

  33. Waste Management Program – Handling Routing for Waste Transport (Floor to Temporary Storage) Auditing HCWM

  34. 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

  35. 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 √

  36. 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.

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