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Report on the Special Remediation of Medical Waste
#report# Introduction Medical waste refers to waste that is directly or indirectly infectious, toxic and other harmful that is generated by medical and health institutions during medical treatment, prevention, health care and other related activities. The following is a compiled work report on the special treatment of medical waste. Welcome to read it!
1. Medical waste special rectification work report
On × month × ×, the xx Municipal Environmental Protection Bureau and the xx Municipal Health Bureau received a report from the xx Municipal Environmental Protection Bureau and the xx Municipal Health Bureau. After forwarding the notice of the General Office of the State Environmental Protection Administration and the General Office of the Ministry of Health on carrying out special inspections of medical waste management, the xx municipal government attached great importance to it and held a special meeting to study and deploy this special inspection of medical waste management, requiring the environmental protection and health departments to Carry out this special inspection of medical waste management in strict accordance with the requirements of the "Notice". In order to strengthen the leadership of the special inspection action on medical waste management, a joint inspection leading group headed by the deputy mayor xxx was first established. Secondly, an implementation plan for special inspection actions was formulated. The inspection contents, inspection methods and inspection time are determined. Starting from ××, month ××, a joint inspection team led by Deputy Director x of the Environmental Protection Bureau and Deputy Director x of the Health Bureau carried out a special inspection of the medical waste management of medical and health institutions within their jurisdiction. The inspection lasted for three days and included inspections of municipal medical institutions and spot checks of individual medical institutions and township medical institutions.
1. Medical waste flow management situation
1. Implementation of the medical waste transfer slip system: Medical waste generated by medical institutions in our city is treated by on-site incineration. No medical waste diversion occurred. Municipal medical and health institutions such as xx Municipal People's Hospital and xx Municipal Hospital of Traditional Chinese Medicine are responsible for the internal transfer of medical waste and have relevant handover records.
2. Establishment and implementation of the medical waste registration and management system: All medical and health institutions have established a medical waste registration and management system, xx City People’s Hospital, xx City Hospital of Traditional Chinese Medicine, xx City Blood Station, and xx City Health Care Center and other medical institutions have registered the source, type, weight or quantity, handover time, disposal method, and final destination of medical waste to prevent the loss, leakage, and spread of medical waste.
3. Implementation of the classification system for medical waste and domestic waste: All medical institutions inspected by the joint inspection team have implemented the classification system for medical waste and domestic waste. Each department has been equipped with two trash cans and set up signs. , use garbage bags of different colors to contain domestic garbage and medical waste, and are equipped with sharps boxes to contain needles and other sharp objects. Dedicated personnel are assigned to collect and transport medical waste, and medical waste is burned every day, ensuring that it is produced and cleaned every day.
2. Internal management of medical and health institutions
Each medical and health institution has established a medical waste management working group, with the top leader taking overall responsibility and the heads of departments that generate medical waste. Participate, clarify responsibilities, and formulate various rules, regulations and requirements. Designate a dedicated person to inspect, supervise, and implement the management of medical waste. At the same time, all medical institutions are conducting training on relevant legal and professional techniques, safety protection and emergency treatment knowledge for their personnel and managers engaged in collection, transportation, storage, disposal and other work in accordance with the requirements of the xx Municipal Health Bureau. Beining People's Hospital also conducted an assessment on medical waste-related knowledge and rewarded medical staff with excellent performance in the assessment.
3. Supervision by health authorities and environmental protection departments
After the implementation of the "Medical Waste Management Regulations", the xx Municipal Environmental Protection Bureau and the xx Municipal Health Bureau respectively implemented the regulations in ×××× , ×××× formed a joint inspection team to inspect the medical and health institutions within the jurisdiction. Medical waste management work in various medical institutions has been significantly strengthened through inspections. In ××××年×月, the xx Municipal Health Bureau invited comrades from the Medical Department and Medical Insurance Department of xx Central Hospital to conduct training on laws and professional techniques related to medical waste management, safety protection and emergency treatment at the xx Municipal People's Hospital. . The persons in charge of medical waste management from all medical and health institutions in the city participated in this training. Afterwards, the Health Bureau issued ××× questions based on the training content and sent them to various medical and health institutions to assess the personnel and managers engaged in the collection, transportation, storage, and disposal of medical waste. During the Nurses’ Day on ××, the Health Bureau launched a business knowledge competition across the city, with medical waste management knowledge as one of the components of the competition.
In × month, our city held an on-site meeting at the xx Municipal People’s Hospital. The municipal hospital introduced its experience in medical waste management and issued documents to promote it in the city’s medical and health institutions.
Through this special inspection of medical waste management, we saw that the city’s medical and health institutions attach great importance to medical waste management and have included it in the daily management of various medical institutions. In particular, various medical and health institutions under the municipal government have established various relevant systems and can implement them conscientiously. But there are also certain problems. The main manifestations are: due to limited conditions, townships and individual medical and health institutions have formulated various systems, but they are not standardized. The registration management system of individual hospitals is not yet complete. The environmental protection and health departments have put forward rectification requirements for medical and health institutions with problems in accordance with the "Medical Waste Management Regulations".
In view of the fact that our city currently does not have a centralized medical waste disposal site and does not yet have the conditions for centralized medical waste disposal, each medical and health institution disposes the medical waste it generates on its own. It is hoped that the relevant departments at higher levels will build a centralized medical waste disposal site as soon as possible and realize the centralized and unified disposal of medical waste in our city.
Medical waste is related to public health safety and environmental safety. We will take this joint inspection operation as an opportunity to further strengthen medical waste management, persist in regular efforts, and effectively implement the "Medical Waste Management Regulations" 》, supervise and manage disease prevention and environmental pollution prevention and control during the collection, transportation, storage, and disposal of medical waste to ensure the prevention of disease spread, environmental protection, and human health.
2. Report on the special rectification work of medical waste
1. Work situation in 20xx
The medical waste management work in 20xx is closely centered on the implementation of the "Municipal Medical and Health Regulations" "Institutional Medical Waste Management Regulations", in accordance with the key points of annual management and supervision work, through publicity, training, guidance, inspection and other methods, the goal of "changing concepts, enhancing awareness, improving mechanisms, standardizing facilities, and solid advancement" has been basically achieved.
1. The progress of publicity and training work. The Municipal Health Bureau has printed and distributed more than 9,000 volumes of the "Compilation of Medical Waste Management Documents", printed and distributed more than 120,000 volumes of various promotional materials at the city, district and county levels, and carried out more than 3,000 various publicity and publicity activities, with a total audience More than one million. The Municipal Health Bureau organized regulatory knowledge training for leaders of district and county health bureaus, third-level medical and health institutions, and heads of competent departments, and interpreted the newly revised "Regulations on the Management of Medical Waste in Municipal Medical and Health Institutions". The district and county health bureaus, Haidian District Public Security Committee, and various medical and health institutions held various training activities and trained more than 50,000 people. The training rate of personnel specializing in collection and transportation reached more than 90%.
2. Supervision and inspection. The Municipal Health Bureau organized 5 guidance and inspection activities and inspected the medical waste management situation in 12 districts and counties and 97 medical and health institutions. The district and county health bureaus and Haidian District Public Security Bureau organized 31 guidance inspections, involving 913 units. Health supervision agencies at the city, district and county levels have conducted a total of 5,788 law enforcement supervisions, and issued administrative penalties of warnings and fines to 54 medical and health institutions, including: 3 hospitals and health centers, accounting for 5.5%, and 36 clinics and outpatient departments. Accounting for 66.7%, there are 15 village clinics, accounting for 27.8%. The Municipal Health Bureau hired 36 medical waste inspectors, two from each district and county, and conducted 417 unannounced inspections and 1,612 pieces of feedback information.
3. Check each other’s work status. In accordance with the annual work arrangement, the Municipal Health Bureau organized mutual inspection activities on medical waste management between the district and county health bureaus, Haidian District Public Security Committee and tertiary hospitals in the third quarter. The Municipal Health Bureau has formulated and issued a mutual inspection plan, which contains 35 mutual inspection contents and evaluation criteria in eight aspects. Each two districts and counties will conduct mutual inspections of two hospitals each, and the municipal third-level hospitals and the central third-level hospitals will be mutually inspected. Conduct mutual inspections between hospitals. At the same time, the district and county health bureaus and the Haidian District Public Security Committee are required to issue the "20xx Mutual Inspection and Evaluation Standards for Medical Waste" to all medical and health institutions within their jurisdiction for self-inspection. The entire mutual inspection activity ended at the end of September. All relevant units completed the mutual inspection work. During the mutual inspection, 43 irregularities were found in 20 hospitals.
4. Service guarantee situation. The Municipal Health Bureau produced and issued 6 warning signs for temporary storage of medical waste.
Pinggu District, Miyun County, Yanqing County, etc. have government-funded organizations to centrally collect and transfer medical waste; Tongzhou District and Haidian District governments have funded the construction and improvement of temporary storage facilities for medical waste in medical institutions. Health administrative departments at all levels coordinate the centralized disposal of medical waste in small and remote medical and health institutions and train teachers.
2. Work results
Improve the mechanism and work together to promote implementation. In the past year since the newly revised "Regulations on Medical Waste Management in Municipal Medical and Health Institutions" have been implemented, the supervision and management of the health administrative department and the specific implementation of medical and health institutions have been implemented in an orderly manner in accordance with the responsibilities and obligations conferred by the "Regulations". Through the study and publicity of the "Regulations", all practitioners will be fully aware of the importance of safe collection of medical waste. In particular, the organizational leadership levels of health administrative agencies, health supervision departments and medical and health institutions have also received their own tasks from the "regulations". Municipal and district and county health bureaus are jointly supervised and managed by competent departments, relevant functional departments and health supervision agencies. Medical and health units have formed a situation where the leaders of the units take the lead, and the logistics and general affairs departments, infection control departments and related medical departments work together to manage and monitor the situation. This ensures the effective implementation of laws and regulations.
3. Medical waste special rectification work report
It can effectively prevent and control the harm of medical waste to human health and the environment. According to the "Medical Waste Management Regulations" and combined with the actual situation of our hospital , carry out strict management of medical waste. The management of medical waste is summarized as follows:
1. Medical waste management
1. In order to strengthen the management of medical waste, our hospital established a medical waste leading group in accordance with the "Medical Waste Management Regulations" , is the first person responsible for the dean, and has formulated various systems for the collection, transportation and disposal of medical waste; established an emergency plan, work flow and requirements for medical waste management accidents; established and improved the medical waste management responsibility system, designated A dedicated person is responsible for the collection of medical waste and the management of the temporary storage warehouse of medical waste. The responsibility for medical waste management is assigned to one person, and the storage, transfer, collection and transportation of medical waste are supervised throughout the process.
2. In order to implement the "Medical Waste Management Regulations" and related documents, our hospital organized various personnel at all levels to conduct knowledge training on medical waste management, and strived to improve the awareness of medical waste management and prevent cross-talk within the hospital. Infect.
3. Medical waste management has full-time personnel responsible for guidance, checking the implementation of various tasks in the classification collection, transportation, temporary storage and disposal of medical waste, occupational health and safety protection work, and the loss and leakage of medical waste , diffusion and emergency response work when accidents occur.
4. Strictly manage medical waste registration and archival information.
2. Classified collection, transportation and temporary storage of medical waste
According to the "Medical Waste Management Regulations", medical waste is classified and managed.
1. The collection, transportation, and handover management of medical waste have been strengthened. This year, the whole hospital purchased new medical waste barrels dedicated to the collection and transportation of medical waste, and replaced the original waste barrels that did not meet the standards. All purchased Superiors require labeled medical waste barrels to be clearly marked and classified in compliance with requirements. Cleaners from each department will collect and transport medical waste to the medical waste concentration center every morning and afternoon, and keep records.
2. Put damaging medical waste (such as needles, surgical blades, etc.) directly into puncture-resistant and leak-proof containers. They must be strictly sealed when transported out of the country, and the medical waste should be packed outside. Special yellow plastic bag. Other medical waste, including patients' domestic waste, should be placed directly into double-layer yellow plastic bags, and the bag mouth should be sealed in layers. Do not use equipment or methods that affect sealing performance for sealing.
3. Medical waste collection containers must meet the requirements of relevant departments. The volume of all waste should not exceed 3/4 of the container or packaging bag. Effective sealing methods should be used to ensure that the packaging or container seals are tight and secure. tight. Do not use damaged or contaminated collection containers.
4. The daily medical waste will be cleared and transported in a timely manner according to the prescribed time and route by dedicated personnel (cleaners) from each department using transfer tools, with double signatures (witnesses), transportation tools, and temporary storage Places, etc. need to be cleaned promptly and disinfected with chlorine-containing disinfectant in case of contamination.
5. Medical waste is not allowed to be stored in the open in temporary storage areas for medical waste. There are obvious warning signs and safety measures such as anti-leakage, anti-mosquito, anti-rat, etc.
And disinfect and clean regularly.
6. High-risk wastes such as pathogen cultures and bacterial and virus strain preservation solutions should be sterilized on-site in the undergraduate department and then treated as medical waste after disinfection.
7. The cleaners who collect and transport medical waste can be relatively fixed and have been trained on medical waste treatment processes, hospital infection control, self-protection, and accident handling. Cleaners can strictly follow the ward protection requirements when working.
8. In the second half of 20xx (starting from July 1), the hospital signed a contract with Yulin City "Aimin Company", and full-time staff of Yulin City "Aimin Company" will use special medical waste trucks to collect medical waste every other afternoon. Waste, do a good job in handover and record it carefully, including the type of medical waste, the amount collected, the handover time, the centralized disposal unit and the signature of the person in charge. Registration information will be kept for at least two years.
9. Infectious excreta produced by isolated patients with infectious diseases or patients with suspected infectious diseases can be strictly disinfected in accordance with national regulations. The sewage generated in the hospital should be strictly disinfected according to relevant national regulations before being discharged into sewage treatment.
10. Medical waste generated by isolated patients with infectious diseases or patients with suspected infectious diseases should be double-packaged and sealed in a timely manner.
11. Medical waste collection areas are equipped with obvious medical waste warning signs and "no smoking and eating" warning signs.
After many years of attention paid by hospital leaders and standardized management of medical waste, the medical waste in our hospital can be effectively and harmlessly disposed of. In the coming year, our hospital will continue to strengthen medical waste management, protect the environment, and protect people's health.
4. Report on special rectification work of medical waste
According to the training guidance on medical waste disposal from superiors, our station carries out self-examination of medical waste disposal. In order to strengthen the safety management of medical waste, To further improve the management regulations for the collection and storage location of medical waste in our unit, prevent the spread of diseases, protect environmental safety, and effectively safeguard the health of the people, our station has carefully studied the "Medical Waste Management Regulations" and conducted a self-examination. The problem situation is now reported as follows :
1. Improve the organization and improve the system.
A medical waste management leadership group was established, headed by station director Sun Fuguang, and composed of nurses. The responsibilities and tasks were clarified and a medical waste system was formulated.
2. Classified collection management.
1. Classify and collect medical waste and domestic waste, and prevent the mixing of medical waste and domestic waste. It is uniformly stipulated that medical waste should be packed in yellow plastic bags and domestic waste should be packed in black plastic bags. It is prohibited to mix medical waste with Among other wastes and domestic garbage.
2. Prick and seal the medical waste separately. Destroy needles, puncture needles, blades, etc. and put them in leak-proof and puncture-resistant sharp gas containers. Used disposable items must not be reused.
3. Strengthen the management of disposable medical devices and appliances.
After use, disposable medical supplies should be treated as medical waste. Reuse and return to the market are prohibited, and registration must be done. Used disposable medical supplies such as: disposable syringes and infusion sets Other items must be disinfected and destroyed on site, put into special collection bags marked "Medical Waste", and collected and disposed of by Weihai Environmental Protection Technology Service Co., Ltd. within 2 days.
4. Strengthen data registration and management.
Relevant departments shall establish a registration form for medical waste management, register and verify the source, type, or quantity, as well as the signature of the person in charge, etc., and keep all registration information.
5. Summary.
Through this self-examination of our station’s medical waste management work, medical operating behaviors have been gradually standardized. In the future, our station will strengthen inspections. We will gradually standardize operations in our future work to completely eliminate damage to the physical and mental health of the people caused by improper management of medical waste.
5. Special rectification work report on medical waste
In order to strengthen the safety management of medical waste and further improve the classification of medical waste in this unit. collect. transport. temporary storage. We have carefully studied the "Medical Waste Management Regulations" and "Medical Waste Classification Catalog" in order to prevent the spread of diseases, protect environmental safety, and effectively safeguard people's health.
The "Administrative Punishment Measures for Medical Waste Management" and other relevant laws, regulations and documents have renewed requirements for our hospital's medical waste management and strengthened supervision. This year's work plan is as follows:
1. Strengthen management and improve organization , improve the system
Re-establish a medical waste management team (red-headed document), clarify responsibilities and tasks, formulate a medical waste management system, various related systems and emergency response to emergencies, etc., and establish centralized safety of medical waste Unify the disposal workflow to ensure the normal operation of safe disposal of medical waste.
2. Classified Collection Management
Supervise all departments in the hospital to strictly follow the "Medical Waste Classification Catalog" to classify and collect the medical waste generated by the department, and place them in separate places with "warnings" "In the packaging bags and containers with the "mark, the medical waste bags should be two-thirds full, and they should be effectively sealed to ensure tightness. Put damaging waste into a special sharps box and do not reuse the sharps box. Medical waste and domestic waste generated by isolated patients with infectious diseases or suspected patients with infectious diseases must be packed in double-layer special bags, sealed in time, and disposed of as medical waste.
3. Transfer management
Full-time transport personnel are required to transport the medical waste generated by each department to the temporary storage location according to the prescribed time and route every day, and wear protective clothing and protective caps during transportation. , masks, industrial aprons, industrial boots, disposable rubber gloves and other protective equipment, regular physical examinations, check the signs of medical waste before transportation, and seal it to prevent it from being lost or leaked along the way. After transportation is completed, the transportation tools should be cleaned and disinfected in a timely manner. During transportation, collection and storage, staff must be careful to prevent exposure injuries. If exposure injuries occur, they should promptly report to the infectious disease department of the hospital. They should immediately handle the cases according to occupational exposure and report to relevant departments in a timely manner.
IV. Temporary storage facilities and management
Actively rectify the temporary storage points of medical waste, and clear the debris near the temporary storage points. The temporary storage place of medical waste in our hospital is located far away from medical treatment. , food processing and personnel activity areas, with anti-leakage, anti-rat, anti-mosquito and anti-theft measures, etc., tightly closed, with "no smoking and eating", "no entry for idlers" and special medical waste warning signs, with staff In offices and flushing and disinfection facilities, medical waste should be stored at temporary storage locations for no more than two days. Transport personnel should use 84 disinfectant to soak, clean and spray disinfect transportation tools and temporary storage locations every day.
5. Registration
Each department and temporary storage office of our hospital has established a medical waste recycling registration book. After the daily handover between the medical waste generating department and the transport personnel, both parties will have a clear understanding of the source of the medical waste. , type, weight, time, signature of the person in charge and other contents shall be registered in detail, and the data shall be kept for three years. When the temporary storage office is handed over to the Kaifeng Medical Waste Disposal Center, all contents of the transfer slip shall be carefully filled in, in duplicate, and the records shall be kept for five years. Year. It is strictly forbidden to dispose of medical waste by yourself, and the transfer and sale of medical waste is prohibited. The medical waste management team will conduct regular inspections every month.
6. Emergency plan
We have established an emergency response plan for medical waste emergencies, take timely emergency treatment measures when leakage and spread occur during the transfer process, and disinfect the contaminated area. Strictly prevent secondary pollution and ensure safety.
7. Training
The Infectious Disease Control Department regularly conducts learning and training on medical waste management related knowledge for medical staff and logistics staff in the hospital, especially relevant laws and professional techniques for practitioners. , safety protection and other knowledge training to improve everyone’s awareness of the importance and necessity of standardized disposal of medical waste.
Further increase the supervision and management of medical waste, elevate medical waste management to an important position in daily supervision, effectively implement various management responsibilities of medical waste, and make the medical waste management of our hospital truly standardized and Institutionalized and long-lasting.
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