MEDICAL WASTE MANAGEMENT (SOP) / Penatalaksanaan Limbah Medis


MEDICAL WASTE MANAGEMENT
Standard Operating Procedure

PURPOSE
The purpose of this standard Operating Procedure (SOP) is to provide guidance to the community health center of batu putih (CHC) for the proper handling, packaging, labeling and disposal of medical wastes generated on CHC.

STANDARD:
Waste will be stored and disposed of safely to protect the staff, the patients and the environment.

POLICY:
The Government of Indonesia believes that Infection Control is the responsibility of management and all health care workers and is integral to the quality outcomes of any medical facility. Any infection control program exists to protect the patient, the health care worker, visitors and others in the health care environment. The program must be established on sound evidence based practice and be managed in a timely, efficient, cost-effective manner and reviewed on an annual basis.

DEFINITION
Contaminated waste: waste which has the potential to cause injury, infection or offence. Sources include medical, nursing, dental, veterinary, pharmaceutical and similar facilities engaged in treatment, investigation, teaching or research.
Contaminated waste includes:

  • Sharps: discarded needles, needle/syringe combinations and any other sharp object or instrument capable of inflicting penetrating injury that has been in contact with body substances such as suturing tread, intravenous sets etc.
  • Dressings and disposable linen – heavily soiled with blood/body substances such as Infected/contaminated gauze and tissues,
  • Bulk body substances: including vessel bags, and tubing containing bulk body substances.
  • Microbiological and pathological waste: including discarded laboratory specimens, cultures and materials that have contact with such, and biological reagents.
  • Tissue: human tissue, organs, body parts, human foetus, placentas, products of autopsy and infected animal tissue.
  • Other material: This may be determined by the clinic’s infection control committee to present a significant risk of infection such as Infected/contaminated/used gloves (latex, plastic disposable gloves)

PROCEDURE(S); Management of medical (contaminated) waste
The clinic will formulate a cost-effective waste management plan that will streamline the handling and storage of waste and reduce the risk of occupational exposure to contaminated waste.

Health care providers need to be aware of what constitutes contaminated waste and how to handle it in order to minimize the risk of occupational exposure.
• All wastes that are defined above should be segregated at the source and placed in a contaminated waste bag/container (Bio-hazard container).
• Contaminated waste bags are yellow or red with the international bio-hazard symbol in black and come in various sizes. Sharps containers should be puncture resistant, impermeable to fluids, capable of remaining sealed during transport, and safe to handle. (please refer to policy and procedure on the safe use and disposal of sharps) They are yellow or red, come in various sizes and have a label that says “Danger Contaminated Sharps”.
• Single sharp objects must never be placed into contaminated waste bags.
• Contaminated waste bags must not be transported in chutes or thrown due to the possibility of a bag rupture.

• Transport of wastes.
1) Contaminated waste must not be compacted.
2) Check waste bags for leakage
3) Waste collection rounds should be carried out at regular intervals and evaluation of receptacles provided for waste is adequate re supply and demand. Thick gloves are to be worn at all times during handling of waste.
4) Waste should be transported on trolleys where possible. Waste trolleys should be:
• Clearly identifiable and labeled.
• Cleaned regularly, at least daily.
• Used only for waste transport.
• Never be overfilled.

• Waste storage
1. Storage facilities should be adequate, suitably sited, safe and hygienic, covered and lockable.
2. Collection rooms and bins should be cleaned with appropriate disinfectant daily and immediately when soiling has occurred.

• Incineration
1. Ensure all waste are properly incinerated and performed by trained personnel
2. Ensure medical representative is follow the incineration process

• Safe work practices
Reduce the risk of exposure to the hazards of contaminated waste by:
1. Discouraging double handling of waste.
2. Providing protective clothing for personnel – particularly protective heavy duty gloves.

• Safe disposal of body substances
1. Blood, body substances may be carefully poured down the drain connected to a sewerage system provided personnel are wearing protective clothing.
2. Ensure the system is flushed several times and immediately after disposal of blood/body substances.
3. Disposable products containing liquid i.e. disposable suction liners should be sealed, placed in an impermeable bag and tied prior to disposal into contaminated waste bags.

Methods for rendering infectious waste non-infectious
1. Steam sterilization.
2. Incineration.
3. Irradiation (rarely used).

PROCESS OWNER
• Doctors
• Paramedic / Nurse
• Midwife
• Laboratory Technician

REFERENCE
• Bloodborne Pathogen Exposure

This Articles is dedicated to you who working in CHC / PHC / Clinic and Hospital as doctor, medic, nurse, midwives,  etc troughtly contacted it.

Be Healthy and Have a Good Day

Krist@2012

CHC Of  Batu Putih @ Health Promotion Program

Categories: Health and Safety Focus, Promosi Kesehatan | Tags: , , , , | 4 Komentar

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4 thoughts on “MEDICAL WASTE MANAGEMENT (SOP) / Penatalaksanaan Limbah Medis

  1. Wow that was strange. I just wrote an very long comment but after I clicked submit my comment didn’t appear.
    Grrrr… well I’m not writing all that over again.
    Regardless, just wanted to say wonderful blog!

  2. There are many methods that are used in managing and removing medical waste from medical facilities as well as residential areas. This field involves the management of waste that is collected from hospitals, clinics and other such establishments. Medical waste is basically the stuff that is used in hospitals and other medical facilities like syringe, injection needles, etc

  3. We refer our roles..
    thank

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