1. Model report on self-inspection of medical wastes
According to the training and guidance of superior medical waste disposal, our station carried out self-inspection of medical waste disposal. In order to strengthen the safety management of medical waste, further improve the management norms of medical waste collection and storage places in our unit, prevent the spread of diseases, protect environmental safety, and effectively protect people's health, our station earnestly studied the Regulations on the Management of Medical Waste and conducted self-examination. Now the problems are reported as follows: 1. Improve the organization and system.
Set up a leading group for medical waste management, which is headed by stationmaster Sun and composed of nurses. The responsibilities and tasks were defined, and the medical waste system was formulated.
Second, classified collection management.
1. Collect medical wastes and domestic wastes separately, put an end to mixing medical wastes and domestic wastes, uniformly stipulate that medical wastes should be packed in yellow plastic bags and domestic wastes should be packed in black plastic bags, and it is forbidden to mix medical wastes with other wastes and domestic wastes.
2. Medical wastes shall be sealed separately, and needles, puncture needles and blades shall be placed. After being destroyed, it is put into a leak-proof and puncture-proof container. Used disposable articles shall not be reused.
Third, strengthen the management of disposable medical devices.
Disposable medical supplies should be treated as medical waste after use. It is forbidden to reuse and return to the market, and make a good registration. Used disposable syringes, infusion sets and other disposable medical supplies must be disinfected and disfigured on the spot, put into special collection bags marked with the words "medical waste", and collected and processed by Weihai Environmental Protection Technology Service Co., Ltd. within 2 days.
Fourth, strengthen data registration and management.
Relevant departments shall establish a medical waste management registration form to register and check the source, type or quantity, signature of the handler, etc., and the registration materials shall be kept intact.
Fifth, summary.
Through this self-inspection of medical waste management in our station, the medical operation behavior is gradually standardized, and our station should strengthen the inspection in the future. We will gradually standardize the operation in the future work, and completely put an end to the harm of improper management of medical waste to people's physical and mental health.
2. Medical waste self-inspection demonstration report
In order to strengthen the safety management of medical waste and further improve the classification of medical waste in our unit. Collection. Handling management norms such as transshipment, temporary storage and handover, to prevent the spread of diseases, protect environmental safety and earnestly safeguard people's health. We have carefully studied the Regulations on Management of Medical Wastes and the Catalogue of Medical Wastes. Relevant laws, regulations and the spirit of the document, such as Administrative Punishment Measures for Medical Waste Management, have re-demanded the management of medical waste in our hospital and strengthened supervision. This year's work plan is as follows: 1. Strengthen management, improve organization and improve system.
Re-establish the medical waste management team (red-headed document), define the responsibilities and tasks, formulate the medical waste management system, various related systems and emergency treatment of unexpected accidents, and establish a unified workflow for centralized and safe disposal of medical waste to ensure the normal operation of safe disposal of medical waste.
Second, classified collection management.
Supervise all departments in the hospital to collect medical wastes generated by their own departments in strict accordance with the Classification Catalogue of Medical Wastes, and put them in packaging bags and containers marked with "warning" respectively. Two-thirds of the medical waste bags are full and effectively sealed to ensure tightness. Damaged wastes shall be put into special sharp weapon boxes, which shall not be reused. Medical wastes and domestic garbage generated by isolating infectious patients or suspected infectious patients should be packed in double-layer special bags, sealed in time and treated as medical wastes.
Third, transshipment management.
Full-time transport personnel are required to transport medical wastes generated by various departments to temporary storage places according to the specified time and route every day. Wear protective clothing, protective cap, mask, industrial apron, industrial boots, disposable rubber gloves and other protective articles during transportation, and have regular physical examination. Before transportation, they should check the identification and sealing of medical wastes to prevent leakage. After delivery, clean and disinfect the delivery tools in time. In the process of transportation, collection and storage, the staff should strictly guard against exposure injuries, report exposure injuries to the hospital sensory department in time, treat them as occupational exposure immediately, and report them to relevant departments in time.
Four, temporary storage facilities and management
Actively rectify the temporary storage point of medical waste and clean up the sundries near the temporary storage point. The temporary storage point of medical waste in our hospital is located far away from medical treatment, food processing and personnel activities, and there are measures to prevent leakage, rodents, mosquitoes and flies and theft. Closed tightly, with warning signs of "No Smoking, No Eating" and "No Entry for Idle People", special medical waste, staff office and washing and disinfection facilities. The medical waste shall be stored in the temporary storage point for no more than two days and transported by personnel.
Verb (abbreviation of verb) registration
All departments and temporary storage places in our hospital have established medical waste recycling registers. After the medical waste generation department and the delivery personnel hand over the medical waste every day, both parties register the source, type, weight, time and signature of the disposer of the medical waste in detail, and keep the data for three years. When the temporary storage place is handed over to Kaifeng Medical Waste Disposal Center, the contents of the handover form shall be carefully filled in duplicate, and the records shall be kept for five years. It is forbidden to dispose of medical waste by itself, and it is forbidden to transfer and sell events. The medical waste management team conducts regular supervision every month.
Sixth, the emergency plan
An emergency disposal plan for medical waste was established, and emergency measures were taken in time in case of leakage and diffusion during transshipment, and the contaminated area was disinfected to prevent secondary pollution and ensure safety.
Seven. cultivate
The sense control department regularly studies and trains the medical staff and logistics personnel in the hospital in medical waste management, especially in law, professional skills and safety protection, so as to improve employees' understanding of the importance and necessity of standardized medical waste disposal.
Further strengthen the supervision and management of medical waste, promote the management of medical waste to the important position of daily supervision, earnestly implement the responsibility of medical waste management, and make the management of medical waste in our hospital truly standardized, institutionalized and long-term.
3. Self-inspection demonstration report of medical waste
In order to thoroughly implement the spirit of the document Notice of the Municipal Health Bureau on Printing and Distributing the Implementation Plan of Medical Waste Disposal and Investigation in Cenxi Medical and Health Institutions (Cenweizheng [20xx] No.57), standardize the management of medical waste in our hospital, and prevent the spread of infectious diseases and environmental pollution accidents caused by medical waste, our hospital has recently carried out strict self-examination and self-correction. The self-inspection is as follows: 1. Leaders attach importance to it and are well organized.
After receiving the Notice of Cenxi Municipal Health Bureau on Printing and Distributing the Implementation Plan of Medical Waste Disposal and Investigation in Cenxi Medical and Health Institutions (Cenweizheng [20xx] No.57), the leadership of our hospital attached great importance to it, held a meeting and made strict arrangements for self-inspection. A self-inspection leading group was established, with the president as the leader, the vice president as the deputy leader and the heads of various departments as members. All departments are required to carry out serious self-examination and self-correction in strict accordance with the Regulations on the Management of Medical Wastes and the Measures for the Management of Medical Wastes in Medical and Health Institutions, and remarkable results have been achieved.
Second, the basic situation of self-examination
(1) Having records on the generation, classification and collection of medical wastes. And someone is responsible for filling it out.
(two) the establishment of medical waste management system, regularly improve and implement, there are full-time and part-time staff. Regularly train medical waste disposal related laws and professional technology, safety protection and emergency treatment knowledge.
(three) the establishment of medical waste loss, leakage, diffusion and accident emergency plan.
(4) Temporary storage places for medical wastes meet the requirements of environmental protection and hygiene.
(five) the inpatient department, outpatient department, obstetrics and gynecology and other clinical departments use standard plastic bags to collect and transport medical waste.
(6) There is no sewage treatment system.
(seven) the process of management and disposal of domestic garbage generated by patients with infectious diseases or suspected infectious diseases according to medical waste.
(8) Occupational personal protection complies with relevant regulations.
(nine) medical waste registration, registration items in accordance with the provisions, the implementation of the transfer form.
(X) Hospital cross-infection management: set up a leading group for hospital cross-infection management. Regularly educate and train relevant personnel, and establish and improve relevant rules and regulations such as medical waste treatment management, nosocomial infection and disinfection management. The source, type and quantity of medical waste shall be recorded by special personnel, and the disinfection effect of key departments and parts shall be monitored regularly. The label of the prepared disinfectant is clear, complete and standardized.
(1 1) Disposal of solid medical wastes: all medical wastes are collected by classification, the temporary storage time of wastes is marked with warning signs according to regulations, the containers of wastes are sealed and stab-proof, and the "Five Prevention" medical wastes are signed and recorded by special personnel.
(12) Disposal of disposable medical supplies: All disposable medical supplies shall be collected by special personnel after being soaked, disinfected and destroyed, and shall be disinfected harmlessly. There are detailed handover records of medical wastes, and there is no resale or gift. All operators are trained and have special protective facilities and equipment.
(XIII) Report on epidemic situation management: Our hospital has established a strict epidemic situation management and reporting system, and designated a special person to be responsible for epidemic situation management. The contents of the epidemic situation register are complete, and the epidemic situation report card is standardized. The epidemic situation report is checked once a month, and there is no omission or delay.
Third, there are shortcomings.
First, due to the lack of funds, some medical equipment can not be repaired or updated in time, which affects the in-depth development of medical waste management to a certain extent, and the professional development is insufficient; Second, limited by the establishment, the staff is tense and the workload is heavy; Third, some departments mix infectious medical waste with traumatic medical waste; Fourth, the registration of some departments is not standardized.
Fourth, the rectification measures
Our hospital immediately called the staff of relevant departments to organize a special meeting to inform the self-examination and reiterate the importance of medical waste management; Sort out all aspects of medical waste management, clarify the responsible person again and strengthen the sense of responsibility; For individual departments with problems, timely rectification is required to further improve the workflow.
4. Medical waste self-inspection demonstration report
First, improve the organization and system. A leading group for hospital medical waste management was established, with the president as the leader, vice presidents Zhang Xiongzhong and Feng as the deputy heads, and members composed of heads of relevant departments. The leading group clarified the responsibilities and tasks, and formulated the medical waste system, special delivery tools and destruction system.
Second, classified collection management.
1. Collect medical wastes and domestic wastes separately, put an end to mixing medical wastes and domestic wastes, uniformly stipulate that medical wastes should be packed in yellow plastic bags and domestic wastes should be packed in black plastic bags, and it is forbidden to mix medical wastes with other wastes and domestic wastes.
2. Medical wastes, needles, puncture needles and blades shall be sealed separately. , after destruction, put it into 3/4 of the leak-proof and puncture-proof sharp weapon, and do not take it out and label it again.
3, pathogen culture medium, specimens, strains and virus preservation solution should be autoclaved before being treated as infectious waste.
4. Isolate medical wastes and domestic garbage wastes generated by patients with infectious diseases or suspected patients with infectious diseases, and apply double-layer special packaging materials to seal and label them in time.
Third, strengthen the management of disposable medical devices.
Disposable medical supplies should be treated as medical waste after use. It is forbidden to reuse and return to the market, and make a good registration. Used disposable syringes, infusion sets, blood transfusions and other disposable medical supplies must be disinfected and destroyed on the spot, and those with no recycling value can be put into special collection bags for direct incineration.
Fourth, strengthen data registration and management.
Relevant departments shall establish a medical waste management registration form to register and check the source, type or quantity, signature of the handler, etc., and the registration materials shall be kept intact.
5. Emergency plan.
The emergency plan for medical waste accidents has been established, and corresponding safety emergency treatment measures must be taken to prevent secondary infection and ensure safety.
Sixth, summary.
Through this self-inspection of medical waste management in our hospital, specific rectification opinions were put forward for the existing problems, and the medical operation behavior of each department was gradually standardized. In the future, our hospital should strengthen the inspection of relevant departments. We have greatly improved the management of medical waste, but due to the objective conditions of the unit, the transfer of medical waste can not be completely standardized. In the future, we will gradually increase capital investment, standardize operations, and completely eliminate the harm of improper medical waste management to people's physical and mental health.
5. Medical waste self-inspection demonstration report
The joint inspection team of Municipal Health Bureau and Environmental Protection Bureau came to our hospital for inspection and supervision, and put forward supervision opinions on the problems existing in medical waste management and sewage treatment. Hospital leaders attach great importance to it, especially the problem of substandard sewage treatment. They appointed the Hospital Infection Management Section to be responsible for the inspection, supervision and implementation of the management of medical waste and sewage treatment in our hospital, and required to complete the rectification within five working days to ensure that the medical waste treatment and sewage discharge meet the relevant requirements in the Regulations on the Management of Medical Waste in Medical Institutions and the Sewage Discharge Standard of Medical Institutions. Specific measures are as follows:
1. According to "People's Republic of China (PRC) Water Pollution Prevention Law" and "Regulations on Medical Waste Management in Medical Institutions", combined with the actual situation of the hospital, improve various rules and regulations of hospital management, and formulate detailed and feasible emergency plans.
Two, strengthen the training of ward nurses, cleaners, sewage treatment professionals, so that they are familiar with the knowledge of medical waste collection, transportation, storage, transshipment, safety protection and emergency treatment.
Three, set up a full-time staff to be responsible for the management, in view of the danger of this position, in addition to increasing the monthly subsidy 100 yuan, a health examination is also conducted every year, and those who are negative for hepatitis B surface antigen are given vaccination.
Four, each department to transport medical waste must use turnover barrels, to prevent leakage, prevent splashing, prevent stabbing. The turnover bucket is cleaned and disinfected every day.
Five, medical waste temporary storage room installed mosquito and cockroach prevention net window.
Six, keep the sewage drainage system unblocked, sewage treatment full-time administrator to remove the floating objects and sludge in the sewage every day, and the cleaned things are treated as infectious garbage.
Seven, according to the number of inpatients every day, evaluate the workload and sewage situation of the hospital.