1. Report on special rectification of medical wastes
On ×××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××× Determine the inspection content, inspection method and inspection time. From {\ lang1033,} to {\ lang1033 {\ lang1033,} I. Process management of medical waste
1. The system of medical waste transfer is implemented: the medical waste generated by medical institutions in our city is disposed by on-site incineration, and no medical waste transfer occurs. Xx Municipal People's Hospital, xx Municipal Hospital of Traditional Chinese Medicine and other municipal medical and health institutions are responsible for the internal handover of medical wastes, and have relevant handover records.
2. Establishment and implementation of medical waste registration management system: all medical and health institutions have established medical waste registration management system, and medical institutions such as xx People's Hospital, xx Chinese Medicine Hospital, xx Blood Station and xx Health Center have registered the source, type, weight or quantity, handover time, disposal method and final destination of medical waste, thus preventing the loss, leakage and spread of medical waste.
3. Implementation of the medical waste and domestic waste classification system: All medical institutions inspected by the Joint Inspection Unit have implemented the medical waste and domestic waste classification system, and each department is equipped with two garbage bins, with signs, garbage bags of different colors are used to hold domestic waste and medical waste respectively, and sharp tool boxes are equipped to hold sharp tools such as needles. Designate a special person to collect and transport medical wastes, which will be burned daily to realize daily production and daily liquidation.
Two. Internal management of medical and health institutions
All medical and health institutions have set up a working group on medical waste management, with the top leaders taking the overall responsibility and the heads of departments that produce medical waste taking part, clarifying their responsibilities and formulating various rules, regulations and requirements. Designate a person to be responsible for the inspection, supervision and implementation of medical waste management. At the same time, all medical institutions have trained their personnel and management personnel engaged in collection, transportation, storage and disposal in accordance with the requirements of xx Municipal Health Bureau on relevant laws and expertise, safety protection and emergency treatment. The People's Hospital of Beining City also conducted an examination on medical waste-related knowledge, and rewarded medical staff with excellent examination results.
Three. Supervision of health departments and environmental protection departments
After the implementation of the Regulations on the Management of Medical Wastes, the xx Municipal Environmental Protection Bureau and the xx Municipal Health Bureau formed a joint inspection team in XX and XX respectively to inspect the medical and health institutions within their respective jurisdictions. Through inspection, the management of medical waste in medical institutions has been significantly strengthened. On ×××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××× * day * month * day * day * month * day * month * day * month * day * month * day * month * day * day * month * day * day * day * day * day * day * day * day * day * month * day * day * day * day * month * day * day * day.
Through this special inspection of medical waste management, it can be seen that medical and health institutions in our city attach great importance to medical waste management and have incorporated it into the daily management of medical institutions. In particular, the medical and health institutions directly under the municipal government have established various relevant systems and can conscientiously implement them. But there are still some problems. Mainly manifested in: due to limited conditions, towns and individual medical and health institutions have formulated various systems, but they are not standardized. The registration management system of individual hospitals is still not perfect. The two departments of environmental protection and health put forward rectification requirements for medical and health institutions with problems according to the Regulations on the Management of Medical Wastes.
In view of the fact that there is no centralized medical waste disposal site in our city at present, and the conditions for centralized medical waste disposal are not available, various medical and health institutions treat their medical wastes on the spot. It is hoped that the higher authorities will build a centralized medical waste disposal site as soon as possible to realize centralized and unified medical waste disposal in our city.
Medical waste is related to public health and environmental safety. We will take this joint inspection as an opportunity to further strengthen the management of medical wastes, persistently and conscientiously implement the Regulations on the Management of Medical Wastes, and supervise and manage disease prevention and environmental pollution prevention during the collection, transportation, storage and disposal of medical wastes, so as to prevent the spread of diseases and protect the environment and human health.
2. Report on special rectification of medical wastes
I. Work in 20xx In 20xx, the management of medical waste closely revolves around the implementation of the Regulations on the Management of Medical Waste in Municipal Medical and Health Institutions. According to the main points of the annual management supervision, through publicity, training, guidance and inspection, the goal of "changing ideas, raising awareness, perfecting mechanisms, standardizing facilities and making solid progress" has been basically realized.
1, publicize the training work. The Municipal Health Bureau issued more than 9,000 medical waste management documents, issued more than 20,000 copies of various publicity materials at the city, district and county levels 1.2, and carried out more than 3,000 publicity activities, with an audience of1million. The Municipal Health Bureau organized trainings on laws and regulations attended by district and county health bureaus, heads of tertiary medical and health institutions and heads of competent departments, and interpreted the newly revised Regulations on the Management of Medical Wastes in Municipal Medical and Health Institutions. County Health Bureau, Haidian District Public Committee and various medical and health institutions held various training activities, training about 50,000 people, and the training rate of personnel specializing in collection and transportation reached over 90%.
2. Supervision and inspection. The Municipal Health Bureau organized five guidance and inspection activities, and inspected the medical waste management of 97 medical and health institutions in 12 districts and counties. The health bureaus of all districts and counties and Haidian District Public Committee organized 3 1 inspection, involving 9 13 units. City, district and county health supervision institutions carried out law enforcement supervision for 5,788 times, and gave administrative punishments such as warnings and fines to 54 medical and health institutions, including 3 hospitals and health centers, accounting for 5.5%, 36 clinics and outpatient departments, accounting for 66.7%, and 5 village clinics/kloc-0, accounting for 27.8%. The Municipal Health Bureau hired 36 medical waste inspectors, 2 in each district and county, made 4 17 unannounced visits and gave feedback 16 12 times.
3. Check each other's work. According to the annual work arrangement, in the third quarter, the Municipal Health Bureau organized district and county health bureaus, Haidian District Public Committee and tertiary hospitals to carry out mutual inspection activities on medical waste management. The Municipal Health Bureau has formulated and issued a mutual inspection plan, which is divided into eight aspects ***35 mutual inspection contents and evaluation standards. Every two districts and counties carry out mutual inspection between two hospitals, and municipal tertiary hospitals and tertiary hospitals directly under the central government conduct mutual inspection. At the same time, the health bureaus of all districts and counties and the Haidian District Public Committee are required to issue the 20xx evaluation standard for mutual inspection of medical wastes to medical and health institutions within their respective jurisdictions for self-inspection. The whole mutual inspection activity ended at the end of September, and all relevant units completed the mutual inspection work. During the mutual inspection, it was found that 43 items in 20 hospitals were not standardized.
4. Service guarantee. The Municipal Health Bureau has uniformly produced and issued six warning signs for temporary storage of medical wastes. Pinggu District, Miyun County and Yanqing County are funded by the government to organize centralized collection and transshipment of medical wastes; Tongzhou District and Haidian District governments have invested in the construction and improvement of temporary storage places for medical wastes in medical institutions. Health administrative departments at all levels coordinate and solve the centralized disposal of medical waste and teacher training in small remote medical and health institutions.
Second, the effectiveness of the work.
Improve the mechanism, make concerted efforts and promote implementation. Since the newly revised Regulations on the Management of Medical Wastes in Municipal Medical and Health Institutions came into effect one year ago, the supervision and management of health administrative departments and the specific implementation of medical and health institutions have been carried out in an orderly manner in accordance with the responsibilities and obligations entrusted by the regulations. Through the study and publicity of the Regulations, all employees fully realize the importance of safe collection of medical wastes. In particular, the organization and leadership of health administrative organs, health supervision departments and medical and health institutions have also obtained their respective tasks from the Regulations. City, district and county health bureaus are subject to the supervision and management of competent departments, relevant functional departments and health supervision institutions. The medical and health units are led by the competent leaders of the units, and jointly managed and monitored by the logistics general affairs department, infection control department and related medical departments. So as to ensure the effective implementation of laws and regulations.
3. Report on special rectification of medical wastes
It can effectively prevent and control the harm of medical waste to human health and environment, and strictly manage medical waste according to the Regulations on the Management of Medical Waste and the actual situation of our hospital. The summary of medical waste management is as follows: 1. Medical waste management.
1. In order to strengthen the management of medical wastes, according to the Regulations on the Management of Medical Wastes, our hospital established a medical waste leading group with the dean as the first responsible person, and formulated various systems for the collection, transportation and disposal of medical wastes; The emergency plan, workflow and requirements for medical waste management accidents were established. Establish and improve the responsibility system for medical waste management, designate a special person to be responsible for the management of medical waste collection and temporary storage, implement the responsibility of medical waste management to people, and supervise the whole process of medical waste storage, transshipment and collection and transportation.
2. In order to implement the Regulations on the Management of Medical Wastes and related documents, our hospital organized all kinds of personnel at all levels to carry out medical waste management training, and strived to improve the awareness of medical waste management and prevent cross-infection in the hospital.
3. Medical waste management has full-time personnel who are responsible for guiding and checking the implementation of work in the process of classified collection, transportation, temporary storage and disposal of medical waste, occupational health and safety protection and emergency treatment of medical waste loss, leakage, diffusion and accidents.
4. Strict medical waste registration and file management.
Two. Classified collection, transportation and temporary storage of medical wastes
Implement classified management of medical wastes according to the Regulations on Management of Medical Wastes.
1. strengthened the management of medical waste collection, transportation and handover. This year, the hospital purchased a new special medical waste bucket for medical waste collection and transportation, and replaced the original waste bucket that did not meet the standard. All purchased medical waste barrels are marked by superiors, so that the labels are clear and the classification meets the requirements. Every morning and afternoon, cleaners from all departments collect and transport medical waste to the centralized place of medical waste, and make records.
2. Damaged medical wastes (such as needles and surgical blades) are directly put into puncture-proof and leak-proof containers, and must be strictly sealed when transported abroad, with a yellow plastic bag dedicated to medical wastes outside. Other medical wastes, including patients' domestic garbage, are directly packed into double-layer yellow plastic bags, and the mouth of the bag is sealed layer by layer. Do not use instruments or methods that affect the sealing performance.
3. Medical waste collection containers shall meet the requirements of relevant departments, and the capacity of all wastes shall not exceed 3/4 of the containers or packaging bags. An effective sealing method should be used to tightly seal the package or container. It is forbidden to use damaged or contaminated collection containers.
4. Every day, medical wastes are transported by special personnel (cleaners) from each department, and cleaned up and transported in time according to the prescribed time and route, and signed by two people (witnesses). Means of transport and temporary storage places should be cleaned in time and disinfected with chlorine-containing disinfectant in time to prevent pollution.
5. Medical wastes shall not be stored in the open air in temporary storage places. There are obvious warning signs and safety measures such as leakage prevention, mosquito prevention and rat prevention. And regular disinfection and cleaning.
6. High-risk wastes, such as pathogen culture and bacterial virus preservation solution, should be disinfected locally in the undergraduate course room, and treated as medical wastes after disinfection.
7. The cleaning personnel who collect and transport medical wastes can be relatively fixed and trained in medical waste treatment process, hospital infection control, self-protection and accident treatment. Cleaners can do a good job of protection in strict accordance with the ward protection requirements.
In the second half of 8.20xx (from July of 1 year), the hospital signed a contract with "Aimin Company" in Yulin City, and the full-time staff of "Aimin Company" collected medical wastes every other afternoon by using special vehicles for medical wastes, and carefully recorded the handover work, including the type, quantity, handover time, centralized disposal unit and signature of the agent. Registration materials shall be kept for at least two years.
9. Infectious excreta produced by isolated patients with infectious diseases or suspected patients with infectious diseases can be strictly disinfected in accordance with state regulations. Hospital sewage should be strictly disinfected in accordance with the relevant provisions of the state before it can be discharged into the sewage treatment plant.
10. Medical wastes generated by isolated patients with infectious diseases or suspected patients with infectious diseases shall be packed in double layers and sealed in time.
1 1. There are obvious warning signs of medical waste and warning signs of "No Smoking and Eating" at the medical waste concentration.
Over the years, due to the attention of hospital leaders and the standardized management of medical waste, medical waste in our hospital has been effectively and harmlessly treated. In the coming year, our hospital will continue to strengthen the management of medical waste, protect the environment and ensure people's health.
4. Report on special rectification 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.
5. Report on special rectification of medical wastes
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.