Managing Health Care Waste Disposal - Guidelines on How to

2,73

MB

Construct, Use, and Maintain a Waste Disposal Unit

61

stron

3679

ID

World Health Organization

2006

rok

Table of Contents

ACKNOWLEDGEMENTS .III

INTRODUCTION IV

1.1 HEALTH CARE WASTE MANAGEMENT 1

1.2 COMPONENTS OF AN HCWM SYSTEM . 1

1.3 PURPOSE OF HCWM SYSTEMS FOR PRIMARY HEALTH FACILITIES 1

1.4 FOCUS OF THE CURRENT GUIDELINES 2

1.5 THE WDU AND ITS COMPONENTS .. 2

1.6 HOW THE DE MONTFORT WORKS 4

1.7 OPERATING PRINCIPLES 5

1.7.1 The burning cycle..5

1.7.2 Operating temperatures .6

1.8 DESTRUCTION CAPACITY. 6

1.8.1 Types of waste.6

1.8.2 Waste in safety boxes ..7

1.8.3 Mixed waste .7

1.8.4 Rate of destruction 7

1.9 EMISSIONS: IMPORTANCE OF CONTROLLING THE WASTE-STREAM 8

1.9.1 The World Health Organization position .8

1.9.2 Summary of dioxin emission estimates ..9

1.9.3 Relative risks9

1.9.4 Measures to minimize emissions.10

1.10 WDU MANAGEMENT.. 10

1.10.1 Capital expenditure10

1.10.2 Operating budget and expenditures..10

1.10.3 Siting .11

1.10.4 Procurement Strategy ..11

1.10.5 WDU operator .12

1.10.6 Supervision.12

1.10.7 Motivation ..13

1.10.8 Maintenance..13

1.11 WDU COSTS 13

1.11.1 Capital costs..13

1.11.2 Recurrent costs.14

1.11.3 Cost efficiency..15

Section II Installation (For consulting engineers, contractors, and procurement officers)

Table of Contents

2.1 WDU DESIGN CONCEPT AND FEATURES.. 1

2.2 MOTIVATION FOR OPERATOR 1

2.3 A BRIEF DESCRIPTION OF THE OPERATIONAL ASPECTS AND STORAGE CAPACITIES .. 1

2.4 CONSTRUCTION DRAWINGS 2

2.5 THE CONSTRUCTION PROCESS .. 8

2.5.1 Tasks .. 8

2.5.2 Building timeline 14

2.5.3 Kit or local manufacturers’ method. 14

2.5.4 Decision process for procurement approach.. 15

2.6 TENDER SPECIFICATION. 16

2.6.1 Construction. 16

2.6.2 Training . 16

2.6.3 Maintenance. 17

2.7 CONTRACTOR SELECTION. 17

2.8 QUALITY CONTROL . 18

Section III Training Plan (For training operators of the De Montfort waste disposal unit)

Table of Contents

3.1 TRAINING PROGRAM PLANNING AND ORGANIZATION .. 1

3.2 PARTICIPANTS, FACILITATORS, AND MATERIALS 1

3.3 CALENDAR FOR TRAINERS OF DWDU OPERATORS. 2

3.4 TRAINING PROGRAM DESCRIPTION.. 3

3.5 DAY 1: AGENDA ITEMS . 3

3.5.1 INTRODUCTION . 3

3.5.2 HEALTH CARE WASTE MANAGEMENT . 3

3.5.3 SAFETY . 3

3.5.4 INTRODUCTION TO THE DWDU AND ITS PARTS 4

3.5.5 MANAGEMENT OF WASTE IN THE DWDU 4

3.5.6 INTRODUCTION TO THE OPERATOR’S MANUAL AND THE OPERATOR’S TASKS AND

RESPONSIBILITIES ).4

3.5.7 TO BURN OR NOT TO BURN 4

3.5.8 REVIEW . 4

3.5.9 PREPARATION 4

3.5.10 GETTING STARTED .. 4

3.5.11 LOADING AND DESTROYING MEDICAL WASTE 4

3.5.12 BURN DOWN/COOL DOWN . 5

3.6 DAY 2: AGENDA ITEMS . 5

3.6.1 CLEANING, ASH REMOVAL, AND OPERATOR MAINTENANCE RESPONSIBILITIES .. 5

3.6.2 RECORD KEEPING AND MONTHLY REPORTING 5

3.6.3 SECURITY . 5

3.6.4 HANDS-ON PRACTICAL EXPERIENCE: OPERATING THE DWDU . 5

3.6.5 HANDS-ON PRACTICAL EXPERIENCE: CONTINUED 5

3.6.6 REVIEW SESSION .. 6

3.6.7 MAINTENANCE PRACTICES AND SECURITY .. 6

3.6.8 FEEDBACK AND TRAINEE INFORMATION SHEETS .. 6

3.7 RETRAINING OF DWDU OPERATORS . 6

FORM 1 7

FORM 2 9

Section IV: Maintenance and Planning (For ministry of health managers, maintenance contractors,

and personnel)

Table of Contents

4.1 Maintenance responsibility .. 1

4.2 Contract for maintenance services 1

4.3 Planning 1

4.4 Stock of replacement parts 2

4.5 Preventive maintenance . 3

4.6 Scheduled maintenance.. 4

4.7 Unscheduled maintenance 4

4.8 Summary.. 4