HCWM technologies in large HCFs

Technical devices used for the safe management of HCW in large HCFs can be found at the level of containerization, handling (on and off-site), treatment and final disposal.

Containerization

The recipients used for the different categories of HCW must not only be sufficiently robust to minimize accidental spillages (example of a plastic bag containing infectious waste that tears open), but have also the appropriate colour coding and labelling for clear and univocal identification.

Handling

Sanitary staff and cleaners should always wear protective clothing including, as a minimum, boots or robust working shoes and strong rubber gloves.

The internal transport of HCW requires the use of dedicated wheelie bins, trolleys or carts [read more…]

Internal transport should follow specific routes through the HCF to reduce the passage of loaded carts through wards and other clean areas. The carts should be 1) easy to load and unload, 2) have no sharp edges that could damage waste bags or containers and 3) easy to clean.

The external (off-site) transportation of HCW is required when hazardous HCW is treated outside the HCF. [read more…]

The waste producer is then responsible for the proper packaging and labelling of the containers that are transported.

The transportation should always be properly documented and all vehicles should carry a consignment note from the point of collection to the treatment facility. Furthermore, the vehicles used for the collection of hazardous / infectious HCW should not be used for any other purpose. They shall be free of sharp edges, easy to load and unload as well as to clean / disinfect, and fully enclosed to prevent any spillage

Treatment

Large HCFs are particular in that they usually produce a sufficient amount of waste to justify the purchase of a relatively sophisticated HCW treatment unit [read more…]

On the other hand, due to their localization within densely populated urban settings, they can be confronted with a lack of space as well as oppositions from the surrounding community depending on the technology chosen.

The final choice between an on or off-site treatment option will depend on a number of parameters as explained in the overview.