Problematics of the classification and storage of the health care waste Epp Lehtmets, RN.

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Presentation transcript:

Problematics of the classification and storage of the health care waste Epp Lehtmets, RN

What is health care waste? Health care waste is the waste released in the institutions related to the health care, cure and care of animals In Estonia, health care waste is not clearly classified into the infectious and non-hazardous waste based on the criteria of the infection It includes hospital, clinic, polyclinic, nursing home, family health center, dental center and veterinarian wastes

Waste Act of the Republic of Estonia The waste holder must have a rewiew of the category, quantity and origin of the waste at its disposal, characteristics important from the viewpoint of the waste handeling and danger to the health, environment and assets arising from the waste Contagious waste must be handled like infectious waste and they can not be taken to custom dumping ground nor to non-hazardous dumping ground The waste holder is obliged to treat the waste at its disposal according to the enforced requirements

Subjects which are not on the list are counted as non-hazardous waste Classified into the infectious and non- hazardous waste based in “Chemical Act” § 5 section 1 Chemical which is dangerous to health, environment or assets arising from the waste is classified as infectious waste Subjects which are not on the list are counted as non-hazardous waste The list of the infectious waste By-product waste of treatment or care development of humans and animals 18 01 By-product waste of birth care and on diagnostics of illness, treatment or prevention 18 01 01 Sharp and aculeate items (except items named with a code 18 01 03) 18 01 02 Body parts and organs, blood preservation bags and preservblood (except items named with a code18 01 03) 18 01 03* Waste, which must be collected and disposed by stipulations to avoid infections 18 01 04 Waste, which must not be collected and disposed by stipulations to avoid infections (eg. bandages, splinter, sheet, one-time clothes and diapers), 18 01 06* Chemicals constituent or including hazardous substance 18 01 07 Chemicals, which are not listed with code number 18 01 06 18 01 08* Cytotaxonomous and Cytostatic drugs 18 01 09 Drugs which are not named with a code number 18 01 08, 18 01 95, 18 01 96, 18 01 97 and 18 01 98 18 0110* Amalgam waste of dental care 18 01 95* Antibiotics 18 01 96* Drugs with psychotropic and narcotic substances 18 01 97* Other drugs with infectious ingredients 18 01 98* Unasserted drugs.

Tartu University Hospital 942 202,21 t 0,59 kg 1608,6 t 4,68 kg Beds Infectio-us Infect-ious Non-hazard-ous Pärnu Hospital 410 24,47 t 0,16 kg 1,97 t 0,01kg Tartu University Hospital 942 202,21 t 0,59 kg 1608,6 t 4,68 kg North-Estonia Medical Centre 1390 0,35 t - 339,55 t 0,67 kg Health care waste 2006 Ministry of Environment

Ministry of environment “We are not compentant enough to asses dangers of contagion or potention of it. This is to deep of medical and health care question for us” vs Ministry of social affairs “Waste policy is not our juridiction, ministry of social affairs deals only with healtcare only” Thank you!