医疗废物处理技术规范

浙江胡

attach]68[/attach]<br/>[em52]

衣香楚楚

p><font size="5">请问：上次听课说到一次性注射器、输液器不用浸泡、毁形，但我院还是按照老标准进行浸泡、毁形，主要怕检查标准不统一，现在请问1、若按原来方法注射器毁形是否折断针栓后再推进去，还是先回抽消毒液后再折断针拴，2、按新办法：注射完毕不用折断就丢弃在回收处？统一浸泡也不用了？</font></p><p><font size="5">我们对此问题有争议，请老师指正。多谢！</font></p>

楚楚

<p><font face="楷体_GB2312" size="3">医院的职责是分类收集，并不需要消毒、毁形。谁叫你们消毒、毁形，你们就把《医疗废物管理条例》、《医疗机构医疗废物管理办法》以及《医疗废物分类收集方法》等等相关法律法规拿给他们，给他们补补课。</font></p>[em01][em01][em01][em01]

[此贴子已经被作者于2007-4-29 20:33:15编辑过]

一枝梅

p>楚楚你有错哈！在《医疗废物管理条例》第二十一条，《医疗卫生机构医疗废物管理办法》第二十七条原来有要求<font face="楷体_GB2312">消毒、毁形的啊！只不过现在大家比较一致认为消毒、毁形不符合相关原则，业内认可了不消毒、毁形吧了！因此应修改以上两部法规了。也许我理解错误，但我的确反对消毒、毁形，并且在我院在我接手该项管理工作后，已经不再做消毒、毁形的是了啊！因此这点是对的！</font></p>[em01][em01][em01]

楚楚

<p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LAYOUT-GRID-MODE: char; TEXT-INDENT: 28.5pt; LINE-HEIGHT: 150%; mso-layout-grid-align: none;"><font size="1"><b><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';"><font face="楷体_GB2312"><font color="#3300ff">梅版，因为我们这里是集中处置的，所以就有点相当然了，前置条件不同哈！谢谢批评指正！</font>《<span style="FONT-SIZE: 18pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">医疗卫生机构医疗废物管理办法》中</span></font></span></b><b><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';"><font face="楷体_GB2312">第<font color="#f70968">二十七</font>条</font></span></b><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';"><font face="楷体_GB2312">不具备集中处置医疗废物条件的农村地区，医疗卫生机构应当按照当地卫生行政主管部门和环境保护主管部门的要求，自行就地处置其产生的医疗废物。自行处置医疗废物的，应当符合以下基本要求：</font></span><font face="楷体_GB2312"><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312;">(</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';">一</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312;">)</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';">使用后的一次性医疗器具和容易致人损伤的医疗废物应当消毒并作毁形处理；</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312;">(</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';">二</span><span lang="EN-US" style="FONT-SIZE: 14pt; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312;">)</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman';">能够焚烧的，应当及时焚烧；</span><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">(</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">三</span><span lang="EN-US" style="FONT-SIZE: 14pt; FONT-FAMILY: 'Times New Roman'; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: 仿宋_GB2312; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">)</span><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">不能焚烧的，应当消毒后集中填埋。</span></font></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LAYOUT-GRID-MODE: char; TEXT-INDENT: 28.5pt; LINE-HEIGHT: 150%; mso-layout-grid-align: none;"><font size="1"><font face="楷体_GB2312"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">因此是否需要消毒、毁形要看情况哈！</span></font></font></p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LAYOUT-GRID-MODE: char; TEXT-INDENT: 28.5pt; LINE-HEIGHT: 150%; mso-layout-grid-align: none;"><font face=""><font size="1"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';"></span></font></font>&nbsp;</p><p class="MsoNormal" style="MARGIN: 0cm 0cm 0pt; LAYOUT-GRID-MODE: char; TEXT-INDENT: 28.5pt; LINE-HEIGHT: 150%; mso-layout-grid-align: none;"><font face=""><font size="1"><span style="FONT-SIZE: 14pt; FONT-FAMILY: 仿宋_GB2312; mso-bidi-font-size: 12.0pt; mso-ascii-font-family: 'Times New Roman'; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';"></span></font></font>&nbsp;</p>[em01][em01][em01][em01]

[此贴子已经被作者于2007-4-30 8:12:09编辑过]

safihu

<p><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="mso-spacerun: yes;">&nbsp;《医疗废物管理条例》</span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">第二十一条</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
                </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';"><font color="#ff0033">不具备集中处置医疗废物条件的农村，</font>医疗卫生机构应当按照县级人民政府卫生行政主管部门、环境保护行政主管部门的要求，自行就地处置其产生的医疗废物。自行处置医疗废物的，应当符合下列基本要求：</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">（一）使用后的一次性医疗器具和容易致人损伤的医疗废物，应当消毒并作毁形处理；</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">（二）能够焚烧的，应当及时焚烧；</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">（三）不能焚烧的，消毒后集中填埋。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br style="mso-special-character: line-break;"/><br style="mso-special-character: line-break;"/>农村才不具备集中处理医疗废物的条件吗？但是县甚至很多市很多都不具备集中处理条件，按要求也不用进行消毒毁形啊？！！！</span></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">第三十二条</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
                        </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">各地区应当利用和改造现有固体废物处置设施和其他设施，对医疗废物集中处置，并达到基本的环境保护和卫生要求。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/><span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">第三十三条</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">
                        </span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">尚无集中处置设施或者处置能力不足的城市，自本条例施行之日起，设区的市级以上城市应当在</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;">1</span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">年内建成医疗废物集中处置设施；<font color="#ff0066">县级市应当在</font></span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><font color="#ff0066">2</font></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';"><font color="#ff0066">年内</font>建成医疗废物集中处置设施。县（旗）医疗废物集中处置设施的建设，由省、自治区、直辖市人民政府规定。</span><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><br/><span style="mso-spacerun: yes;">&nbsp; </span><span style="mso-spacerun: yes;">&nbsp;&nbsp;</span></span><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">在尚未建成医疗废物集中处置设施期间，有关地方人民政府应当组织制定符合环境保护和卫生要求的医疗废物过渡性处置方案，确定医疗废物收集、运送、处置方式和处置单位。</span></span></p><p><span lang="EN-US" style="FONT-SIZE: 10.5pt; FONT-FAMILY: 'Times New Roman'; mso-fareast-font-family: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA;"><span style="FONT-SIZE: 10.5pt; FONT-FAMILY: 宋体; mso-font-kerning: 1.0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-CN; mso-bidi-language: AR-SA; mso-ascii-font-family: 'Times New Roman'; mso-hansi-font-family: 'Times New Roman'; mso-bidi-font-family: 'Times New Roman';">看来违法的政府部门也不少啊，，，，，，</span></span></p>[em01][em01]

浙江胡

p>是否需要消毒毁形确实与下一步的统一回收有关,由于各地情况不一致,很难统一.</p><p>如果医院和合法的集中处置单位签订了合同,并且处置单位是按要求焚烧处理的,医院确实不需要再消毒毁形.</p><p>如果当地没有集中焚烧的处置单位,从防止污染\扩散的角度,医院只能继续消毒毁形;但应书面建议上级卫生部门按照&lt;医疗废物管理条例&gt;的要求,和政府有关部门妥善落实医院废物处理的相关事宜,毕竟条例已明确规定,医疗废物的处理不是医院自己能解决的事情.</p>[em05]