HTM 0107 Safe Management of Healthcare waste HTM 0105 Decontamination in Primary Care Dental Practice COSHH EWC European Waste Cataloguethis classifies different types of waste as hazardous or nonhazardous number code for each waste type ID: 935796
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Slide1
Clinical Waste
Slide2Regulation
HTM 01-07 Safe Management of Healthcare waste
HTM 01-05 Decontamination in Primary Care Dental Practice
COSHH
EWC= European Waste Catalogue-this classifies different types of waste as hazardous or non-hazardous (number code for each waste type)
Producer of waste=duty of care to safely dispose of it
Slide3Waste Policy
Who is responsible for managing waste
Classification & segregation of waste
Packaging
Storage: up to 12 months, must be secure from members of public if outside the building
Labelling: clear on all waste to identify source
Arrangements for collection of waste & record keeping
Risk assessment carried out, staff must be trained to minimise risk, PPE available for those handling hazardous waste & management of spillages training
Audit: recommended every 2 years to ensure safe handling of waste
Slide4Mixed sharps & pharmaceutical waste
Lockable, rigid, leak-proof yellow lidded container
Incineration only, classified as hazardous
Scalpels
Matrix bands
Used medicine vials/ampoules, used cartridges of L.A
Needles
Teeth (without amalgam)
Slide5Clinical Waste (infectious)
Classified as hazardous, anything which may pose infection risk
Any material contaminated by blood or saliva
Disposal by incineration or alternative treatment
Orange bags, swan neck & plastic tie
Gloves & other PPE
Blood or saliva contaminated swabs/dressings
eg. cotton wool rolls
Slide6Offensive/hygiene waste
Items/materials from dental care which are not contaminated with blood/saliva, or hygiene waste from toilets
Non-hazardous, disposal by landfill/municipal incineration
Storage in yellow & black bags
Slide7Amalgam
Teeth with amalgam, excess amalgam, capsules, contents of separators
Hazardous, disposal by metal recovery
White rigid container with mercury suppressant
Labelled with Hg
MUST install amalgam separator if remove amalgam restorations, separators must retain at least 95% of amalgam particles
Slide8Study Models
All models including gypsum or calcium sulphate models
Non-hazardous, disposal by landfill in separate gypsum cell or may be special gypsum waste recovery available
White containers labelled with ‘gypsum’
Slide9X-ray fixer & developer
Both hazardous
Keep fixer and developer separate
Storage in leak-proof containers
Slide10Other waste
Electrical
eg.
TVs,
firdges
/freezers, fluorescent tubes, many are hazardous, special disposal
Medicines: non-cytotoxic & cytostatic medicines, L.A, antibiotics etc, including used/out of date stock
Non-hazardous, disposal by incineration, storage in rigid leak-proof blue lidded yellow container. Same legal documentation requirements as for waste transfer
Slide11Collection of waste
Carrier must be registered to collect waste
Consignment note- one required for each collection of hazardous waste – keep for at least 3 years
Producer, carrier & consignee copies
EWCs must be on consignment note
Should receive a quarterly return from waste disposal provider detailing type of waste and how it was disposed, should be kept with waste documentation
Waste transfer note- for non-hazardous waste collected- keep for at least 2 years
Slide12Waste transfer
No need for consignment note or any documentation if bringing back waste from domiciliary visit
Waste can be transferred between practices, but must be registered as hazardous waste consignee if receiving waste from another practice & consignment note required
Slide13Hand hygiene
before and after each treatment session
before and after the removal of PPE
following the washing of dental instruments
before contact with instruments that have been steam-sterilized (whether or not these instruments are wrapped)
after cleaning or maintaining decontamination devices used on dental instruments
at the completion of decontamination work
Slide14Mild, liquid soap, wall mounted sensor dispenser
Apply to wet hands, warm running water, 30 seconds, if hands not visibly clean, repeat
Sink dedicated
for hand-washing,
m
ixer
tap, sensor or lever operated, tap not directly above drain, no plug or overflow
Dry with disposable paper towelsAlcohol gel can be used where hands are visibly clean