frimley waste training
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Waste Management
Welcome to Frimley Park NHS Foundation Trust Waste Management Training Course
Cost of Waste…
Recycling is significantly cheaper, therefore, it is very important to know about different types of waste produced by the Trust.
Recycling General Waste
Clinical Waste
Treatment
Clinical Waste
Incineration
£24.00*per tonne
£113.38*per tonne
£365.09*per tonne
£652.39*per tonne
The ward/department Manager is responsible for ensuring all staff working within their area, are aware and capable of performing the following major duties:Safe and careful handling and disposal of all clinical waste.Understand and carry out the demands of the policy as relevant.Understand the correct method of disposal of all waste.Action to be taken if policies and procedures have not been followed and who to report to.Action to be taken in the event of any spillage or leakage from waste containers/bags observed within the trust.Implementation of appropriate Infection Control and Health and Safety Policies, Accident and Incident reporting procedures.
As a waste producer, the Trust must ensure waste is not illegally disposed of, does not escape from a person’s control, and is only transferred, with a transfer note, to an authorised person - the holder of a Waste Carrier’s Licence, and / or a Waste Management Licence. The key to this policy is to ensure the correct actions are carried out by an appropriately trained person in a safe and timely manor.
Duty of Care
EPA 1990
Section 34 - Duty of Care
Hazardous Waste Regs. - no mixing
Environment Agency
HTM 07-01 - Unified Colour Code
Landfill Directive – pre-acceptance
Waste Policy – helps us achieve compliance
Legislation – it’s the law!
Non-Conformances
What is a Non – Conformance ?
External Non-complianceWaste sorted at disposal plant.Clinical waste found in the domestic waste compactor.Reported to the Environment Agency.Incurred costs passed onto producer.
This results in the Waste contractor informing the Environment Agency who in turn can Prosecute the Trust and any individual found to be responsible.
Internal non-complianceClinical waste sacks inside domestic waste sackWrong lid on sharps binNo tagging / labellingWrong Waste in the wrong receptacleSharps bin lids, temporary closure not in place
This results in a Non –Conformance notice being raised against the ward / department; this is then logged and can be produced as evidence if needed. Cost of rectifying this may be charged to ward / department.
What not to do!Offence: Paper placed into Clinical waste bag.
Risk: High disposal cost to the Trust, mixing of waste streams.
Result: Possible prosecution by Environment Agency.
Offence: Medicine bottles in recycling bag.
Risk: Medicines being sent to recycling plant and contamination of water course.
Result: Prosecution by Environment Agency.
Offence: Wrong items in Clinical waste sack.
Risk: Additional costs for disposal.
Result: Possible prosecution by Environment Agency.
Offence: Recyclable waste placed into domestic waste bin.
Result: Higher disposal costs to the Trust.
Offence: Clinical waste sacks left in public area.
Risk: Interference by vermin and people.
Result: Possible prosecution by Environment Agency.
Offence: Badly fitted sharps bin lid.
Risk: Spillage of sharps.
Result: Possible injury to staff and prosecution by Health and Safety Executive and Environment agency.
Offence: Sharps bin temporary closure not in place.
Risk: Possible injury to vulnerable people, items used as weapon, spillage of contents.
Result: Prosecution by H&S Executive and Environment Agency.
Type of Waste…Orange bag clinical waste – items contaminated with infected blood or bodily fluid:
Soiled swabs, dressings and bandagesNot for confidential wasteNo sharps or pharmaceuticalsMust be tagged – otherwise will not be removed
What Happens Next…
Autoclave or microwave to make the waste sterile, shredded and sent for
landfill or ‘Energy from Waste’
Colour Coding SystemOrange means Alternative Technology
Where Does an Orange Clinical Waste Sack Go?
Recycled?
Landfill?
Treated to render safe?
Incinerated?
Colour Coding SystemYellow means Incineration Only
Sharps / syringes / broken glass / giving sets contaminated with pharmaceuticals / POMs. - Must be tagged and labelled.
Recognisable anatomical & tissue waste. - Must be tagged and labelled.
Rigid bins hermetically sealed 30 or 60ltr (Sulo bins).
Anatomical or human tissue waste.Suction canisters, high fluid content items, pharmaceuticals.Must be tagged and labelled.
Where Does Yellow Waste Sack and Sharps bins go?
Recycled ?
Landfill ?
Treated to render safe ?
Incinerated ?
Colour Coding SystemYellow & Black Stripe Offensive Waste
Type of Waste…
Yellow sacks with black stripe.
Used for Offensive waste, Human Hygiene waste, Autoclaved waste, Non–Infectious disposable equipment, Nappies, Health Care waste from non-infected patients.
What Happens Next…
Offensive waste is sent to the Energy from Waste Incinerator and includes any Health Care waste that is not from an Infected Patient.
Waste bin / Sharps Bin Colour CodeYellow bin, with Yellow label and Yellow lid
Used for:- All sharps. All syringes. Small Prescription only medicine bottles. All ampoules. All giving sets and all items contaminated with medical waste.
Yellow bin, Purple label Purple lid
Used for:- Cytotoxic, Cytostatic Sharps, Syringes. All items contaminated with Cytotoxic, Cytostatic products.
Green bin, with Green label Green lid
Used for:-Placenta Waste Only.
Limb bins / Burn bins, Yellow bin, with Yellow lid
Used for:- Anatomical waste/ Pathological waste, used instruments, C.J.D. waste. Prescription only medicine bottles. Pharmaceutical waste. Large giving sets, heavy blood loss.
Correct Use of Sharps Bins
Sharps bin management is the responsibility of staff
using the bins NOT of Domestic’s.
Choose correct bin size – lid and label colour must match Assemble – ensure lid is properly secured Complete label - name, date, location - must be legibleTemporary closure must be in place while bin is in use Do not overfill – no more than ¾ full Seal & dispose of one month after assembly, unless ¾ full at earlier time. Close sliding window securely (click) Sign and date Tag
Domestic Waste and Recycling
Domestic waste Black lidded bin containing a clear bag.
Used for NON-recyclable general domestic waste items. Food Waste & Food contaminated waste.
STRICTLY NO PATIENT CARE WASTE OR SHARPS
Recycling bins containing clear bags.
Used for ALL recyclable materials.
Red lidded….Plastics, clean milk bottles, drink bottles, plastic wrapping, plastic cups.
Blue lidded…..Non-confidential office paper, newspaper, paper towels, thin cardboard boxes, magazines, old menu cards.
Grey Lidded… Empty drinks cans, clean food cans.
Green lidded… Glass, NO MEDICINE BOTTLES
Other Waste Streams…
Batteries;- Blue battery boxes Batteries are classed as Hazardous waste and must be disposed of separately by emailing waste@recyclinghelpdesk
Medical equipment;- emailing waste@recyclinghelpdesk
Confidential waste;- Blue hessian sack available by emailing waste@recyclinghelpdesk
IT & Electrical equipment;- email waste&recyclinghelpdesk
Waste Stream Tonnage per annum*
Total cost per annum*
Mixed Recycling 326.80 £7,843.20
Energy from Waste (General) 540.06 £61,232.00
Alternative Treatment (Clinical) 437.5 £159,726.88
Incineration (Clinical) 143.7 £93,748.44*Costs Based on 2010-2011 figures
Amount of Waste Produced by Frimley Park and How Much it Costs…
Environmental Awareness
Green Light CampaignOut of Hours Surveys
Waste minimisation / reuse / recyclingDouble side wherever possibleHow many paper towels does it take to dry your hands?
Energy EfficiencyTurn computers and monitors offIf air con is on, close the windowToo hot? Turn radiator down/off before opening windowSwitch off lights
Thank you
Waste Quiz&
Questions
On next slide place the correct waste items into the correct receptacle
1 8 8 12
109
1
16
95
11
4129
1031072 or 3
1
2
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5 6 7 8
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12
Waste Questions?How many tonnes of Orange Clinical waste does the Trust produce per year?
A 1251 tonnes B 437.5 tonnes C 1027 tonnes D 329 tonnes
Where would you place a needle contaminated with Cytotoxic medicine?
A Purple lidded Sharps bin B Yellow lidded Sharps bin C Orange Bag D Blue lidded bin.
What should you do with all waste streams?
A Place into any receptacle B Segregate into correct receptacle C Leave it for some one else to sort
What is the cheapest disposal route for waste?
A Incineration B Alternative treatment C Land fill D Recycling
What would you have to do to dispose of a piece of electrical equipment?
A Place into waste bin B email waste@recyclinghelpdesk C Leave in corridor
What would you do with waste paper?
A Place in red lidded bin B Place into Blue lidded Bin C Place into Black lidded bin
Waste Questions Continued…Where would you go to seek advice on waste management?
A Speak to Ward manager B Check Waste Policy C Contact Waste Manager
What would you do with an empty medicine bottle?
A Place in Green Glass recycling bin B Return to Pharmacy C Place into sharps bin
Some one on ward spills contents of Sharps bin on floor what could have been the cause?
A Lid incorrectly fitted B Bin not secured C Temporary closure not in place
Who is responsible for correctly assemble sharps bin?
A House keeper B Porter C Person using the bin
What is confidential waste?
A Any waste paper B Waste that has been seen by other people C Paper / disks etc that contain information relating to Patients, Staff etc.
Do you think you could correctly segregate all waste streams?
A Yes B No
You have now completed the Waste Training; you can obtain any further information from either…
Mark Sutherland
Waste Manager
Gillian Brown Environment Officer
Waste and Recycling Help Deskwaste@recyclinghelpdeskfph-
tr.nhs.uk Trust Waste Policy