e-learning module€¦ · sharps: yellow lidded sharps bins. discharged or partially discharged...

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Page 1: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste managementE-learning module

January 2019

Next

Page 2: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Anatomical

Furniture Chemical

General / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other Wastes

Click on the waste types to learn more:

Page 3: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: waste from an patient, with no medicinal contamination.

What colour container: orange.

What can go in: gloves, aprons, dressings and barrier nursing consumables – from an infectious patient.

What can’t go in: sharps, waste contaminated with drugs or chemicals.

Collection on-site: bags should be taken to waste holds and placed in the appropriate wheelie bin.

Final disposal: high temperature incineration.

Page 4: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: waste from an patient, which is also contaminated with .

What colour container: plain yellow bag, rigid bin or sharps box.

What can go in: any waste generated from an infectious patient which is also contaminated with medicines or chemicals. Diagnostic specimens.

What can’t go in: waste which is not contaminated with medicines or chemicals. Sharps must only be placed in a sharps bin.

Collection on-site: bags should be taken to waste holds and placed in the appropriate wheelie bin. Sharps bins are collected from the ward/department.

Final disposal: high temperature incineration

Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products.

Page 5: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: waste which is contaminated with medicines.

What colour container: yellow bag with a purple stripe.

What can go in: dressings and tubing from cytotoxic/cytostatic treatments.

What can’t go in: waste which is not contaminated with cytotoxic/static medicines. Sharps must only be placed in a sharps bin.

Collection on-site: bags should be taken to waste holds and placed in the appropriate wheelie bin. Sharps bins are collected from the ward/department.

Final disposal: high temperature incineration.

Sharps: purple lidded sharps bin. Discharged or partially discharged sharps used for cytotoxic/static medicinal products.

Page 6: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: any unused or partially used medicines – liquids or tablets.

What colour container: blue or blue lidded sharps bin, or blue bio-bin (cardboard, lined with plastic).

What can go in: non cyto medicines.

What can’t go in: sharps, non-packaged liquids, cytomedicines.

Collection on-site: Bins are collected from the ward/department.

Final disposal: high temperature incineration.

Page 7: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: human hygiene waste, non-infectious disposable equipment.

What colour container: yellow and black striped bag.

What can go in: nappies and incontinence waste. Used glucose or saline bags. Empty blood bags.

What can’t go in: sharps, infectious waste, medicinally contaminated waste.

Collection on site: bags should be taken to waste holds and placed in the appropriate wheelie bin.

Final disposal: high temperature incineration. Could be disposed of by other routes, but these are not available in Cornwall.

Page 8: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: body parts or other recognisable anatomical items (not teeth).

What colour container: red lidded rigid box.

What can go in: body parts or other recognisable anatomical items.

What can’t go in: non anatomical items.

Collection on site: dedicated pick up, call x2468 to request collection.

Final disposal: high temperature incineration. Could be disposed of by other routes, but these are not available in Cornwall.

Page 9: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: unwanted or broken furniture and equipment.

What can go in: desks, cupboards, chairs and similar items.

What can’t go in: contaminated items, electrical items.

Collection on-site: dedicated pick up, call x2468 to request collection.

Final disposal: re-use within the hospital where possible. Cornwall’s Energy from Waste plant for broken items, with some parts going to landfill.

Page 10: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: non-pharmaceutical chemical wastes.

What colour bag: packaging as per Materials Data Safety Sheet (MSDS) requirements.

What can go in: preservatives, cleaning agents, mercury.

What can’t go in: medicinal wastes.

Collection on site: dedicated pick-up, call x2468 to request collection.

Final disposal: make safe, then incinerate where appropriate.

Page 11: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: non-infectious, non-healthcare waste, which cannot be recycled.

What colour bag: black.

What can go in: crisp packets, sandwich packets, takeaway meal containers.

What can’t go in: infectious or healthcare waste, recyclable or confidential materials.

Collection on-site: bags should be taken to waste holds and placed in the appropriate wheelie bin.

Final disposal: .

Page 12: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: clean materials which can be recycled.

What colour bag: clear.

What can go in: empty drinks cans, empty plastic bottles, office paper, newspaper.

What can’t go in: infectious or healthcare waste, non-recyclable materials.

Collection on-site: scheduled “milk round” collections from wards, departments and offices.

Final disposal: hand sorted prior to onward transport for recycling.

Page 13: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: office paper which contains patient identifiable information, or business-critical information.

What colour bag: white paper bag with self-seal strip, or lockable consoles.

What can go in: office paper containing confidential information.

What can’t go in: office paper not containing confidential information, other recyclable materials, non-recyclable materials, infectious or healthcare waste.

Collection on-site: scheduled “milk round” collections from wards, departments and offices.

Final disposal: shredding to DIN Level 3, prior to recycling.

Page 14: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: waste electrical and electronic equipment (WEEE) and any types of batteries.

What colour box: batteries - unsealed plastic container. Ifyour area produces large quantities, a dedicated battery box can be provided. WEEE does not need to be boxed or bagged.

What can go in: any type of battery and most electronic equipment, including fridges, computer monitors and peripherals.

What can’t go in: computers/laptops and memory sticks – these must be disposed of via Cornwall IT Services.

Collection on-site: dedicated pick up, call x2468 to request collection.

Final disposal: stripped down and component parts recycled.

Page 15: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

What is it: metal, or predominantly metal items which are broken or no longer required.

What colour bag: no packaging required.

What can go in: all metals, except mercury (this is collected as a chemical).

What can’t go in: non-metal items.

Collection on-site: dedicated pick up, call x2468 to request collection.

Final disposal: recycling.

Page 16: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

text can be clicked to show more information

Other wastes

Printer cartridges: these can be left for collection with your recycling and confidential waste.

Glass: orange buckets (Danils) can be ordered for your ward. These are only suitable for non-medicinal glass. Please do not seal the bucket as once sealed it cannot be recycled.

Broken crockery: please wrap broken mugs etc and place in a general waste bag, not in with your glass recycling.

Page 17: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

The Hazardous Waste Regulations define “infectious” as:

Substances containing viable microorganisms or their toxins which are known or reliably believed to cause disease in man or other living organisms.

In England and Wales it is a legal requirement to segregate infectious waste from other wastes.

Page 18: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

The Hazardous Waste Regulations define “infectious” as:

Substances containing viable microorganisms or their toxins which are known or reliably believed to cause disease in man or other living organisms.

In England and Wales it is a legal requirement to segregate infectious waste from other wastes.

Page 19: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

Medicinal contamination

Discarded items contaminated with medicinals such as boxes or bottles with residues, gloves, masks, connecting tubing, syringe bodies and drug vials would be classed as having medicinal contamination. These items would need to go into the yellow clinical waste stream, not the orange.

The Trust operates a blue medicinal waste stream across the site for items such as partially used vials/bottles, tablets and partially discharged syringes.

Page 20: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

Cytotoxic definition

Cytotoxic means “toxic to cells” or “cell killing” – chemotherapy uses cytotoxic drugs.

Cytostatic means “cell stopping” – these drugs stop cells multiplying which stops cancer from growing.Reference: http://www.cancerresearchuk.org/about-cancer/cancers-in-general/cancer-questions/what-are-cytostatic-drugs

Page 21: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

waste management

RCHTInfectious

Infectious, medicinally

contaminated

Cytotoxic cytostatic

Medicinal / pharmaceutical

Offensive

Furniture

ChemicalGeneral / domestic

Recycling

Confidential paper

Batteries and WEEE

Metal

Other wastes

RDF explanation

The Cornwall Energy Recovery Centre uses non-recyclable waste to generate sustainable electricity, avoiding high landfill charges and reducing dependency on fossil fuels.

The facility is located near St Dennis and handles 240,000 tonnes of waste each year, generating 16 megawatts of electricity – enough to power 21,000 homes.

For more information visit: http://www.suezcornwall.co.uk/what-we-do/energy-recovery/

Page 22: E-learning module€¦ · Sharps: yellow lidded sharps bins. Discharged or partially discharged sharps, not contaminated with cyto products. waste management Infectious RCHT Infectious,

For any further waste queries, please contact the waste team:

[email protected]

01872 25-2298

MitieRoyal Cornwall HospitalTruroCornwall, TR1 3LJ, UKT: +44 (0)1872 25-2298E: [email protected]