Рroven experience in implementing proposals for improving the medical waste management system in military medical institutions of the ministry of defense of the Russian Federation

2021 ◽  
Vol 7 (3) ◽  
pp. 94-100
Author(s):  
S. A. Tsutsiev ◽  
O. G. Prigorelov ◽  
S. N. Vasyagin ◽  
P. A. Soshkin

Aim: the authors share their proven experience of participating in the development and scientific support of proposals for improving the medical waste management system.Materials and methods. The study was carried out in the format of research work to substantiate proposals for improving the system of medical waste management in extreme conditions.Results. It was found that the system of medical waste management, which functions stably under the conditions of daily activities in peacetime, in extreme situations fails and creates a risk of spreading infectious diseases among the personnel of medical institutions, the population, as well as environmental pollution. This problem is obvious also for military medical institutions of various power structures. The essence of the proposals is to maximize reduction of the stages of the waste life cycle, which in the applied aspect is implemented by equipping military medical institutions with standard installations for the disposal of any medical waste.Conclusion. The value of the conducted research lies not only in the innovative nature of the proposals made, but also in the fact that they were made long before the events associated with the epidemic of coronavirus infection. The results of this work were neither appreciated at their true worth in a timely manner, nor received wide publicity and, as a result, they have not fully used to carry out preventive measures.

2017 ◽  
Vol 8 (1) ◽  
pp. 56-62
Author(s):  
Nazimul Islam ◽  
Parvin Akter Khanam ◽  
Shahidul Hoque Mollik ◽  
Nazmun Nahar

Background: Medical waste can be generated in hospitals or clinics where diagnosis and treatment are conducted. The management of these wastes are of public concern and health threats are associated with such wastes. The study assessed to explore the current situation of medical waste management and level of awareness related to impact of medical waste and its management among the different levels of professionals.Methods: A descriptive cross-sectional study was done and data were collected from September 2012 to December 2012 at BIRDEM General Hospital. Data were collected by simple random sampling method and semi-structured questionnaire were used in this study. The questionnaire included socio-demographic information, source of hospital waste, description of hospital waste, segregation of waste and assessment of medical waste management system. The questionnaires were interviewed to the doctors, nurses, paramedical staff and cleaners who were related to waste management practices.Results: A total of 186 participants were interviewed in this study. The mean and SD of age was 37.9 ± 10.4 years and the age range from 22 to 65 years respectively. The male and female subjects were 28.0% and 72.0% respectively. Of the total participants, doctors, nurses, paramedical staff and cleaners were 15.1%, 55.4%, 12.9% and 16.7% respectively. To assess the perception of the respondents about hospital waste management, the nurses (100.0%) and cleaners (100.0%) were found in a better position to follow color-coding system (CCS) and to use of protective bags while segregating primary waste, while doctors (21.4%) and paramedical staff’s (29.2%) practice were not encouraging. However, in terms of constituents of medical waste doctors and paramedical staff’s perception was better than the nurses and cleaners. Doctors (92.9%), nurses (96.1%) and paramedical staff (95.8%) were very comfortable about the present color coding system than compared with cleaners (74.2%), although the doctors are less compliant to follow the color-coding system (78.6% compliant) in practice. A substantial proportion of the doctors (71.4%) sometimes put waste in wrong bins as opposed to 51.5% nurses and 33.3% paramedical staff. Few of the respondents would consider the waste if some medical waste is accidentally put to the general waste bin, 85.7% of the doctors, 95.1% nurses, 66.7% paramedical staff and 100% cleaners told that they would consider the waste as medical waste. Nurse’s perception was also better compared to other occupants in sealing waste-bin for disposal. In view of improving the existing waste management system, most of the respondents of different categories were in favor on waste management system. Majority of the respondents think that there should be designated person (97.8%) or rules (97.8%) or monitoring (96.8%) at the administrative level for organizing and managing of waste collection, handling, storage and disposal of waste who will follow a definite rule during all these processes.Conclusion: The study observed that there is lack of knowledge affiliate and practice among the doctors, nurses, paramedical staff and cleaners in segregating hospital waste at the primary source of collection. However, nurses and cleaners were more aware than the doctors and paramedical staff in terms of practice of segregating primary waste. The study also found that perception of waste management was better in doctors and paramedical staff than compared with cleaners and other staffs. To improve the waste management system, it is needed to make policy and regulation guidelines to well-organized system of collecting and treating waste in the hospital.Birdem Med J 2018; 8(1): 56-62


Author(s):  
Omar ibraheem Albatniji, Khaldun Khalid Mohammed, Abed Ahmad

This study aimed to identify the effectiveness of the application of the medical waste management system in Al-Shifa Hospital in Gaza, and contribute to building the concept of integrated management of medical waste treatment. The researchers used the descriptive analytical approach to achieve the results and answer the questions of the study through interviews with the staff who are directly related to the management of medical waste. It was clear from the results of the study that insufficient medical preventive measures were taken with regard to the preventive vaccination of working crews, especially cleaners. The large workload, the apparent lack of medicines & medical supplies and the beds of the affected people also affected the performance of the staff and the quality of service provided to the sick and injured. The results of the study also showed that the events of the Return Marches had a great impact on the performance of the work crews through the large increase in the volume and pressure of work, which in turn led to an increase in the volume of medical waste, especially human organs. One of the most important recommendations of this study is the necessity of enacting the relevant laws to control the medical waste management system and activating this system through coordinating efforts, defining responsibilities among the various concerned bodies, activating the role of the inspection and control unit at the Ministry of Health to conduct visits and periodic evaluation of medical waste management, conducting tests and vaccinations periodically and according to a specific program for the hospital staff. In addition to the allocation of closed places to collect medical waste containers after sorting instead of leaving it in the facilities and corridors of the hospital waiting to be transferred to the storage site.


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