Waste ManagementWelcome to Frimley Park NHS Foundation Trust Waste Management Training Course
Cost of Waste… Clinical Clinical General WasteRecycling Waste Waste Incineratio Treatment n £24.00* £113.38* £365.09* £652.39*per tonne per tonne per tonne per tonne Recycling is significantly cheaper, therefore, it is very important to know about different types of waste produced by the Trust.
Duty of CareAs a waste producer, the Trust must ensure waste is not illegally disposed of, doesnot escape from a person’s control, and is only transferred, with a transfer note, to anauthorised person - the holder of a Waste Carrier’s Licence, and / or a WasteManagement Licence.The key to this policy is to ensure the correct actions are carried out by anappropriately trained person in a safe and timely manor.The ward/department Manager is responsible for ensuring all staff working withintheir 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 toreport to.Action to be taken in the event of any spillage or leakage from wastecontainers/bags observed within the trust.Implementation of appropriate Infection Control and Health and Safety Policies,Accident and Incident reporting procedures.
Legislation – it’s the law! 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
Non-Conformances What is a Non – Conformance ?External Non-compliance This results in the Waste contractorWaste sorted at disposal plant. informing the Environment AgencyClinical waste found in the domestic who in turn can Prosecute the Trustwaste compactor. and any individual found to beReported to the Environment Agency. responsible.Incurred costs passed onto producer.Internal non-complianceClinical waste sacks inside domestic This results in a Non –Conformancewaste sackWrong lid on sharps bin notice being raised against the ward /No tagging / labelling department; this is then logged andWrong Waste in the wrong receptacle can be produced as evidence ifSharps bin lids, temporary closure not needed. Cost of rectifying this may be charged to ward / department.in place
What not to do! Offence: Paper placed into Clinical waste bag. Risk: High disposal cost to the Trust,Offence: Clinical waste sacks left mixing of waste streams.in public area. Result: Possible prosecution byRisk: Interference by vermin and Environment Agency.people.Result: Possible prosecution by Offence: Medicine bottles in recyclingEnvironment Agency. bag. Risk: Medicines being sent to recyclingOffence: Badly fitted sharps bin plant and contamination of water course.lid. Result: Prosecution by EnvironmentRisk: Spillage of sharps. Agency.Result: Possible injury to staffand prosecution by Health andSafety Executive and Environment Offence: Wrong items in Clinical wasteagency. sack. Risk: Additional costs for disposal.Offence: Sharps bin temporaryclosure not in place. Result: Possible prosecution by Environment Agency.Risk: Possible injury to vulnerablepeople, items used as weapon,spillage of contents.Result: Prosecution by H&S Offence: Recyclable waste placed intoExecutive and EnvironmentAgency. domestic waste bin. Result: Higher disposal costs to the Trust.
Colour Coding System Orange means Alternative TechnologyType of Waste…Orange bag clinical waste – itemscontaminated with infected blood or bodilyfluid: Soiled swabs, dressings and bandages Not for confidential waste No sharps or pharmaceuticals Must 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’
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 Code Yellow 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 labelcolour must match Assemble – ensure lid is properly secured Complete label - name, date, location -must be legibleTemporary closure must be in place while binis 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 Confidential waste;- Blue hessian sack available by emailing waste@recyclinghelpdesk Medical equipment;- emailing waste@recyclinghelpdesk IT & Electrical equipment;- email waste&recyclinghelpdesk
Amount of Waste Produced by Frimley Park andHow Much it Costs… Waste Stream Tonnage per Total cost per annum* annum*Mixed Recycling 326.80 £7,843.20Energy from Waste (General) 540.06 £61,232.00Alternative Treatment (Clinical) 437.5 £159,726.88Incineration (Clinical) 143.7 £93,748.44 *Costs Based on 2010-2011 figures
Environmental AwarenessGreen Light Campaign Out of Hours SurveysWaste minimisation / reuse / recycling Double side wherever possible How many paper towels does it take to dry your hands?Energy Efficiency Turn computers and monitors off If air con is on, close the window Too hot? Turn radiator down/off before opening window Switch off lights
Thank you Waste Quiz & QuestionsOn next slide place the correct waste items into the correct receptacle
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 tonnesWhere would you place a needle contaminated with Cytotoxic medicine?A Purple lidded Sharps bin B Yellow lidded Sharps binC 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 itfor some one else to sortWhat is the cheapest disposal route for waste?A Incineration B Alternative treatment C Land fill D RecyclingWhat would you have to do to dispose of a piece of electrical equipment?A Place into waste bin B email waste@recyclinghelpdeskC Leave in corridorWhat would you do with waste paper?A Place in red lidded bin B Place into Blue lidded BinC 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 PolicyC Contact Waste ManagerWhat would you do with an empty medicine bottle?A Place in Green Glass recycling bin B Return to PharmacyC Place into sharps binSome one on ward spills contents of Sharps bin on floor what could have beenthe cause?A Lid incorrectly fitted B Bin not securedC Temporary closure not in placeWho is responsible for correctly assemble sharps bin?A House keeper B Porter C Person using the binWhat is confidential waste?A Any waste paper B Waste that has been seen by other peopleC 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 obtainany further information from either… Mark Sutherland Gillian Brown Waste Manager Environment Officer Mark.firstname.lastname@example.org email@example.com Waste and Recycling Help Desk firstname.lastname@example.org Trust Waste Policy