Disinfection rules for disposable syringes. Sanitary standards for the processing and disposal of syringes and needles. Who can recycle

Equipment:Separate containers with a disinfectant solution for disinfecting syringes and needles with a needle remover (3% chloramine solution, 5% chloramine solution, modern disinfectant solutions: 2% dulbak, 0.05% anolyte, 1% clindesin, etc.)

After the injection (manipulation), the medical worker, without covering the needle with a cap, performs separate disinfection of the used needle and syringe by a chemical disinfection method, for which he draws a disinfectant solution from the "Container for disinfecting syringes" into the syringe using a piston. Then the medical worker disconnects the needle from the syringe in one of the following ways, depending on the availability of special devices in the medical institution:

Removing the needle with a needle remover;

Cutting off the needle with a needle cutter with an integrated puncture-proof container for needles;

Destruction of the needle using a needle destructor - a device for burning needles by exposure to high temperature.

Immerse the disassembled syringe and needle in separate containers with a 3% chloramine solution (or other disinfectant) for 1 hour

Remember!Both reusable and disposable instruments are subjected to this cleaning stage.

Rinse the syringe and needle for a minute under running water;

Disposable medical instruments are disposed of after disinfection: needles in a dense plastic container with a color marking "Class B" (or C) hazardous waste, and disassembled syringes in yellow bags for medical waste of the same classes. Containers should be filled no more than ¾ of the volume.

For disinfection and degreasing of reusable syringes, the method of boiling in a 2% solution of sodium bicarbonate (soda) is sometimes used for 15 minutes from the moment of boiling. Use only distilled water.

ΙΙ stage - Pre-sterilization cleaning.

This stage was introduced to remove protein, fat, mechanical and medicinal contaminants. All products are subjected to pre-sterilization cleaning before sterilization. Pre-sterilization cleaning is carried out manually or mechanized (UZO-MEDL - ultrasonic cleaners and ozone sterilizer "Orion" OP1-M).

Manual cleaning is carried out with the help of ruffs, cotton-gauze swabs, cloth napkins, brushes. Before washing, the products are completely immersed in the washing complex, filling the channels and cavities with a syringe. Detachable products are soaked disassembled. Products with locks, branches are immersed in the solution in an open form, after making several working movements for better contact with the preparation. Roughing rubber products is strictly prohibited.

To carry out PSO, containers made of enameled metal, glass, and plastic are used.

Cleaning solutions should be used strictly in accordance with the purpose and frequency of use.

Equipment: marked containers, CMC (Lotus, Marichka, Aina, Progress, Luch, Zifa), hydrogen peroxide, ruffs, measuring containers, thermometer, cleaning quality control samples, pipettes, distilled water.

1. Soak in the complex of the washing solution when the products are completely immersed.

Disassembled medical devices (reusable) are immersed in a 0.5% washing solution heated to 50 degrees. Exposure 15 minutes.

The washing solution is prepared in advance, heated only by the time the instruments are immersed.

Remember! 0.5% washing solution is used for 24 hours, with heating up to 6 times a day (in the last edition, it changes after each bookmark);

0.5% detergent solution of Biolot is used once.

It is very important to bring the temperature of the solution prepared from the Biolot powder to 40-45 degrees;

When using other detergents up to 50-55 degrees, since when room temperature biologically active substances (enzymes) are released into the solution very slowly, and at a higher temperature they are destroyed.

2. Washing each product in a cleaning solution using a brush or cotton-gauze swab.

15 minutes after immersion, the pistons are washed in the same solution with a gauze swab, the cylinders with a brush, and the needles are cleaned with a mandrin (30 seconds per item).

3. Rinsing under running water.

After mechanical treatment, syringes and needles are washed under running water for 3-15 minutes per object (when using a solution from Biolot, washing lasts 3 minutes, from Progress - 5-6 minutes).

4. Desalting - immersion of medical devices in distilled water for 15 minutes (T o water is not standardized). Purpose: to wash off impurities of salts contained in tap water.

A medical syringe is a necessary attribute of every modern medical institution, from a huge hospital to a small point. But used syringes can be dangerous because they contain more than just leftovers. medicines but also biomaterials of sick people. Therefore, the procedure for handling used syringes is strictly regulated. normative documents in the health sector.

The basic guidelines that determine the procedure for handling waste from medical organizations are SanPiN (short for “Sanitary Rules and Norms”), the section “Sanitary and epidemiological requirements for organizations engaged in medical activities”, as well as the instruction “Rules for the collection, storage and disposal of waste from medical - preventive institutions.

All garbage that is generated and accumulated in polyclinics, hospitals, medical centers and FAPs is divided by regulatory documents into several classes - from A to D, in ascending order possible danger for human life. So waste under the letter A is harmless, but category D includes especially dangerous, radioactive types of medical waste.

Syringes used for medical purposes are classified as hazard category B (dangerous) or C (very dangerous), since they come into direct contact with the biofluids of sick people:

• any used tool will fall under the letter B, since it may be the “carrier” of the infection;
• category B will include those used for patients with established severe diagnoses.

If the recommended safety precautions are not observed, first of all, the employees of medical institutions themselves may suffer. If not properly disposed of, medical waste of classes B and C can cause the spread of serious diseases.

Disposable and reusable syringes

Modern medical syringes can be disposable and reusable. Accordingly, a reusable instrument assumes that after a single use, the used needle must be discarded, and the body itself will be reused after sterilization. Such, for example, is a carpool reusable syringe for injections in dentistry.

Reusable instruments have a glass or metal body and end up in the waste either as a result of damage or after the expiration date.

Sometimes the working conditions do not allow doctors to carry out disinfection immediately on the spot - for example, during mass vaccination in schools, kindergartens, etc. Then the used syringes are stored in special containers, where they are stored until they arrive for disinfection.

Autoclaving and microwave treatment

Also, the processing of used syringes is carried out using special equipment:

• autoclave: the sterilization process is carried out with wet steam under pressure at a temperature of about 120 degrees Celsius;
• The microwave unit disinfects syringes at temperatures of about 140 degrees Celsius.

Temporary storage and transportation of used syringes

When all parts of used syringes are disinfected and placed in sealed containers or specially marked garbage bags, they can be stored for some time right in the medical facility, but in a room specially designated for this purpose.

Transportation of hazardous waste is carried out by special vehicles with a closed body. According to the rules, this machine is used only for transporting medical waste. After each flight, it is also thoroughly washed and disinfected.

Disposal of used needles and disposable syringes

• burial on;
• burning;
• recycling of materials - metal (needles) and polymers (cases).

It is also allowed to place medical waste in ordinary city garbage dumps, although, of course, this method of disposal is most criticized.

Thanks to modern equipment, needles after injections can be destroyed right in the hospital. To do this, a lot of mobile installations - destructors have been developed, which, if necessary, allow you to perform the process of burning needles yourself.

These units are compact and easy to use.

Additional information on the video: the process of burning a needle from a syringe in a destructor.

Large volumes of syringes are burned in incinerators. Such an installation can be operated both in the health facility itself and at a separate enterprise engaged in the destruction of this class of waste.

Before being sent to a landfill or landfill, they are crushed to reduce the amount of garbage and to eliminate the possibility of reusing used medical material. Grinding is carried out in special crushers, grinders or mills for medical waste.

If in locality there are licensed enterprises that accept decontaminated medical waste for recycling, medical institutions can conclude agreements with them on the delivery of recyclable materials for recycling.

Syringe Disposal Safety

Due to the danger of used medical instruments, all actions with them require special care.

Medical staff involved in the disposal of disposable syringes and needles (who collects, disinfects, provides temporary storage or transportation) should:

1. Obtain mandatory vaccination against hepatitis B (the corresponding entry is made in the medical book).
2. Get special training.
3. Have an emergency first aid kit on hand.

When working with used syringes, the instructions are prohibited:

1. Pour them from one container to another.
2. Place waste collectors near heating appliances.
3. Perform any type of operation without gloves and overalls.
4. Tamp waste with your hands.
5. Put needle caps back on.

Improper disposal of used syringes is a concern not only for sanitary doctors, but also for environmentalists. After all, the period of decomposition of steel needles and plastic cases in a natural way can be from several tens to several hundred years, causing harm to nature. Therefore, the most correct solution is the recycling of syringes, which produces safe and high-quality raw materials suitable for further use in industry.

14.10.2011 05:15

Disinfection of needles, syringes has the main stages.

Prepare:
- a container with disinfectant for washing water;
- a container with disinfectant for needles;
- a container with a disinfectant solution for disinfecting syringes;
- gloves;
- tweezers;
- tray.

Technology.
1. Disinfection should be carried out immediately after injections in the same gloves.
2. Without disassembling the syringe, rinse the needles in the “Wash water” container.
3. Fill the needle channel with a disinfectant solution for needle disinfection, remove the needle from the cannula and place it in the same solution for 60 minutes.
4. Disassemble the syringe and completely immerse it in the syringe disinfectant solution for 60 minutes.
5. Record the date and time of the start of disinfection on the labels and sign.
6. After disinfection, put on gloves.
7. Use tweezers to remove all products from the solutions and rinse with running water.
8. Make marks on the labels about the end of disinfection.
9. Hand over prepared syringes and needles to a centralized sterilization department.
10. Dispose of used disinfectants into the sewer.
11. Remove gloves, wash hands.

Disinfection and disposal of disposable syringes and needles

Prepare:
- marked containers: for washing water;
- for disinfection of disposable needles;
- for disinfection of disposable syringes;
- for disinfection of disposable systems;
- cargo for immersion in disinfectant solution;
- gloves;
- disposable plastic bags;
- a cardboard box;
- scissors;
- tweezers;
- a syringe for flushing the needle from the system.

Disinfection technology for syringes, systems and disposable needles
1. Disinfection is carried out at the end of the manipulation, in the same gloves.
2. Rinse the syringe with the needle in the wash water container.
3. Fill the needle channel with needle disinfectant.
4. Remove the needle from the cannula of the syringe and place it in the disinfectant for needles for 60 minutes.
5. Disassemble the syringe and lower it into the disinfectant solution for syringes for 60 minutes.
6. Make a note on the labels about the date and time of the start of disinfection.
7. After disinfection, put on gloves.
8. Get all products from solutions.
9. Make a mark on the end of disinfection.
10. Rinse syringes with running water.
11. Arrange the cylinders and plungers of syringes in different plastic bags.
12. Fill disposable bags to 3/4 of the volume, remove the air, tie and put in the second bag, tie.
13. Place the needles in the box without deforming them.
14. Mark packages and box - "Waste".

Disinfection technology for single use systems
1. Discharge the rest of the contents of the system into the rinsing water container.
2. Remove the needle from the system and rinse it with a syringe in a container for washing water.
3. Fill the needle channel with a needle disinfectant solution with a syringe and place the needle in the appropriate solution for 60 minutes.
4. Cut the system into pieces of 10 cm.
5. Immerse the sections with a load for 60 minutes in a suitable container to fill the cavities.
6. Mark the date and time of disinfection on the labels.
7. After the allotted time, put on gloves.
8. Remove parts of the system from the disinfectant solution with tweezers and place them in disposable bags, and the needles in a box.
9. Mark the disinfection end time on the labels.
10. Fill the bags to 3/4 of the volume, remove the air, tie and place in the second bag, tie.
11. Mark packages and box - "Waste".
12. Remove gloves, wash hands.
13. Hand over the needles on the account to the head nurse.

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Medical waste is generated as a result of the activities of various healthcare institutions in the process of performing preventive, health-improving and other procedures. Since raw materials may come into contact with contaminated blood and secretions, such wastes are classified as hazard class "B" and are recognized as epidemiologically dangerous.

When is it necessary to dispose of used syringes?

As a result of the activities of medical organizations, there is often a need to collect and export needles used for vaccination.

Also, such waste can be classified as class "B" if it was used to treat infectious diseases that pose a clear threat to public health. Services for the disposal of needles and syringes are used by:

• hospitals,
• polyclinics,
• health centers,
• sanatoriums and dispensaries,
• and other organizations, including also veterinary clinics.

How are disposable syringes and needles disposed of?

All work on the neutralization and destruction of raw materials can be carried out exclusively by those organizations that have received the appropriate license from the local sanitary control authorities. At the same time, the company must have all the necessary equipment and have a staff of qualified employees.

The work is carried out in several stages:

• collection of material, while disassembling syringes with the help of needle cutters and needle removers, it is strictly not allowed to perform this operation manually;

• carrying out disinfection in case of work with less hazardous material by means of autoclaving;
• packing in sealed containers, labeled in accordance with the hazard class. (all containers must have sufficient strength and heat resistance, personnel involved in the collection of raw materials must have special protective clothing and rubber gloves);
• removal and transportation to the place of destruction;
• direct disposal of syringes.

All of these works are carried out in accordance with the adopted legislation and are regulated by established standards (SanPiN 2.1.7.728-99 "Rules for the collection, storage and disposal of waste from medical institutions").

To destroy the neutralized material, crushers and mills are used that convert the raw material into a homogeneous mass of fine fractions.

How are disposable syringes disposed of?

There are several ways to process hazardous medical raw materials:

• burial at a special landfill equipped with impervious screens;
• warehousing and storage in specially designated places, carried out only after mandatory disinfection;
• burning in various ways.

The safest are combustion in special incinerators and plasma installations. Pyrolysis is also often resorted to - oxygen-free decomposition of raw materials at extremely high temperatures.

Fast and inexpensive disposal of single use syringes from ECOUMWELT

The ECOUMWELT company is engaged in the collection, removal and disposal of waste of various hazard categories in the shortest possible time. We promptly work with any applications, while strictly complying with the sanitary and environmental standards established by law.

We provide all the necessary documentation regarding waste disposal, as well as, if necessary, take photos and videos.

Caring for tomorrow is our job.