Compass Medical Waste Services

How Do We Manage HCRW?

The management of waste from the point of generation (i.e. from the cradle), to the end or final treatment and disposal of the waste (i.e. the grave).

 There are 7 Steps to the 'Cradle to Grave Management of HCRW'

 from catalogue 3 tsp

1: Segregation and Containerization

2: Intermediate Storage

3: Internal Collection & Transportation

4: Central Storage Area & Weighing

5: Off Site Collection & Transportation

6: Treatment

7: Landfilling

 Ensure you know your service provider, as you are responsible from Cradle-to-Grave

STEP 1: SEGREGATION & CONTAINERIZATION

  • The generator of the waste does the segregation of the waste.
  • Doctors and nurses are primarily responsible to segregate the waste correctly.
  • The HCGW must be separated from the HCRW.
  • All waste must be segregated into correct containers.
  • There are two types of containers for HCRW, single use and RUC.
  • Colour coding bags for waste segregation is very important between red, yellow and black bags.

If HCGW is not segregated from HCRW the whole mixture has to be handled as HCRW

 

STEP 2: INTERMEDIATE STORAGE

  • This is the temporary storage of waste inside wards & departments of a Health Care facility, before transportation to the central storage area.
  • In most facilities it is the sluice room.
  • There must be a daily collection of HCRW from this area.
  • Red liners should be kept off the floor.
  • The area should be cleaned daily.

 

STEP 3: INTERNATIONAL COLLECTION & TRANSPORTATION

  • HCRW & HCGW must be transported within the health care facilities by means of a wheeled trolley or containers that should be cleaned daily.
  • Waste is taken from the sluice room to a central storage area.
  • This must be performed at least once a day.
  • Each container or liner should be labelled with the ward's name & date.

 

STEP 4: CENTRAL STORAGE AREA & WEIGHING

  • Waste is kept in CSA awaiting collection by the service provider.
  • Waste is sometimes weighed before handing over the waste.
  • This area should be a secure, covered, locked, well-lit & ventilated area.
  • It should have running water, draining points & a rodent control system.
  • The storage area must display adequate signage.

 

STEP 5: OFF SITE COLLECTION & TRANSPORTATION

  • HCRW is taken to the treatment plant by a registered service provider for eg. Compass Waste Services.
  • The vehicles used to collect the HCRW must comply with the relevant legislation for eg. Be registered as a dangerous goods vehicle – operator card, have dangerous goods marking on the vehicle, drivers are to have PrDP-D license, to have spill kits on vehicles, and the correct PPE must be worn.
  • The clean containers & HCRW should be kept separate from each other.
  • A waste manifest document (WCD) must be signed when the HCRW is handed over to the service provider.

 

 

The WCD is a legal document tracking:

  • Who generated the waste.
  • How much & what type of waste is being handled.
  • When & by whom was the waste treated.
  • The 'Paper Trail' – signing & dating of document is critical to the reliable recording of cradle to grave management of HCRW.

 

STEP 6: TREATMENT

  • The treatment of HCRW depends on the type of waste.
  • There are burn and non-burn technologies available.
  • Both technologies require operating permits, which are issued by the government authorities.
  • Treatment facilities are audited yearly by independent auditors.

 

(Infectious & Sharp waste)

  • Compass uses the autoclave technology to sterilize the HCRW.
  • Waste is treated by heat & steam under pressure.
  • The waste post treatment is shredded to ensure that the waste no longer resembles HCRW prior to landfilling.

 

(Anatomical, Pharmaceutical & Cytotoxic)

  • Incinerators are used to dispose of anatomical, cytotoxic & pharmaceutical waste.
  • We have agreements with approved & permitted incineration service providers to treat & dispose of HCRW.

 

 

STEP 7: LAND FILLING

  • Landfill sites also require operating permits.
  • After treatment, the waste residue is land filled.
  • A general landfill site is used for delisted autoclaved shredded waste (GLB+).
  • H:H/H:h landfill site for incinerated ash.