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CSA Z317 10-2015 Handling of health care waste materials (Fourth Edition).pdf

1、Z317.10-15Handling of health care waste materialsLegal Notice for StandardsCanadian Standards Association (operating as “CSA Group”) develops standards through a consensus standards development process approved by the Standards Council of Canada. This process brings together volunteers representing

2、varied viewpoints and interests to achieve consensus and develop a standard. Although CSA Group administers the process and establishes rules to promote fairness in achieving consensus, it does not independently test, evaluate, or verify the content of standards.Disclaimer and exclusion of liability

3、This document is provided without any representations, warranties, or conditions of any kind, express or implied, including, without limitation, implied warranties or conditions concerning this documents fitness for a particular purpose or use, its merchantability, or its non-infringement of any thi

4、rd partys intellectual property rights. CSA Group does not warrant the accuracy, completeness, or currency of any of the information published in this document. CSA Group makes no representations or warranties regarding this documents compliance with any applicable statute, rule, or regulation.IN NO

5、 EVENT SHALL CSA GROUP, ITS VOLUNTEERS, MEMBERS, SUBSIDIARIES, OR AFFILIATED COMPANIES, OR THEIR EMPLOYEES, DIRECTORS, OR OFFICERS, BE LIABLE FOR ANY DIRECT, INDIRECT, OR INCIDENTAL DAMAGES, INJURY, LOSS, COSTS, OR EXPENSES, HOWSOEVER CAUSED, INCLUDING BUT NOT LIMITED TO SPECIAL OR CONSEQUENTIAL DAM

6、AGES, LOST REVENUE, BUSINESS INTERRUPTION, LOST OR DAMAGED DATA, OR ANY OTHER COMMERCIAL OR ECONOMIC LOSS, WHETHER BASED IN CONTRACT, TORT (INCLUDING NEGLIGENCE), OR ANY OTHER THEORY OF LIABILITY, ARISING OUT OF OR RESULTING FROM ACCESS TO OR POSSESSION OR USE OF THIS DOCUMENT, EVEN IF CSA GROUP HAS

7、 BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, INJURY, LOSS, COSTS, OR EXPENSES.In publishing and making this document available, CSA Group is not undertaking to render professional or other services for or on behalf of any person or entity or to perform any duty owed by any person or entity to a

8、nother person or entity. The information in this document is directed to those who have the appropriate degree of experience to use and apply its contents, and CSA Group accepts no responsibility whatsoever arising in any way from any and all use of or reliance on the information contained in this d

9、ocument.CSA Group is a private not-for-profit company that publishes voluntary standards and related documents. CSA Group has no power, nor does it undertake, to enforce compliance with the contents of the standards or other documents it publishes.Intellectual property rights and ownershipAs between

10、 CSA Group and the users of this document (whether it be in printed or electronic form), CSA Group is the owner, or the authorized licensee, of all works contained herein that are protected by copyright, all trade-marks (except as otherwise noted to the contrary), and all inventions and trade secret

11、s that may be contained in this document, whether or not such inventions and trade secrets are protected by patents and applications for patents. Without limitation, the unauthorized use, modification, copying, or disclosure of this document may violate laws that protect CSA Groups and/or others int

12、ellectual property and may give rise to a right in CSA Group and/or others to seek legal redress for such use, modification, copying, or disclosure. To the extent permitted by licence or by law, CSA Group reserves all intellectual property rights in this document.Patent rightsAttention is drawn to t

13、he possibility that some of the elements of this standard may be the subject of patent rights. CSA Group shall not be held responsible for identifying any or all such patent rights. Users of this standard are expressly advised that determination of the validity of any such patent rights is entirely

14、their own responsibility.Authorized use of this documentThis document is being provided by CSA Group for informational and non-commercial use only. The user of this document is authorized to do only the following:If this document is in electronic form: load this document onto a computer for the sole

15、 purpose of reviewing it; search and browse this document; and print this document if it is in PDF format.Limited copies of this document in print or paper form may be distributed only to persons who are authorized by CSA Group to have such copies, and only if this Legal Notice appears on each such

16、copy.In addition, users may not and may not permit others to alter this document in any way or remove this Legal Notice from the attached standard; sell this document without authorization from CSA Group; or make an electronic copy of this document.If you do not agree with any of the terms and condi

17、tions contained in this Legal Notice, you may not load or use this document or make any copies of the contents hereof, and if you do make such copies, you are required to destroy them immediately. Use of this document constitutes your acceptance of the terms and conditions of this Legal Notice.Stand

18、ards Update ServiceZ317.10-15September 2015Title: Handling of health care waste materialsTo register for e-mail notification about any updates to this publication go to shop.csa.ca click on CSA Update ServiceThe List ID that you will need to register for updates to this publication is 2423936.If you

19、 require assistance, please e-mail techsupportcsagroup.org or call 416-747-2233.Visit CSA Groups policy on privacy at www.csagroup.org/legal to find out how we protect your personal information.ISBN 978-1-4883-0079-0 2015 CSA Group All rights reserved. No part of this publication may be reproduced i

20、n any form whatsoever without the prior permission of the publisher.Published in September 2015 by CSA Group A not-for-profit private sector organization 178 Rexdale Boulevard, Toronto, Ontario, Canada M9W 1R3 To purchase standards and related publications, visit our Online Store at shop.csa.caor ca

21、ll toll-free 1-800-463-6727 or 416-747-4044.TMA trade-mar k of the Canadian S tandards Association, operating as “CSA Group”Handling of health care waste materialsZ317.10-15Z317.10-15Handling of health care waste materialsSeptember 2015 2015 CSA Group 1ContentsTechnical Committee on Health Care Faci

22、lities 4Subcommittee on Waste Handling in Health Care Facilities 6Preface 81 Scope 92 Reference publications 103 Definitions 124 Waste management 164.1 Health care facilities and veterinary health care facilities 164.2 Segregation of waste 174.3 Record-keeping 174.4 Movement of wastes 174.4.1 Genera

23、l 174.4.2 Routes 174.4.3 Chutes 184.5 Maintenance and cleaning operations 184.5.1 Reusable waste containers and waste movement carts 184.5.2 Storage areas 184.6 Spill or accident cleanup 184.6.1 General 184.6.2 Staff education 184.6.3 Spill management procedure 184.7 Containers 194.7.1 General 194.7

24、.2 Categories 194.7.3 Reusable and single-use waste containers 194.7.4 Single-use containers 204.7.5 Sharps containers 204.8 Storage 204.8.1 General 204.8.2 Intermediate storage areas 204.8.3 Final storage areas 204.8.4 Final storage areas in veterinary health care facilities 214.9 Emergency and con

25、tingency plans 214.10 Home environment 214.10.1 General 214.10.2 Waste management within a residential home setting with individual care provided by a visiting home care provider 224.10.3 Waste management within clinics providing home care services 224.10.4 Home care spill kit 22Z317.10-15Handling o

26、f health care waste materialsSeptember 2015 2015 CSA Group 24.11 Health carerelated waste generated during emergency medical services/ pre-hospital care 235 Biomedical waste 245.1 General 245.1.1 Identification 245.1.2 Biomedical waste categories 245.1.3 Treated biomedical waste 255.2 Collection and

27、/or packaging 255.2.1 Human anatomic waste 255.2.2 Animal anatomic waste 255.2.3 Non-anatomic waste 255.2.4 Contaminated sharps 255.2.5 Biomedical waste contaminated with cytotoxic agents 265.3 Storage and handling 265.3.1 General 265.3.2 Frozen anatomic waste 265.3.3 Animal anatomic waste 265.3.4 H

28、uman anatomic waste 265.4 Treatment and/or disposal 275.4.1 Human anatomic waste 275.4.2 Animal anatomic waste 275.4.3 Non-anatomic waste 275.4.4 Biomedical waste contaminated with cytotoxic agents 275.4.5 Human transmissible spongiform encephalopathies (TSE), including Creutzfeldt-Jakob Disease (CJ

29、D) and other infectious waste 276 Pharmaceutical waste 286.1 General 286.2 Planning to minimize waste generation 286.3 Categories 286.4 Collection and/or packaging 296.4.1 Collection 296.4.2 Collection precautions for cytotoxic pharmaceuticals 296.4.3 Packaging 296.4.4 Labelling 306.5 Storage and ha

30、ndling 306.6 Treatment and/or disposal 306.6.1 General 306.6.2 Cytotoxic pharmaceuticals 306.6.3 Antibiotics and antiseptics 306.6.4 Biologicals 306.6.5 Narcotics, controlled substances, benzodiazepines, and targeted substances 306.7 Record-keeping 307 Chemical waste 317.1 General 317.2 Collection a

31、nd packaging 317.2.1 Collection 31Z317.10-15Handling of health care waste materialsSeptember 2015 2015 CSA Group 37.2.2 Packaging 317.2.3 Packaging procedures 317.2.4 Marking and labelling 317.3 Storage and handling 317.4 Treatment and/or disposal 327.5 Record-keeping 338 Radioactive wastes 339 Gene

32、ral waste 339.1 General 339.2 Collection and/or packaging 349.3 Food waste 349.4 Non-contaminated sharps 349.5 Confidential waste 349.6 Pressurized container waste 359.6.1 General 359.6.2 Treatment and/or disposal 359.7 Construction waste 3510 Recycling 3510.1 General 3510.2 Collection and packaging

33、 3510.2.1 Collection 3510.2.2 Packaging 3610.2.3 Labelling 3610.3 Storage and handling 3610.3.1 Movement 3610.3.2 Storage 3610.4 Record-keeping 3611 Occupational health and safety 3711.1 Management responsibilities 3711.2 Employee responsibilities 38Annex A (informative) Principles of disease transm

34、ission 40Annex B (informative) Mercury-containing dental amalgam waste 42Annex C (informative) Health care facility examples according to class 45Annex D (informative) Biomedical waste treatment technologies 47Annex E (informative) Sample symbols for different waste categories 48Annex F (informative

35、) Creutzfeldt-Jakob disease (CJD) and other human transmissible spongiform encephalopathies (TSEs) 49Annex G (informative) Local destruction of narcotics, controlled substances, benzodiazepines, and targeted substances 51Annex H (informative) Recycling categories and considerations 53Annex I (inform

36、ative) Chemical compatibility chart 55Annex J (informative) Sample home care checklist for home care services 56Z317.10-15Handling of health care waste materialsSeptember 2015 2015 CSA Group 4Technical Committee on Health Care FacilitiesG.D. Burrill Teegor Consulting Inc., Fredericton, New Brunswick

37、 Category: User Interest Representing Canadian Healthcare Engineering Society (CHES)ChairS. Bagworth Agnew Peckham and Associates, Toronto, Ontario Category: General InterestR.J. Belanger Wasaga Beach, Ontario Category: User InterestS. Bogdan St. Josephs Health Centre, Toronto, Ontario Category: Use

38、r InterestD. Bonavota Mulvey b) guidance for health care waste generated outside of health care and veterinary health care facilities based on the recognition that health care is increasingly being administered outside of traditional acute care hospitals; andc) guidance for health care waste generat

39、ed from Emergency Medical Services (EMS) and First Responder (FR) activities.This Standard was prepared by the Subcommittee on Waste Handling in Health Care Facilities, under the jurisdiction of the Technical Committee on Health Care Facilities and the Strategic Steering Committee on Health Care Tec

40、hnology b) provide an explanation of circumstances surrounding the actual field condition; andc) where possible, phrase the request in such a way that a specific “yes” or “no” answer will address the issue.Committee interpretations are processed in accordance with the CSA Directives and guidelines g

41、overning standardization and are available on the Current Standards Activities page at standardsactivities.csa.ca.5) This Standard is subject to review five years from the date of publication. Suggestions for its improvement will be referred to the appropriate committee. To submit a proposal for cha

42、nge, please send the following information to inquiriescsagroup.org and include “Proposal for change” in the subject line: a) Standard designation (number);b) relevant clause, table, and/or figure number;c) wording of the proposed change; andd) rationale for the change.Z317.10-15Handling of health c

43、are waste materialsSeptember 2015 2015 CSA Group 9Z317.10-15Handling of health care waste materials1 Scope1.1 This Standard specifies requirements for the packaging, collection, handling, storage, and on-site treatment and disposal of health care waste materials.1.2 1.2.1 This Standard applies to he

44、alth care and veterinaryrelated waste, and health carerelated waste generated in non-traditional health care settings.1.2.2 “Health care and veterinary” refers toa) health care facilities and mobile units;b) veterinary facilities and mobile units;c) blood banks; andd) blood collection centres.Note:

45、See Annex C for examples of health care facilities.1.2.3 Biomedical waste generated in non-traditional health care settings includes health care-related waste generateda) in the home environment; andb) during emergency medical services/pre-hospital care.Note: This Standard may also be applied to the

46、 following: a) medical research and teaching facilities;b) veterinary research and teaching facilities;c) clinical and research laboratories where the waste generated is within the scope of this Standard;d) vaccine production facilities;e) vaccine testing facilities;f) mortuaries and funeral homes;g

47、) coroners laboratories; andh) personal service facilities (e.g., providing tattoo, ear/body piercing, aesthetic, and electrolysis services).1.3 This Standard does not provide technical requirements for off-site transportation or disposal of waste after removal.Note: Such requirements are specified

48、in federal, provincial/territorial, and municipal regulations and legislation.Z317.10-15Handling of health care waste materialsSeptember 2015 2015 CSA Group 101.4 This Standard does not address the special precautions associated with material contaminated with infectious substances requiring a Conta

49、inment Level 3 or higher, with the exception of the requirements in Clause 5.4.5 and the guidance in Annex F.Notes: 1) For further information, see the most current edition of the Canadian Biosafety Standards and Guidelines, see the Human Pathogens and Toxins Act, and see the Transportation of Dangerous Goods Regulations.2) For infection control guidelines and fact sheets on specific infectious diseases, including Ebola virus disease, refer to the Public Health Agency of Canada website: http:/www.phac-aspc.gc.ca/id-mi/index-eng.php. Patho

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