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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
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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
