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目的了解济南铁路疾控医疗废物处置现状,并提出相应对策。方法采用问卷调查与现场实地察看相结合的形式,调查医疗废物的收集、运送、贮存、处置情况;医疗废物管理组织和制度;具体操作人员的业务培训、安全防护等情况。结果济南铁路疾控平均每月产生医疗废物约为50 kg,主要为感染性废物、损伤性废物、药物性废物及化学性废物,由济南市指定的公司统一终末处置。在医疗废物的分类、收集、运送、暂存、处置等环节基本达到《医疗废物管理条例》要求,但仍存在分类不清晰、消毒环节矫枉过正、贮存清运环节控制不严格、部分工作人员防护意识淡薄等问题。结论建立健全有效的组织管理体系,加大培训教育的力度,严格废弃物的分类和收集要求;强化监督管理,使医疗废物处理真正规范化、制度化。
Objective To understand the status quo of medical waste disposal in Jinan Railway and propose corresponding countermeasures. Methods The questionnaire was combined with on-site observation to investigate the collection, delivery, storage and disposal of medical waste, the organization and system of medical waste management, the operational training and safety protection of specific operators. Results The average monthly medical waste generated by Jinan Railway Disease Control was about 50 kg, mainly infectious, damaging, medicinal and chemical wastes. It was finally disposed of by a company designated by Jinan City. The classification, collection, transportation, temporary storage and disposal of medical waste basically met the requirements of the “Regulations on Medical Waste Management”. However, there were still unclear classification, overcorrection of disinfection links, non-strict control of storage and transportation links and some staff protection awareness Light and other issues. Conclusion The establishment of a sound and effective organizational management system, increase training and education efforts, strict waste classification and collection requirements; strengthen supervision and management, medical waste treatment truly standardized and institutionalized.