Self-disrupting (self-locking) syringes are collected in safe disposable non-puncture containers, which are subject to decontamination by autoclaving or microwave radiation. After disinfection, the container must be disposed of along with all contents.

For temporary storage within the institution, sealed containers or bags with used syringes must be sealed, labeled according to the hazard class and placed in a specially equipped room.

For transportation of waste outside the LPO, special vehicles with a closed body are used. After the flight, it is disinfected and cannot be used for any other purpose.

Safety requirements

When working with hazardous medical waste, personnel should wear special and replacement shoes, which are stored separately from everyday clothing. Hands must be protected with rubber gloves. For disassembly and washing of containers reusable You must wear a rubber apron. All requirements for processing, disinfection and disposal of disposable syringes, including dental - carpool, are prescribed in regulatory documents, SanPiN and guidelines.

It is strictly forbidden to eat or smoke in the area where waste is processed.

This guidance material is intended for all structural divisions hospitals and clinics using single-use injection syringes in sterile original packaging; engaged in disinfection, collection, transportation of syringes.

The methodological material sets out the requirements aimed at organizing work on the collection, storage, disinfection and disposal of single-use injection syringes, reducing the risk of infection of medical personnel in the performance of their duties, complying with the basic safety rules when handling used single-use injection syringes, and as well as emergency procedures.

The requirements are aimed at protecting the health of medical personnel, personnel of organizations involved in the collection, transportation, disinfection of used single-use injection syringes, as well as ensuring environmental protection during medical and diagnostic manipulations in medical institutions.

General provisions

Attention!

In order to prevent the spread of human infectious diseases and exclude the possibility of infection of medical personnel, it is necessary to carry out preventive measures provided for by sanitary rules in a timely manner and in full, including disinfection, destruction and disposal of single-use injection syringes.

Single-use injection syringes made of plastics used in medical institutions for injections (manipulations), after treatment and diagnostic procedures, are classified as medical waste potentially dangerous in relation to the spread of infectious diseases, and are medical waste of classes B and C.

Measures for the disinfection, destruction and disposal of single-use injection syringes must be carried out in accordance with the requirements of sanitary rules and other regulatory legal acts Russian Federation.

Monitoring compliance with the measures for disinfection, destruction and disposal of single-use injection syringes, the quality of their disinfection is included in the production control program (plan) of the medical facility.

Requirements for the collection and disinfection of single-use injection syringes

Single-use injection syringes are medical devices that provide injection and diagnostic and treatment procedures.

After use, syringes are hazardous (class B) or extremely hazardous (class C) healthcare facility waste due to contamination with infected or potentially infectious body fluids.

Single use injection syringes reuse not subject to injection.

Source: https://moluch.ru/conf/med/archive/154/7536/

The procedure for disposing of disposable instruments

For many medical organizations disposal of disposable instruments - serious problem . The institution needs to find a company that provides waste disposal services.

After all, it is strictly forbidden to simply throw away used needles, syringes, and other disposable medical instruments. The procedure for the disposal of medical instruments is quite complicated, so that health institutions begin to deal with it themselves.

It is much more convenient for them to find an enterprise that is ready to provide them with the necessary service.

How medical waste should be disposed of is prescribed in the SanPiN rules.

They indicate how the collection of used instruments is carried out depending on their type, transportation to the place of destruction and the method of disposal.

Tools are being processed different types. And the requirements for their transportation and destruction are different.

Collection and recycling of waste is carried out strictly according to the rules. Depending on the type of instruments, they may be prescribed to be treated with disinfectants, and only then packed and transported to the place of destruction.

Also, used accessories must be stored and transported in special waterproof containers that are highly durable and cannot be pierced with a needle or any other sharp object.

Spent syringes are placed in a container immediately after their use. When a sufficient amount of used tool is collected in the container, it is closed, sealed and marked.

The container is marked - class B, which corresponds to the level of "hazardous waste".

Filled containers are also disposable. They are destroyed along with their contents.

How disposable instruments and containers are disposed of where was it placed? Autoclaving is used to destroy plastic products.

At temperatures above 140 °C, the plastic softens and the product turns into a normal mass of plastic. In order to completely destroy the sharp and piercing parts of the tools, they are placed in a special crusher that crushes them.

Thanks to this method of waste processing, the complete destruction of disposable medical equipment occurs. In addition, thanks to the shredding of objects, the volume of waste can be reduced by 60 - 80%.

According to the requirements of medical institutions, it can be carried out disposal of disposable instruments, not only used, but also sterile.

Since unused instruments do not pose a risk of infection to humans or animals, they can be disposed of in other ways than by autoclaving.

Their burial or removal to specialized landfills is allowed.

Use the services of reliable companies

It is very important for medical institutions to use the services of waste disposal companies that can provide them with qualified services. The destruction of syringes, needles and other instruments is a difficult and responsible job.

Therefore, it should be dealt with only by organizations that not only know the algorithm for the destruction of such waste, but also have the opportunity to recycle them.

If the used instrument is not destroyed in accordance with the rules, this will damage the reputation of the medical institution, because it will put the population at risk of infection with dangerous viruses.

Therefore, in order not to break the law and not put people and environment, clinics should find an organization that has affordable prices for the disposal of medical instruments for a medical institution.

Source: https://medi.ru/info/7592/

DIAinstruction: safe disposal of medical waste at home

This article will focus on the SAFE USE of pen and syringe needles, as well as lancets and infusion set cannulas, at home, at work and while traveling.

How to dispose of used sharps, which are in abundance in the daily life of a person with diabetes?

The easiest way is to throw it in the trash and forget it.

BUT: when throwing away, it is important to make sure that no one can get hurt with needles (at risk are your loved ones, children, employees of waste disposal companies, housekeeper, janitors) - this is dangerous not only with cuts or injuries, but also with infection, in if the user has diseases such as viral hepatitis B, C or HIV.

To avoid accidental cuts/damages, needles and other sharp objects must be placed in special CONTAINERS after use - they are made of puncture-resistant plastic with a tight-fitting lid. In some countries, these containers are available from pharmacies, medical supply stores, or online.

In the absence of such containers, you can use a suitable container from detergent or other household chemicals made of durable plastic. Label the container stating that it contains sharps. Always place the container in the middle of the trash bag.

Safe disposal of used needles/syringes/lancets/cannulas is essential everywhere - at home, at work, at school, while traveling and in other public places such as hotels, parks and restaurants.

Never leave needles and other sharps (outside the sharps disposal container) in the open or in public trash cans, and never flush them down the toilet!

And in conclusion - 8 simple rules for preventing injuries from sharp objects:

1. Do not throw used needles in the trash.
2. Keep sharps containers out of the reach of children.
3. Do not throw used sharp objects down the toilet.
4. Do not use glass or plastic bottles, cardboard boxes and cans for the manufacture of containers.
5. There is no need to "fill to the brim" the container - when it is two-thirds full, it's time to throw it away.
6. Do not wait. Place your sharps in a container immediately after use.
7. Do not bend or break the needle.
8. Do not use other people's needles;

For the past five years, completely new epidemiological and sanitary norms and rules have been in force on the territory of our country regarding the disposal of such medical waste as needles and syringes.

It is worth noting that syringes and needles are class B, as they are in direct contact with liquids. human body. In this regard, the disposal of needles and syringes in Moscow and the Moscow region should be carried out in places specially equipped for this and with strict observance of all safety measures.

The management of medical institutions determines responsible persons who are responsible for collecting used syringes and needles for them and storing them. Special attention given to syringes and needles of class B, that is, those that have been in direct contact with infected patients and can cause the spread of infection.

Preparation for disposal

Before disposal, used needles and syringes are sorted into different containers depending on the waste class. Class B and C waste may not be stored together under any circumstances. Before storage, the waste material is disinfected. Only after it, needles and syringes are sent for storage and subsequent removal for disposal. Employees may carry out transportation and disposal work only if the following conditions are met:

• Age over 18 years.
• The presence of vaccinations.
• Passed medical examination.
• Immunized against serum hepatitis.
• Have received appropriate training.

Prices for the export and disposal of syringes and needles

Get a free estimate for the collection and disposal of syringes and needles

MU 3.1.2313-08

METHODOLOGICAL INSTRUCTIONS

3.1. PREVENTION OF INFECTIOUS DISEASES

Requirements for the disinfection, destruction and disposal of single-use injection syringes

Date of introduction: from the moment of approval

1. DEVELOPED: Federal Service for Supervision of Consumer Rights Protection and Human Welfare (G.F. Lazikova, A.A. Melnikova); FGUZ FTSGIE Rospotrebnadzor (A.A. Yasinsky, E.A. Kotova, N.Z. Osipova); The main military clinical hospital named after N.N. Burdenko (V.G. Akimkin); Federal State Unitary Enterprise "Irkutsk Disinfection Station" (P.S. Oparin); GOU DPO "Ural State Medical Academy of Additional Education" (N.P. Efremova); FGUN "Central Research Institute of Epidemiology" of Rospotrebnadzor (I.V. Mikheeva), taking into account the proposals and comments of the FGUN Research Institute of Disinfectology, the Department of Health of Moscow, bodies and institutions of Rospotrebnadzor in Moscow, Ryazan, Moscow, Oryol regions.

2. RECOMMENDED FOR APPROVAL by the Commission on State Sanitary and Epidemiological Rationing under the Federal Service for Supervision of Consumer Rights Protection and Human Welfare (Minutes No. 3 of December 6, 2007).

3. APPROVED AND INTRODUCED BY the Chief State Sanitary Doctor of the Russian Federation, Head Federal Service on supervision in the field of consumer rights protection and human well-being G.G. Onishcheiko January 15, 2008.

4. INTRODUCED FOR THE FIRST TIME.

1 area of ​​use

1 area of ​​use

1.1. These guidelines (MU) are intended for all medical and preventive institutions (HCI), organizations, enterprises, regardless of departmental affiliation and ownership, using single-use injection syringes in sterile factory packaging; engaged in the collection, transportation, disinfection, destruction and disposal of syringes, design and operation of installations for the processing of single-use injection syringes made of plastics; as well as for institutions that supervise the provision of medical care, immunoprophylaxis, compliance with the sanitary and anti-epidemic regime in medical facilities.

1.2. The guidelines set out the requirements aimed at organizing the work of a medical institution for the collection, storage, disinfection, destruction and disposal of single-use injection syringes, reducing the risk of infection of medical personnel in the performance of their duties, compliance with the basic safety rules when handling used injection syringes single use, as well as the procedure for emergency situations.

1.3. The requirements of the guidelines are aimed at protecting the health of medical personnel, personnel of organizations involved in the collection, transportation, disinfection, destruction and disposal of used single-use injection syringes, as well as ensuring environmental protection during medical and diagnostic manipulations in medical institutions.

2. Regulatory references

2.1. Federal Law of March 30, 1999 N 52-FZ "On the sanitary and epidemiological well-being of the population" as amended on August 22, 2004 N 122-FZ.

2.2. Federal Law of September 17, 1998 N 157-FZ "On Immunoprophylaxis of Infectious Diseases" .

2.3. Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens dated 22.07.93 N 5487-1.

2.4. Federal Law of 08.08.01 N 128-FZ "On Licensing Certain Types of Activities" .

2.5. OST 4221-2-85 "Sterilization and disinfection of medical devices. Methods. Means. Modes".

2.6. SanPiN 2.1.7.728-99

2.7. SP 1.1.1058-01 "Organization and implementation of production control over compliance with sanitary rules and the implementation of sanitary and anti-epidemic (preventive) measures."

2.8. SanPiN 2.1.3.1375-03 "Hygienic requirements for the location, arrangement, equipment and operation of hospitals, maternity hospitals and other medical hospitals".

2.9. SP 3.5.1378-03 "Sanitary and epidemiological requirements for the organization and implementation of disinfection activities".

2.11. "Guidelines for disinfection, pre-sterilization cleaning and sterilization of medical devices" dated 12/30/98 N MU-287-113.

2.12. Instructions for the collection, storage and delivery of scrap medical devices for single use (approved by the Ministry of Health of the USSR on September 24, 1989).

3. General provisions

3.1. In order to prevent the spread of human infectious diseases and exclude the possibility of infection of medical personnel, it is necessary to carry out preventive measures provided for by sanitary rules in a timely manner and in full, incl. disinfection, destruction and disposal of single-use injection syringes.

3.2. Single-use injection syringes made of plastics used in medical institutions for injections (manipulations), after treatment and diagnostic procedures, are classified as medical waste potentially dangerous in relation to the spread of infectious diseases, and are medical waste of classes B and C.

3.3. Measures for the disinfection, destruction and disposal of single-use injection syringes should be carried out in accordance with the requirements of sanitary rules and other regulatory legal acts of the Russian Federation in all medical institutions, regardless of their profile.

3.4. Monitoring compliance with the measures for disinfection, destruction and disposal of single-use injection syringes, the quality of their disinfection is included in the production control program (plan) of the medical facility.

4. Requirements for the collection and disinfection of single-use injection syringes

4.1. Single-use injection syringes are medical devices that provide injection and diagnostic and treatment procedures. After use, the syringes are dangerous (class B) or extremely dangerous (class B) waste from healthcare facilities due to their contamination with infected or potentially infected biological fluids.

4.2. Single-use injection syringes are not subject to reuse for injections.

4.3. Collection, disinfection, temporary storage, transportation, destruction and disposal of used single-use injection syringes are carried out in accordance with the "Rules for the collection, storage and disposal of waste from medical institutions" (SanPiN 2.1.7.728-99).

4.4. For the disinfection of single-use injection syringes, chemical and physical methods are recommended.

4.4.1. Chemical method of disinfection.

4.4.1.1. To disinfect used single-use injection syringes by the chemical method, a disinfectant solution is preliminarily prepared, which is poured into two special labeled containers with lids: "Container for disinfecting needles" and "Container for disinfecting syringes". A needle remover can be used as a "Needle Decontamination Tank" when filled with a disinfectant solution. The needle remover is a hard, non-puncture, disposable plastic container that has a lid with a specially shaped opening, suitable for removing needles from syringes of different diameters. The "Syringe Decontamination Tank" must be equipped with a perforated tray and yoke.

4.4.1.2. 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;

needle destruction using a needle destructor - a device for burning needles by exposure to high temperature.

4.4.1.3. After disconnecting the needle, the body of the syringe with the plunger is placed in a container with a disinfectant solution, marked "for disinfecting syringes", and the required exposure time is maintained according to the instructions for use of the disinfectant used. Then, a disinfectant solution is released from the syringe body using a piston, after which the disinfected pistons and syringe bodies are placed in a bag fixed on a trolley rack or a single-use container with a color marking corresponding to the class of medical waste B or C. Capacity (bag, container) after filling by volume, they are packed, placed in a mini-container with a color marking corresponding to the class of medical waste, and stored in a temporary storage room for medical waste until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

When filling the needle remover to the volume with needles and observing the required disinfection exposure time, the solution is carefully drained, the container is closed with a lid, placed in a mini-container with a color marking corresponding to the class of medical waste, and stored in a room for temporary storage of medical waste until the end of the working shift in order to subsequent transportation to the place of neutralization or disposal.

4.4.1.4. If there are no devices for removing, cutting off or destroying needles (needle removers, needle cutters, needle destructors) in the medical institution, the needle should be separated from the syringe only after the syringe with the needle has been decontaminated. Disinfection is carried out by taking the disinfectant solution through the needle into the syringe and immersing the syringe with the needle into the "Containers for disinfecting syringes" with the disinfectant solution for the required exposure time.

After the end of the disinfection exposure time, the needle is separated from the syringe with tweezers and placed in a solid package (non-piercing sealed single-use container) in accordance with the requirements of SanPiN 2.1.7.728-99 "Rules for the collection, storage and disposal of waste from medical institutions".

A disinfectant solution is released from the syringes using a piston, then they are placed in a bag fixed on a trolley rack, or a single-use container with a color marking corresponding to the class of medical waste B or C. The container (bag, container) after filling the volume is packed, placed in a mini-container with a color marking corresponding to the class of medical waste and stored in a room for temporary storage of medical waste until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

4.4.1.5. For disinfection of single-use injection syringes, disinfectants are used that have a certificate of state registration, a certificate of conformity and guidelines (instructions) for their use. The concentration of the disinfectant and the exposure time are determined in accordance with the guidelines (instructions) for its use, taking into account the regimen that is effective against pathogens of infectious diseases that the healthcare institution is focused on, and the regimens recommended for disinfecting medical devices for viral infections.

The disinfectant solution in the containers is changed at the end of the shift. The frequency of changing the solution in containers can be determined in accordance with the guidelines (instructions) for the use of a disinfectant.

The name, concentration, purpose and date of preparation should be indicated on the container for storing the disinfectant solution (for ready-to-use products approved for repeated use, indicate the start date of use).

4.4.2.Physical Methods disinfection.

4.4.2.1. Disinfection method for injection syringes for single use saturated steam in steam sterilizers (autoclaves) used in accordance with the "Methodological guidelines for disinfection, pre-sterilization cleaning and sterilization of medical devices" dated December 30, 1998 N MU-287-113 and "Instructions for the collection, storage and delivery of scrap medical devices for single use", approved by the USSR Ministry of Health on September 24, 1989 .

When using this method of disinfection, the bodies and pistons of syringes are placed in a special vapor-permeable single-use bag that is resistant to high temperature and intended for sterilization of medical products. This bag is fixed on a rack-trolley inside a single-use bag designed for collecting waste with color and text marking corresponding to hazard class B and C, or put on a single-use container (container with a lid) with color and text marking corresponding to waste class B and C .

After filling the bag to the volume, it is sealed and delivered in a container (container) with a closed lid or in a bag designed to collect medical waste of the appropriate color marking, using a trolley rack to the place of disinfection.

After delivery to the place of disinfection, a vapor-permeable bag with syringes without needles is removed from the container (container) or outer bag intended for collection, transportation and temporary storage of class B and C waste, placed in an autoclave and kept at a temperature of 121 ° C for 30 minutes.
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3.1. Prevention of infectious diseases

Guidelines MU 3.1.2313-08

"Requirements for decontamination, destruction and disposal
single use injection syringes

Date of introduction: from the moment of approval

2.12. Instructions for the collection, storage and delivery of scrap medical products for single use (approved by the Ministry of Health of the USSR on March 24, 1989).

3. General provisions

3.1. In order to prevent the spread of human infectious diseases and exclude the possibility of infection of medical personnel, it is necessary to carry out preventive measures provided for by sanitary rules in a timely manner and in full, incl. disinfection, destruction and disposal of single-use injection syringes.

3.2. Single-use injection syringes made of plastics used in medical institutions for injections (manipulations), after treatment and diagnostic procedures, are classified as medical waste potentially dangerous in relation to the spread of infectious diseases, and are medical waste of classes B and C.

3.3. Measures for the disinfection, destruction and disposal of single-use injection syringes should be carried out in accordance with the requirements of sanitary rules and other regulatory legal acts of the Russian Federation in all medical institutions, regardless of their profile.

3.4. Monitoring compliance with the measures for disinfection, destruction and disposal of single-use injection syringes, the quality of their disinfection is included in the production control program (plan) of the medical facility.

4. Requirements for the collection and disinfection of single-use injection syringes

4.1. Single-use injection syringes are medical devices that provide injection and diagnostic and treatment procedures. After use, syringes are hazardous (class B) or extremely hazardous (class C) healthcare facility waste due to contamination with infected or potentially infectious body fluids.

4.2. Single-use injection syringes are not subject to reuse for injections.

4.3. Collection, disinfection, temporary storage, transportation, destruction and disposal of used single-use injection syringes are carried out in accordance with the "Rules for the collection, storage and disposal of waste from medical institutions" (SanPiN 2.1.7.728-99).

4.4. For the disinfection of single-use injection syringes, chemical and physical methods are recommended.

4.4.1. Chemical method of disinfection.

4.4.1.1. To disinfect used single-use injection syringes by the chemical method, a disinfectant solution is preliminarily prepared, which is poured into two special labeled containers with lids: "Container for disinfecting needles" and "Container for disinfecting syringes". A needle remover can be used as a "Needle Decontamination Tank" when filled with a disinfectant solution. The needle remover is a hard, non-puncture, disposable plastic container that has a lid with a specially shaped opening, suitable for removing needles from syringes of different diameters. The "Syringe Decontamination Tank" must be equipped with a perforated tray and yoke.

4.4.1.2. 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.

4.4.1.3. After disconnecting the needle, the body of the syringe with the piston is placed in a container with a disinfectant solution, marked "for disinfecting syringes", and the required exposure time is maintained according to the instructions for use of the disinfectant used. Then, a disinfectant solution is released from the syringe body using a piston, after which the disinfected pistons and syringe bodies are placed in a bag fixed on a trolley rack or a single-use container with a color marking corresponding to the class of medical waste B or C. Capacity (bag, container) after filling to 3/4 of the volume, they are packed, placed in a mini-container with a color marking corresponding to the class of medical waste, and stored in a temporary storage room for medical waste until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

When the needle remover is filled 3/4 of the volume with needles and the required disinfection exposure time is observed, the solution is carefully drained, the container is closed with a lid, placed in a mini-container with a color marking corresponding to the class of medical waste, and stored in a room for temporary storage of medical waste until the end of the working time. shifts for the purpose of subsequent transportation to the place of neutralization or disposal.

4.4.1.4. If there are no devices for removing, cutting off or destroying needles (needle removers, needle cutters, needle destructors) in the medical institution, the needle should be separated from the syringe only after the syringe with the needle has been decontaminated. Disinfection is carried out by taking the disinfectant solution through the needle into the syringe and immersing the syringe with the needle into the "Containers for disinfecting syringes" with the disinfectant solution for the required exposure time.

After the end of the disinfection exposure time, the needle is separated from the syringe with tweezers and placed in a solid package (non-piercing sealed single-use container) in accordance with the requirements of SanPiN 2.1.7.728-99 "Rules for the collection, storage and disposal of waste from medical institutions".

A disinfectant solution is released from the syringes using a piston, then they are placed in a bag fixed on a trolley rack, or a single-use container with a color marking corresponding to the class of medical waste B or C. The container (bag, container) after filling 3/4 of the volume packed, placed in a mini-container with a color marking corresponding to the class of medical waste, and stored in a temporary storage room for medical waste until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

4.4.1.5. For disinfection of single-use injection syringes, disinfectants are used that have a certificate of state registration, a certificate of conformity and guidelines (instructions) for their use. The concentration of the disinfectant and the exposure time are determined in accordance with the guidelines (instructions) for its use, taking into account the regimen that is effective against pathogens of infectious diseases that the healthcare institution is focused on, and the regimens recommended for disinfecting medical devices for viral infections.

The disinfectant solution in the containers is changed at the end of the shift. The frequency of changing the solution in containers can be determined in accordance with the guidelines (instructions) for the use of a disinfectant.

The name, concentration, purpose and date of preparation should be indicated on the container for storing the disinfectant solution (for ready-to-use products approved for repeated use, indicate the start date of use).

4.4.2. Physical methods of disinfection.

4.4.2.1. The method of disinfection of single-use injection syringes with saturated water vapor in steam sterilizers (autoclaves) is used in accordance with " Guidelines on Disinfection, Pre-Sterilization Cleaning and Sterilization of Medical Devices" dated December 30, 1998 No. MU-287-113 and "Instructions for the collection, storage and delivery of single-use medical device scrap", approved by the USSR Ministry of Health on September 24, 1989.

When using this method of disinfection, the bodies and pistons of syringes are placed in a special vapor-permeable single-use bag that is resistant to high temperatures and is intended for sterilizing medical devices. This bag is fixed on a rack-trolley inside a single-use bag designed for collecting waste with color and text marking corresponding to hazard class B and C, or put on a single-use container (container with a lid) with color and text marking corresponding to waste class B and C .

After filling the bag to 3/4 of its volume, it is sealed and delivered in a container (container) with a closed lid or in a bag designed to collect medical waste of the appropriate color marking, using a trolley rack to the place of disinfection.

After delivery to the place of disinfection, a vapor-permeable bag with syringes without needles is removed from the container (container) or outer bag intended for collection, transportation and temporary storage of class B and C waste, placed in an autoclave and kept at a temperature of 121 ° C for 30 minutes.

Needle removers (tanks of needle cutters) with removed (cut off) non-disinfected needles after they are filled by 3/4 of the volume are closed with a lid and delivered using a trolley rack to the place of disinfection.

Needle removers (tanks of needle cutters) with needles are placed in an autoclave, having previously opened the covers of the needle removers (needle cutters) so that steam can penetrate into the container.

After the disinfection cycle, the needle removers (needle cutters) are tightly closed with lids (sealed). Syringes without needles, located in a vapor-permeable bag, are packed in a single-use outer bag designed to collect waste with color and text marking corresponding to hazard class B and C, sealed and delivered via a trolley rack to a temporary waste storage room (into a mini-container) until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

4.4.2.2. Method for disinfection of injection syringes for single use in the UOMO-01/150 (UOMO-02/90) installation by exposure to electromagnetic radiation ultra-high frequency and wet steam at a temperature of 100 ° C for 60 minutes are used in accordance with the methodological recommendations "Use of electromagnetic radiation of ultra-high frequency for the disinfection of infected medical waste", approved by the Federal State Institution "Federal Center for Hygiene and Epidemiology" of Rospotrebnadzor dated 06.05.06 No. 02.007- 06 .

When using this method of disinfection, after the needle is separated, the bodies and pistons of the syringes are placed in a single-use bag, fixed on a single-use container (container) or a trolley rack and designed to collect waste with color and text marking corresponding to hazard class B and C. After filling the bag to 3/4 of its volume, it is sealed and delivered by means of a trolley rack directly to the place of disinfection.

Syringes in single-use bags are placed in a special polypropylene tank, which is attached to the UOMO-01/150 (UOMO-02/90) device, with a polypropylene bag previously inserted into it. 2 liters of a special sensitizing solution are added to the polypropylene bag.

Needle removers (tanks of needle cutters) with removed (cut off) non-disinfected needles after they are filled by 3/4 of the volume are closed with lids and delivered by means of a trolley rack to the place of disinfection.

Needle removers (capacities of needle cutters) with removed (cut off) non-disinfected needles are placed in the center of the tank above packages with disposable syringes without needles. Before placing needle removers (canisters of needle cutters) with needles in the tank, a sensitizing solution is added to them so that the needles are completely immersed in the solution.

After the disinfection cycle, disposable syringes, needle removers (needle cutter containers) located in a polypropylene bag are packed in a single-use outer bag designed to collect waste with color and text markings corresponding to hazard class B and C, which is then sealed and delivered by means of a trolley rack to the premises for temporary storage of waste (in a mini-container) until the end of the working shift for the purpose of subsequent transportation to the place of destruction or disposal.

4.4.3. Medical workers disinfecting single-use injection syringes draw up a final act of disinfection for the entire batch of used syringes accumulated over a certain period and prepared for delivery to specialized organizations that have licenses to work (handle) with hazardous (medical) waste (app.) .

4.4.4. The quality control of disinfection of injection syringes for single use is carried out in accordance with the production control plan of the medical facility.

5. Requirements for temporary storage and transportation of used single-use injection syringes

5.1. Temporary storage (accumulation) of needles, pistons and cylinders of syringes collected in the departments of a medical institution, packed in a single sealed container, is carried out in mini-containers of the appropriate color marking, placed in a room specially designated for this purpose or in an open area, using labeled according to the hazard class of inter-vessel containers. Open storage and contact of personnel with epidemiologically hazardous waste is not allowed.

5.2. Premises for temporary storage of waste should be equipped with exhaust ventilation and a sink for washing hands with hot and cold water. The interior lining of these rooms should exclude desorption and withstand repeated wet cleaning with the use of disinfectants.

5.3. If there are no conditions in the health facility for the use of decentralized methods of destruction of epidemiologically hazardous waste permitted in the established manner, the health facility concludes an agreement for the export of used single-use injection syringes with a specialized organization licensed to handle epidemiologically hazardous medical waste (collection, transportation , placement, destruction, disposal). Small HCFs may enter into waste disposal contracts with larger HCFs that have provisions for the collection and temporary storage of additional waste.

5.4. The contract between a healthcare facility and a specialized organization for the removal of used single-use injection syringes must include a schedule for the removal of waste.

5.5. Transportation of reusable containers with used single-use injection syringes by specialized organizations is allowed only in closed bodies of special vehicles intended for the transportation of class B and C medical waste, with its subsequent daily disinfection. In case of emergencies, if an open (without sealed packaging) waste is found inside containers or vehicles, transport is disinfected immediately.

Special vehicles must have a sanitary passport. The use of this special vehicle for other purposes is not allowed.

6. Requirements for recycling (disposal) and destruction of used single-use injection syringes

6.1. Only disinfected single-use injection syringes are subject to secondary processing (disposal). During the recycling (disposal) of single-use injection syringes, thermal methods should be used to guarantee the complete epidemiological safety of the resulting secondary raw materials.

It is forbidden to manufacture medical devices, goods for children, products that come into contact with food products from the obtained secondary raw materials.

6.2. For the destruction of medical waste of hazard class B and C, incl. single-use injection syringes, thermal methods are recommended.

6.2.1. The priority is the method of high-temperature thermal destruction (burning) of medical waste in pyrolysis furnaces, which involves the afterburning of the resulting combustion products at a temperature of 1200 - 1300 ° C, which ensures the complete decomposition of dioxins.

The advantages of the method are its environmental and epidemiological safety, a significant reduction (by 5 - 10 times) in the volume and mass of waste being destroyed. The method is universal - any waste can be loaded into the plant without any preliminary sorting.

6.2.2. It is permissible to use combined technologies for the destruction of medical waste based on a combination of mechanical grinding of medical waste and thermal (chemical) methods of disinfection in special installations of domestic and foreign production, registered and permitted for use on the territory of the Russian Federation.

The disadvantages of these developed technologies is their non-universality - it is not recommended to destroy bioorganic and pathological-anatomical waste in these installations, medical waste requires additional sorting. The knives used in the installations do not withstand large objects and must be replaced periodically. During operation, additional consumption of disinfectants, forced ventilation equipment at their installation sites is required. At the same time, continuous loading of medical waste is not ensured, low productivity is noted, and the mass of waste does not decrease.

6.3. If there are no organizations in the locality involved in the collection, destruction or disposal of used single-use injection syringes, as well as specialized facilities designed for the destruction of medical waste in healthcare facilities, it is preferable to disinfect used single-use injection syringes (class B and C waste) in a specially designated for these purposes, a steam sterilizer (autoclave) at a temperature of 132 ° C (20 min) in order to subject them to destruction (change appearance and loss of consumer properties). After the disinfection, waste from health facilities can be taken out and buried at landfills for municipal solid waste (MSW).

7. Requirements for organizations involved in transportation, disinfection, placement, recycling (disposal) and destruction of used single-use injection syringes

7.1. Transportation of medical waste (used single-use injection syringes) from medical institutions (organizations), disinfection, placement, recycling (utilization) and destruction are carried out by specialized organizations licensed to handle epidemiologically hazardous medical waste.

7.2. Specialized organizations Those carrying out this activity must have their own vehicles intended for the transportation of epidemiologically hazardous medical waste (classes B and C). Special vehicles must have a sanitary passport. Vehicles are disinfected daily.

7.3. The final stage of the activities of specialized organizations for the handling of used single-use injection syringes is their destruction (burning) or recycling (utilization) at specialized facilities owned by these organizations, or export under contracts with other enterprises and organizations specializing in destruction (burning) or recycling (disposal) of used single-use injection syringes.

7.4. All employees of specialized organizations are required to:

Undergo special training on the rules for handling epidemiologically hazardous medical waste;

Observe safety precautions when working with medical waste, the requirements for the operation of installations for the destruction (incineration) or recycling (disposal) of used single-use injection syringes;

Use personal protective equipment;

be immunized against viral hepatitis IN.

7.5. Specialized organizations licensed to deal with epidemiologically hazardous medical waste must be provided with the necessary technological equipment, consumables and disinfectants in sufficient quantities.

8. Requirements for the observance of safety precautions by the personnel of health facilities during the collection, disinfection, temporary storage and transportation of single-use injection syringes

8.1. Medical workers who collect, decontaminate, temporarily store and transport used single-use injection syringes must have special safety training during these works, be able to use special equipment and disinfectants in accordance with the functional duties approved by the head of the healthcare institution. Personnel must be immunized against hepatitis B and have an appropriate entry in the medical book.

8.2. Persons under the age of 18 and who have not undergone preliminary training are not allowed to work related to the collection, disinfection, temporary storage and transportation of used single-use injection syringes.

8.3. Training of personnel on the rules for the safe handling of used single-use injection syringes is carried out by specialists responsible for organizing waste management in each health facility.

8.4. The specialist (deputy chief physician for technical issues, epidemiologist, chief nurse) responsible for organizing the management of medical waste is appointed by order of the head of the healthcare institution after passing a specialized training cycle.

8.5. Medical workers collecting, disinfecting, storing, transporting medical waste is strictly prohibited:

Pour the collected single-use injection syringes from one container to another;

Place containers for collecting single-use injection syringes near electric heaters (both in places of formation and in temporary storage rooms);

Tamp the waste of single-use injection syringes with your hands;

Collect waste from single-use injection syringes without gloves and overalls.

8.6. The head of the healthcare facility is responsible for training staff in the safe handling of medical waste.

8.7. In the event that an employee is injured while handling used syringes, emergency preventive measures must be taken in accordance with the current instructive and methodological documents. All such cases are recorded in the injury reports indicating the date, time, place, nature of the injury, they describe in detail the situation, the use of personal protective equipment, compliance with safety regulations, indicate the persons who were at the site of the injury, as well as the applied skin treatment method, mucous membranes (app.).

8.8. At the workplace of personnel involved in the collection and transportation of waste, there should be a first aid kit (5% alcohol tincture of iodine, 70 ° alcohol, potassium permanganate and water for dissolution, sterile wipes, bandages, plaster and bactericidal plaster) .

8.9. Employees involved in the collection and transport of medical waste must pass pre-employment and periodic medical examinations in accordance with applicable regulations.

8.10. Personnel engaged in disinfection, collection and transportation of waste should be provided with overalls (gown, cap, shoes) and personal protective equipment (respirators, rubber gloves, sealed goggles, waterproof aprons, which are used in accordance with the instructions).

8.11. In the event of an accident during the use, disinfection, collection and transportation of single-use injection syringes, the following actions are necessary:

The medical worker immediately informs the head of the organization;

If the injection material gets on the mucous membranes of the eyes, they are washed with plenty of water;

In case of contact with the injection material, the skin is wiped twice with 70 ° m of ethyl alcohol, and in case of damage to the skin, the wound is washed with water, treated with tincture of iodine and medical observation of the victim is established;

Contaminated surfaces and medical clothing are treated with disinfectant solutions;

Upon completion of the actions to eliminate the accident, the responsible person draws up an act in which he reflects the place, time, causes of the accident, measures to eliminate it;

The act is approved by the head of the organization.

9. References

1. Order of the Ministry of Health of the USSR dated July 31, 1978 No. 720 "On improving medical care for patients with purulent surgical diseases and strengthening measures to combat nosocomial infection."

2. Order of the Ministry of Health of the USSR of 03.09.91 No. 254 "On the development of disinfection in the country" with amendments and additions (letter of the Ministry of Health of the Russian Federation 23-02/733 and GKSEN of 29.07.92 No. 01-20 / 104-11).

3. Order of the Ministry of Health of the Russian Federation dated November 26, 1997 No. 345 "On improving measures for the prevention of nosocomial infections in obstetric hospitals".

4. Order of the Ministry of Health of Russia dated November 10, 2002 No. 344 "On the state registration of disinfectants, disinsection and deratization agents for use in everyday life, in medical institutions and at other facilities to ensure the safety and health of people."