- 期刊
提升病房醫療廢棄物處理正確率
Strategies to Improve the Correctness Rate of Medical Wastes Disposal in a Specialist Ward
摘要
本專案的目的在提升病房醫療廢棄物處理正確率，醫療廢棄物處理不正確可能造成人員危害、環境汙染及處理成本增加。專案病房2016～2019年感染性醫療廢棄物逐年增加，近兩年職業安全衛生室查核七次，均未通過，引發改善動機。於2019年8月21～28日稽核醫療廢棄物處理正確率僅15%，主要原因為人員對醫療廢棄物處理認知不足、廢棄物分類標示不清楚、宣導不落實、處理設備不完善及無定期稽核等。經訂定病房醫療廢棄物處理標準、改善醫療廢棄物處理設備、增加圖文標語與印文標示、製作衛教影片及單張、舉辦在職教育及每月稽核等。結果醫療廢棄物處理正確率提升至85%，且感染廢棄物每月較去年減少44.2公斤，落實正確處理。
並列摘要
Mishandling of medical wastes can cause harm to medical staff, contaminate the environment and increase management costs. The amount of biohazard wastes has progressively increased year by year from 2016 to 2019 in our specialist ward. Unfortunately, in the recent two years we failed to pass seven inspections held by occupational safety and health authorities. Retrospectively inspected during the period from August 21 to 28, 2019, the accuracy rate of medical wastes disposal was only 15%. Insufficient awareness of biohazard wastes disposal, unclear medical wastes classification and labeling, inadequate decree advocacy, insufficient management equipment and lack of regular auditing are the main reasons responsible for this. Being motivated, we decided to introduce the following new strategies to improve the correctness rate of medical wastes disposal. First of all, the standard procedures to handle biohazard wastes were reset. Regular on-the-job educational training courses were applied with clearer graphic slogans and printed labels supplemented to avoid mishandling. Additionally, the facility for medical wastes management was updated and education videos and posters were utilized as reminders to the medical staff; more importantly, a monthly audit mechanism was introduced to monitor efficacy of this improved program. Following this, the correctness rate of medical wastes disposal increased up to 85% and the amount of biohazard wastage was reduced by 44.2 kg/month as compared to the previous year. In conclusion, the correctness rate of medical wastes disposal in a specialist ward can be improved after introducing new management strategies.
參考文獻
延伸閱讀
- 郭惠貞、蔡宜蒨、陸俐君、曹英（2016）。兒科病房生物醫療廢棄物減量之改善成效。源遠護理，10(2)，39-47。https://doi.org/10.6530/YYN/2016.3.3
- 張佳雯、陳孝玲、陳秋婷、蔣玉滿、湯婉孏、唐玉香（2023）。加護病房醫療廢棄物減量之改善專案。志為護理-慈濟護理雜誌，22(2)，67-76。https://www.airitilibrary.com/Article/Detail?DocID=16831624-N202305230009-00019
- 高雅玲、高玉瑾、高淑琴、林志崑、黃協賢（2009）。有效改善環管人員對院內環境清潔與醫療廢棄物之處理。感染控制雜誌，19(1)，10-20。https://doi.org/10.6526/ICJ.200902_19(1).0002
- 陳文欽、吳南明（2011）。醫療院所含銀廢棄物：產生量與回收清理方式之調查研究。健康管理學刊，9(2)，198-208。https://doi.org/10.29805/JHM.201112.0005
- 沈明怡、張鈞竹、李夢英、林瑞香（2017）。Decreasing the Output of Biomedical Waste in the Intensive Care Unit。護理雜誌，64(5)，81-90。https://doi.org/10.6224/JN.000071