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Waste Management Policy Waste Management Policy Post holder responsible for Policy Martin Conabeer, Facilities Operational Manager Author of Policy Martin Conabeer, Facilities Operational Manager Division responsible for Procedural Operations Support Division/Post & Waste Document Department Contact details x6069 Date of original document September 2004 Impact Assessment performed Yes/ No Health and Safety Group: 22 September Ratifying body and date ratified 2016. Version 7 (addition of links to North Devon policy): H&SG Chair approval: 9th June 2017. Review date and (frequency of further April 2021 (every 5 years) reviews) Expiry date September 2021 Date document becomes live 12 June 2017 Please specify standard/criterion numbers and tick other boxes as appropriate Monitoring Information Strategic Directions – Key Milestones Patient Experience Maintain Operational Service Delivery Assurance Framework Integrated Community Pathways Monitor/Finance/Performance Develop Acute Services Infection Control CQC Fundamental Standards, Regulations: 15 Other (please specify): HTM 07-01 Note: This policy has been assessed for any equality, diversity or human rights implications Controlled document This document has been created following the Royal Devon and Exeter NHS Foundation Trust Development, Ratification & Management of Procedural Documents Policy. It should not be altered in any way without the express permission of the author or their representative. Waste Management Policy Ratified by: Health and Safety Group Chair approval 9th June 2017 (addition of links to North Devon policy). Review date: April 2021 Page 1 of 35 Full History: Status: Final Version Date Author (Title not name) Reason September 1.0 Post and Waste Manager New policy 2004 Post and Waste Manager 2.0 January 2005 Review & minor amendments Post and Waste Manager 3.0 March 2009 Updated in line with legislation Post and Waste Manager 4.0 March 2012 Updated in line with legislation Post and Waste Manager 5.0 April 2014 Updated in line with legislation Facilities Operational 6.0 July 2016 Review & Minor amendments Manager Facilities Operational Addition of links to North Devon 7.0 February 2017 Manager Healthcare Trust waste policy Associated Trust Cleaning Policy Policies/ procedural Confidentiality Policy (this is the Information Governance Policy) documents: Control of Substances Hazardous to Health (COSHH) Policy Decontamination Policy & Procedures Disposal of Waste IT Equipment Policy Incident Reporting, Analysing, Investigating and Learning Policy Infection Prevention & Control Policy Inoculation Injury Policy Radiation Safety Policy Risk Assessment Policy and Procedure Associated Community Services procedural documents: Waste Management Policy (North Devon Healthcare Trust) Waste Management Manual (North Devon Healthcare Trust) Key Words Waste In consultation with and date: Senior Matrons- by e-mail: 25 August 2016 Matrons- by e-mail: 25 August 2016 Waste Management Group- by e-mail: 25 August 2016 Infection Prevention and Control Team - by e-mail: 25 August 2016 Divisional Directors - by e-mail: 25 August 2016 Lead Nurses - by e-mail: 25 August 2016 Head of Governance - by e-mail: 25 August 2016 Safety & Risk Manager - by e-mail: 25 August 2016 Equality & Diversity Manager - by e-mail: 25 August 2016 Governance Leads - by e-mail: 25 August 2016 Policy Expert Panel (PEP): 15 September 2016 Health and Safety Group: 22 September 2016 Health and Safety Group Chair: 09 June 2017 (approval for minor amendments) Contact for Review: Operational Support Manager W aste Management Policy Ratified by: Health and Safety Group Chair approval 9th June 2017 (addition of links to North Devon policy). Re view date: April 2021 Page 2 of 35 Executive Lead Signature: Director of Nursing and Patient Care Waste Management Policy Ratified by: Health and Safety Group Chair approval 9th June 2017 (addition of links to North Devon policy). Review date: April 2021 Page 3 of 35 CONTENTS 1. INTRODUCTION ....................................................................................................... 5 2. PURPOSE ................................................................................................................ 5 3. DEFINITIONS ........................................................................................................... 6 4. DUTIES AND RESPONSIBILITIES OF STAFF ............................................................ 7 5. AUDITS .................................................................................................................. 11 6. TRAINING .............................................................................................................. 12 7. ARCHIVING ARRANGEMENTS ............................................................................... 12 8. PROCESS FOR MONITORING COMPLIANCE WITH AND EFFECTIVENESS OF THE POLICY .................................................................................................................. 12 9. REFERENCES ........................................................................................................ 13 APPENDIX 1: WASTE STREAMS ................................................................................... 15 APPENDIX 2: PROCEDURES TO COMPLY WITH WASTE LEGISLATION ....................... 17 APPENDIX 3: WASTE HIERARCHY ............................................................................... 22 APPENDIX 4: PROCEDURES FOR REMOVING/HANDLING OF WASTE.......................... 23 APPENDIX 5: CHARTS OF COMMON TYPES OF HEALTHCARE WASTE AND RECEPTACLES ...................................................................................................... 25 APPENDIX 6: STANDARD COLOUR CODING SYSTEM ADOPTED BY THE TRUST ........ 30 APPENDIX 7: SEGREGATION FLOW CHART FOR HEALTHCARE WASTE .................... 31 APPENDIX 8: STORAGE OF WASTE ON SITE ............................................................... 32 APPENDIX 9: COMMUNICATION PLAN ......................................................................... 33 APPENDIX 10: EQUALITY IMPACT ASSESSMENT TOOL ............................................. 34 Waste Management Policy Ratified by: Health and Safety Group: 22 September 2016 Review date: April 2021 Page 4 of 35 1. INTRODUCTION 1.1 The Royal Devon and Exeter NHS Foundation Trust (hereafter referred to as the Trust) in the provision of healthcare activities and associated support functions, produces a wide and diverse range of waste. These waste streams are set out in Appendix 1 1.2 It is the legal responsibility of all employees who dispose of waste within the Trust to ensure that risks relating to that waste are minimised for staff, patients, visitors, others and the environment. 1.3 A failure to comply with this policy could result in disciplinary action being taken against an individual or individuals(s). It should also be noted that any breach of this policy could also lead to prosecution of individuals and/or the Trust which could result in substantial fines, possible imprisonment, adverse publicity and loss of reputation. For the procedure for the disposal of healthcare waste, see Appendix 2 2. PURPOSE 2.1 The Trust is committed to disposing of its waste streams in compliance with relevant legislation and good practice guidance documents. It also aims to minimise and prevent significant risks to the health and safety of its staff, patients, public, waste contractors and the environment when disposing of that waste. 2.2 This policy applies to all Trust employees and non-Trust staff. 2.3 This policy adopts the unified colour coding policy suggested within the following Guidance on the safe management of healthcare waste (DoH, 2013) in relation to clinical waste derived from medical, nursing, dental, pharmaceutical and other clinical services, and applies the principles of assessment, segregation, packaging, and the required detailed documentation including the use of European waste codes Environmental Protection Agency (2002) European Waste Catalogue and Hazardous Waste List (EWC). Environmental Protection Agency. Available at: http://www.nwcpo.ie/forms/EWC_code_book.pdf 2.4 Waste Regulations require that the Trust and individuals working for it adhere to the Waste Hierarchy as shown in Appendix 3, where possible. The Trust is committed to reducing its environmental impact and ensuring services remain financially sustainable. When considering projects and services it is essential to review the waste hierarchy and identify how it can be implemented. 2.5 Versions of the North Devon Healthcare Trust (NDHT) Waste Management Policy and NDHT Waste Management Manual can be accessed on the Trust intranet, HUB, via the following links: Waste Management Policy (North Devon Healthcare Trust [NDHT]) Waste Management Manual (North Devon Healthcare Trust [NDHT]) Waste Management Policy Ratified by: Health and Safety Group: 22 September 2016 Review date: April 2021 Page 5 of 35 3. DEFINITIONS 3.1 Clinical waste is defined in the Controlled Waste Regulations 2012 as: (a) any waste which consists wholly or partly of human or animal tissue, blood or other body fluids, excretions, drugs or other pharmaceutical products, swabs or dressings, or syringes, needles or other sharp instruments, being waste which unless rendered safe may prove hazardous to any person coming into contact with it; (b) any other waste arising from medical, nursing, dental, veterinary, pharmaceutical or similar practice, investigation, treatment, care, teaching or research, or the collection of blood for transfusion,
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