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#1 Posted : 28 June 2006 21:15:00(UTC)
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Posted By Anwar Afzal I understand guidelines are about to be introduced in september/October this year which will define what is hazardous waste in the healthcare, and this will include items such as nappies and pads etc. This may mean that exemption from registration to the local authority will be disgregarded and everyone who produces waste of this nature will have to register, and prepare to segregate them from each other and identify what is infectious etc. It may mean a whole new ball game. What is worse is that nurses who take away such waste may have to ensure they comply with the dangerous good carriage leglislation.
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#2 Posted : 28 June 2006 21:54:00(UTC)
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Posted By RP Dangerous Goods, does this only apply if you are transporting them in vehicles, trains and plans? rather than carrying them, uless the nurses are taking it home with them (pleasure the thought) See the FTA website for detailed information of this areas of work.
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#3 Posted : 28 June 2006 22:38:00(UTC)
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Posted By Anwar Afzal Yes nurses coming onto elderly schemes tend to take away waste including sharps etc, and therefore it may apply if on a regular basis
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#4 Posted : 29 June 2006 06:00:00(UTC)
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Posted By RP Hmmm... Use this link http://www.environment-a...nical/?version=1&lang=_e
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#5 Posted : 29 June 2006 10:59:00(UTC)
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Posted By J Knight Hi Anwar, I was at the Healthcare SG yesterday, and there was a presentation on exactly this subject. The change you talk about is new DoH/HSE/EA guidance on waste management in Healthcare which is due out in a couple of months following a second (private) round of consultation which starts today. The original document can be found in the condocs archive on this site, but it has already changed substantially following round 1 of the consultation. There will almost certainly be a new category of waste; 'offensive' waste. This will be continence pads, childrens nappies and so on. This will not be treated as hazardous waste. Segregation is coming back big style, but it will not be mandatory even in the NHS, so even less so for independent/voluntary/LA sector providers. The new guidance will also meet Standards for Better Health, and as such wil be acceptable to CHAI, so you will find pressure from CHAI to segregate if you decide not to, but to repeat mysel;f it will not be mandatory. This is how I understood the content of the presentation; more will be known once the second consultation is over, John
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#6 Posted : 29 June 2006 12:23:00(UTC)
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Posted By Anwar Afzal John That is where i got my info from so looks like we were both in Manchester yesterday. I might see this as a problem for some of my schemes but we will have to wait and see what is decided. Regards
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#7 Posted : 29 June 2006 12:27:00(UTC)
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Posted By Jim Walker My wife (district nurse)will be in raptures when I tell her about this one!
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#8 Posted : 29 June 2006 12:53:00(UTC)
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Posted By J Knight Hi Anwar, Oh, you were there! Sorry for banging on about things you already know! I have downloaded the original condoc and the responses, and am ploughing through them; hard going but interesting. We've got our purchasing organisation (contracted out but works very closely with us) talking to Cannon Hygiene to see if they have any bright ideas, I must say that at the moment I haven't. I don't knowe whether it will be worth our while segregating or not really. At one of our Neuro Care Centres we had a complex segregation scheme in place. This meant that it took ages for bags to fill, and since we were charged by the bag for collection the Care Centre manager wouldn't allow bags to be sealed until they were three quarter's full, which led to odour problems, as you might imagine. I think for us the decsion will be taken by our Head of clinical Standards and her team, with input from me, but the decision itself will need a lot of work on costs, John
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#9 Posted : 29 June 2006 13:30:00(UTC)
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Posted By Anwar Afzal Hi Again We have care homes who produce 2 large wheelie bins of yellow bag waste a week, and we also have nurses attending our elderly schemes and taking away infected dressings etc, so you can see why i am concerned especially when i look after around 200 different schemes.
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#10 Posted : 29 June 2006 14:01:00(UTC)
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Posted By J Knight Hi Anwar, If I read you right, you won't have to register if you segregate. Registration is only required if you produce more than 200Kg of hazardous waste p.a. If normal continence and sanitary waste is to be regarded as 'offensive' rather than 'hazardous' then you are unlikely to produce more than 200Kg p.a. in a LA type residential setting. Hazardous waste will apply only to things like infected wound dressings, contaminated surgical and medical appliances and the like, along with blood and so on. You will probably only produce very small quantities of the latter. If its mixed in with your 'offensive' waste then the whole lot becomes hazardous, if not then it doesn't. In any event registration isn't too onerous, as it can be done online for £18, though I appreciate that with 200 sites that's still a lot of money, or your waste transporter will do it for you; Cannon charged us £35 a shot, I believe; we had to register because our lot won't segregate, John
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#11 Posted : 29 June 2006 14:20:00(UTC)
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Posted By J Knight Hi Anwar, Re requirement to register, you need to read para 23 of the Waste (England and Wales) Regulations together with s75 of the 1990 EPA. Para 23 excludes premises in paras (a) to (e) of the EPA provided they produce less than 200Kg; paras (c) and (e) refer to residential and nursing homes/hospitals respectively. This stuff is much more complicated than HASAWA, I'll tell you, John
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#12 Posted : 29 June 2006 21:56:00(UTC)
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Posted By Anwar Afzal Thanks everyone for your feedback And no i don't feel any better after all this but more stressed out just thinking of the what if scenario. But then i look at what is reasonably practicable in the ideal world and of course the outcome is "I GIVE UP" Thanks everyone
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