兒科病房生物醫療廢棄物減量之改善成效

Reduction of Biomedical Waste in a Pediatric Ward

10.6530/YYN/2016.3.3

郭惠貞(Hui-Chen Kuo)；蔡宜蒨(I-Chien Tasi)；陸俐君(Li-Jun Land)；曹英(Ying Tsao)

生物醫療廢棄物 ； 兒科病房 ； 減量 ； Biomedical waste ； pediatric ward ； reduction

源遠護理

10卷2期（2016 / 06 / 01）

39 - 47

繁體中文

隨著醫療科學的進步，生物醫療廢棄物也逐年增多。本單位生物醫療廢棄物每月平均產量為116.4公斤，超過醫院監測閾值（≦ 82公斤），引發此專案動機。生物醫療廢棄物增量的主因包括：醫護人員及家屬認知不足、垃圾桶設置不當或垃圾桶旁的處理設備不足、靜脈輸液廢棄物處理耗時等。本專案目的在於改善廢棄物處理方法與落實分類以達成減量標準；改善措施有:舉辦在職教育；執行廢棄物分類之稽查及輔導；改善廢棄物處理設備、方法與工作動線；督導及查驗家屬正確丟棄非感染尿布。本方案執行後：生物醫療廢棄物重量由每月116.4公斤減至72公斤，處理缺失率由48.3%減至8.7%，明顯降低生物醫療廢棄物重量，並提高處理上的準確率。筆者希望藉此專案之推行經驗與報告，能提供臨床實務人員之參考。

The volume and type of biomedical waste increased as a result of advanced science and technology in recent years. In the studied pediatric ward, there was 116.4 kg of biomedical waste produced monthly, exceeding the current regulations of 82 kg or below. Survey results indicated that reasons for increased waste disposal included (1) knowledge deficit of health workers, patients and their caregivers, (2) lack of proper waste disposal methods and containers, and (3) nurses did not take time to compact IV tubing, catheters or IV bags. The quality assurance project to improve practice included specific staff in-service training, compliance checks, regular education for patients and caregivers, appropriate waste containers and additional supplies. Results from a clinical audit revealed significant reduction of biomedical waste, from 116.4kg to 72 kg. The cache miss rate reduced from 48.3% to 8.7%. This project may be used as reference to establish or enhance innovative resolutions to biomedical waste management.

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