| 英文摘要 |
This project was aimed to promote medical wastes reduction and on-site consultation. For promoting medical waste clearance and disposal management, we analyzed the medical waste treatment capacity in Taiwan, and it is sufficient now. We held on-site consultation in 20 hospitals to implement medical waste classification, storage, collated frequently asked questions and traced improvements, and refered to the user opinion, updated the medical waste management website of Environmental Protection Administration and renewed the” Handbook of Medical Waste Management”. For intensifying the treatment institutions, we held on-site consultations in 5 hospitals to evaluate the autoclaves sterilization efficacy, and all autoclaves reached the standard, two of them have adjusted operating mode. We made the instrusction film for operating and evaluating the sterilization efficacy standard operating procedure (SOP) of medical waste autoclaves, and held 2 forums for the medical waste management policy forward planning, regulations review and amendment drawing up. For promoting mercury-containing waste source reduction, we held on-site consultation in 5 hospitals to implement mercury waste legal classification, storage, and treatment, and to establish the standard operating procedure (SOP) of mercury spills. They preserve the mercury well now and will entrust the treatment institution when all medical devices change to electronic ones. We investigated the usage and cleanrance situation of 338 hospitals mercury-containing sphygmomanometers and thermometers. There are about 15,437 mercury-containing sphygmomanometers, about 27,437 mercury-containing thermometers, and about 64 kg amalgam wastes in Taiwan. The cleanrance situation included taking back by suppliers, giving Environmental Protection Bureau, entrusting the treatment institution or selling. We also used a Field Portable X-ray Fluorescent Analyzer (FP-XRF) to test 5 mercury-containing medical devices and to evaluate the feasibility for scanning mercury-containing waste. When gauging the sealed bag, the feasible deepest distance approximately was 5cm, and the method detection limit (MDL) was 5ppm, but if the value of examination was less than 5, it was need to check the spectrogram to judge whether disturbing.by the background element For evaluating the feasibility of electronic delivery manifests, the electronic delivery manifests developed by the Department of Health was still insufficient to control the waste flow, so we proposed a framework of electronic delivery manifest and regulations amendment suggestion, and tried to coordinate the electronic delivery manifest and “Industrial Waste Report and Management System”.
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