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WASTE – DIPSOSAL IN HOME SETTING BY SOUTHERN HEALTH NHS FOUNDATION TRUST STAFF Waste product Infectious No known infection Classification Colour coding √ √ Cytotoxic and cytostatic drugs – HTM page 194 eg hormonal, chemo, antiviral √ √ Hazardous Yellow sharps receptacle with purple lid Denatured Controlled drugs √ √ Hazardous Blue sealed container with blue lid None known – small quantities (no more than 2-3kg per collection) Domestic Double bag and place in black bag with householders permission Infectious Orange – transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box Catheter bags – see urinary catheters Cytotoxic/Cytostatic medicine contaminated waste Yellow bag/yellow & purple stripe or yellow sharps receptacle with purple lid (liquid / medicinal waste) Colostomy bags – see stoma bags Dressings and bandages √ If there is pus, pungent smell or purulent exudate Drains containing fluid that cant be emptied eg wound, chest √ √ Infectious Drains containing fluid that can be emptied eg pleural drains √ √ Domestic R drive/control of infection/waste/waste disposal guidance 2016/community/Dec 2016 OR - Arrange collection Yellow sealed container with orange lid – transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box OR - Arrange collection Black Patient / Carer to empty prior to disposal. If unable - staff must wear PPE including eye/face protection 1 Waste product Infectious No known infection Classification Colour coding Giving set – used in chemo Giving set +/- infusion bag √ √ √ √ Hazardous Hazardous Hazardous Yellow sharps receptacle with purple lid Yellow sharps receptacle with yellow lid Glass vials (medicines) √ √ Incontinence pads* √ Known GI infection eg Salmonella, shigella, C.difficile *also applicable in TQtwentyone registered homes Yellow sharps receptacle with yellow lid Infectious Orange - transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box OR arrange collection √ Domestic* Black *If quantity exceeds 7kg in one collection arrange an offensive collection Blue sealed container with blue lid If this is not available dispose into yellow sealed container with yellow lid Yellow rigid airtight container Blue sealed container with blue lid Recycle bag if present If not use black Black Yellow rigid container with red lid Black Instiligel √ √ Non Hazardous clinical waste Maggots Medicines not in original packaging Packaging – cardboard √ √ na √ √ √ Misc Clinical waste Recycle Packaging – plastic Placentas na √ √ √ √ Domestic Anatomical Domestic PPE – gloves and aprons √ eg heavily blood soiled Waste product Infectious Sanitary waste products Sharps – contaminated with cytotoxic or cytostatic medicinal products √ R drive/control of infection/waste/waste disposal guidance 2016/community/Dec 2016 Infectious No known infection Classification Orange - transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box OR arrange collection Colour coding None known Domestic Black √ Hazardous Yellow sharps receptacle with purple lid 2 Sharps – contaminated with medicinal waste eg syringes with needles attached, ampoules √ √ Hazardous Yellow sharps receptacle with yellow lid Sharps – with no medicinal waste eg phlebotomy, scissors, cannula, scalpels √ √ Hazardous Yellow sharps receptacle with orange lid (if mixed with drugs sharps can go into yellow lidded sharps bin) √ Domestic Infectious Black Orange - If risk of infection must go into clinical waste stream √ Hazardous Specialised disposal through waste contractor √ Domestic Black with householders permission Infectious Orange - transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box Single use instruments – no risk of sharps Syphgmanometer including mercury √ Known infection or if there is pus, pungent smell or purulent exudate or contaminated with blood √ Stoma / Colostomy bags √ Known GI infection eg Salmonella, shigella, C.difficile OR arrange collection Teeth – NO amalgam √ √ Teeth – with amalgam √ √ Hazardous Amalgam waste containers Thermometers – with mercury √ √ Hazardous Specialised disposal through waste contractor Waste product Infectious No known infection Classification Colour coding Tissues (paper) √ √ Domestic Black Small bits of tissue (skin) √ √ Hazardous Orange bag - transport back to base for R drive/control of infection/waste/waste disposal guidance 2016/community/Dec 2016 Yellow sharps receptacle with yellow lid 3 disposal in UN compliant container eg Bio bin or Daniels community box OR arrange collection Urinary catheters +/- catheter bag, including supra pubic catheters - urine to be discharged to foul sewer (toilet) √ If there is frank haematuria Wipes Infectious Orange - transport back to base for disposal in UN compliant container eg Bio bin or Daniels community box OR arrange collection √ Domestic Black with householders permission √ Domestic Black with householders permission Transportation boxes: order codes for UN 3291 compliant Transportation boxes Bio Bin (www.econix.co.uk) Orange bin – 1 litre FSL690 2 litre FSL418 5 litre FSL694 Daniels Community Nursing Box (red) (www.daniels.co.uk) Order code: FSL262 All Waste Contract Queries: Tel: 023 8047 5755 or 023 8047 5735. Email: [email protected] To Arrange Home Collection: please complete the form embedded here R drive/control of infection/waste/waste disposal guidance 2016/community/Dec 2016 Home patient request form SHFT.doc 4
