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Contents I The Status of Medical Waste in Korea II Generation to treatment of Medical Waste III RFID Medical Waste Management System I. The status of medical waste in Korea 1. Definition of medical waste Medical Waste Wastes that may threat human health caused by infection and need special treatment for human health and environmental protection such as human organs, animal bodies for clinical test, which is generated from Health and clinical organizations, animal hospitals and clinical test institutions. (by Wastes Control Act) I. The status of medical waste in Korea 2. Waste Classification system Household waste [Local Government] Hazardous waste such as Waste paint Waste oil medical waste Industrial waste (Responsibility in disposer ) General waste such as waste plastic, Waste glass, waste metal (Excepting designated wastes or construction waste) Construction waste Waste from construction such as Waste concrete Waste tile I. The status of medical waste in Korea 3. Medical Wastes Categories Separated medical wastes Separated medical wastes Medical wastes from separated patients to protect people from infectious disease Harmful medical waste Organic wastes Human or animal tissues, organs, parts of bodies, dead animal, blood, pus, materials from blood I. The status of medical waste in Korea 3. Medical Wastes Categories Organic waste (placentas, teeth) Generating sources/places(operating room, pathological anatomy, otolaryngology, dental clinics) I. The status of medical waste in Korea 3. Medical Wastes Categories Harmful medical waste Pathological wastes Culture fluids, culture fluid containers, keeping bacteria, waste test tube, slide, cover glass, waste badge, waste gloves used for test and experiment formalin, xylene waste badge I. The status of medical waste in Korea 3. Medical Wastes Categories Generating sources/places of pathological wastes (pathological anatomy, clinical laboratory, medical examination) I. The status of medical waste in Korea 3. Medical Wastes Categories Harmful medical waste Sharp material wastes Syringe needles, suturing needles, blades for operation, needles for acupuncture, dental needles, broken glass test equipments Syringe needles I. The status of medical waste in Korea 3. Medical Wastes Categories Harmful medical waste Biological & Chemical wastes Waste vaccine, waste anti-cancer medicine, waste biological treating materials I. The status of medical waste in Korea 3. Medical Wastes Categories Harmful medical waste Blood-contaminated wastes Waste blood bags, waste for blood dialysis, wastes containing much waste Blood-contaminated wastes (wastes blood from medical examination) I. The status of medical waste in Korea 3. Medical Wastes Categories General medical wastes General medical wastes Cottons, bandages, gauze, disposable diapers, sanitary towels, disposable syringes, plastic tube and needle set for Ringer solution General medical waste (plastic tubes, disposable syringes) II. Generation to Treatment of Medical Waste 1. Generators, Transporters, Treatment Facilities General hospitals(300 places) Medium and small sized clinics (60,000 places) Transporter(128 places) Truck and lorry(555 units) Disposer(14 places) Medium and small sized clinics General hospitals Target users Transporters Disposers II. Generation to Treatment of Medical Waste 2. Generation of Medical Waste Total generation Total weight of medical waste generation in 2008 : 90,817ton/year Medical waste generators General hospitals Hospitals, dental hospitals, oriental medicine hospitals, clinics Public health centers Blood management organizations Quarantine, Animal hospital Dispensary, Nursing home Experimental and research organizations for medicine Medical Universities and colleges Placenta-recycling unit Tissue bank II. From generation to Treatment of Medical Waste 3. Storage of medical waste Keeping medical waste in designated containers as soon as they generated Sealing tightly including inside pouch No reuse of containers II. From generation to Treatment of Medical Waste 3. Storage of medical waste Designated medical waste container Tested according to medical waste container regulation issued by the ministry of environment Plastic, Cardboard Placentas fo seperated m harmful med general medi r recycling edical waste green ical waste cal waste yellow black red <Symbol(colors) by the type of medical wastes> please treat this waste carefully! This can be infectious The generator Type/Quality The day generated The day collected The Collector Total weight(kg) II. From generation to Treatment of Medical Waste storage facilities, medical waste container and storage period The type of waste storage facilities The type of Designated medical waste container(color) storage period Separated medical waste Cooling equipment(organs) plastic(red) 7days Organs Cooling equipment plastic(yellow) 15days (teeth : 60days) Placentas for recycling Cooling equipment plastic(green) 15days Sharp materials Cooling equipment or storage facility plastic(yellow) 30days Pathological waste Cooling equipment or storage facility plastic, corrugated cardboard (yellow) 15days Biological and chemical waste Cooling equipment or storage facility plastic, corrugated cardboard (yellow) 15days Bloodcontaminated waste Cooling equipment or storage facility plastic, corrugated cardboard (yellow) 15days Cooling equipment or storage facility plastic, corrugated cardboard (black) 15days H ar m fu l m ed ic al w as te General medical waste II. From generation to Treatment of Medical Waste 3. Storage of medical waste storage facilities and cooling equipments Storage Disinfection more than once a week Structure that cannot be seen from outside Limitation of access by strangers Floor and inner walls : Standing heat materials such as tile and concrete Posting Cooling equipment Thermometer Temperature : -4℃ II. From generation to Treatment of Medical Waste Forms of the post Medical waste storage post ① Type of waste : ② Total weight of storage : kg ③ Period of storage : ④ Manager : ⑤ Cautions when they were treated · storage : · transportation : ⑥ place transported : Attach this post on the entrance or door of storage and cooling facilities size : over 60cm × 40cm(cooling equipment : half size) color : green line and green letters in white back ground II. From generation to Treatment of Medical Waste Medical Waste should be transported in closed designated 3. Collection and Transportation of Medical Waste container with exclusive cars Medical Waste should be transported in closed designated container with exclusive cars Medical waste transportation car equipped with cooling system and operated during driving Closed Container box - water-standing materials, thermometer, medicines and equipment for sterilization White-painted , symbol of medical waste, the name and telephone number of transporter 4. treatment of medical waste Incineration or sterilized shattering deposit waste to treatment facility : incineration only Self-treatment : Incineration or sterilized shattering III. RFID Medical Waste Management System 1. Development of Waste Management System Paper Internet RFID Paper systme Internet system 1999~2001 2002~2006 - 6 copies - Send and get waste invoice of 6 copies - low efficiency -Input waste information by internet - Lack in Real time monitoring - Mistyping RFID system 2007~ - Identity waste information - nothing to write or type - real-time monitoring of waste III. RFID Medical Waste Management System 2. Overview Concept To Control thoroughly medical waste that is harmful to human body and a big threat to secondary pollution with RFID technology RFID? (Radio Frequency Identification) RFID is high-technology that recognizes and processes information about objects at a long distance on a real time through electronic tags that attached and RFID readers. III. RFID Medical Waste Management System 3. Bar Code vs RFID ⊙ Barcode VS ⊙ RFID - Information by same items - information by each item - Scanning - identification from a long distance without scanning Barcode RFID III. RFID Medical Waste Management System 4. RFID DEVICES Tag Printer How to use - Connect Tag Printer to PC - Print tag using web program(www.allbaro.or.kr) - Print label and save waste information on the chip Users - Generators with massive waste - Tag printing unit -5- III. RFID Medical Waste Management System 4. RFID DEVICES Fixed Reader Composition - Reader - Antenna - Panel(PC, Monitor) - Electronic scale <Reader> <Antenna> Location - General hospitals (Waste storage Enterence) - Treatment Facility(Waste storage and incinerator) <Controller Panel> <Panel inside> <Electronic Scale> -6- III. RFID Medical Waste Management System 4. RFID DEVICES Portable Reader Transporters use at middle and small sized hospitals and clinics without Fixed Readers -7- III. RFID Medical Waste Management System 4. RFID DEVICES Others Certification Card : Certify waste transfer information <Certification Card> <Transporters to fixed reader> <Generators to portable reader> Tag for Truck and palette : Identifying Truck and Palette <Tag for Truck and palette> <For Truck> -8- <For palette> III. RFID Medical Waste Management System 5. Comparison of operation process Hard-copy Internet The Competent Authorities of Waste Producers Connecting Internet Generators Transporters Disposer Administration ⑤ ④ sending waste statements The Competent Authorities of waste Disposers Checking by ① hand -Difficult to gather and manage the database -Possibility of Illegal dumping and abandoned waste -complicated processes inspection inspection ② Transporters ②input Waste Transportation Details Disposer ③input Waste Acceptance Details ④Registration of Waste Treatment completion Administration Generators ①input Generated Waste Details Input Waste Disposal details • Typing mistakes • Impossible to check the whole process on a realtime basis Transporters inspection ③ Generators RFID ① Real time recognition of Generated Waste Details Transporters ② Real time recognition of Waste Tran Disposer sportation Details ③ Real time transmission of Waste Admini- Treatment Completion stration Real-Time management • Prevent the possibilities illegal processing thoroughly • convenient, fast, efficient III. RFID Medical Waste Management System 6. Work process Generator Transporter Treatment facility MOE (ENVICO) ① Transfer Large Sized - Tag print - Tag attachment ⑤ Treatment ③Generator→Transporter - Automatic transmission 감염성폐기물관리시스템 • 배출업체명 : 삼성의료원 스크린 • 폐기물종류 : 태반 • 인터넷조회 : http://www.iwms-net.or.kr -Certify waste discharge (Transporter’s ID Card) during waste treatment • Tag 발행일 : 2005/04/29 ② Storage - Weigh Waste Box/ ④ Transporter→Treatment facility RFID Tag recognition store waste - Tag recognition through reader(at treatment facility) Small ① Transfer / Waste manifest Information system ⑥ Admin office -Collect waste info. (real-time) -Error data management -Statistics analysis -Waste manifest system connection ② Storage - Attach tag to waste vessel Internet ③Generator→Transporter - recognize tags with readers Mobile Internet /CDMA -Certify waste discharge (Generator’s ID Card) - transmission to web system Internet RFID management system III. RFID Medical Waste Management System 7. Effect (Quantitative/Qualitative) Quantitative effect Reduce costs Qualitative effect The Administration $ 13.6 million / year Saved Costs Applying RFID Present Y0 Generator (6.4 mil.) Transporter (5.0 mil.) Treatment facility (2.2 mil.) RFID Project Tag requirement Prevent environmental contamination -illegal dumping, prevent secondary contamination Efficient waste monitoring and management Provide various statistical data - Provide technical/institutional background expanding RFID system and revitalization of market System user 18,300,000 / year Tag consumption Applying RFID General (10,152,000) hospital Hospital (3,495,000) Present Y0 Doctor’s office (4,653,000) RFID Project No data input - shorten work time, exact data input Automatic check of expiration date Check and Storage of waste statement is not required - Waste invoices (paper) is not required III. RFID Medical Waste Management System 8. Object of RFID System Operating waste disposal verification system Strengths Clear process Using medical waste container Operating Allbaro system waste management - Real-time monitoring Enhance efficiency of waste management - Paper work is not required Guarantee environment safety Environment administratiiveInnovation Easy to attach RFID tag Easy to apply user Expand RFID-based waste management - PCBs, hazardous waste, etc. increase RFID devices needs - Continuous tag consumption export system to countries - to Vietnam(2010-2013) other Expanding RFID system