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[Radiation management for infectious waste from nuclear medicine studies].

An industrial waste management service has refused to collect medical waste from our hospital owing to radioactive contamination found in the waste in July 2000. An investigation revealed that the "three-way stopcock" and handling diapers used for radioisotope examination were the radioactive contaminants. We therefore reconsidered the system of medical waste maintenance especially for radioactive materials. Since February 2001, we have resumed radiation maintenance by following the manual for the handling diapers of patients administered radiopharmaceuticals issued by five organizations associated with JRS, JSRT, JSNM, JSNMT, and JARPM. A major change was to check the radioactive waste at the individual departments and at a centralized check system. This eliminated the problem of dumping radioactive material into medical waste as well as resolving the concerns of the industrial waste management service.

Containment of Biohazards↗

[Introduction of manual for the management radioactive medical waste].

Societies concerned with radioactive rays and nuclear medicine have recently highlighted the necessity of managing radioactive medical waste resulting from nuclear medicine examinations. We introduce a manual that we have created and explain its use in decision-making and management practices aimed at the reduction of radioactive medical waste at hospitals that have not yet solved this problem. We hope that our manual will help in reducing this medical waste.

Japan↗

Hospital waste.

Explore the source record for details and available documents.

Environmental Health↗

Choosing wound care packs: a survey.

Despite considerable advances in recent years in knowledge of the way wounds heal and how they should be managed, the author found that the contents of packs used by hospital nurses in dressing wounds reflected outmoded practices. Working with colleagues from the hospital's supplies department, and with endorsement from the local Wound Care Group, she introduced two new packs with similar qualities to practitioners in a variety of clinical areas, and sought views on their applicability. The results of her survey showed that the new packs were considered more appropriate, and offered a clinically sound and cost-effective alternative.

Bandages↗

Biological hazards.

This article outlines the biological hazards that nurses may face in their workplace. It hopes to inform nurses how they can reduce such hazards at work and contribute to a safer working environment.

Hazardous Substances↗

Sharps injury: prevention and management.

Nurses are at risk of infection through injuries caused by infected sharps and needles. The authors discuss the prevention and management of such injuries.

Accidents, Occupational↗

Standard principles for preventing and controlling infection.

Infection control is a priority for all nurses and healthcare staff. This article examines factors contributing to current healthcare-associated infection rates and outlines the main strategies for infection prevention, management and control.

Australia↗

Prevention and control of infection in non-acute healthcare settings.

This article discusses the main principles of infection prevention and control in non-acute healthcare settings. It explores the use of a set of ten tools developed by the Infection Control Nurses Association (ICNA) to audit infection prevention and control, using the standard statements and criteria within the tools as a checklist. The results of the audit of facilities, commodities and practice using the ICNA audit tools will help staff to identify areas of best practice and areas where improvements are needed to enhance patient care.

Benchmarking↗

Risk management or political micromanagement?

A major healthcare issue of the 1990s is whether providers will create effective risk management programs to cope with government reform mandates or whether an increasingly costly and complex regulatory structure will force them to make changes. Compliance with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards on patient care will become increasingly important to healthcare risk management in the 1990s. The JCAHO standards create a benchmark from which government entities set their present standards and assemble agendas for the future. Another healthcare risk management factor is compliance with the National Practitioner Data Bank. The data bank is intended to protect healthcare consumers from providers who have demonstrated a tendency to commit malpractice. However, the data bank could cause problems for healthcare providers: Inaccurate or misleading data could unfairly haunt them. Healthcare risk managers should be familiar with the prohibitions on patient dumping found in the Consolidated Omnibus Budget Reconciliation Act of 1985. The amendments of the Omnibus Budget Reconciliation Act of 1989 (OBRA '89) do not create strict liability, nor do they impose traditional tort standards that could guide courts in cases that will inevitably result from new rules, creating a "litigation time bomb." And OBRA '90 significantly revises the law. Other risk management issues include the manner in which facilities handle and dispose of medical waste and the manner in which they resolve disputes.

Accreditation↗

Keep it clean: environmental audits of home care agencies.

Many home care agencies have never considered the environmental impacts of their practice, but as federal and state agencies intensify enforcement of environmental regulations, the home care agencies that do not take heed may find themselves assessed for damages and fined, if not sanctioned. An environmental audit is one way to keep tabs on keeping things clean.

Environmental Monitoring↗