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Healthcare Infection Healthcare Infection Society
Official Journal of the Australasian College for Infection Prevention and Control
RESEARCH ARTICLE

Healthcare waste disposal: an analysis of the effect of education on improving waste disposal

Karen Hames
+ Author Affiliations
- Author Affiliations

A Epworth HealthCare, 27 Bath Street, St Kilda, Melbourne, Vic. 3182, Australia.

B Email: ksham1@hotmail.com

Healthcare Infection 18(3) 110-114 https://doi.org/10.1071/HI12050
Submitted: 31 October 2012  Accepted: 10 January 2013   Published: 7 May 2013

Abstract

Background: Inappropriate disposal of clinical waste has a considerable environmental and financial impact. Other studies have shown substantial opportunities for improvement in healthcare waste disposal. This study aims to show these opportunities through a clinical waste audit and to gain a greater understanding into approaches required for successful waste disposal behaviour change.

Methods: A clinical waste audit was conducted in an eight-bed intensive care unit in Melbourne. A baseline audit was followed by a questionnaire and education (in-services and signage). A follow up audit was performed to analyse the effect of education.

Results: Results of the initial clinical waste audit showed 41% clinical waste, 44% general waste and 14% sharps waste. Post-education, clinical waste was slightly greater than general waste and sharps waste had markedly decreased to 3.5%, however, study limitations were present. The marked decline in sharps waste appears to mainly be due to the clarification of a misnomer regarding disposal of glass. Questionnaires showed a lack of knowledge but a desire to learn, and a preference for learning through signage and in-services.

Conclusion: The study shows that more than one in-service and increased signage is needed for successful behaviour change. This supports findings that active staff involvement is essential to achieve sustainable waste management.


References

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[2]  Department of Health, State Government of Victoria .Sustainability in healthcare: Waste management. Available from: www.health.vic.gov.au/sustainability/waste/index.htm [verified March 2013]

[3]  EPA Victoria. Industrial Waste Resource Guidelines. Clinical and Related Waste – Operational Guidance. 2009. Available from: http://epanote2.epa.vic.gov.au/epa/publications.nsf/2f1c2625731746aa4a256ce90001cbb5/a57f37169adcc407ca2576260016d346/$FILE/IWRG612.1.pdf [verified March 2013]

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[5]  W. Schwaighofer, Hospitality Services Manager, Epworth Eastern Healthcare, pers. comm. June 2012.

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