Manual for Male Circumcision under Local Anaesthesia

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Male circumcision under local anaesthesia Version 3.1 (Dec09) SAFE DISPOSAL OF INFECTIOUS WASTE MATERIALS Waste management The purpose of waste management is to: • protect people who handle waste items from accidental injury; • prevent the spread of infection to health care workers and the local community. Tips for safe handling and disposal of infectious waste • Place all waste in plastic or galvanized metal containers, with tightly fitting colour-coded covers that differentiate infectious from non-infectious waste. • Place all disposable sharps in designated puncture-resistant containers. • Place waste containers close to where the waste is generated, in a position that is convenient for users. • Ensure that equipment used to hold and transport wastes is not used for any other purpose. • Regularly wash all waste containers with a disinfectant solution (0.5% sodium hypochlorite solution), then wash with soap, rinse with water and allow to air-dry. • When possible, use separate containers for waste that will be treated or that will be disposed of in a particular manner. In this way, workers will not have to handle and separate waste by hand. When patients are being cared for at home, contaminated waste, such as dressings and other items that may have been in contact with blood or other body fluids, can be buried in a covered pit or burned in a drum incinerator in the yard. Disposing of sharp items Disposable sharp items, such as hypodermic needles, require special handling. They are the items most likely to injure the health care workers who handle them. If these items are disposed of in a municipal landfill, they become a danger to people in the community. Step 1. Do not recap a used hypodermic needle or disassemble the needle and syringe. Step 2. Place the needle and syringe in a puncture-resistant sharps container. The opening should be large enough to allow items to be dropped through it easily, but small enough to prevent anything being removed from inside. Step 3. When the container is three-quarters full, dispose of it. Prevention of Infection Chapter 8-14
Male circumcision under local anaesthesia Version 3.1 (Dec09) When disposing of the sharps container: Step 1. Wear heavy-duty utility gloves. Step 2. Cap, plug, or tape the opening of the container tightly closed. Make sure that no sharp items are sticking out of the container. Step 3. Dispose of the sharps container by burning, encapsulating, or burying it. Step 4. Remove utility gloves. Step 5. Wash hands and dry them with a clean cloth or towel or allow to air-dry. Burning waste containers Burning destroys the waste and kills any microorganisms, and is the best method of disposing of contaminated waste. It reduces the bulk volume of waste and also ensures that items cannot be scavenged and reused. Encapsulating waste containers Encapsulation is the easiest way to safely dispose of sharps containers. When the container is three-quarters full, pour cement (mortar), plastic foam, clay or other similar material into the container until it is completely full. After the material has hardened, seal the container and dispose of it in a landfill or bury it. . Burying waste In health care facilities with limited resources, burial of waste (such as excised foreskins) near the facility may be the only practical option for waste disposal. To limit health risks and environmental pollution, some basic rules should be followed: • Restrict access to the disposal site. Build a fence around the site to keep animals and children away. • Line the burial site with a material of low permeability (e.g., clay), if available. • Select a site at least 50 meters away from any water source to prevent contamination of the water table. • Ensure that the site has proper drainage, is located downhill from any wells, is free of standing water, and is not in an area that floods. Prevention of Infection Chapter 8-15
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Manual for Male Circumcision under Local Anaesthesia

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