Guidelines for the Storage of Essential Medicines and Other Health ...

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TYPES OF WASTEDifferent types of waste that must be destroyed safely andeffectively and their methods of disposal include—Non-medical wasteGarden rubbish: Compost leaves, sticks, weeds, and trimmingsfrom shrubs and trees, if feasible. Designate a separate areafor composting.Cardboard cartons: If possible, recycle cardboard; otherwise,treat like ordinary rubbish.Ordinary rubbish: Where municipal solid waste facilitiesexist, dispose of ordinary rubbish in the municipaldump. Otherwise, burn or bury it.Human waste: Use pit latrines or other toileting facilitiesto dispose of all human waste.Health care wasteSharps waste: Single-use disposable needles, needles fromauto-disable syringes, scalpel blades, disposable trocars, sharpinstruments requiring disposal, and sharps waste fromlaboratory procedures.84
Other hazardous medical waste: Waste contaminated withblood, body f luids, human tissue; compounds such asmercury; pressurized containers; and wastes with highheavy metal content.Pharmaceuticals: Expired, damaged, or otherwise unusablemedicines and items contaminated by or containingmedicinal substances.585
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in collaboration with theWorld Heal
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ACKNOWLEDGEMENTSSincere thanks go t
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4. Setting Up Your Medical Store ..
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Daily/Weekly■ Update stock record
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Receiving andArrangingCommodities11
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RECEIVING HEALTH COMMODITIESWhen yo
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ARRANGING COMMODITIESArrange the st
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■Arrange cartons so arrows point
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Following FEFO minimizes wastage fr
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System level: Items for different l
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different class, and is not always
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FLAMMABLESSome flammable liquids co
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CORROSIVESCorrosive or oxidant subs
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30Keeping Track ofProducts in YourS
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STOCK RECORDSThe minimal informatio
Page 34 and 35: 34Stock records might also include
Page 36 and 37: Cyclic physical inventory canbe org
Page 38 and 39: % Update the stockkeeping records.
Page 40 and 41: 40Maintaining theQuality of YourPro
Page 42 and 43: Lubricated latex products- sticky p
Page 44 and 45: PREVENTING DAMAGING AND CONTAMINATI
Page 46 and 47: locally available detergents, parti
Page 48 and 49: ■■■■■Strictly prohibit sm
Page 50 and 51: Be sure medical store staff are tra
Page 52 and 53: PROTECTING AGAINST PESTSPrevention
Page 54 and 55: Strategies for specific pestsRodent
Page 56 and 57: Termites/structural pests: There ar
Page 58 and 59: 58Circulation: Use a fan to circula
Page 60 and 61: ■■Keep the storeroom well venti
Page 62 and 63: Power supplyArrange for a solar pan
Page 64 and 65: Medicines with stability problems u
Page 66 and 67: In health centers■ Lock the store
Page 69 and 70: Setting Up YourMedical Store69
Page 71 and 72: CONSTRUCTING A MEDICAL STOREWhen co
Page 73 and 74: DESIGNING A MEDICAL STOREConsider t
Page 75 and 76: Ventilation: The location and desig
Page 77 and 78: Cupboards: Provide cupboards for th
Page 79 and 80: ■■Pile empty pallets neatly and
Page 81 and 82: Waste Management81
Page 83: CONSIDERING WASTE MANAGEMENTStorage
Page 87 and 88: Medium-temperature incinerators, co
Page 89 and 90: Waste types not to be incinerated
Page 91 and 92: CATEGORY DISPOSAL METHODS COMMENTSC
Page 93 and 94: Bibliography93
Page 95: BIBLIOGRAPHYAppropriate Health Reso
Page 98 and 99: 98Annexes
Page 100 and 101: Pallets and Pallet RacksAdvance Sto
Page 102 and 103: ANNEX 2: SUGGESTED READINGMost of t
Page 104 and 105: AHRTAG. 1994. How to Manage a Healt
Page 106 and 107: Waste ManagementSafe Management of
Page 108 and 109: Requisition and Issue Voucher(trans
Page 110 and 111: ANNEX 4: MEDICINE NAMESRemember tha
Page 112 and 113: From sq. centimeters to sq. inches:
Page 114: JOHN SNOW, INC.DELIVER1616 N. FORT
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