RESPONSIBLE ENTREPRENEURSHIP VISION DEVELOPMENT AND ETHICS

290 RESPONSIBLE ENTREPRENEURSHIP
3. Institutul Clinic de Urologie ºi Transplant Renal Cluj (Urology and Kidney transplantation)
4. Institutul Oncologic “Prof. Dr. I. Chiricuþã” Cluj (Oncologic institute)
5. Spitalul Clinic Judeþean de Urgenþã Timiºoara (Emergency hospital)
6. Spitalul Judeþean de Urgenþã “Sf. Pantelimon” Focºani (Emergency hospital)
7. Spitalul Clinic Judeþean de Urgenþã Târgu Mureº (Emergency hospital)
In March 2016, the Romanian Court of Accounts published the performance audit report
on the management of waste from medical activities of the Ministry of Health and subordinated
units for the period 2012-2014. The conclusion of the report was that the Ministry of
Health has not complied with the national legislation relating the waste management, by
neglecting to approve the National Strategy and the National Plan of waste resulting from
medical activities. The necessary financial resources for the management of waste arising from
medical units were not evaluated according to the real needs to dispose the medical waste
and to train the personnel involved in this activity.
In most health units the equipment never functioned, but there was, hopefully, a good example-Clinical
Emergency County Hospital Târgu-Mureº. It used treatment plant type MEDIS-
TER 160 and submitted the statements on the quantities of medical waste treated with their
own installation and operation and maintenance costs of the plant during 2012-2014.
By analysing the statements submitted by County Hospital Emergency Târgu-Mureº, it
was revealed that in the period 2012 – 2014, the quantities of medical waste treated by the
plant’s own equipment were 8460 kilograms in 2012, 8880 kg in 2013 and that 8700 kg 2014.
The annual costs arising from the use and maintenance of plant type MEDISTER 160 were
in the amount of 30.880 lei in 2012, RON 30 950 respectively in 2013 and 30.975 lei in 2014.
So, for one kg of treated waste using the own facility, Clinical Emergency County Hospital
Târgu-Mureº spent 3.65 lei / kg in 2012, 3.48 lei / kg respectively in 2013 and 3.56 lei / kg
in 2014, as shown in the table 1.
The quantity of waste treated with the own equipment and annual costs generated by using
and maintaining the equipment in the Clinical Emergency County Hospital Târgu-Mureº, in
the period 2012-2014.
Table 1
Years
Quantity of Waste (kg) treated
with Medister 160 equipment
Annual costs for using and
maintaining the equipment
(lei-Romanian currency)
Cost/kg of waste
(lei-Romanian currency/kg)
0 1 2 3=2/1
2012 8,460 30,880 3,65
2013 8,880 30,950 3,48
2014 8,700 30,975 3,56
“Prof. dr. Al. Trestioreanu” hospital in Bucharest did not use MEDISTER 160 installations.
If we take into account as cost of reference-the cost / kg waste produced by the Clinical
Emergency County Hospital Târgu-Mureº in 2012 (3.65 euro / kg waste treated) and taking
into account a quantity of 60,347 kg of waste, “Prof. dr. Al. Trestioreanu “Bucharest has paid
a unit price of 5.45 lei / kg of waste to a private company. If we compare it with the refer-