Table 4 Scores according to the criteria of the quality components of effluent management
Criteria | CNHU-HKM | CHU-MEL | HIA-CHU | CHUZ-SL | |
|---|---|---|---|---|---|
ES | OS | OS | OS | OS | |
« Structure » Component | |||||
Human resources | 5 | 1 | 1 | 0 | 1 |
Training on biomedical waste management | 1 | 0 | 1 | 0 | 1 |
Continuing education in the management of liquid biomedical waste | 1 | 0 | 0 | 0 | 0 |
Knowledge of the liquid biomedical waste management process | 1 | 0 | 0 | 0 | 0 |
Knowledge of the causes of mismanagement | 1 | 0 | 0 | 0 | 0 |
Knowledge of the risks generated by hospital effluents | 1 | 1 | 0 | 0 | 0 |
Political / institutional organization | 11 | 6 | 2 | 2 | 2 |
Existence of a Nosocomial Infections Control Committee (CLIN) | 1 | 1 | 0 | 0 | 0 |
Existence of hospital hygiene teams | 1 | 1 | 0 | 0 | 0 |
Functionality of CLIN | 1 | 1 | 0 | 0 | 0 |
Involvement of the CLIN in the management of effluents | 1 | 0 | 0 | 0 | 0 |
Existence of effluent management protocols | 1 | 1 | 0 | 0 | 0 |
Existence of activity reports on effluent management | 1 | 0 | 0 | 0 | 0 |
Existence of a monitoring plan for effluent management activities | 1 | 0 | 0 | 0 | 0 |
Involvement of the hygiene department in the management of effluents | 1 | 1 | 1 | 1 | 1 |
Existence of a maintenance plan for the WWTP and septic tanks | 1 | 0 | 0 | 0 | 0 |
Designation of an effluent management manager | 1 | 1 | 1 | 1 | 1 |
Existence of budget for wastewater management | 1 | 0 | 0 | 0 | 0 |
Material resources | 5 | 4 | 3 | 3 | 3 |
Availability of personal protective equipment (PPE) | 1 | 1 | 1 | 1 | 1 |
Availability of washbasins | 1 | 1 | 1 | 1 | 1 |
Availability of sump | 1 | 1 | 1 | 1 | 1 |
Availability of infectious liquid waste collection containers | 1 | 0 | 0 | 0 | 0 |
Availability of disinfectants | 1 | 1 | 1 | 1 | 1 |
“Process” component | |||||
Service level management | 9 | 3 | 3 | 4 | 3 |
Sorting of effluents before pretreatment | 1 | 0 | 0 | 1 | 0 |
Effluent pretreatment | 1 | 0 | 0 | 0 | 0 |
Knowledge of the disinfectant used for pretreatment | 1 | 1 | 1 | 1 | 1 |
Knowledge of the concentration of disinfectant used | 1 | 0 | 0 | 0 | 0 |
Daily use of disinfectants | 1 | 1 | 1 | 1 | 1 |
Respect of the contact time (at least 15 min) | 1 | 0 | 0 | 0 | 0 |
Wearing personal protective equipment | 1 | 1 | 1 | 1 | 1 |
Display of effluent management protocols | 1 | 0 | 0 | 0 | 0 |
Display of effluent disinfection protocol | 1 | 0 | 0 | 0 | 0 |
Management of WWTPs and Septic tanks (FS) | 7 | 2 | 2 | 1 | 1 |
Effluent treatment frequency | 1 | 0 | 0 | 0 | 0 |
Quality control of effluents | 1 | 1 | 1 | 0 | 0 |
Quality control frequency | 1 | 1 | 0 | 0 | 0 |
Control of the functioning of WWTPs and FS | 1 | 0 | 0 | 0 | 0 |
Disposal of sludge from WWTP / FS | 1 | 0 | 0 | 0 | 0 |
FS 1 oil change frequency | 1 | – | 1 | 1 | 1 |
Maintenance and renewal of FS / STEP 1 treatment product | 1 | 0 | 0 | 0 | 0 |
“Result” Component | |||||
Physico-chemical characteristics | 8 | 2 | 2 | 2 | 3 |
Hydrogen potential [6-9] | 1 | 1 | 1 | 1 | 1 |
Temperature < 30 | 1 | 1 | 1 | 1 | 1 |
Suspended Materials ≤35 * | 1 | 0 | 0 | 0 | 0 |
Dissolved oxygen> 5 mg / L | 1 | 0 | 0 | 0 | 0 |
Chemical O2 Demand (COD) < 125 * | 1 | 0 | 0 | 0 | 1 |
Biochemical O2 demand (BOD5) < 25 * | 1 | 0 | 0 | 0 | 0 |
Total phosphorus < 10 | 1 | 0 | 0 | 0 | 0 |
Ammonium < 0.2 mg / L | 1 | 0 | 0 | 0 | 0 |
Bacteriological characteristics | 1 | 0 | 0 | 0 | 0 |
Faecal coliforms ≤2.103 | 1 | 0 | 0 | 0 | 0 |
Toxicological characteristics | 2 | 2 | 2 | 2 | 2 |
Cadmium < 1 mg / L | 1 | 1 | 1 | 1 | 1 |
Lead < 1 mg / L | 1 | 1 | 1 | 1 | 1 |
Quality of management of university hospital effluents | |||||
TOTAL | 48 | 20 | 15 | 14 | 14 |