May 17, 2020

How to Manage Hospital Waste

World Health Organization
Hospitals
Hospital Management
H
Admin
3 min
Hospital waste management is critical to patient safety and wellbeing.
According to a recent guide by the World Health Organization, the following are the specific areas to focus on when developing a management plan for you...

According to a recent guide by the World Health Organization, the following are the specific areas to focus on when developing a management plan for your hospital’s waste.

Handling 

Hospital waste handlers bear the responsibility of keeping waste tightly contained upon receipt.  Unfortunately, awareness of the need for safety and caution among staff members who routinely handle hospital waste may decrease over time, increasing the possibility for contamination or injury.  All staff members handling waste products should receive periodic reminders and refresher training that includes information on the techniques and risks associated with the handling of waste, procedures for dealing with spillages and other accidents and instructions on the use of protective clothing.  Additionally, staff should be required to demonstrate the procedure of proper waste handling to confirm their compliance.

Storage

Specific locations for temporary waste storage should be designated within the hospital.  Generally, plans for these areas are included in those for the design and construction of the facility.  The areas must be completely enclosed and separate from supply rooms and food preparation areas.  Waste must always be segregated into different fractions based on their potential hazard and disposal route.  The segregation of waste items is the responsibility of the handler.  When stored, waste should be monitored closely and removed in a timely manner. All waste containers should be clearly labeled and hazardous and non-hazardous wastes should never be mixed.

Treatment

More hospitals are turning to waste treatment as an alternative to incineration, as incineration harbors the danger of chemical exposure.  Choices of treatment technologies should be made in line with a clear knowledge of the waste to be managed and the goal to be achieved through treatment. If the technology is to be environmentally sound—a growing concern among health care providers—the waste should be able to be treated without creating other hazardous by-products.

There are five basic processes for the treatment of hazardous components in health-care waste, specifically, sharps, infectious and pathological wastes: thermal, chemical, irradiation, biological and mechanical.

Transport

Transporting hazardous medical waste should comply with national regulations, and with international agreements if wastes are shipped across an international frontier for treatment.  As with storage, hazardous and non-hazardous waste should always be transported separately.  Drivers of vehicles carrying waste should have appropriate training regarding regulations, waste classifications and risks, labeling and documentation, safe handling and emergency procedures.  Drivers should also be declared medically fit to drive vehicles and are recommended to have vaccination against tetanus and hepatitis A and B.

Disposal

Medical waste disposal firms are available to pick up waste that cannot be treated onsite.  Waste is then treated and deposited in carefully designed and protected landfills.  Additionally, mail-back disposal options exist in some areas, including the greater United States.  In mail-back biomedical waste disposal, waste is shipped through the postal service instead of being transported by private companies.  The mail-back service is limited to strict postal regulations involving collection and shipping containers that ensure safety during transport and delivery.

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Jun 13, 2021

How healthcare can safeguard itself against cyberthreats

#Cybersecurity
#cyberattacks
#digitaltransformation
#covid19
Jonathan Miles
6 min
Jonathan Miles, Head of Strategic Intelligence and Security Research at Mimecast, tells us how the healthcare sector can protect itself from attacks

One of the most fundamental lessons from the COVID crisis is that health should always be a priority.  In a similar fashion to the human body that frequently fights off viruses and foreign invaders that intend to cause it harm, the sector itself is now a prime target for another type of external threat: cyberattacks.

The figures speak for themselves: between December and January this year, hospitals in the UK were at 89% capacity, with 7,000 fewer available beds than there usually are. As the pandemic increased pressure on hospitals, clinics, and research facilities to create a treatment for patients globally, it has left the sector exposed to hackers who, like a virus, have been targeting it relentlessly and evolving their tactics. 

From patient records being held ransom, to fake emails claiming to originate from the UN WHO, the NHS, or vaccine centres, through to attacks on the cold supply chain to find out the secret formula of the COVID vaccine, the healthcare industry is facing constant cyberattacks and struggling to cope. This threat is unlikely to go away anytime soon – and as such, the industry needs to take a proactive, preventative stance to stay safe in a dynamic digital world. 

Going digital 

The responsive nature of healthcare – particularly of hospitals – means that efficiency is crucial to the industry’s standard operations. To support this, the sector has been embracing technological advancements that can improve the quality of work, enabling staff to meet pressing deadlines, and enhancing patient care. For example, the industry has been digitising records and improving its ways of working through digital means over the past few years. 

This shift is critical to offer high quality patient care; yet, it also means the sector has become more dependent on IT, which can come with a risk if cybersecurity processes employed are deemed as inadequate. 

Without the correct security measures in place, the desired efficiency gains realised, can be easily lost in a heartbeat. Simply put, an elementary glitch in the system can have a tremendous ripple effect on many areas, from accessing patient records and conducting scans, to maintaining physical security and protecting the intellectual property of experimental treatment development.

To prevent this, healthcare organisations need to ensure they’re considering cybersecurity as part of their overall digital transformation strategy – and setting the right foundations to create a culture where safety goes hand in hand with patient care. 

Strengthening defences

Before implementing cybersecurity process, healthcare organisations need to assess the potential risks they face. Depending on how much confidential data the trust has, where it is stored, who has access to it and via which means, the cybersecurity strategy and associated solutions will change. 

It’s fair to say that a medical device start-up where all employees have a corporate-sanctioned laptop and access data via a VPN will have radically different needs to a large hospital with hundreds of frontline workers connecting to the hospital’s Wi-Fi using their personal device. 

These requirements will pale by comparison to a global pharmaceutical giant with offices in multiple locations, a large R&D department researching new treatments for complex diseases and a fully integrated supply chain. Considering the existing setup and what the organisations is looking to achieve with its digital transformation strategy will therefore have an immediate impact on the cybersecurity strategy.

Despite this, there are fundamentals that any organisation should implement: 
Review and test your back-up policy to ensure it is thorough and sufficient – By checking that the organisation’s back-up is running smoothly, IT teams can limit any risks of disruption in the midst of an incident and of losing data permanently.

In our recent State of Email Security report, we found that six out of ten organisations have been victims of ransomware in 2020. As a result, afflicted organisations have lost an average of six days to downtime. One third of organisations even admitted that they failed to get their data back, despite paying the ransom. In the healthcare industry, this could mean losing valuable patient records or data related to new treatments – two areas the sector cannot afford to be cavalier about.

Conduct due diligence across the organisation’s supply chain – Healthcare organisations should review their ways of working with partners, providers and regulatory institutions they work with in order to prevent any weak link in their cybersecurity chain. Without this due diligence, organisations leave themselves exposed to the risks of third party-led incidents. 

Roll out mandatory cybersecurity awareness training - Healthcare organisations shouldn’t neglect the training and awareness of their entire staff – including frontline workers who may not access the corporate network on a regular basis. According to our State of Email Security report, only one fifth of organisations carry out ongoing cyber awareness training.

This suggests it is not widely considered as a fundamental part of most organisations cyber-resilience strategy, despite the fact many employees rely on their organisation’s corporate network to work. By providing systematic training, healthcare organisations can help workers at all levels better understand the current cyberthreats they face, how they could impact their organisation, the role they play in defending the networks, and develop consistent, good cybersecurity hygiene habits to limit the risks of incidents. 
Consider a degree of separation – Information and Operational Technology (IT and OT) networks should be separated.

Although mutually supported and reliance on each other, employees shouldn’t be accessing one via the other. This should be complemented by a considered tried and tested contingency and resiliency plan that allows crucial services to function unabated should there be a compromise. Similarly, admin terminals should not have internet access to afford a degree of hardening and protection for these critical accounts.

As the sector becomes a common target for fraudulent and malicious activity, putting cybersecurity at the core of the organisation’s operations is critical. It will help limit the risks of disruption due to cyberattacks, reduce time spent by the cybersecurity team to resolve easily avoidable errors, and ensure that institutions can deliver patient care, safe in the knowledge that their networks are safe.  

Fighting future threats

With technology continuing to change the face of healthcare, the surface area and vectors available for attacks by malicious actors is constantly increasing. With the introduction of apps, networked monitoring devices, and a need for communication, the attack vector is ever expanding, a trend that needs to be monitored and secured against.

To prevent any damage to patients, staff, or the organisation they are responsible for, healthcare leaders must put security front and centre of their digital transformation strategy. Only then can the sector harness the full benefits of technology. Doing this should include implementing cybersecurity awareness training to challenge misconceptions around security, encourage conversation, and to ensure employee knowledge of the security basics and threats faced. 

This ultimately allows healthcare organisations to do what they do best: provide the highest standard of patient care, safe in the knowledge that their operations, patients, and data are safe.

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