Establish and Improve Current Waste Disposal System in NICU

Saturday, 16 November 2013

Marilyn R. Roy, MSN, RN
Neonatal Intensive Care Unit (NICU), Jersey Shore Univ. Med Center, Neptune, NJ

Learning Objective 1: The learner will be able to identify a way to improve waste disposal system in a given department

Learning Objective 2: The learner will be able to understand another possible measure to minimize nosocomial infection through better waste management system

Establish and Improve Current Waste Disposal System in NICU

Abstract

 

Background Information:

The present disposal system in Neonatal Intensive Care Unit (NICU) is centralized to a limited location. RN’s have to walk a number of steps to dispose waste materials. This can result to possible spillage of waste during transport and may lead to possible nosocomial infection in the unit.

Purpose: NICU needs bedside garbage container to improve garbage disposal system.

Methods: Pedometers were used to count the steps of 20 RNs who worked day/night (12hrs) shifts in NICU:  First group: nurses using bedside garbage can; Second group:  nurses using centralized garbage site
 Observations: First group (20 participants):  Total steps -   80,114
Second group (20 participants):  Total steps - 142,254

Cost analysis: There is minimal expense to implement the project .The cost per stainless step garbage can is only about $ 200.00 per piece. The recommended additional garbage cans that would be placed under the counter are 9. Hence, total expense is only $1,800.

RESULTS:  Installed garbage cans had improved garbage disposal system.

          Staff nurses had simplified disposal system with ease and comfort.

          This process will eventually minimize if not totally eliminate possible occurrence                      

           of nosocomial infections in NICU.

Submitted by:   Marilyn R Roy, RN, MSN
                          e-mail: marilynroy24@gmail.com
                          Jersey Shore University Medical Center