Decommissioning and Disposal of Health Facilities and Health Technology

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1. Overview - 6 -

This document outlines the policy and service context and attempts to illustrate the desired planning principles and design considerations for Decommissioning and Disposal of Healthcare Infrastructure and Health Care Technology. - Part A outlines the national and provincial service and policy context which are the basic determinants of the decommissioning principles; - Part B contains planning guidance and considerations; - Part C develops these principles into a series of departmental requirements; - Part D contains example worksheets and checklists and protocols Parts C, D and E are intended to demonstrate how the principles prescribed in Part B can be applied in worked examples. Parts C or D, if used directly, are deemed to satisfy the principles developed in Part B, but are not the only acceptable solutions. While this document outlines design requirements and acceptance criteria which have an impact on clinical services, these requirements are prescribed within the framework of the entire IUSS set of guidance documents and cannot be viewed in isolation. The following documents should be complied with, together with this document:

PART B - POLICY AND SERVICE CONTEXT - 9 -

1. Introduction - 9 -

2. Regulations, Guidelines, Standards and Definitions - 9 -

= 2.1. Standards - 9 -

2.2. Guidelines - 9 -

2.3. Acts and Regulations - 10 -

2.4. Definitions - 10 -

PART C - PLANNING FOR DECOMMISSIONING AND RETROFITTING - 11 -

1. Background - 11 -

2. Contamination Control and Risk Planning - 11 -

3. Identification and responsible disposal of hazardous and toxic materials - 16 -

3.1. Identification of Hazardous Materials - 16 -

3.2. Hazardous Decommissioning Waste Segregation - 17 -

3.3. On-site Storage of Hazardous Decommissioning Waste - 17 -

3.4. Disposal of Hazardous Waste - 18 -

4. Minimisation of waste - 18 -

4.1. The 4 R’S: - 18 -

4.2. What to Recycle - 18 -

4.3. Materials Separation - 19 -

PART D - SYSTEMS AND UNIT SPECIFIC DECOMMISIONING - 20 -

1. Radiology facilities - 20 -

1.1. Decommissioning of Radiology equipment - 20 -

2. Laboratory facilities - 22 -

3. Intensive Care Units, Operating Rooms, Nursing department and Isolation Facilities - 23 -

4. Filtration Media - 24 -

5. Wet services - 25 -

6. Information technology infrastructure - 25 -

7. General building and administration facilities - 25 -

8. Decommissioning and Disposal of Health Technology Equipment - 27 -

PART E - EXAMPLE WORKSHEETS AND CHECKLISTS AND PROTOCOLS - 30 -

1. Checklist: Infrastructure Decommissioning and Disposal - 30 -

2. Decommissioning Decision Record - 36 -

3. Material Safety Data Sheets (MSDS’s) must: - 37 -

4. TREATMENT AND DISPOSAL OF CHEMICAL WASTE - 38 -

5. Treatment and Disposal of Radioactive Waste - 40 -

6. List of Abbreviations - 43 -

7. List of Definitions - 44 -

8. References - 45 -