MIL-HDBK-1191
unless other schedule is justified by analysis in conjunction with the
Transportation Study addressed at Section 17 of this manual.
18.3.1.4
Typical Nursing Unit Soiled Utility Room. For the general 28 to
36 bed nursing units, a typical soiled utility room will require approximately
18.6 net square meters (200 net ft) in floor area. This typical soiled
utility room is shown at Figure 18.1.
18.3.2
Waste Management Center. For hospitals, medical centers, and
other facilities generating significant volumes of RMW and/or HW, a
centralized Waste Management Center (WMC) should be provided for the facility.
The WMC is designed for bulk waste and soiled materials holding and dispatch,
and for RMW processing. Provision of a central WMC helps to ensure necessary
control over facility waste, and facilitates future changes in waste
compositions and volumes which impact space requirements. Bulk holding in the
WMC is normally provided for NRMW, RMW, RM, and soiled linen.
18.3.2.1
Holding Capacity. A minimum of three (3) days holding capacity
for all waste/soiled materials shall be provided in the WMC, to provide for
operational contingencies, such as holiday weekends. Remote facilities, or
those with special mission requirements, may require greater holding capacity.
Special requirements applicable to HW are addressed elsewhere in this manual.
18.3.2.2
Staff/Administration Space. WMC staff and administrative
facilities will be required within or proximate to the WMC.
18.3.2.3
Clean Cart Holding. Holding space shall be provided in the WMC
for clean cart holding. Space requirements will be determined in coordination
with the Transport Study, which will identify the number and frequency of use
of the various cart types. A minimum holding of one (1) hour is required for
each separate cart type.
18.3.2.4
Soiled Cart Holding and Cleaning. When in-house RMW processing is
required, space shall be provided in the WMC for soiled cart holding,
segregated from holding space for clean carts or materials. A cart cleaning
station shall also be provided at the WMC, consisting of an automated cart
washer or steam gun in a manual cart wash room.
18.3.2.5
Secured Holding. Secured holding with restricted access, designed
to meet the requirements of the Resource Conservation and Recovery Act
(reference 18a) should be provided for HW. Similarly, a separate secured
holding area should be provided for RMW.
18.3.2.6
Emergency Shower and Eyewash. An overhead shower and eye wash
station should be provided for employee use in the WMC in the event of
contamination by HW or RMW.
18.3.2.7
RMW Processing Equipment.
On-site RMW processing equipment is
normally located in the WMC.
18.3.3
Soiled Dock Design. Soiled docks shall not be used for clean
materials receiving or dispatch. The required number of soiled docks shall be
determined for each facility. However, the following minimum soiled dock
positions are required:
a)
One (1) dock position for dispatch of soiled linen, RMW (off-site
treated), RM, and HW,
b)
One (1) position for the NRMW compactor or roll-off container.
c)
One (1) position for the container for treated RMW.
d)
One (1) salvage/large item dumpster at or near the soiled dock.
18-3
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