Circular 31/2013/tt-Byt: Regulations On Environmental Impact Monitoring From Consultation Activities, The Hospital's Healing

Original Language Title: Thông tư 31/2013/TT-BYT: Quy định về quan trắc tác động môi trường từ hoạt động khám bệnh, chữa bệnh của bệnh viện

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CIRCULAR regulations on environmental impact monitoring from consultation activities, the healing of the hospital _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ pursuant to the law on environmental protection on November 29, 2005;
Pursuant to Decree No. 63/2012/ND-CP on August 31, 2012 of the Government functions, tasks, powers and organizational structure of the Ministry of health;
At the suggestion of the Director of environmental health management;
The Minister of Health issued a circular regulating environmental impact monitoring from consultation activities, the hospital's healing, chapter I GENERAL PROVISIONS article 1. Scope this circular regulates the content, specifications, location, methods, frequency of monitoring and reporting monitoring results of the environmental impact from consultation activities, the healing of the hospital and the Medical Center district, district, town, city in the province, central cities have beds (hereinafter referred to as the hospital).
Article 2. Explanation of terms In this circular, the terms below are interpreted as follows: 1. Monitoring environmental impacts from consultation activities, the hospital's healing is systematically tracking activity on the number, the composition, the degree of harm of solid waste, medical solid waste incinerator emissions of health , hospital medical waste (hereinafter referred to as environmental monitoring of hospitals).
2. Environmental monitoring of air environmental monitoring activities is the air outside the faculty, but located within the hospital.
Chapter II content, parameters, LOCATION and MONITORING METHOD of article 3. Observation of medical solid waste 1. Content monitoring: a) source emissions: the name and the number of emission sources;
b) components (monitoring parameters):-conventional waste;
-Hazardous medical wastes are: infectious waste, hazardous chemical waste, radioactive waste;
c) quantity:-the number of medical solid waste generated on average per day (kg/day);
-The total number of medical solid waste arising during the reporting period (kg);
-The total number of medical solid waste arising in the period reported under each component of the waste specified in point b of Paragraph 1 of this article;
d) method performs the sorting, collecting, transporting, storing, recycling and disposal, destruction of medical solid waste.
2. Points of observation: a) The departments of hospitals;
b) retention area focus of medical solid waste departments, hospital;
c) area processed solid waste, destruction of medical hospital.
Article 4. Medical wastewater monitoring 1. Content monitoring: a) source emissions: the name and the number of emission sources;
b) components (monitoring parameters): wastewater monitoring parameters of health as defined in QCVN 28:2010/BTNMT-national technical regulation on medical waste water;
c) quantity:-the amount of medical waste water generated on average a day, night (m ³/day, night);
-The total volume of waste water of health arises in the reporting period (m ³);
d) method performs the collectors and sewage treatment.
2. Points of observation: a) the area collecting focus medical sewage disposal;
b) waste water outlet area after medical treatment.
Article 5. Observation of solid waste incinerator emissions of health 1. Content monitoring: a) source emissions: the name and the number of emission sources;
b) components (monitoring parameters): the observation of solid waste incinerator emissions of health as defined in QCVN 2:2012/BTNMT-national technical regulation on medical waste incinerator;
c) method performs the processing of solid waste incinerator emissions.
2. monitoring locations: medical solid waste incinerator.
Article 6. Environmental monitoring of air 1. Components (monitoring parameters): a) The basic parameters: sulphur dioxide (SO2), carbon monoxide (CO), nitrogen dioxide (NO2);
b) toxic substances: Hydrocarbons (CnHm), ammonia (NH3), fomaldehyt (HCHO).
2. Points of observation: a) the center point of the hospital;
b) the main gate of the hospital;
the first Point and the last point c), wind direction: at location adjacent to the fence in the hospital and is located on the axis of the line through the center point hospital or equivalent.
the first Point and the last point) the direction perpendicular to the wind: at location adjacent to the fence in the hospital and is located on the axis of the line through the center point hospital or equivalent.
DD) area around where kept, waste.
Article 7. Observation methods 1. Medical solid waste: a) monitoring methods: direct observation; weight, measured quantity; collect data from the books and vouchers are concerned, the Panel, the question;
b) methods of monitoring results, assessment of medical solid waste: based on classification rules, gathering, transportation and solid waste treatment in medical regulation medical waste management attached to decision No. 43/2007/QD-BYT on November 30, 2007 by the Minister of health and circular No. 12/2009/TT-BTNMT on April 14, 2012 of the Ministry Resources and environment on the management of hazardous waste.
2. medical waste water, solid waste incinerator emissions, atmospheric environment: a) the method of determining the value of the pollution and the maximum allowed value of the parameters in the medical waste water pollution by QCVN 28:2010/BTNMT-national technical regulation on medical waste water;
b) method determines the value of the pollution and the maximum allowed value of the pollution parameters in solid waste incinerator emissions of health according to the QCVN 2:2012/BTNMT-national technical regulation on medical waste incinerator;
c) the method of determining the value of air quality parameters and limit values of the basic parameters in ambient air by QCVN 5:2009/BTNMT-national technical regulation on the quality of ambient air;
d) method of determining the value of air quality parameters and the maximum permitted concentrations of some toxic substances in ambient air by QCVN 6:2009/BTNMT-national technical regulation of some toxic substances in the air around them.
Chapter III the FREQUENCY of MONITORING RESULTS REPORTING and article 8. Frequency of monitoring 1. Observation of medical solid waste, medical waste, solid waste incinerator emissions health: perform periodic 3 (three) months.
2. Environmental monitoring: perform periodic air 6 (six) months.
Article 9. Report mode 1. Report form: a) The hospital report observation of the environment of the hospital according to the form prescribed in annex 1 attached herewith;
b) the Department of health of the province of the central cities, (hereinafter referred to as the Department) report the results of general environmental monitoring of hospitals in the province according to the form prescribed in Appendix 2 attached to this circular;
c) body of medical clues of the aggregate industry, reported the results of environmental monitoring of hospitals under the Ministry, the management according to the form prescribed in Appendix 3 attached to this circular.
2. The sequence and time reports: a) The hospital submitted a report before November 1st 7 times of the year and the previous 2 times report October 1 of next year under the following rules:-The State's Hospital managed under the authority of the Department of health, private hospitals closed in the province reported the results of environmental monitoring Library of the Department of health;
-The hospital affiliated to the Ministry of Health reported the results of environmental monitoring of the environmental management Bureau, Department of health;
-The hospital directly, send report results environmental monitoring of the hospital about the Agency of the Ministry of health focal point, management;
b) The Department of health, the health of the clue about the ministries submit general reports results environmental monitoring hospital times 1 on 20 July of the previous year and the previous 2 times reports July 20, 1 of the next year of the environmental health administration The Ministry of health.
Chapter IV IMPLEMENTATION article 10. The responsibility of the Bureau of environmental health management 1. Steer, guide, inspect, summarizing the profile, the implementation of this circular.
2. General results reporting environmental monitoring hospitals all over the country to the Health Ministry report.
Article 11. The responsibility of the Institute of medicine, and sanitation workers, Nha Trang Pasteur Institute, Institute of hygiene and public health-Ho Chi Minh City Institute of hygiene and epidemiology West Resources 1. Coordinate inspection activities in environmental monitoring at the hospital, the Health Ministry's Hospital and other hospitals when required by the competent authority.
2. Perform environmental monitoring of the hospital as defined in Decree No. 27/2013/NĐ-CP on 29 March 2013 of the Government Organization's conditions of activities or environmental monitoring service at the request of the competent authority.
Article 12. The responsibility of the Department of health 1. Management, direction, guidance, check the perform environmental monitoring hospitals across the province.
2. Report results environmental monitoring local hospitals as specified in article 9 of this circular.
Article 13. The responsibilities of the Agency's health focal ministries 1. Check out active surveillance, environmental monitoring at the hospital by the Ministry, hospital management.
2. Report the results of environmental monitoring of the hospital as defined in article 9 of this circular.
Article 14. The responsibility of the hospital. Construction plan and implement environmental monitoring of hospitals under the provisions of this circular.
2. Report the results of environmental monitoring of the hospital as defined in article 9 of this circular.
3. Implementation of the remedy when the results of environmental monitoring of hospitals do not meet the requirements.
4. In addition to the implementation of the provisions on reporting results of environmental monitoring of hospitals in this circular, the hospitals have to prepare environmental monitoring reports periodically in accordance with the current legislation.
Chapter V ENFORCEMENT PROVISIONS article 15. The terms of reference of cases the text referenced in this text are replaced or modified, supplemented the following replacement text or text was amended and supplemented.
Article 16. Effective enforcement of this circular in force from December 1, 2013.
Article 17. Responsible for the implementation of the environmental management Bureau of health has the responsibility to host, in cooperation with the relevant units of the Organization instructions, directing, inspecting the implementation of this circular.

In the process if there are difficulties, obstacles and suggest the bodies, timely organization reflecting on the Ministry of health (environmental health administration) to research, resolve./.