Hosp Waste Management
Hosp Waste Management
POTENTIAL TO CONVERT
-ANONYMOUS
Biomedical waste
Definition: “waste generated during the diagnosis, treatment or
immunization of human beings or animals or in research
activities pertaining there to or in the production of testing
biologicals.”
85% • Non-hazardous
10% • Infectious
5%
• Non-infectious but
hazardous
Non-hazardous waste
Bio- Non-
degradeable biodegradeable
Kitchen
Wrappings
waste
Office
Foils
waste
Plastic
Bouquets
bags
Hazardous waste
Instruments
Potentially
Lab wastes used in patient
infectious
care
Animal
Surgical Pathological
wastes
Medical
Tumors &
procedure
limbs
specimens
Radioactive waste
• Used for:
– Analytical procedures
Toxic
Corrosive
Inflammable
Reactive
Genotoxic
Pharmaceutical waste
• Surplus stock
• Spillage or contamination
• Past Expiry date
• Do not open
• Wrap container to prevent breakage
• Place in opaque plastic container & wrap
• Duct tape to conceal
• Dispose in trash
• Chemo drugs – may require special
handling!
Persons exposed to risk
• Patients attending the health care facilities.
• Medical and paramedical personnel
• Persons involved in collecting and disposing the
waste material
• Those involved in cleaning the instruments , floor
surfaces and washing of glass wares and linen.
Waste survey
Waste segregation
Waste accumulation & storage
Waste transportation
Waste treatment
Waste disposal
Waste minimisation
Recycling
Segregation of Wastes
• KEY for the entire waste disposal process, as it
happens “at source!”
• Reduces the risks and cost of waste management.
• Small errors at this stage can create lot of
subsequent problems.
• Segregation is the responsibility of the generator
of wastes i.e. the doctor, nurse or para-medical
personnel. In reality, this job is relegated to the
sanitation staff – leading to mix-ups..
WASTE SEGREGATION
Autoclave Incineration
Microwave
CATEGORY 4
Waste sharps
Secured
Landfill
CATEGORY 6 Incineration
Soiled waste
Autoclave
Microwave
Chemical
CATEGORY 7 disinfection Microwave
Solid waste
Mutilation / shredding
Autoclave
Chemical
CATEGORY 8 treatment
Liquid waste
Discharge
Into drain
CATEGORY 9
Incineration ash
CATEGORY 10 Chemical treatment
Liquids Solids
Chemical waste
Objectives of waste management policy
1. Changing an age old “mind set” and attitude through
knowledge and training.
2. Defining the various categories of waste being
generated in the hospital.
3. Segregation and collection of various categories of
waste in separate containers, so that each category is
treated in a suitable manner to render it harmless.
4. Identifying and utilising proper “treatment
technology” depending upon the category of waste.
5. Creating a system where all categories of personnel
are not only responsible, but also accountable for
proper waste management.
6. Changing the use patterns to minimize wastes.
Data on waste surveillance
White
• Needles, sharps, blades
Sharp container
Collection of Wastes
• The containers for collection should be strategically
located at all points of generation.
• Collection should be done as per rules in colour-
coded plastic bags.
• Be vigilant - that intermixing of different categories
of waste is not done inadvertently by the patients,
attendants or visitors.
• The process of collection should be documented in a
register, the coloured polythene bags should be
replaced and the garbage bins should be cleaned
with disinfectant regularly.
Storage of Wastes
• At our Hospitals, waste is stored in the areas of generation
for an interim period varying from two to twelve hours,
after which it is transported for treatment and disposal by
the sanitation staff.
• During this period it is the responsibility of the clinical and
para-medical staff to check that there is proper segregation
and no subsequent recycling of disposables and other
items.
• Subsequently, during transportation, there is a lag period of
2 – 3 hours, during which the waste is “stored” outside the
hospital. It is the responsibility of the sanitation staff and
security staff to ensure that rag pickers and others do not
gain entry and sort the waste for “recycling.”
WASTE TRANSPORTATION
Inside Hospital on wheeled trolleys or carts or containers
Off site transportation of BMW
Transport of Wastes
• The general waste (in black polythene bags)
should be deposited at the municipal dumps,
outside the hospital.
• Any spillage or leakage should be reported to
Sanitation In-charge, and it is his/her
responsibility to get the respective
trolleys/carts cleaned and disinfected.
Role of Adminstrator
1. overall responsibility for the formulation and
implementation of guidelines for hospital waste
management.
2. ensure that waste is handled without any threat to human
health and environment.
3. responsible for applying for grant of authorisation (in Form
I) to the State Pollution Control Board.
4. responsible for submitting an annual report in Form II to
the PCB by 31st January regarding information about
categories and quantities of Bio-Medical Wastes handled
during the previous year.
5. answerable to the higher authorities in the Health &
Environment Ministry.
Our role?
1. Awareness of different categories of waste and
potential hazard
2. Waste minimization, reduction in use
3. Segregation policy
4. Proper and safe handling of sharps
5. Use of protective gear
6. Colour coding of containers
7. Appropriate treatment of waste
8. Management of spills and accidents
What’s in it for us?
"Always do the right thing. This will gratify
some people and astonish the rest" -Mark
Twain.
1. Be responsible – YOU are a LEADER!
2. Keep yourself safe.
3. Look after the safety of the people around you.
4. Make sure all personnel know & follow the
disposal policies.
5. Today’s conscious action becomes tomorrow’s
habit!
• Avoid passing sharps & recapping of needles.