HIC 5 Bio Medical Waste Management

posted Jan 20, 2011, 4:19 AM by Dr.Murali BK   [ updated Jan 20, 2011, 4:25 AM ]

1.   Aim:

       This policy will provide guidance to the staff for medical waste management, segregation and treatment and disposal ,based upon current best practice.

 

                                                                     

2.   Rationale:

To protect the environment.

To prevent the infections.

 

 

3.   Responsibilities of various personnel in the department

1 Doctors

2 Nurses

3 Patient assistants

4 Housekeeping staff

5 Pantry boys

6 Technicians

 

4.   Colour coding for Categories of waste

·         Yellow - Human Anatomical Waste human tissues, organs, body parts

bleeding parts, fluid, blood.

Microbiology & Biotechnology waste (wastes from laboratory cultures, stocks or specimens of micro-organisms live or attenuated vaccines,

 

·         Red-Solid Waste (Items contaminated with blood and body fluids including cotton, dressings, soiled plaster casts, line beddings, other material contaminated with blood)

 

·         Black- Discarded Medicines and Cytotoxic drugs ,wastes comprising of outdated, contaminated and discarded medicines. Chemical Waste , chemicals used in disinfect ion, as insecticides, etc

 

·         White-General waste, stationary, paper,non infectious plastic,etc.

 

·         Puncture Proof Container(PPC)- Waste Sharps (needles, syringes, scalpels blades, glass etc. that may cause puncture and cuts. This includes both used & unused sharps)

 

·         Green-Kitchen waste and food.

 

5.   Staff responsibility

       All the staff follow the colour coding systems for different wastes, ensure before discarding anything that you are using the right bin.

       The syringes should be cut and the needle should be burned before discarding.

       Training of a new staff will be responsibility of the incharge sister.

       The biomedical waste management chart should always be displayed on the wall of every nursing station.

       There should be a display on the bin also.

       The infection control nurse will supervise all the staff for following biomedical waste management policy.

       Guiding the  patient and the relatives will be duty of the ward staff.

 

 

 

 

 

 

 

 

 

Table1.                       Schedule I of the Bio- Medical Waste Rules

 

 

Option                       Treatment & Disposal                Waste Category

Cat. No. 1                  Incineration /deep burial               Human Anatomical Waste (human tissues,

                                                                                         organs, body parts)

Cat. No. 2                  Incineration /deep burial               Animal Waste Animal tissues, organs, Body

                                                                                         parts carcasses, bleeding parts, fluid, blood and

                                                                                         experimental animals used in research, waste

                                                                                         generated by veterinary hospitals/ colleges,

                                                                                         discharge from hospitals, animal houses)

Cat. No. 3                 Local autoclaving/ micro               Microbiology & Biotechnology waste (wastes

                                  waving/ incineration                      from laboratory cultures, stocks or specimens of

                                                                                         micro-organisms live or attenuated vaccines,

                                                                                         human and animal cell culture used in research

                                                                                         and infectious agents from research and industrial

                                                                                         laboratories, wastes from production of

                                                                                         biological, toxins, dishes and devices used for

                                                                                         transfer of cultures)

Cat. No. 4               Disinfections (chemical                     Waste Sharps (needles, syringes, scalpels blades,

                             treatment/autoclaving/micro              glass etc. that may cause puncture and cuts. This

                              waving and mutilation shredding      includes both used & unused sharps)

 

Cat. No. 5            Incineration / destruction                    Discarded Medicines and Cytotoxic drugs

                            & drugs disposal in                            (wastes comprising of outdated, contaminated

                            secured landfills                                   and discarded medicines)

                                

Cat. No. 6            Incineration,                                        Solid Waste (Items contaminated with blood and

                             autoclaving/micro waving                  body fluids including cotton, dressings, soiled

                                                                                         plaster casts, line beddings, other material

                                                                                         contaminated with blood)

Cat. No. 7           Disinfections by chemical                    Solid Waste (waste generated from disposable

                           treatment autoclaving/micro                  items other than the waste sharps such as tubing,

                           waving& mutilation shredding.            Catheters, intravenous sets etc.)

                          

                          

Cat. No. 8            Disinfections by                                 Liquid Waste (waste generated from laboratory

                            chemical treatment and                      & washing, cleaning , house-keeping and

                            discharge into drain                            disinfecting activities)

 

Cat. No. 9           Disposal in municipal                         Incineration Ash (ash from incineration of any

                            Landfill                                               bio-medical waste)

 

Cat. No. 10         Chemical treatment &                        Chemical Waste (chemicals used in production

                            discharge into drain for                      of biological, chemicals, used in disinfect ion, as

                            liquid & secured landfill                     insecticides, etc)

                           for solids

 

 

Treatment Options as per  Schedule 1

 

Yellow               Plastic bag                         1,2,3,6                     Incineration/deep burial

Red                    Disinfected Container      3,6,7                        Autoclaving/Micro waving/

                          / Plastic bag                                                      Chemical Treatment

Blue/ White      translucent Plastic bag/        4,7                         Autoclaving/Micro waving/

                           puncture proof container                                 chemical treatment and

                                                                                                    destruction/shredding

                        

Black                Plastic bag                        5,9,10                     (Solid) Disposal in secured landfill

 

 

 

6.   Segregation

7.   Transportation

8.    Disposal

Comments