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bio medical waste management

bio medical waste management

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    Bmw Bmw Presentation Transcript

    • SUBMITTED BY JYOTI RAWAT MBA FINAL YEAR ROLL NO 1212802 SUMMER TRAINING PRESENTAION ON BIOMEDICAL WASTE MANAGEMENT PRACTICES IN BLK HOSPITAL, NEW DELHI
    • HOSPITAL HISTORY • Dr. B L Kapur, an eminent Obstetrician and Gynaecologist, set up a Charitable Hospital in 1930 at Lahore. • In 1947, he moved to post-partition India and set up a Maternity Hospital at Ludhiana. • In 1956 on the invitation of the then Prime Minister, Dr. B L Kapur initiated the project for setting up a 200 bed hospital in Delhi
    • PRESENT PROFILE OF BLK
    • • B.L.K is 700 bedded hospital • 25 specialities • 150 senior specialists • 300 doctors • 600 nursing staffs. • NABH AND NABL ACCREDITATED HOSPITAL • B.L.K Hospital having first Asian USI cyber knife
    • NABH-National Accreditation Board for Hospitals & Health care Providers - is a constituent board of Quality Council of India •Accreditation benefits all stake holders •Patients are the biggest beneficiary •Accreditation results in high quality of care and patient safety. •Rights of patients are respected and protected. •Patient satisfaction is regularly evaluated.
    • Cont... • Accreditation to a health care organization stimulates continuous improvement. • It enables the organization in demonstrating commitment to quality care • Accreditation provides access to reliable and certified information on facilities, infrastructure and level of care
    • INTRODUCTION TO BIO MEDICAL WASTE •Solid / liquid waste generated during the diagnosis, testing, treatment, research or production of biological products from humans or animals (WHO) •The bio-medical waste treatment facility will have to approval of either the central pollution control board (CPCB) or the state pollution control board.
    • COLOR CODE BINS USE FOR BMW
    • CATEGORIES OF BIO- MEDICAL WASTE S.NO Waste Category Cat. No. 1 Human Anatomical Waste (human tissues, organs, body parts) Cat. No. 2 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 Microbiology & Biotechnology waste (wastes from laboratory cultures, stocks or specimens of micro-organisms live etc)
    • Cat. No. 4 Waste Sharps (needles, syringes, scalpels blades, glass etc. that may cause puncture and cuts. This includes both used & unused sharps) Cat. No. 5 Discarded Medicines and Cytotoxic drugs(wastes comprising of outdated, contaminated and discarded medicine CAT.6 Soiled Waste (contaminated with blood, plaster cast) Cat. No. 7 Solid Waste (waste generated from disposable items other than the waste sharps such as tubing, catheters, intravenous sets etc Cat. No. 8 Liquid Waste (waste generated from laboratory & washing, cleaning , house-keeping and disinfecting activities)
    • OBJECTIVES- 1. To determine the type and quantity of biomedical waste generated in hospital. 2. To find out degree of misplacement of BMW in hospital. 3. To study the disposal practices of various categories of BMW. •  
    • RESEARCH METHODOLOGY • Types of Study - Exploratory Study, as it explore the concept and administration of BMW practice in BLK. • Research Techniques - Through the Observation and structured audit sheet was used to observe and records the information on aspects of BMW.
    • SURVEY AREA OF BMW S.NO AREA/DEPARTMENT/UNIT 1 Floors (4) 2 Operation theatre (OT) 3 Out Patients Department (OPD) 4 Intensive Care Unit (ICU) 5 Emergency unit
    • CONT.. 6 Dialysis unit 7 Radiation unit 8 Laboratories 9 Pharmacy / Chemist’s dispensation unit 10 Kitchen 11 Administrative unit and central store
    • 1 ST OBJECTIVE- INTERPRETATION S.NO TYPE OF WASTE TOTAL QUANTITY OF WASTE (kg) 1 Human anatomical waste 14 kg 2 Cotton/ Gauze 352 kg 3 Glass, Plastic bottles 290 kg 4 I.V. Sets, Syringes 2603kg Total 3259 kg
    • MISPLACEMENT OF BIO MEDICAL WASTE
    • •INTERPRETATION • From graph it is observed that majority of misplacement found in the blue bins of hospital that are 45%, 40% of misplacement are found in yellow container, only 5% and 10% misplacement are found in black and white container.
    • 3. TREATMENT AND FINAL DISPOSAL Colour Coding Type of Container - Waste Category Treatment Yellow Plastic bag Cat. 1(anatomical waste), Cat. 2(animal waste), Cat. 3 (laboratory &biotechnology waste) and Cat. 6 (soiled like- contaminated with blood, plasters) Local autoclaving/ micro Waving/ incineration. Incineration/deep burial Blue Disinfected container/plastic bag Cat.7 solid ( I.V sets) Disinfections by chemical treatment Autoclaving/microwaving/ chemical treatment
    • White Plastic bag/puncture proof Cat. 4 (sharps-needles blade glass). Autoclaving/microwaving/ chemical treatment and destruction/shredding Black Plastic bag and general waste (solid),cat 8(liquid waste from housekeeping) Incineration / destruction & disposal in secured landfill. Cytotoxic Cat 5 Cytotoxic drugs(wastes comprising of outdated, contaminated and discarded medicine Incineration / destruction & drugs disposal in secured landfill
    • FINDINGS • The majority of misplacement found in the blue bins in hospital that are 45%, 40% in yellow container. • The total quantity generation of waste 3259 kg • In BLK red colour bins is not in practice
    • CONT... •Lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal. •Sometimes bins are over filled •Housekeeping staff are not using proper safety technique at the time of segregation e.g. apron, gloves mask
    • SUGGESTION • Staff awareness program should be done twice in a month. • Training should be provided to housekeeping employees for proper handling of waste & use of personal safety device. • Segregation should be done properly at the source
    • CONT.. • All hospital waste should be labelled properly indicating the nature of waste to the hospital staff and patients • Proper attention must be given by hospital staff members for correct disposal of sharp (needle) because the needle prick injury is a great problem which generates infection in human body
    • CONT.. • Collect waste when the bin is ¾ th full and avoid using common lift to move waste. • Proper segregation prevents illegally reuse of certain components of BMW. • Name of ward, date, packaging, weight and daily recording is mandatory. •
    • Let the waste of the “sick” not contaminate the lives of “The Healthy”