basics of bmw management

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2. Bio Medical Waste
Management
Dr. Thyagarajan Ravinder
Department of Microbiology
Kilpauk Medical College

3. Bio Medical Waste
 Any waste which is generated during the
diagnosis, treatment or immunization of
human beings, animals or in research
activities, production and testing of
biologicals.

4. Bio Medical Waste

5. Concern and Commitment towards
Bio Medical Waste Management
must be shown by
 Health Care Workers
 Patients
 Workers involved in Disposal of Waste
 People in the community

6. Diseases which can spread due to
improper disposal of Bio Medical Waste
 HIV/AIDS
 Hepatitis B and C
 Tuberculosis
 Hospital acquired
infections

7. Bio Medical waste Management and
Handling:
 The Government of India made it a rule in
1998. It came into force from July 1998.
 The rule is applicable across the country to
all the Health Care establishments.

8. Health care waste generation ranges
between 0.5 to 2.0 kg per bed per day

9. Waste from Hospital
Bio
Medical
Waste
15%
Infectious
waste 10%
+
Hazards
Waste 5%
85% General Waste
( Non-Infectious)

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11. Segregation at Place of Generation

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13. Segregation at Place of Generation
into colour coded bins/covers
Green-------General Waste- food items,paper covers
Blue----------- Broken Glass, Ampoules, Vials
Yellow --------Placenta, Tissues, Body parts
Black---------- Expired drugs, Cytotoxic Drugs
Red (Plastic)--- Catheters, Gloves, syringes
Red (Non-Plastic)--- Dressings, Gauze, Cotton

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15. Safe Handling of Sharps
 Wear Gloves
 Needles should never be recapped
 Use needle destroyer
 Syringes should be cut and disinfected in Twin
Bin
 Sharp Accidents to be reported if needed Post
Exposure Prophylaxis (PEP) to be taken

16. Dis-Infection of Segregated waste
 1% Sodium Hypochlorite Solution
 5% to 10% ---Blood Bags / Heavily soaked / Spills
 Twin Bin System of Disinfection

17. Transport and Effective Disposal of
Bio medical Waste
 Transported in Trolleys
 Once segregated the waste must not be mixed
 Effective Disposal by
Autoclave
Incineration
Sharp pits
Secured land fill
Deep Burial

18. Bio Medical Waste Management
 Segregation at Place of Generation
 Dis-Infection
 Transport of Bio Medical Waste
 Effective and Safe Disposal: CTF
 Incineration is banned in residential areas
Alternative Methods --- Autoclave, Hydroclave.
 Recording / Documentation.

19. Monitoring and Record Maintenance for
Bio Medical Waste
 Four types of Register
1. Register for Daily Collection at Source
2. Register for source wise collection for the
day
3. Monthly consolidated Register
4. Register for needle stick injuries

20. CTF
COMMON TREATMENT FACILITY OR
COMMON BIO-MEDICAL WASTE
TREATMENT FACILITY 
PLACE OR ESTABLISHMENT
WHERE THE BIOMEDICAL WASTE
COLLECTED FROM THE HOSPITALS IS
TREATED AND DISPOSED IN ACCORDANCE
TO THE BIO-MEDICAL WASTE RULES

21. Universal Precautions

22. Universal Precautions
 Wearing Protective Gears
 Gloves
 Mask
 Apron
 Goggles
 Proper foot wear

23. Handling of Blood Spills
 Use gloves
 Localize spill with absorbent material
 5% sodium hypochlorite--- 15 minutes
 Clean and dispose into RED (Non Plastic) Bin
 Use normal mop to clean

24. Handling Mercury Spills
 Open all the windows immediately
 Remove Jewels/watches use gloves, mask
 Spill collected with cardboard
 Aspirate with a syringe without needle
 Empty the syringe in a container with water
 Close lid tightly/ tape it
 Hand over to CTF for disposal

25. Please Follow Universal Precautions
Dr. Thyagarajan Ravinder
Dept of Microbiology
Kilpauk Medical College

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