6. Content:
Definition of Waste management
Definition of Hospital waste
Purposes of waste management
Types of biomedical waste
Benefits from waste management
Color coding of containers
Approach of hospital waste management
Medical waste treatment and disposal
Roles and responsibilities
Summarization
References
7. DEFINITION
• The generation , prevention, characterization,
monitoring, treatment, handling, reuse and
residual disposition of solid waste.
8. HOSPITAL WASTE
• According to WHO, Medical waste is the waste
generated by health care activities that includes a broad
range of materials , from used needles and syringes to
soiled dressings, body parts , diagnostic samples , blood
, chemicals , pharmaceuticals , medical devices and
radioactive materials.
• 75 to 90% are non infectious
• 10 to 20% are infectious
• In 2000, WHO estimated contaminated injection with
contaminated syringe caused 21million Hep.B infection,2
million Hep. C infection and 260,000 HIV infection.
10. Purpose of waste management
• To prevent of waste material being created.
• To prevent the injuries from sharps that may lead to infection to all
categories of hospital personnel and waste handler.
• To prevent the nosocomial infection.
• To prevent cross infection.
• To avoid the risk associated with hazards chemicals, drugs to
personnel handling waste at all level.
• To minimize the risk of air, water and soil pollution directly due to
waste or due to defective incineration emission and ash.
• To reduce waste.
• To encourage consumers to avoid using disposable product.
29. • General waste:
The safe disposal of this waste is
responsible of the local authority.
• Biomedical waste:
30. - Autoclaving:
Autoclaves are closed chambers that apply
both heat and pressure over a period of time
to sterilize medical equipment. It is typically
used sharps waste and certain other types
like waste from laboratory dishes and
devices.
31. - Deep burial :
Human anatomical waste like human
tissues, organs, body parts, placenta etc.
are deep buried in cities.
32. - Shredding:
The plastic waste, sharp waste should be
shredding but only after chemical treatment
/Autoclaving etc.
33. - Chemical treatment:
Chemical treatment is designed to
decontaminate or deactivate certain wastes
on site rather than packaging and sending
them to a separate facility.
34. - Incineration:
Incineration is method by which a high
temperature dry oxidation process that
reduces organic and combustible waste to
organic in combustible matter and results it
in a very significant reduction of waste
volume and weight.
35. - Land Disposal :
Land disposal is typically used for shredded,
treated and decontaminated waste.
36. - Inertization:
It means mixing water with cement and
other substances before disposal in order to
minimize the risk to toxic substance
contained
• In the waste such as 65% pharmaceutical
waste,15% lime, 15% cement and 5%
water .
38. Roles and responsibilities
Head of hospital:
o Formalizes a waste management team and work with
them to formulate a plan and policy, allocate financial
budget and manpower.
o Training conducted to all staff.
o Vaccinate worker against tetanus and hepatitis B.
o Provide PPE and instruction regarding their use.
o Supervision , monitoring & implementation of action plan.
o Annual reports, accident reports , as required submitted
to concern authority.
39. Roles and responsibilities
Nurse and other staff:
o Monitoring and supervising new staff.
o Collect waste when bin id 3/4th full and untreated
biomedical waste shall not be kept beyond 48 hours.
o Transport waste when visitor flow is minimum.
o Written instruction should be provided regarding color
coding and procedure to be adopted in event of spillage
and accident.
o Proper use of mask and PPE.
o Display bio-hazardous symbol in containers.