Hospital waste management

1. Case Study : 1
BIO MEDICAL WASTE MANAGEMENT
Presented By:
Syndicate 1
Dr.Avinash-Chairman
LITTY KURIAN-Secretary

2. Problem Area
• Implementation of Bio-Waste regulation is unsatisfactory.
• poor levels of knowledge and awareness about BM waste
generation hazards.
• Needle stick Injury: Accidental Puncture of skin by a Needle
During Medical Intervention.
• Needle Destroyer Not Working
• Lack of use of Gloves/Mask in Emergency Department
• Open Bin used for sharp Disposal in ICU.
• Size of Bin Not Appropriate.
• Recapping of Needles Practiced By Nursing Staff.

3. Collection of Fact and Figure
ImplementationofBioWasteRegulationis
Unsatisfactory
• Disposal of
Waste in
improper and
indiscriminate
manner
• Lack of
Segregation
practice, Result
in Mixing
Hospital waste
PoorLevelofBioMedicalWaste
ManagementKnowledge
• Hospital Manager
/Administrative
Staff Responsible
for Implementing
Regulation
• Medical
Doctors/Nurses
/Paramedical
House Keeping
Dept/Waste
Handlers
NeedleStickInjury
• Major Cause of
Communicable
Disease
• Among
Healthcare
workers
Doctors/Nurses
are at Risk
• Recapping of
Needle
Practiced by
Nurses

4. Contd..
NeedleDestroyerNotWorking
• Engineering
Department
Informed
still No
action taken
• Proper
maintenance
and Record
Keeping Is
not
Followed
LackofUseofGlovesandMask
• Pathogen in
Infectious
waste can
enter
through
human body
through
Inhalation
• Risk of
Various
Communica
ble Disease
OpenBinUsedinICU
• Risk of
Various
Infection
• Bags were
not Labeled
when it was
three fourth
filled
• Size of Bin
were very
Small

5. • An Optimum no. of easy to
use,standard,uniform,covered,fo
ot operated bin of 4 color
Yellow,Red,Black,Blue of
appropriate size could be placed
at identified place
Containment
Of Waste
• Clinical Disinfection of waste
bin using Hypo chloride
solution should be done freq.
• Disinfection of Sharp-Before
Handling to waste Handler.
Disinfection
of Bin
Selection of Best solution with Reason

8. Action Plan and Remedial Measure
• All the Bag Should Be Labeled
• It should be securely tied when
three fourth filled
Proper
Handling of
Bin in ICU
• Plan for safe Handling and
Disposal of Needle
• Put uncapped needle in a Rigid
Tray During Procedure
• Follow safety Guideline for all
sharp
Avoid
Recapping

9. Action plan and Remedial Measure
Storage and
Transportation
•The hospital should Ensure waste is stored and transported to site
and disposed in covered Vehicle
•The waste should be Transported within 48 hours.
Gloves, Mask
Usage
•Appropriate gloves,mask,protective glasses,gown etc personal
protective measure have to be used by all categories of staff
handling Biomedical Equipment
Training
Programme
•Appropriate Biomedical Training Programme is drawn-up and is
Implemented for all the staff Handling BMW and New Employee
Must Get Training before he is Deployed on Job of Handling
BIOMEDICAL WASTE

10. Organization Structure
Waste Management
Officer(Administrative
Experience /MHA)
Safai Staff
In charge Sanitation
(Will Report to WMO)

11. Hospital waste Management
Committee
• Should Ensure Implementation of Waste
Management Plan
• Should Monitor and Control the same
• Microbiologist/Pathalogist ,Anesthetist In
charge OT and Gynecologist In charge should
Form a core Team in Planning and
Implementation of Waste Management
System.