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Bio Medical Waste Management Presentation 2016

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Bio-Medical Waste Managment in regards with New "BIO-MEDICAL WASTE MANAGEMENT RULES 2016"

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Bio Medical Waste Management Presentation 2016

  1. 1. BIOMEDICAL WASTE (BMW) MANAGEMENT Prepared By Prashant Fulluke Elixir Consultancy Services Mob: 9881381700 prashantfulluke@gmail.com
  2. 2. WHAT IS BMW ?  It is defined as “any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or research activities pertaining thereto or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to BMW rules 2016”  “Any solid and/or liquid waste including its container and any intermediate product, which is generated during the diagnosis, treatment or immunization of human beings or animals”. 2 BiomedicalWaste(BMW)Management
  3. 3.  Bio-Medical Waste generated by  Hospitals  Nursing Homes  Clinics  Dispensaries  Veterinary Institutes/Animal Houses  Pathological Laboratories  Blood Banks/Blood Donation Camps  Ayush Hospitals  Clinical Establishment  Research/Educational Institute/Research Labs  Health Camps  Medical or Surgical Camps  Vaccination Camps  Blood Donation Camps  First Aid Rooms of Schools  Forensic Laboratories 3 WHO GENERATES BMW ? BiomedicalWaste(BMW)Management
  4. 4. 4 Bio- Medical Waste 75-85% Non- infectious 10-15% Infectious 5-10% Hazardous BMW CHARACTERIZATION BiomedicalWaste(BMW)Management
  5. 5. Non-Hazardous Waste Bio- degradabl e Non bio- degradabl e Potentially Infectious Waste Dressings, swabs, laboratory wastes, instrument s used in patient care.. Potentially Toxic Waste Radioactive Chemical Pharmaceutical 5 CLASSIFICATION OF BMW BiomedicalWaste(BMW)Management
  6. 6. 6 CATEGORIES OF PERSONS EXPOSED TO RISK OF INFECTION BiomedicalWaste(BMW)Management
  7. 7. Risk of HIV & HBV Nosociomial infections Others.. 7 HEALTH HAZARDS BiomedicalWaste(BMW)Management
  8. 8. By ingestion (contaminated unwashed hands, contaminated food stuffs, water etc) Intact or non intact skin, mucous membranes Inhalation of dust particles containing germs 8 ROUTES OF TRANSMISSION BiomedicalWaste(BMW)Management
  9. 9. 11/9/2016 9 BiomedicalWaste(BMW)Management
  10. 10. Medical, Paramedical & Sanitation staff should be vaccinated against Hepatitis B Using heavy duty gloves especially while dealing with infectious wastes Recapping needles should be discouraged. In case, if unavoidable single handed method should be used Segregation of Biomedical Waste & Safe disposal. All necessary compliance in accordance with BMW (Management) Rules 2016 to avoid unwanted occurrence. 10 PRECAUTIONS BiomedicalWaste(BMW)Management
  11. 11.  The Air (Prevention and Control of Pollution) Act, 1981  The Water (Prevention and Control of Pollution) Act, 1974  The Environment (Protection) Act, 1986  The Hazardous Waste (Management & Handling) Rules, 2016  The National Environmental Tribunal Act, 1995  The Biomedical Waste (Management) Rules, 2016  The Municipal Solid Waste (Management & Handling) Rules, 2000  The E-Waste (Management) Rules, 2016 11 ENVIRONMENT LEGISLATION BiomedicalWaste(BMW)Management
  12. 12. 12 KEY FEATURES OF BMW (M) RULES, 2016  The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity.  Occupier shall take all necessary steps to ensure that bio-medical waste is handled without any adverse effect to human health and the environment and in accordance with these rules.  Make a provision within the premises for a safe, ventilated and secured location for storage of segregated biomedical waste in colored bags or containers in the manner as specified.  Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years.  Pretreatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization onsite in the manner as prescribed by WHO or NACO.  Do not give treated bio-medical waste with municipal solid waste  Conduct health check up at the time of induction, provide training to all its health care workers and immunize all health workers at the time of induction and thereafter at least once every year.  Report major accidents. Cont…… BiomedicalWaste(BMW)Management
  13. 13. 13  The details of training programmes conducted, number of personnel trained and number of personnel not undergone any training shall be provided in the Annual Report.  Ensure occupational safety of all its health care workers and others involved in handling of biomedical waste by providing appropriate and adequate personal protective equipments.  Establish a Bar Code System for bags or containers containing biomedical waste for disposal.  Untreated human anatomical waste, animal anatomical waste, soiled waste and, biotechnology waste shall not be stored beyond a period of forty – eight hours:  Existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Furans within two years.  Ensure segregation of liquid chemical waste at source and ensure pre- treatment or neutralization prior to mixing with other effluent generated from health care facilities.  Biomedical waste has been classified in to 4 categories instead 10 to improve the segregation of waste at source. Cont…… BiomedicalWaste(BMW)Management KEY FEATURES OF BMW (M) RULES, 2016
  14. 14. 14  Procedure to get authorization simplified. Automatic authorization for bedded hospitals. The validity of authorization synchronized with validity of consent orders for Bedded HCFs. One time Authorization for Non-bedded HCFs;  Operator of a common biomedical waste treatment and disposal facility to ensure the timely collection of biomedical waste from the HCFs and assist the HCFs in conduct of training.  Maintain and update on day to day basis the bio-medical waste management register and display the monthly record on its website according to the bio-medical waste generated in terms of category and colour coding as specified.  Establish a system to review and monitor the activities related to bio- medical waste management by forming a committee & maintain the record.  Every occupier or operator of common bio-medical waste treatment facility shall submit an annual report to the prescribed authority in Form-IV, on or before the 30th June of every year.  Occupier shall make available the annual report on its web-site and all the health care facilities shall make own website within two years. BiomedicalWaste(BMW)Management KEY FEATURES OF BMW (M) RULES, 2016
  15. 15. 15 COLOR CODE TYPE OF BAG/ CONTAINER TYPE OF WASTE TREATMENT OPTIONS Yellow Yellow coloured non-chlorinated plastic bags (a) Human Anatomical Waste Incineration or Plasma Pyrolysis or deep burial (b)Animal Anatomical Waste (c) Soiled Waste: (d) Expired or Discarded Medicines: Returned back to the manufacturer or supplier for incineration (e) Chemical Waste Disposed of by incineration or Plasma Pyrolysis or Encapsulation Separate collection system leading to effluent treatment system (f) Chemical Liquid Waste Chemical liquid waste shall be pre-treated before mixing with other wastewater Non-chlorinated yellow plastic bags or suitable packing material (g) Discarded linen, mattresses, beddings contaminated with blood or body fluid. Non- chlorinated chemical disinfection followed by incineration or Plazma Pyrolysis or for energy recovery Autoclave safe plastic bags or containers (h) Microbiology, Biotechnology and other clinical laboratory waste: Pre-treat to sterilize with nonchlorinated chemicals on-site CATEGORIES OF BMW BiomedicalWaste(BMW)Management
  16. 16. 16 CATEGORIES OF BMW COLOR CODE TYPE OF BAG/ CONTAINER TYPE OF WASTE TREATMENT OPTIONS Red Red coloured non-chlorinated plastic bags or containers Contaminated Waste (Recyclable) Autoclaving or micro-waving/ hydroclaving followed by shredding or mutilation or combination of sterilization and shredding. Treated waste to be sent to registered or authorized recyclers White (Translucent) Puncture proof, Leak proof, tamper proof containers Waste sharps including Metals: Autoclaving or Dry Heat Sterilization followed by shredding Blue Cardboard boxes with blue colored marking (a) Glassware Disinfection and then sent for recycling.(b) Metallic Body Implants BiomedicalWaste(BMW)Management
  17. 17. 17 STEPS FOR EFFECTIVE BMW MANAGEMENT BiomedicalWaste(BMW)Management
  18. 18. 18 WASTE SURVEY Waste survey is an important component of the waste management scheme. A survey helps in evaluation both the type and quantity of waste generated in hospitals. Aims: • Differentiate the types of waste • Quantify the waste generated • Determine the points of generation & type of waste generated at each point • Determine the level of generation & disinfection within the hospital • To find out the type of disposal carried out BiomedicalWaste(BMW)Management
  19. 19. 19  Segregation refers to the basic separation of different categories of waste generated at source and thereby reducing the risks as well as cost of handling and disposal.  Segregation is the most crucial step in bio-medical waste management. Effective segregation alone can ensure effective bio-medical waste management.  The BMWs must be segregated in accordance to guidelines laid down under schedule 1 of BMW Rules, 2016. SEGREGATION BiomedicalWaste(BMW)Management
  20. 20. 20 •The collection of biomedical waste involves use of different types of container . • The containers/ bins should be placed in such a way that 100 % collection is achieved. • Sharps must always be kept in puncture-proof containers to avoid injuries and infection to the workers handling them. COLLECTION BiomedicalWaste(BMW)Management
  21. 21. 21 Once collection occurs then biomedical waste is stored in a proper place. Segregated wastes of different categories need to be collected in identifiable containers. The duration of storage should not exceed for 8-10 hrs in big hospitals (more than 250 bedded) and 24 hrs in nursing homes. Each container may be clearly labelled to show the ward or room where it is kept. The reason for this labelling is that it may be necessary to trace the waste back to its source. Besides this, storage area should be marked with a caution sign. STORAGE BiomedicalWaste(BMW)Management
  22. 22. 22 TRANSPORT Final Transport of BMW must be to CBMWTSDF only in authorized vehicle with appropriate documentation for further record. BiomedicalWaste(BMW)Management
  23. 23. 23 BiomedicalWaste(BMW)Management RECORD KEEPING  MPCB Consent & Authorization.  Formation of Committee to Establish a system to review and monitor the activities related to bio-medical waste management & maintain the record.  Documents of Tie-up with CBMWTSDF to safe dispose of BMW.  Record of Pretreatment of BMW & Trade Effluent.  Records of Training, Health Check up.  Record of BMW generation & disposal through CBMWTSDF.  Annual Report. LABEL FOR BIO_MEDICAL WASTE CONTAINERS or BAGS
  24. 24. 24 BMW TREATMENT
  25. 25. 25 BiomedicalWaste(BMW)Management DUTIES OF HCF’S / COMPLIANCE  To obtain MPCB Consent & Authorization for it’s activity.  To take all necessary steps to ensure the appropriate handling of BMW as per the guidelines of BMW (M) Rules, 2016.  To make all the provisions of safe segregation, pre-treatment, storage & transport to CBMWTSDF.  Pre-treatment of BMW.  Phase out the chlorinated bags, gloves & blood bags.  Not to give any BMW to Municipal solid waste unless the solid waste other than BMW.  Provide the training to all health care workers, staff at the time of Induction & thereafter once in year & maintain the record of the same.  Immunize all its health care workers and others time to time & maintain the record.  Establish a Bar- Code System for bags or containers containing bio-medical waste Cont…. It shall be the duty of every Occupier………
  26. 26. 26 BiomedicalWaste(BMW)Management DUTIES OF HCF’S / COMPLIANCE  Ensure segregation of liquid chemical waste at source and ensure pre-treatment or neutralization.  Ensure treatment and disposal of liquid waste before mixing with sewage water.  Ensure complete treatment of sewage waste water & chlorination before discharge to drain.  Ensure occupational safety of all its staff & monitor the same time to time.  Conduct health check up at the time of induction and at least once in a year for all its health care workers and maintain the records.  Maintain and update on day to day basis the bio-medical waste management register and display the monthly record on its website.  Report major accidents.  Prepare the Annual report for the Period of January to December & submit the same till 30th June.  Make available the annual report on its web-site.  Form a committee to establish a system to review and monitor the activities related to bio-medical waste management & maintain the record. It shall be the duty of every Occupier………
  27. 27. 27 BiomedicalWaste(BMW)Management OUR HELPING HAND  Consultancy services to obtain MPCB Consent & Authorization.  Preparation & Submission of Annual Report.  Plant installation for pre-treatment/treatment of waste water (ETP), full- fledge treatment of sewage waste water (STP).  Consultancy services/Annual Contract to  Pre-treatment of BMW  Formation of committee & BMW management  Implementation of Bar code system.  Systematic procedure for Segregation, storage & final disposal of BMW.  Training to Health work  Record keeping of Training, Health check up, Immunization of Health Care workers & staff, BMW generation & disposal, occupational safety.  Report major accidents. Services offer by us………
  28. 28. Concluding….  It is just not the law abide compliance but the SOCIAL RESPONSIBILITY of every Health Care Establishment to say… NO TO HAZARD OF BIOMEDICAL WASTE  It will only take..  Proper planning.  Spread Awareness.  Involvement everyone.  Segregation, Pre-treatment at first stage.  Appropriate Storage  Timely Disposal.  All Records… And………………………….. ALL CLEAN. 28 BiomedicalWaste(BMW)Management
  29. 29. 29 BiomedicalWaste(BMW)Management

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