This document provides information on biomedical waste management. It defines biomedical waste and categorizes it into 8 categories according to the new rules of 2011. It discusses the importance of waste segregation by color coding and describes appropriate treatment methods for different categories of waste like incineration, autoclaving, and chemical treatment. The techniques of waste disposal and the role of nurses in ensuring proper biomedical waste management are also outlined.
THIS presentation EXPLAINS biomedical waste management IN EASY WAY
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The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
THIS presentation EXPLAINS biomedical waste management IN EASY WAY
Important links- NOTES- https://mynursingstudents.blogspot.com/
youtube channel
https://www.youtube.com/c/MYSTUDENTSU...
CHANEL PLAYLIST-
ANATOMY AND PHYSIOLOGY-https://www.youtube.com/playlist?list...
COMMUNITY HEALTH NURSING- https://www.youtube.com/playlist?list...
CHILD HEALTH NURSING- https://www.youtube.com/playlist?list...
FIRST AID- https://www.youtube.com/playlist?list...
HCM- https://www.youtube.com/playlist?list...
FUNDAMENTALS OF NURSING- https://www.youtube.com/playlist?list...
COMMUNICABLE DISEASES- https://www.youtube.com/playlist?list...
ENVIRONMENTAL HEALTH- https://www.youtube.com/playlist?list...
MSN- https://www.youtube.com/playlist?list...
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The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
Biohazardous wastes are the most promising sections to manage in the present condition.There are many rules to be folowed in disposal,transportation and treatment of biohazardous waste.
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Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
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According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
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The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
2. AIM:-
To provide knowledge regarding the bio medical waste management .
OBJECTIVES :
At the end of session students will be able:-
1) To define bio- medical waste .
2) To categorise the bio medical waste .
3) To explain about the waste segregation .
4) To understand the techniques of waste disposal .
5) To know about the treatment of bio medical waste.
3. Definition
“ Bio- medical waste means any solid and
liquid waste which is generated in the process of
healthcare, research testing or related procedure on
humans or animals conducted in hospitals,
laboratories, clinics or similar establishments.”
4. Categories of bio- medical waste
The new bio- medical waste rules 2011 has been
notified to replace the earlier rules 1998 . According to new rules ,
Eight categories of bio-medical waste have been describe instead of
Ten categories under the earlier rules 1998.
5. CATEGORIES NATURE OF BIO-MEDICAL WASTE
Categories no-1 Human anatomical waste (human tissues , organs and body parts)
Categories no -2 Animal waste ( animal tissues , organs , body parts , fluid blood and experimental animals used in
research discharge from hospitals and animal houses)
Categories no -3 Microbiology & biotechnology waste & other laboratory waste (waste from laboratory cultures , stocks or
specimens of microorganisms ,infectious agents from research )
Categories no -4 Waste sharps(needles , syringes , scalpels , blades , glass etc. which may cause puncture& cuts)
Categories no-5 Discarded medicines & cytotoxic drugs( waste comprising of outdated contaminated and discarded
medicines)
Categories no-6 Solid waste( items contaminated with blood and body fluids including cotton , dressings, linens , other
material contaminated with blood)
Categories no-7 Infectious solid waste( waste generated from disposable items other than waste sharps such as tubing ,
catheters , intravenous set etc.
Categories no-8 Chemical waste ( chemicals used in production of biologicals and chemicals used in disinfections as
insecticides etc.)
6. Waste segregation :-
This consist of placing different kind of waste in different containers or
colour coded bags at the point of generation .
It helps to reduce the bulk of infectious waste as well as treatment costs
segregation.
It helps to contain the spread of infection and reduce the chances of infection
in other health care workers.
7. Colour coding Type of containers Waste category Treatment option
Yellow Non-chlorinated plastics bags
, puncture proof container
All remove parts of the body
during operation
1,2,5,6.
Incineration
Red Plastic bags or puncture
proof container for sharps
Cotton , gauze , bandage plasters
etc.
3,4,7.
Autoclaving / chemical
treatment
Blue Non- chlorinated plastic bags
/ container
Plastic and rubber disposable
items such as Iv sets, syringe,
catheters , gloves etc.
8.
Chemical treatment
Black Non – chlorinated plastic
bags
Municipal waste Disposal in municipal
dump site.
WASTE MANAGEMENT IN HOSPITAL
8.
9.
10.
11. TREATMENT OF BIO – MEDICAL WASTE : -
• Chemical disinfection : - This infection is done for the following category of waste
such as sharp waste disposable infectious, chemical waste, plastics , infectious glassware
e.g. effective disinfectant is hypo – chloride .
• Sharp decontaminating unit : - sharp waste in a puncture proof container and filled
with hypo-chloride after 30 minutes , contains brain into puncture proof container for
transferring to shredding machines .
• Autoclave : - waste neat to be undergo auto – clave of 60 minutes waste cruising term
laboratories as cultures and sharp must be autoclave before disposal by incineration .
• Microwave : - it is special treatment to the treat most infectious waste except body
parts cyto-toxin waste etc. .
• Chemical treatment : - chemical waste must first being neutralize with appropriate free
agent then flush into sewer system .
12. Time limit for treatment : -
1)Infectious waste : - infectious waste other than sharp waste is treated
within 14 days of generation and disposed within 5 days their after .
1)Sharp waste : - sharp waste is to the treated by on slight stem
sterilization within days of syringe the sharp container ones treated to
sharp waste is placed into lock container .
13. TECHNIQUES OF WASTE DISPOSAL :-
INCINERATION :- In a specially design double chambered incinerator the waste the
waste material is burnt at a high temperature of 800 C.- 1200 C .
DEEP BURIAL : - Waste materials including sharp – edged items are put in deep
trenches & covered with lime and filled with soil .
CHEMICAL TREATMENT : - sharp items like needles , disposable plastics , infectious
glassware , blood , body fluids, etc. are first treated with a suitable disinfectant & then
autoclaved .
AUTOCLAVING : - All micro – biological waste , body fluids , blood & blood products are
autoclaved at 121 C For 30 minutes and then buried or disposed off like any ordinary waste .
14.
15. Universal precaution : -
1) Assume that all specimens / patient are potentially
infections for HIV and other blood borne pathogens .
2) All blood specimens or body fluids should be placed in a
leak proof in pervious Use personal protective equipment
handling blood and body fluid specimens .
3) Use bags for transportation to the laboratory .
4) Wear laboratory coats or gowns .
5) Never try to pipette by mouth.
16. 6) De contaminated the laboratory work surface with an
appropriate disinfectant after the spillage of blood or other
body fluids and when the procedure are completed .
7) Limit use of needles and syringe to situation for which
there are no other alternatives .
8) Biological safety hoods should be used for hospital work.
9) Sharp instrument should handle with care.
10) In case of injury immediately follow post exposure
prophylaxis (PEP) as per NACO guidelines, necessary to
medication (ART)with in 2 hours.
19. ROLE OF NURSE IN BIO MEDICAL WASTE MANAGEMENT
The nurse should be :-
• Well equipped with latest information.
• Rule, skills and practice in arranging and handling BMW.
• BMW topic add in all nursing curriculums.
• There should be continue system of BMW management by nursing
supervisor for nurses and also take initiative in hospital infection
control activity.
• Nurse expert should take initiative in BMW related Research and Audit.
• supervised and guide other health team members when doing practice
20. • vaccinating HEPATITIS ‘B’ all nursing staff and other health team
members.
• It is better to use such techniques which can prevent and minimize
waste production.
• Co-ordinating between Occupied and operator in handling of waste as
per BMW Management Rule – 2016.
• Accident Reporting :- as per BMW management Rule – 2016 in case of
any accident related to BMW, must be informed to concerning
authority.
• Maintain record and reporting.