This document discusses biomedical waste management practices in hospitals. It begins by defining biomedical waste and outlining the different types of wastes generated in healthcare settings. It emphasizes the importance of proper waste segregation according to color-coded bins at the point of generation. The benefits of effective segregation include reducing waste volume requiring special handling and preventing the mixing of infectious wastes. Guidelines are provided for the collection, storage, and transportation of wastes within the hospital and to off-site treatment facilities. The roles of all healthcare workers in ensuring proper disposal practices are underlined to protect both workers and the community.
BIO-MEDICAL WASTE TREATMENT AND DISPOSAL OVERVIEW IN INDIAManoj Chaurasia
this upload on bio-medical waste treatment and disposal overview is improved version of my previous upload on the subject. The presentation highlights the bio-medical treatment status at Allahabad, India. The content is the result of my experience gained from routine inspections of various health care facilities located in Allahabad region.
The health care waste management plan of Trishuli Hospital was prepared by two program officers from Deutsche Gesellschaft fur Internationale Zusammenarbeit (GIZ) GmbH
New bio medical waste management rules 2016Gunwant Joshi
Notification of New Bio Medical Waste Management Rules 2016 by MOEF & CC in March 2016 has prompted to launch new presentation on the subject in place of earlier one.
Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
BIO-MEDICAL WASTE TREATMENT AND DISPOSAL OVERVIEW IN INDIAManoj Chaurasia
this upload on bio-medical waste treatment and disposal overview is improved version of my previous upload on the subject. The presentation highlights the bio-medical treatment status at Allahabad, India. The content is the result of my experience gained from routine inspections of various health care facilities located in Allahabad region.
The health care waste management plan of Trishuli Hospital was prepared by two program officers from Deutsche Gesellschaft fur Internationale Zusammenarbeit (GIZ) GmbH
New bio medical waste management rules 2016Gunwant Joshi
Notification of New Bio Medical Waste Management Rules 2016 by MOEF & CC in March 2016 has prompted to launch new presentation on the subject in place of earlier one.
Laundry services in hospitals –linen handling
During any given hospital stay, patients spend most, if not all, of their time in bed.
•That means they are surrounded all day with hospital linens.
•From their gown to their sheets and blankets patients have more contact with these items than anything else in the hospital.
•Adequatesupplyofcleanlinensufficientforcomfortandsafteyofpatientandpersonalappereance&pleasant,neatlyattiredemployeesattendingpatientsinfreshcrispuniformdomuchsellthehospitaltothepublic
•Thereforeitmakessensetoensurethattheyareproperlycleaned,driedandtransportedtoavoidcrosscontamination
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.
Proper management of health care waste is one of the important thing to prevent hospital related infectious disease , this slide is presented to give a highlight for health care professionals
Nursing administration is very complex and requires many problems to be faced and managed in the current day practice. An overview of the challenges in nursing administration are presented in the slides
The challenges faced by nursing administrators are many and varies. An overview of such challenges will be helpful in working towards the managerial solutions.
R3 Stem Cells and Kidney Repair A New Horizon in Nephrology.pptxR3 Stem Cell
R3 Stem Cells and Kidney Repair: A New Horizon in Nephrology" explores groundbreaking advancements in the use of R3 stem cells for kidney disease treatment. This insightful piece delves into the potential of these cells to regenerate damaged kidney tissue, offering new hope for patients and reshaping the future of nephrology.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
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.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
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
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Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Medical Technology Tackles New Health Care Demand - Research Report - March 2...
Bio Medical Waste Management
1. Biomedical Waste Management
(Segregation, Storage and Transportation)
Dr. Latha Venkatesan
Principal
Apollo college of Nursing
Chennai
Dr. Latha Venkatesan
Principal
Apollo college of Nursing
Chennai
2. Hospital Waste Or Biomedical Waste
Any waste generated during health care, diagnosis,
treatment, Immunization, research, testing or related
procedures on Human beings or animals conducted in
hospitals, clinics, Laboratories or similar establishments
Dr.Latha Venkatesan
3. Bio medical waste consists of
• Human anatomical waste like tissues, organs and body
parts
• Animal wastes generated during research from
veterinary hospitals
• Microbiology and biotechnology wastes
• Waste sharps like hypodermic needles, syringes,
scalpels and broken glass
• Discarded medicines and cytotoxic drugs
• Soiled waste such as dressing, bandages, plaster casts,
material contaminated with blood, tubes and catheters
• Liquid waste from any of the infected areas
• Incineration ash and other chemical wastes
Dr.Latha Venkatesan
4. What is the quantum of waste that is
generated by a hospital?
• The quantum of waste that is generated in India
is estimated to be 1-2 kg per bed per day in a
hospital and 600 gm per day per bed in a
general practitioner’s clinic. e.g. a 100 bedded
hospital will generate 100 – 200 kgs of hospital
waste/day.
• It is estimated that only 5 – 10% of this
comprises of hazardous/infectious waste (5 –
10kgs/day)
Dr.Latha Venkatesan
5. Waste generated in the hospital
Dr.Latha Venkatesan
Infectious waste 15%
General waste (80 – 85%)
Non infectious & Non
hazardous
Municipal disposal
General waste (80 – 85%)
Non infectious & Non
hazardous
Municipal disposal
Biomedical waste (15 – 20%)
Infectious waste – 15%
Non infectious but hazardous – 5%
Biomedical waste (15 – 20%)
Infectious waste – 15%
Non infectious but hazardous – 5%
7. Hospital waste management programme
• Identification of waste types
• Segregation of waste
• Transport & storage of waste
• Proper disposal of waste
• Implementation of contingency plans
• Identify the need for use of personal
protective equipment
Dr.Latha Venkatesan
8. Segregation
• 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.
Dr.Latha Venkatesan
10. Benefits of segregation
• Segregation reduces the amount of waste needs special
handling and treatment
• Effective segregation process prevents the mixture of
medical waste like sharps with the general municipal
waste.
• Prevents illegally reuse of certain components of medical
waste like used syringes, needles and other plastics.
• Provides an opportunity for recycling certain components
of medical waste like plastics after proper and thorough
disinfection.
Dr.Latha Venkatesan
11. • Recycled plastic material can be used for non-food
grade applications.
• Of the general waste, the biodegradable waste can be
composted within the hospital premises and can be used
for gardening purposes.
• Recycling is a good environmental practice, which can
also double as a revenue generating activity.
• Reduces the cost of treatment and disposal (80 per cent
of a hospital’s waste is general waste, which does not
require special treatment, provided it is not contaminated
with other infectious waste.
Dr.Latha Venkatesan
17. Segregation of Waste
Segregation should happen at source, with proper segregation
protocols to
– Reduce the risk of infecting workers
– Reduce costs of treatment of waste
– Reduce the risk of infecting the community at large
– Recycle waste that is non-infectious
Dr.Latha Venkatesan
18. How to Segregate ?
• The type, placement and size of the container is usually
ascertained on the waste stream in that area
• Bins should be of the same color as for segregation
• All bins must be lined with bags of same colour and
must also have the Biohazard symbol
Dr.Latha Venkatesan
19. Handling infectious waste
• Minimum handling
• Segregation should be done at source
• Transfer and repeated handling should be avoided
• Infectious waste should never be mixed with non-
infectious waste
• All bags having international bio-hazard symbol should
be tied securely and labelled
Dr.Latha Venkatesan
20. Handling waste
• When to change or remove bag from the bin
- Bags must be replaced when three fourth full or twice
a day
- In case of theatre, it may be good to replace the bag
after every procedure
- The bag must be securely tied and labelled
• Do not mix any infectious waste with non-
infectious waste
Dr.Latha Venkatesan
22. Biomedical Waste Management
1)Yellow cover in
yellow bin
2)Red cover in red bin
3)White puncture
proof container
4)Card board box
with blue marking
1)Yellow cover in
yellow bin
2)Red cover in red bin
3)White puncture
proof container
4)Card board box
with blue marking
Dr.Latha Venkatesan
27. Handling sharps
• Sharps are generated in almost all departments
– Theatres, labs, injection rooms, wards…etc
• Cause cut or puncture
• Most injuries occur between the point of use and disposal
• Segregate sharps from rest of the waste at the point of
generation
• Clipping, bending, recapping or breaking of needles must
not be practiced
Dr.Latha Venkatesan
28. DO’S
• Do minimize use of injections
• Do segregate infectious sharps waste
• Do collect in a white transparent container
• Do train & educate all categories of staff in proper
segregation & handling of waste
• Do use hub cutters & needle destroyers
• Do use authorized persons/agencies to handle/dispose
the needles
Dr.Latha Venkatesan
Handling sharps
29. Do nots
• Don’t throw sharps in the trash/ non puncture proof
containers
• Don’t recap the needle
• Don’t disconnect the needle from syringe by hand
• Don’t use open buckets for infectious waste /sharps
Dr.Latha Venkatesan
Handling sharps
30. Needle Puller Hub cutter
Point of use DevicesPoint of use Devices
Needle Pullers & Hub CutterNeedle Pullers & Hub Cutter
Dr.Latha Venkatesan
31. Portable
Dr.Latha Venkatesan
Current industry standard is
1 quart flat top….
Visibility, with clear high top… Helps
prevent overfill, helps user identify
hazards.
Functionality, with easy to use temporary
closure for security between uses.
Accommodation, with handle for safe
transport of filled collector……added
volume & height accommodates larger,
bulkier safety needle devices.
Current industry standard is
1 quart flat top….
Visibility, with clear high top… Helps
prevent overfill, helps user identify
hazards.
Functionality, with easy to use temporary
closure for security between uses.
Accommodation, with handle for safe
transport of filled collector……added
volume & height accommodates larger,
bulkier safety needle devices.
33. Liquid waste
Liquid waste should be treated with 1% sodium
hypochlorite for 30 minutes and
Should be flushed in to the sewer which goes to the
effluent treatment system (ETP)
Dr.Latha Venkatesan
35. Collection of BMW
• The collection of biomedical waste involves use
of different types of container from various
sources of biomedical wastes like Operation
Theatre, laboratory, wards, kitchen, corridor etc.
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.
Dr.Latha Venkatesan
36. Transportation within the hospital
• Containers: puncture proof, leak proof,
• Bags: sturdy, properly tied
• Transport trolleys: designated & timely
• Staff protection: provided with protective clothing and
other items
• Never put hands in a bag. Manual loading should be
avoided as far as for as possible.
• Before transporting the bag containing BMWs, it should
be accompanied with a signed document by Nurse/
Doctor mentioning date, shift, quantity and destination.
Dr.Latha Venkatesan
40. Waste storage
• Closed covered area
• Away from the normal passages
• Easily accessible for transportation
• Radioactive waste special containers/
special treatment and disposal
Dr.Latha Venkatesan
41. Dr.Latha Venkatesan
Storage
•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.
42. Dr.Latha Venkatesan
Transportation from hospital to treatment
facility
Special vehicles must be used so as to prevent access to,
and direct contact with, the waste by the transportation
operators, the scavengers and the public.
The transport containers should be properly enclosed.
The effects of traffic accidents should be considered in the
design, and the driver must be trained in the procedures he
must follow in case of an accidental spillage.
It should also be possible to wash the interior of the
containers thoroughly.
48. Shadowing
• From hospital to treatment facility
• To monitor over loading, spillage and
diversification of BMW.
Dr.Latha Venkatesan
49. FAQ
• Should we use the same colour code for bins or can we
choose?
• Each bed should have bins or common in wards?
• The bin and liner should be same colour or bin alone is
enough?
• What should be the size of the bin?
• Washing of bins
• How long we can store the BMW in wards/in central
storage area? Who will check appropriate disposal?
• Diversification during tranportation
Dr.Latha Venkatesan