Cytotoxic waste is waste associated with cytotoxic drugs used to treat cancer and other illnesses. Healthcare workers who handle cytotoxic waste are at risk of exposure through inhalation, ingestion, skin absorption or injury. Proper protective equipment and careful handling and disposal of contaminated waste is necessary to avoid health risks like allergic reactions, organ damage or fetal loss. Nurses reported frequent adverse effects from exposure including headaches, skin reactions and respiratory issues. Strict safety protocols, adequate training and protective equipment are needed to safely manage cytotoxic waste in healthcare settings.
Medication Error are the most preventable events and Clinical Pharmacists can play a vital role in preventing them. in this presentation i have tried to provide maximum information regarding medication error in minimum slides.
India is likely to generate about 775.5 tons of medical wast per day by 2020, from the current level of 550.9 tons per day growing at CAGR about 7%.
Safe and effective management of waste is not only a legal necessity but also a social responsibility.
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
The existence of look alike and sound alike drug names is a one of the most common causes of medication error and is of concern worldwide. As more medicines and new brands are being marketed in addition to the thousands already available. Many of these medication names may look or sound alike. Thus, the potential for error due to confusing drug names is very high. According to the survey from United States Pharmacopoeia, around commonly used medications were involved in such errors. Error prone medication pairs that can easily cause confusion while prescribing, dispensing and administration/consumption were sorted out. Also real life experiences of medication errors and near misses due to error prone drug pairs were collected from the doctors and the dispensers. It is very important that we circulate the list of confusing brand names among the practicing doctors, pharmacists and also to the drug manufacturers. Preventing confusion between already marketed products typically involves collecting voluntary reports of names involved in confusion errors, posting warnings and alerts both electronically and in areas where drugs are used. The fear of malpractice lawsuits and public embarrassment has made the physicians and nurses reluctant to report medication errors. It is more important to create the open environment that encourages the reporting of errors than to develop less meaningful comparative error rates. One possible approach to improving medical error reporting systems. This type of system should also enable internal tracking, trending and comparative analyses. We need to have such system in India.
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
Medication Error are the most preventable events and Clinical Pharmacists can play a vital role in preventing them. in this presentation i have tried to provide maximum information regarding medication error in minimum slides.
India is likely to generate about 775.5 tons of medical wast per day by 2020, from the current level of 550.9 tons per day growing at CAGR about 7%.
Safe and effective management of waste is not only a legal necessity but also a social responsibility.
A short brief on 'Hospital Acquired Infections' (HAI) or 'Nosocomial Infection' (NI) for M Phil, MPH and Advance Course in Hospital Management/ Administration
The existence of look alike and sound alike drug names is a one of the most common causes of medication error and is of concern worldwide. As more medicines and new brands are being marketed in addition to the thousands already available. Many of these medication names may look or sound alike. Thus, the potential for error due to confusing drug names is very high. According to the survey from United States Pharmacopoeia, around commonly used medications were involved in such errors. Error prone medication pairs that can easily cause confusion while prescribing, dispensing and administration/consumption were sorted out. Also real life experiences of medication errors and near misses due to error prone drug pairs were collected from the doctors and the dispensers. It is very important that we circulate the list of confusing brand names among the practicing doctors, pharmacists and also to the drug manufacturers. Preventing confusion between already marketed products typically involves collecting voluntary reports of names involved in confusion errors, posting warnings and alerts both electronically and in areas where drugs are used. The fear of malpractice lawsuits and public embarrassment has made the physicians and nurses reluctant to report medication errors. It is more important to create the open environment that encourages the reporting of errors than to develop less meaningful comparative error rates. One possible approach to improving medical error reporting systems. This type of system should also enable internal tracking, trending and comparative analyses. We need to have such system in India.
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
The very first requirement in a hospital that it should do the sick no harm" - Florence Nightingale
Health care associated infections economic loss, prolonged hospital stay & adverse patient outcomes.
Infection control in critical care unitAlphyThomas9
This ppt gives adequate information regarding infection control in CCU, common infections in CCU, and the role of a critical care nurse in infection control.
Infection control in critical care unitalphyThomas7
This content gives detailed information regarding infection control in CCU, common hospital-acquired infections in CCU role of a critical care nurse in infection control
safety data sheet, an introduction to cell culture, safety equipment, safe laboratory practices, ascetic techniques, sterile work area, good personal hygiene, sterile reagents and media, sterile handling, planning of cell culture labs.
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.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
1. Associated risk in handling Cytotoxic
waste
ALBERT BLESSON.V .M.Sc(N).,MBA(Hospital Management)
Asst. Prof. MZCN-Pudukottai.
MOUNT ZION COLLEGE OF NURSING PUDUKOTTAI
2. CYTOTOXIC WASTE
• Cytotoxic waste is waste associated with cytotoxic drugs which contain
chemicals that are toxic to the cells.
• Cytotoxic drugs, which are also called antineoplastics, are usually
administered to people with cancer and diseases like multiple sclerosis
because they prevent the replication and growth of cells. Since the
abnormal cells causing these illnesses grow rapidly and uncontrollably,
aggressive medication such as cytotoxic drugs are needed to impair
and eradicate them quickly.
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
3. STUDY
• Dermal exposure has been suggested to be the main
route of exposure, measured among oncology nurses.
• oncology nurses appeared to be exposed via the skin
to cyclophosphamide during performance of their
daily duties
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
4. RISKS INVOLVED IN BEING EXPOSED TO
CYTOTOXIC WASTE
• People who work in healthcare settings are at risk of being exposed to
cytotoxic waste.
• Cytotoxic waste may be inhaled, ingested, absorbed by the skin or through
percutaneous injury.
• Patients who take cytotoxic drugs excrete bodily fluids that are contaminated
with cytotoxic waste. They must be considered contaminated for up to seven
days, and must take the highest precautions. Relatives, nurses, and caregivers
must be properly protected when handling excreta and must dispose of it
properly.
• Although they have the capacity to cure, cytotoxic drugs affect the body in
ways that cannot be controlled. They have as much capacity to destroy healthy
cells as the unhealthy ones. Because of their inability to target specific cells,
they produce a lot of side effects.
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
5. FACTORS AFFECTING ONCOLOGY NURSES’ SAFE
HANDLING PRACTICES OF CYTOTOXIC DRUGS
• safe handling awareness of cytotoxic drugs
• adequacy of equipments
• working environment
• workload
• administrative
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
6. CYTOTOXIC WASTE INCLUDE IN
Here are some examples of materials that come into contact with cytotoxic drugs
and are considered as cytotoxic waste:
• Syringes, vials, gloves, needles, respirator masks, personal clothing and
equipment, air filters
• The handling of cytotoxic drugs poses a lot of danger – from to preparation of
the drug, to the administration to the patient, to its disposal. Because of its
toxicity, cytotoxic waste must be segregated and disposed properly.
• Mixing cytotoxic waste with other wastes will render them hazardous. As such,
they must then be disposed of properly. The most acceptable and safest way to
dispose cytotoxic waste is through incineration
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
7. HOW TO HANDLE CYTOTOXIC WASTE
• The preparation of cytotoxic drugs must only be administered by trained
personnel.
• All personnel who work with cytotoxic drugs and waste must use the
proper protective clothing and gear. They should wear protective gown,
mask, head wear, gloves, shoes, and goggles.
• Clothing that is contaminated with cytotoxic waste must be placed
separately in labelled laundry bags. Those who are tasked to wash
contaminated clothing must also wear protective clothing and gear.
• Solid cytotoxic waste materials must be disposed in a double bag or in an
impenetrable container and must be labelled and incinerated.
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
8. • All waste containers must be labelled and properly sealed.
• Waste containers must be stored in a secure area and must
be maintained regularly.
• Patient waste with low cytotoxic waste content may be
disposed of in a sewage system.
• Drivers who are assigned to transport cytotoxic drugs and
waste must be informed that they are transporting
dangerous and hazardous substances.
• Procedures and specifications must be written on wastes on
how to handle and dispose of them properly.
• Cytotoxic drugs that have not been administered must be
returned to the pharmacy.
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
9. CYTOTOXIC WASTE MUST BE HANDLED WITH CARE
Cytotoxic waste, highly toxic, must be
handled with utmost care, otherwise, it can be
dangerous to those who are exposed. Here are
some of the risks if you are exposed to cytotoxic
wastes:
• allergic reactions
• risk of mutation and formation of abnormal cells
• severe soft tissue damage
• abdominal pain and liver damage
• hair loss
• possibility of foetal loss in pregnant women
• nausea and vomiting MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
10. PERCENTAGE DISTRIBUTION OF NURSES’ COMPLAINTS
REGARDING EXPOSURE TO CYTOTOXIC DRUGS (N=65)
• Redness or flushed face
• Headache
• Hair loss
• High temperature
• Nausea
• Vomiting
• Diarrhea
• Loss of weight
• Abortion
• Early birth & congenital
fetus anomalies
• Irregular menstruation
• Skin rash & Dermatitis
• Eye injury
• Sore throat
• Cough and bronchospasm.
• Difficulty breathing
• Bleeding or nasal discharge
• Frequent influenza
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
11. SAFE WORK PROCEDURE
• Identification
• Containment
• Segregation
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
12. IDENTIFICATION
• Identification of cytotoxic drug waste is essential to minimise the risk of
exposure to cytotoxic drugs and to ensure the safe and correct disposal
• All cytotoxic waste should be placed into suitable bag/bin/containers that
are appropriate labled
The following identification of cytotoxic waste is required
• Bin/container and bag are identified by color coding
• Bin/container are marked with the words cytotoxic waste clearly displayed
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
13. CONTAINMENT
Risk control measure include
• Package the waste in a hard
walled bin/container for transport
• The storage of sharp in a rigid
walled container
• Waste bin/container should be
sealed prior to collection by waste
collectors
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
14. SEGREGATION
• The point of generation
• Appropriate signage in collection and storage area
• Separation of cytotoxic drug waste from general waste
and clinical waste during internal transport and storage
reference should be made
• Should be secured
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
18. WASTE DISPOSAL TREATMENT
• Never to landfill /
dispose to sewer
• Incinerate at high temp
• Chemical degradation
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
19. PATIENT QUESTION
1. What are cytotoxic precautions?
2. How long I will be in precaution?
3. How does hazardous waste affect me and family?
4. What about my landuary?
5. What about sex?
6. Pregnancy and breastfeeding
7. How to store medication?
8. How does medication leave my body?
9. How to handle my waste?
10. How to handle the spill?
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
20. CONCLUSION
Nurses working in Oncology and the Haematology
clinical setting are exposed to hazardous cytotoxic drugs during
administering and disposing of cytotoxic contaminated used
instruments, and handling human cytotoxic waste of clients
receiving chemotherapy. The appropriate use of personal
protective equipment gear may reduce the occupational risk.
MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING
21. • TAKE-HOME MESSAGE
● The frequency of side effects reported by nurses working in
chemotherapy facilities is noticeably high.
● Headache and skin reaction were the most frequent adverse
effects reported by the nurses we studied.
● Gloves and mask were the most common protective
equipment used by our nurses.
● Air conditioner ventilation systems were widely used in all
chemotherapy facilities but they did not comply with the
standards.
● Lack of adequate training in nurses was noticeable.
● Establishment of safety regulations, health care workers
safety surveillance systems as well as continuous training
for nurses are of paramount importance.MOUNT ZION COLLEGE OF NURSING-
CYTOTOXIC WASTE HANDLING