This document discusses procedures for managing different types of spills that may occur in a hospital setting. It addresses biological spills, which can be small spots cleaned with damp cloths or larger spills requiring protective equipment and disinfectants. Chemical spills require identifying the chemical, taking precautions, and properly disposing of contaminated materials. Radioactive spills require estimating contamination, confining the area, cleaning using absorbent materials and detergent, and reporting the spill to supervisors.

1. SPILL
MANAGEMENT
MANISH PATGIRI
MHA(SDSUV)

2. Spill
“To cause or allow (a substance) to run or fall
out of a container.”
Spills in a hospital can be:
a. Biological spill
b. Chemical spill
c. Mercury spill
d. Radioactive material spill

3. Biological spill
“Spillage of blood or body fluids.”
Type of spill :
a. Spot
b. Small spill
c. Large spill

4. Biological spill
Spot cleaning
Wipe up spot immediately with a damp
cloth, tissue or paper towel. An alcohol
wipe may also be used.
Discard contaminated materials in
yellow bag
Wash hands

5. Biological spill
Small spills (Up to 10 cm)
Wear appropriate protective clothing and gloves.
Cover the spill completely with absorbent material.
Remove the absorbent material
Clean with detergent.
Flood the area with freshly made 1:10 dilution of
sodium hypochlorite solution, and let it stand for 15-
20
minutes
Wipe up the disinfectant.
Dispose of all materials safely in accordance with
biohazard guidelines.

6. Biological spill
Large spill ( < 10 cm diameter)
Collect cleaning materials and equipment.
Wear disposable cleaning gloves, eye wear and
plastic apron
Cover area of the spill with paper towel .
Cover area of the spill with granular chlorine releasing
agent with 10000ppm available chlorine and leave for
3-10 minutes depending on manufacturer’s
instructions.
Use disposable scrapper (e.g. cardboard) to scoop up
granular disinfectant.
Discard contaminated materials in infectious waste
bag.
Wipe area with paper towel to remove any remaining
blood.
Use warm water and detergent to mop the area .
Mop with sodium hypochlorite

7. Chemical Spill
Open doors and windows for ventilation
Identify the chemical
Take necessary precaution
Use appropriate PPE
Use disposable towel to contain the spill
Dispose off in black bag
Rinse the area with plenty of water

8. Chemical spill
Store in a location inaccessible to other
persons and away from traffic
Danger symbol should be posted at the
storage location.
MSDS should be displayed
Splashing on body parts report to the
emergency room.
Staff should be trained regularly on the
hazards

9. Radioactive spill
Estimate the activity involved and the nature of the
contamination.
Confine the spill and prepare to decontaminate;
notify at once all other persons in the room and/or area;
Clear the area, and persons not involved in the spill should
leave immediately;
Close off and secure the spill area to prevent entry and
post warning signs;
Wear disposable gloves and apron and clean up the spill
using absorbent paper and place the contaminated
materials in a radioactive waste container;
Wash with an appropriate detergent and disposable towels.
Report the spill and clean up to the supervisor and to the
RSO
Record spill details and contamination monitoring details

10. Radioactive spill
Estimate the activity involved and the nature of the
contamination.
Confine the spill and prepare to decontaminate;
notify at once all other persons in the room and/or area;
Clear the area, and persons not involved in the spill should
leave immediately;
Close off and secure the spill area to prevent entry and
post warning signs;
Wear disposable gloves and apron and clean up the spill
using absorbent paper and place the contaminated
materials in a radioactive waste container;
Wash with an appropriate detergent and disposable towels.
Report the spill and clean up to the supervisor and to the
RSO
Record spill details and contamination monitoring details