Bio medical waste management

1. BIO
MEDICAL
WASTE
MANAGEMENT
By Dr. J.M.Bebortha(SDMO),
Sub Divisional Hospital,Chatrapur,Ganjam

2. PHYSICIAN
ADD YEARS TO LIFE &
ADD LIFE TO YEARS
OF THE PATIENTS

3. DOCTORS -- SAVIOURS OF MANKIND
HOSPITALS – TEMPLES OF HEALING
MEDICAL PROFESSION -- NOBLE

4. DOCTORS ARE GUIDED BY ETHICS
BUT GOVERNED BY LAW

5. ACCOUNTABLE TO THE PATIENT
ANSWERABLE TO THE COMMUNITY

6. NOSO COMIAL INFECTIONS
HOSPITAL ACQUIRED INFECTIONS

7. PROPER DISPOSAL
OF HOSPITAL WASTE
– SOCIAL RESPONSIBILITY

8. POLLUTION CONTROL BOARD
HOSPITAL as INDUSTRY
TIIC
LOAN

9. HOSPITALS
CLASSIFIED UNDER
OBNOXIOUS & HAZARDOUS INDUSTRY


10. CATEGORY
HOSPITALS, Mines, Cements, Fertilizers &
Chemicals, Distilleries, Tanneries
Hotels, Cinema Theatre, Lime Kilns,
Stone Crushing unit
NIL – No toxic substance, No effluent, No
fugitive emissions, No use of fuel

11. HON’BLE SUPREME COURT OF INDIA
Writ Petition No 888 of 1996
Public Interest Litigation
Mrs. Almitra H. Patel vs. Union of India
 Pathetic Situation of Solid Waste Management Practices
 Obligatory function of Urban Local Bodies
 Resulting in problems of Health & Sanitation
 No solution in sight.
Hon’ble Supreme Court after several hearings, constituted a

12. INTERIM REPORT OF THE COMMITTEE
Domestic / Trade Waste
Construction Waste
Industrial Waste
Infectious & Hospital Waste.
 Adverse impact on Human Health.
 Grossly neglected.
 Do not discharge their duties for safe disposale.
 Infectious waste & sharps get mixed up with Domestic Waste.
 Incinerators in certain Hospitals only – Often single chamber
not affectively functioning.
 Ministry of Environment, Govt. of India to issue mandatory
instructions to rectify with a time frame.

13. SCHEDULE VI (see rule 5)
SCHEDULE FOR WASTE TREATMENT FACILITIES
LIKE INCINERATOR / AUTOCLAVE / MICROWAVE SYSTEM
A.Hospitals and Nursing Homes in towns with population of 30
lakhs and above 30th June 2000 or earlier
B. Hospitals and Nursing Homes in towns in towns with
population of below 30 lakhs
(a) with 500 beds and above by 30th June, 2000 or earlier
(b) with 200 beds and above but less than 500 beds
by 31st December, 2000 or earlier
(c) with 50 beds and above but less than 200 beds
by 31st December, 2001 or earlier
(d) with less than 50 beds by 31st December, 2002 or earlier
C. All other institutions generating bio-medical waste not
included in A and B above by 31st December, 2002 or earlier

14. BIO MEDICAL WASTE MANAGEMENT
PROGRAMME PLANNING
1. Willingness
2. Self Motivation
3. Investments – Person, Place, Financial
4. Identifying Nodal Person – ICC – BMWM Committee.
5. Waste Survey
6. Evaluation of Existing Practice
7. Training
8. Implementing Segregation
9. Reporting and Feed Back
10. Review after one year.

15. HOSPITAL WASTES
Non Infectious Infectious
Non Sharps Sharps
Solids Liquids
Incinerable Non Incinerable
(Autoclave, Microwave)
Biodegradable Non Biodegradable

16. SCHEDULE – 1 (See Rule 5)
CATEGORIES OF BIO MEDICAL WASTE
OPTION WASTE CATEGORY TREATMENT & DISPOSAL
Category No. 1 Human Anatomical Waste Incineration / deep burial
Category No. 2 Animal Waste Incineration / deep burial
Category No. 3 Microbiology & Biotechnology
Waste
Local autoclaving / microwaving /
incineration
Category No. 4 Waste Sharps Disinfection by chemical treatmet /
atoclaving / microwaving and
mutilation / shredding
Category No. 5 Discarded Medicines and
Cytoxic drugs
Incineration / destruction and
drugs disposal in secured landfills
Category No. 6 Solid Waste Incineration / autoclaving /
microwaving
Category No. 7 Solid Waste Disinfection by chemical treatment
/ autoclaving / microwaving and
mutilation / shredding
Category No. 8 Liquid Waste Disinfection by chemical treatment
and discharge into drains.
Category No. 9 Incineration Ash Disposal in municipal landfill
Category No. 10 Chemical Waste Chemical treatment and discharge
into drains for liquids and secured
land for solids

17. SCHEDULE – II (See Rule 6)
COLOUR CODING AND TYPE OF CONTAINER
FOR DISPOSAL OF BIOMEDICAL WASTES
COLOUR
CODING
TYPE OF
CONTAINER
WASTE
CATEGORY
TREATMENT OPTIONS
as per Schedule I
Yellow Plastic Bag Cat.. 1, 2, 3
and 6
Incineration / deep
burial
Red Disinfected
container /
Plastic Bag
Cat. 3, 6, and 7 Autoclaving /
Microwaving / Chemical
Treatment
Blue / White
Translucent
Plastic Bag /
puncture proof
container
Cat. 4, Cat. 7 Autoclaving /
Microwaving / Chemical
treatment and
destruction shredding
Black Plastic Bag Cat. 5, 9 and
10 (Solid)
Disposal in secured
landfill

18. PLASTIC WASTE
IV Sets
Tubings
Blood & Urine bags
Syringes
SEGREGATION OF WASTE
No
Sharps
In this
bag
RED BAG OR CONTANIER

19. SEGREGATION OF WASTE
INFECTIOUS WASTE
Soiled bandages
Dressings
Cotton Swabs
Sanitary Pads
YELLOW
BAG OR CONTAINER
No
Plastics
In this
bag

20. SEGREGATION OF WASTE
Needles and Ampoules
to be put
in the separate
puncture proof bin provided

21. SEGREGATION OF WASTE

22. Do not dispose dressings in patients bin / Ask for
disposal bags.
Ensure all the plastics and gloves are cut and put
into bleach solution.
Ensure all used injections are cut using needle
cutters.
Ensure compliance of this scheme during ward
visits
DOCTORS

23. NURSES
 Put cut gloves and plastic in bleach solution.
 Put all other infectious waste, such as pathological
waste, bandages, dressings, cotton etc… in yellow bin.
 Always cut needles with the needle cutter and
disinfect with bleach solution.
 All sharps to be put in needle cutter container.
 Help patients understand the scheme.

24. LAB TECHNICIANS
 Use gloves during all tests.
 Reusable items to be soaked in bleach and heated at
high a temperature.
 Media plates to be put in separate bleach solution.
 Cut gloves, syringes to be put in red coloured bin with
bleach.
 Needles to be cut with needle cutter and disinfected with
bleach.
 Sharps to be put in needle cutter container.

25. WARDS BOYS / AYYAS
 Cut all tubes.
 Cut all gloves.
 Check if waste in bleach in only plastic or
glass. If not, report to the supervisor.
 Help patients understand the scheme

26.  Segregate waste as per category
 Put waste in correct bin wiz. Plastic/rubber waste in Red,
Anatomical soiled waste in Yellow, Non-infectious general waste
in Black and Sharps in Blue Puncture Proof Container. Ensure
colour bags of the same colour as bins.
 Ensure that the plastic bag has bio-hazard symbol and label.
 Remove plastic bags when ¾ full, tie the bags properly. Ensure
bag is properly tied / sealed to avoid spilling.
 Remove bags by Wheel Barrows only to the waste storage site.
 Cut the needle (disposable) before throwing it.
 Wear protective gear while handling waste.
 Always snipe the IV bottle, cut the IV sets, and fingers of gloves
before throwing it in the bin or sending it back to the store.
 Always keep your record book on waste activity up to date.
DO’S

27.  Put the waste indiscriminately.
 Put wrong bags in bin. (Adhere to colour code.)
 Fill the bags till neck. (Waste would otherwise spill
over.)
 Handle waste without protective clothing.
 Drag the bags after removal. (Bags can burst and the
site could be repulsive.)
 Never recap the needle. (Never re-use needle without
disinfection)
 Mix non infectious waste with infectious waste.
DON’TS

28. OUT HOUSE MANAGEMENT
Role of Common Facilitator
 To collect Bio Medical Waste from Individual Hospital every
day.
 To transport in closed container Van safely to the Treatment
plant.
 To erect common offsite BMWM Treatment facility in
accordance with the standard prescribe BMWM Rules and
approval from State Pollution Control Board,Odisha.
 To dispose various categories of Bio Medical Waste by
approved techniques.
 To train the individual hospitals staffs regarding BMWM

29. Let us prove that we are
ECO FRIENDLY
To make others shed their hostility and
become
MEDICO FRIENDLY