Bio medical waste management

Let the waste of the “sick” not contaminate the lives of “The Healthy”

Bio – Medical Waste

Bio-medical waste is defined as waste that is generated during the diagnosis, treatment or immunization of human beings and are contaminated with patient’s body fluids (such as syringes, needles, ampoules ,organs and body parts, placenta, dressings, disposables plastics and microbiological wastes).
History
  • In the late 1980’s
  • Items such as used syringes washed up on several East Coast beaches USA
  • HIV and HPV virus infection
  • Lead to development of Biomedical Waste Management Law in USA
  • However in India the seriousness about the management came into lime light only after 1990’s

Sources of Health Care Waste

Government/private hospitals

Nursing homes

Physician/dentist office or clinic

Dispensaries

Primary health care centers

Medical research and training centers

Animal / Slaughter houses

Labs/ research organizations

Vaccinating centers

Bio tech institutions/ production units

Mission is Best Enviroment

Some People Need Help And We Give It!

Colour Coding and Type of Containers for different Bio-Medical Wastes

NEW BMW POSTER

Rules concerned with Bio-Medical waste management

Whom?
The waste generator is Responsible for safe waste disposal.
Why Segregation?
A small portion of the waste generated from hospital is BMW. When it mixes with general waste, the whole waste becomes hazardous.
WHY BMW Rules?
Hospital or Lab/ Infectious waste is not dumped in open ground …. potentially hazardous to the environment and human beings
Where?
Waste should be segregated at the site of generation.
How?
Proper Collection, storage, Transportation, Treatment and disposal should be done.

  • Bio-medical waste classified into 4 categories based on treatment options.
  • No untreated bio-medical waste shall be mixed with other wastes.
  • Untreated human anatomical waste, animal anatomical waste, soiled waste and, biotechnology waste shall not be stored beyond a period of forty –eight hours.
    •  Human tissues  Organs  Umbilical Cord  body parts  body fluids  cotton  dressings,  plaster casts,  lines, beddings,  Contaminated blood (placenta)  cell culture  Expired tablets & Medicines
     Disposable contaminated waste which can be recyclable–will be disposed by autoclaving treatment followed by shredding
     Tubing, bottles
     Intravenous tubes and sets, catheters, urine bags
     Syringes(without needles and fixed needle syringes) and
     vacutainers with their needles cut and gloves
     Scalpels
     Blades
     Needles
     Syringes including sharp metals
     Above Biomedical Waste has to be put into the hypochlorite solution container
     Glass bottles  ampoules  glass tubes  glass slides  Medicine Vials  Implant  ampoules etc
     Tie Up with Common Bio Medical Waste Treatment Facilitators.
     Get MoU
     Should Renew MoU yearly once  Use proper colour coded bins
     Use Bar-coded bags only
     To provide a safe, ventilated and secured location for storage of segregated BMW within premises.
     As per the Bio-Medical Waste Management (Amendment) Rules, 2018, use of chlorinated plastic bags (excluding blood bags) and gloves has to be phased out by the 27th March, 2019.
     Provide training to all its health care workers and others involved in handling of bio medical waste at the time of induction and once a year thereafter and maintain records for the same.
     Immunization against Hepatitis B and tetanus for workers.
     Establish a Bar-Code System for bags or containers containing biomedical waste to be sent out of the premises by 27th march, 2019 as per the Bio-Medical Waste Management (Amendment) Rules, 2018.
     Maintain and update the bio-medical waste management register daily and display the monthly and annual record on website.
     Establish a Bar-Code System for bags or containers containing biomedical waste to be sent out of the premises by 27th march, 2019 as per the Bio-Medical Waste Management (Amendment) Rules, 2018.
     Maintain and update the bio-medical waste management register daily and display the monthly and annual record on website.
     Report major accidents like needle stick injuries, broken mercury thermometer, accidents caused by fire, blasts during handling of biomedical waste and the remedial action taken and record the same in Form I.