5.Hospital Waste Management.ppt1

7/31/2019 5.Hospital Waste Management.ppt1

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Healthcare Waste

Solid Waste Liquid Waste

1 3 Kg / Bed / day 300- 400 Lts / Bed / day


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Distribution of Solid Waste

80% :General hospital waste which may be dealt with by the

normal domestic and urban waste management system.

15% :Pathological and infectious waste.

1% :Sharps waste.

3% :Chemical and pharmacological waste.

Less than 1% special waste, such as radioactive or cytotoxic

waste, or broken thermometers and used batteries.


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General Waste

Paper / Cardboard 45%

Food waste 10%

Metal 10%

Plastic 15%

Wood 3%

Glass 7%

Other 10%

Body Parts, Path Waste,

Blood Bags, Pleurevacs

Cultures & Stocks, Blood

Items, Liquid Wastes

Pathological &

Infectious Waste


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Bio-medical Waste

Waste generated during the diagnosis, treatment or

immunization of human beings or animals or in

research activities pertaining to the production ortesting of biological products.


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Hospitals / Clinics / PHC

Laboratories

Research establishments

Blood Bank

Mortuary / Animal Houses

The Waste Under Consideration May Arise


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Noscomial / HAI Infections - Reuse of infected material

especially syringes, needles, tubing and bottles etc.

The disposal of hospital waste can be very hazardousparticularly when they are mixed with municipal solid wastes and

are deposited in uncontrolled landfills.

Health HazardsPoor BMW

Hospital waste when not managed properly presents an ugly

sight to the eye. Amputated parts, placenta and even hospital

garbage is an aesthetic, emotional and psychological problem.


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1. Toxic emissions like dioxins, furan gases , carbon sulphurparticles from defective inefficient incineration.

2. Indiscriminate disposal of incinerator ash / residues.

3. Air born infections

Environmental hazardsPoor BMW


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1. Health care providers - Doctors, Paramedical staff,

2. Laboratory workers

3. Blood Bank workers

4. Animal care personnel5. Waste handlers

6. Laboratory workers

7. Laundry workers

8. General public

Groups most at risk


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CONCEPT OF BIO- MEDICAL WASTE

MANAGEMENT


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Generation/ minimization of waste

Waste segregation

Collection of waste

Transportation

Storage of waste

End treatment

Disposal of waste

Waste Collection Procedure


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Separation of bio medical waste to be done at source (indifferent Color coding bags)

Waste materials should be kept into appropriate color codedbags

When waste containers are full they should be sealed Checking should be done that waste bags are effectively sealed

Direct contact with waste must be avoided


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Dressing Room


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Color Coded Bins


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Four different coloured bags are kept across the hospital.

In Red, all plastic materials like IV set, Catheter set, syringeandinfected plastic materials are disposed.

In Green, all general waste like paper and kitchen waste generated

are disposed.

In Yellow, all infected gauze piece, blood stained cotton, used cotton,dressing material and human parts are disposed.

In Blue, sharp items like needles, glass pieces, blades, used vials aredisposed.


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Check that waste bags are effectively sealed.

Bags should not be clasped against the body and too manybags should not be carried at a time.

Avoid the bag hitting the body when being carried.

Staff should know the appropriate cleaning and disinfectionprocedures in case of accidental spillage and how to reportan incident.

Porter should wear protective clothing, like gloves, etc.

If the bag is soiled, it should be placed in another clean bagof the same color.

Under no circumstances should anyone insert their handsinto any waste container


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Waste routes should be segregated from patient routes.


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Located within the hospital premises, but away from foodstorage or food preparation areas.

Large enough to contain all the waste produced by the hospital,with spare capacity to cater for collection.

Easy to clean and disinfect, with an impermeable hard-standing

base, plentiful water supply and good drainage, lighting andventilation. Should have adequate cleaning equipment, protective clothing

and waste bags and containers located nearby. Should be easily accessible to collection vehicles and

authorized staff, but totally enclosed and secure from

unauthorized access, and especially inaccessible to animals,insects and birds.

No waste is stored at the central storage facility for more than24 hours.


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Waste Storage


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Various techniques for waste disposal are:

Incineration

Chemical Disinfection

Land filling


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Central Treatment Facility , Mumbai


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THANKS...........

Documents

5.Hospital Waste Management.ppt1