BIO MEDICAL WASTE MANAGEMENT.pptx

Define the bio-medical waste.
List out the sources of bio-medical waste.
Tell the composition of biomedical waste.
Understood the classification of biomedical waste.
Discuss the category of waste for segregation.
Explain the steps in the management of biomedical waste.
Describe the role of nurse.

1. BIO MEDICAL WASTE

2. OBJECTIVES OF THE STUDY: At the end of the procedure the students will be able to : Define the bio-medical waste. List out the sources of bio-medical waste. Tell the composition of biomedical waste. Understood the classification of biomedical waste. Discuss the category of waste for segregation. Explain the steps in the management of biomedical waste. Describe the role of nurse.

3. DEFINITION: Any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities or in the production or testing of biologicals or in the health camp is called bio-medical waste. - WHO.

4. Sources of biomedical waste: Hospitals - Clinics Labs - Home cares Research centers - Paramedics Blood banks - Cosmetic clinic Nursing homes - Institution Mortuaries - Dental clinics

5. Composition of biomedical waste

6. Classification of biomedical waste

7. Category of waste for segregation Waste category Type of waste Category 1 Human anatomical waste Human tissues, organs, body parts Category 2 Animal waste Tissues, organs, fluid, blood, body parts, experimental animals used in research. Category 3 Microbiology and biotechnology waste: Waste from laboratory culture, specimens, cell culture, infectious agents from research.

8. Category 4 Waste sharps Needles, syringes, scalpels, blades, glass. Category 5 Discarded medicine and cytotoxic drugs: Contaminated and discarded medicine. Category 6 Soiled waste Items contaminated with body fluids including cotton, dressing, lines, bedding and other material contaminated with blood. Category 7 Solid waste: Waste generated from disposable items other than the waste sharps such as tubing, catheters, IV sets, etc.

9. Category 8 Liquid waste Waste generated from the laboratory and washing, cleaning, housekeeping and disinfecting activities. Category 9 Incineration Ash Ash from incineration of any biomedical waste Category 10 Chemical waste Chemicals used in biological, chemicals used in disinfecting etc.

10. Steps in the management of biomedical waste

11. 1. Waste survey: Differentiate the types of waste. Quantity the waste generated. Determine the points of generation and types of waste generated at each point. Determine the level of generation and disinfection within the hospital.

12. 2. Segregation: It refers to the basic separation of different category of waste generated at source and thereby reducing the risk as well as cost of handling and disposal. Segregation is the most crucial step in BMW management. Effective segregation also can ensure effective BMW management.

13. Segregation of biomedical waste

14. Labeling of containers - The bins and bags should carry the biohazard symbol including the nature of waste to the patient and public. Labels shall be non washable and prominently visible.

15. 3. collection: The collection of BMW involves of different types of containers. The containers should be placed in such a way that 100% collection is achieved. Sharps must always be kept in puncture proof containers to avoid injuries. BMW should be handled properly by using universal precautions to prevent infection.

16. 4. storage: Once collection occurs then biomedical waste is stored in proper place. Segregated waste of different categories need to be collected in identifiable containers. The duration of storage should not exceed 8-10 hours in big hospitals and 24 hours in nursing homes . Each container should be clearly labelled to show the ward where it is kept.

17. 5. transportation: Transportation devices : Trolley Wheelbarrow

18. Manual loading should be avoided. The containers should be tied before transportation. Container should be accompanied with a signed document by nurse/doctors mentioning date, shift, quantity and destination.

19. TRANSPORTATION VAN-

20. Collect waste when the bin is 3/4 th full. Avoid needle stick injury Avoid spillage Avoid using common lift to move waste Things to be kept in mind

21. Clean spills with disinfectant Use personal protective equipment while handling the waste

22. Regular visit to all wards and high risk units.

23. Ensuring that samples (blood, stool, urine etc.)are collected and dispose safely. Prevention of hospital acquired infections by following universal precautions

24. BIBLIOGRAPHY 1) Clinical Nursing Procedures : The Art of Nursing Practice, 3 rd Edition, Published by Annamma Jacob, Rekha R and Jadhav Sonali Tarachand, page no.147 & 661. 2) Textbook of Microbiology , 9 th Edition – Arti Kapil, published by Ananthanarayan and Paniker’s, page no. 650, 651. The Trained Nurses Association of India (TNAI) , Books of Fundamentals of Nursing (A Procedure Manual), page no. 98-100.