Introduction Hospital or health care waste is generally named and popular as Bio Medical waste. Biomedical waste It is the waste that is generated during:- Diagnosis, treatment or prevention of a disease Bio-medical research Production and testing of biochemicals .
Definition According to Bio-medical Waste management and Handling rules 1998 of India- “ Biomedical waste means any waste which is generated during the diagnosis, treatment or immunization of human being or animals or in research activities maintaining there to or in the production or of biological .”
Principles of biomedical waste management Waste minimization & recycling. To identify the points of waste generation. Waste segregation at source. Compiling the inventory of waste. Waste collection & transportation. Waste treatment. Final disposal. Occupational safety. Continuous monitoring of the system.
Advantages & disadvantages of disposal methods used:
Rotary kiln
Disposal of hospital waste & law Safe disposal of biomedical waste is now a legal requirement in our country. For this, the govt. of India first enacted an environment protection Act in 1986 that satisfied the Biomedical Waste Management and Handling Rule 1998.
Contd. According to which, it shall be duty of every occupier of an institute generating hospital/ biomedical waste, which includes- hospital, nursing home, clinic, dispensary, veterinary institute, animal house, pathological lab, & blood bank to take all steps to ensure that waste is handled without any adverse effect to human health and environment.
So , different provisions and schedules has been put forward about safe disposal of bio-wastes by BMW (management & Handling) Act 1998. It has two schedules: Schedule I- categories of biomedical waste in India Schedule II- color coding & type of container for waste disposal.
Collection and segregation Hospital waste should be collected at the site of generation only. Segregation aims to keep the harmful and infected material separate from harmless wastes. For this, use of specially coloured bins and plastic bag is mandatory.
Facts should be kept in mind during collection & Segregation : Bins & bags should bear the symbol of biomedical hazards.
Contd.. Never mix infectious waste with non-infectious waste. Needles should be destroyed with a needle cutter and all sharps must be disinfected before they are finally disposed off. All sharps should be kept in puncture proof box and labeled properly.
Disposable items (syringes, catheters, etc.) should be mutilated and chemically disinfected. Waste should not spill outside. Non-infectious waste can be dealt with as normal household waste.
Disposal techniques
Techniques: 1. Chemical disinfection 2. Thermal measures (Wet and dry) Autoclave Hydroclave 3. Microwave Irradiation 4. Incineration
Wastes to be incinerated: Human body parts, blood Animal wastes Laboratory wastes Dressing materials.
Wastes not to be incinerated:
Techniques.. Contd … Inertization Landfill
Safety and nurse
Conclusion Biomedical wastes are one of the major causes of infection in the hospital settings. So, it’s the responsibility of the hospital authority along with the health team to collect, segregate, transport and store and dispose it off to safeguard the people from hospital acquired infections. Individual participation is needed. Municipality and government should pay importance to disposal of waste economically. Thus, educating and motivating oneself first is important and then preach others about it.