Hospitals

Bio Medical Waste Management

DR. MAHESH BALDWA

(M.D., LLM)PEDIATRICIAN, MEDICOLEGAL CONSULTANT & WASTE MANAGEMENT ACTIVIST.

  • The Environment (Protection) Act 1986 (29 of 1986) (EP act 1986) was passed by Parliament on 23rd May 1986 which came Into force from nineteenth November 1986 in entire of India.

  • Notice under Section 6, 8 and 25 of EP Act 1986 was distributed in Gazette Vide S.O. 746 (E) dated sixteenth October 1997.

  • Above notice welcomed complaints from public with in 60 days from date of the distribution of above expressed warning on the biomedical waste (Management and Handling) Rule 1998 (BWMH Rules 1998).

  • Protests got were appropriately considered.

  • Focal government informed above BWMH Rules on twentieth July 1998.

  • There are 13 segment depicting BWMH Rules 1998.

  • There are 5 timetables attached to it under rule 5 and 6 of BWMH Rules 1998.

  • There are three structures annexed to it under Rule 8, 10 and 12 of BWMH Rules 1998.

  • In first stage these principles are material to clinic/nursing homes in '1 Cities with populace over 30 lacs. The cutoff time is 31st December 1999.

  • The point and object of rules isn't to blend contaminated squander in with uninfected waste and arrange off tainted squander securely.

  • We are mindful that at present we are neither blending contaminated squander in with nor irresistible waste.

  • His blended waste is going to metropolitan waste receptacle and at long last to unloading ground of region.

  • Irresistible waste is created in minute amount.

  • Non irresistible waste is immense in amount.

  • Blending of two sorts of waste opens everybody to the dangers of reaching diseases.

  • Best presence of mind strategy will be to isolate irresistible waste from non irresistible waste at the mark of age.

  • Diseases waste ought to be disposed of in holders containing sanitizers. (1% sodium hypochlorite arrangement or Antisapril)

  • Non infectious waste could be classified in to plastic waste eg. Wrappers, IV bottles, paper waste eg. Wrappers, pharma literature Glass waste eg. Injection bottles Metal waste eg. Caps of injection bottles. These can be given to Raddiwala for recycling.

  • Non irresistible waste could be grouped in to plastic waste eg. Coverings, IV containers, paper squander eg. Coverings, pharma writing Glass squander eg. Infusion bottles Metal waste eg. Covers of infusion bottles. These can be given to Raddiwala for reusing.

  • Irresistible waste ought not be given to raddiwala for example needles, needles, catheters, gloves, IV sets, blood sacks, and so forth. They additionally ought not be blended in with general non irresistible waste.

  • Irresistible waste ought to be stuffed in yellow or red plastic pack and sharp waste in white straightforward jerry can.

  • Bio-clinical waste logo and name ought to be stuck on these compartments.

  • These holders ought to be gauged and given for definite removal to the yellow assortment van with logo.

  • This van ought to take these packs for definite removal to the removal site for Incineration/Microwave/Autoclave.

  • The Ash and other material ought to be placed in metropolitan got land fill.

lll BIO–MEDICAL WASTE MANAGEMENT IS COMMON SENSE

  • We are mindful that which is tainted or possibly diseases squander.

  • Try not to blend in with general waste.

  • Sanitize at the mark of generation.

  • Gather in variety coded bag.

  • Mark it with name and logo.

  • Gauge and give it for disposal.

  • Transport and removal will be finished by Excel.

IV. Approval

  • This initial move towards biomedical waste disposal.

  • You need to get a structure number 1 on installment of As. 1001. from following location

    MAHARASHTRA POLLUTION CONTROL BOARD.Shri Chatrapati Maharaj Municipal Market,4th Floor, Mata Ramabai Road, Fort, Mumbai 400 001.

  • This structure is to be filled in Quadruplicate (4 copies).

  • Peruse Rule 8 of BWMH Rules 1998.

  • The charges are endorsed on page no 2, which relies on the capital expense of the establishment. Assuming the capital expense is less that Rs. 10 lacs then take out a draft of Rs. 2001-payable to 'Maharashtra Pollution Control Board (MPCB)'.

  • For the most part emergency clinics and nursing homes need to look for approval for age and disposal.

  • Different subtleties are general in nature and there is no trouble in filling in those details.

  • Submit properly filled structure with Rs. 200/ - draft to (MPCB) office.

  • Get receipts of structure (Acknowledgment of Form No.1)

  • Approval will be allowed at the appropriate time (by and large 90 days).

  • Last date of approval is 31 st December 1999 in the urban areas with populace more than 30 lacs.

  • The individuals who don't look for approval and create and arrange biomedical waste will be arraigned under Environment Protection Act 1986 under the watchful eye of Metropolitan Magistrate Courtsl Judicial Magistrate courts.

V. WHAT IS MEANT BY GENERATION OF BIO-MEDICAL WASTE

  • Anything which isn't reutilizable or recyclable is waste.

  • What interacts with body fruids, blood, sera, discharge, stool, pee. and so on of patient and can possibly cause contamination or spread disease is bio-clinical waste.

  • Live circumstances where bio-clinical waste might be created are

    • Operation theater/Minor 0. T.b) Labor roomc) Injection room/dressing roomd) Bed side organization of intravenous ids/blood.e) W.C.f) Kitchen Waste

  • What are reutilizable things

    • 0. T. Instruments - Disinfect - Autoclaveb) Linen - Disinfect - Wash - Ironc) O.T. Cloth - Autoclaved) Glass Syringes - Disinfect - Wash - Autoclave.

  • What are recyclable things - Raddiwala will take them

    • Paper and plastic coverings and bagsb) Paper and card boxesc) rv bottles plasticd) Injection grass bottlese) Injection metal covers.

    • These can be offered to raddiwala.

  • What is contaminated sharp waste

    • Injection needleb) L.P. needlesc) Scalpvainsd) Scalpel blades.e) Ampoules

  • The most effective method to isolate tainted squander in 0. T. also, work room

    • Spread paper or plastic sheet on the floor of 0. T.

    • Keep a pail for placenta mops, guages, blood, IV sets, Allow blood sacks, needles. Contact

    • Filr 100 ml sanitizer in pull bottles. Coordinate

    • Put material in sanitizer after activity. Of

    • Put instruments and gloves in sanitizer after activity 30

    • Put paper or plastic sheet in sanitizer. Minutes

    • Wash instruments and Autoclave

    • Wash cloth and autoclave

    • Cut or consume the needles.

    • Put contaminated squander in yellow bags.

    • Put sharps in Jerry can.

  • Comparable method to be applied in minor 0. T. and work rooms.

  • In infusion and changing area or bedside or counseling room.

    • Use needle cutters or burner and put in white jerry can.

    • Scalp vain and IV set to be placed in jerry can.

    • Dressings and wraps and mortar cast whenever ruined put in yellow bags.

    • Non contaminated material for example unsoiled dressing, mortar standing t coverings, card boxes, and so on in dark pack.

  • Utilize dark sack for non contaminated squander.

    • Wrappersb) Papersc) Kitchen squandered) Coconut shellse) Fruits skins and peelings, and so forth.

VI HOW THEY SHOULD BE SEGREGATED

  • Put in yellow packs (contaminated) : Solid tainted squander like, saline set, catheters, gloves, placenta, physical parts, cotton, cloth, swathes, ruined plastic projects, needles, sani cushions, diapers.

  • Put in straightforward jerry can (contaminated)

    • Needles
    • Cut needles
    • Scalpel blades
    • Saw blades.
    • ampoules
  • Put in dark pack (uninfected): Unsoiled swathes, mortar cast, kitchen squander. coverings, paper boxes, plastic boxes, glass bottles, metal caps.

  • Put in gunny pack and give it to raddiwala IV jugs, metal covers, glass bottles, paper boxes, pharma writing, paper squander, plastic and paper wrappers.

  • Limit tainted squander by not permitting it to be blended in with non contaminated waste.

  • Attempt and offer non tainted waste to raddiwala with the exception of Syringes and l IV sets.

VII HOW TO PUT A BIO MEDICAL WASTE LOGO and STICKERS

  • Stick (non-launderable) logo on every one of Yellow sack Black pack White Jerry Can.

  • Cytotoxic dress logo (non launderable).

  • Name (non launderable)

  Day Month:________Year:________Date of generation:_______
Squander class No  
Squander class  
Squander portrayal  
Source's Details Receiver's Details
Name Name
Address Address
Telephone No Phone No
Message No. Telex No.
Fax No. Fax No.
Contact Person  
In the event of crisis please contacts: Name and Address :Phone No.  

VII HOW TO TRANSPORT

  • Close every one of yellow. dark and white Jerry can.

  • Put a sticker and logo..

  • Gauge each bag

  • Enter in log book and enter type and classification of waste date, weight. provider's sign and beneficiary's sign, date and time.

  • To be moved in unique yellow biohazard van.

  • Van ought to go to conclusive removal site in Incinerator/Microwave/Autoclave

IX FINAL DISPOSAL

  • This will accomplished for us by Excel Industries

  • They will sanitize the waste

  • They will shred the plastic

  • They will burn microwave or autoclave according to squander category.

  • They will charge us Rs.75/ - per kg.

  • Fluid waste will Rs. 100/ - kg.

  • They will audit changes following 3 months and attempt to cut down cost.

  • These progressions incorporate transportation costs

X SUPPLIERS OF YELLOW AND BLACK PAGES

  • For yellow and dark packs

    • M/s. Exchange LINK INTERNATIONAL226, Samuel Street, 1 st Floor, Masjid Bunder. Mumbai 400 003. Tel: 343 7003
    • DEVASHREE ENTERPRISES5, Babulnath Rd. Victor Villa, fourth Floor. Mumbai 400007. .Tel. 206 6800,367 5458
    • M/S.BHARAT POLYPLAST (Mr. C. P. Harshad).Tel: 8643164
    • BAG-STAN WOVEN INC. LTD.TEL:2085375, 2085377
    • MED KIT TD ( MR Mehul Vora )Tel: 208 4902
  • For Stickers

    • POOJA ARTTel: 4226233, 4302078, 9820072020
  • NEE LE BUANEAS ROBONIX Tel: 684774. Security SYRINGE CUTTER ZENTA ENGINEER,304 Malhotra Home, Walchand Mirachand Road, Mumbai 400001.Tel: 2675905, 2694828, 2616454.

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