bio medical waste management

1. SUBMITTED BY
JYOTI RAWAT
MBA FINAL YEAR
ROLL NO 1212802
SUMMER TRAINING PRESENTAION ON
BIOMEDICAL WASTE MANAGEMENT
PRACTICES
IN BLK HOSPITAL, NEW DELHI

2. HOSPITAL HISTORY
• Dr. B L Kapur, an eminent Obstetrician and
Gynaecologist, set up a Charitable Hospital in 1930
at Lahore.
• In 1947, he moved to post-partition India and
set up a Maternity Hospital at Ludhiana.
• In 1956 on the invitation of the then Prime Minister,
Dr. B L Kapur initiated the project for setting up a
200 bed hospital in Delhi

3. PRESENT PROFILE
OF BLK

4. • B.L.K is 700 bedded hospital
• 25 specialities
• 150 senior specialists
• 300 doctors
• 600 nursing staffs.
• NABH AND NABL ACCREDITATED HOSPITAL
• B.L.K Hospital having first Asian USI cyber
knife

5. NABH-National Accreditation Board for
Hospitals & Health care Providers - is a
constituent board of Quality Council of India
•Accreditation benefits all stake holders
•Patients are the biggest beneficiary
•Accreditation results in high quality of
care and patient safety.
•Rights of patients are respected and
protected.
•Patient satisfaction is regularly evaluated.

6. Cont...
• Accreditation to a health care organization
stimulates continuous improvement.
• It enables the organization in
demonstrating commitment to quality care
• Accreditation provides access to reliable
and certified information on facilities,
infrastructure and level of care

7. INTRODUCTION TO BIO MEDICAL
WASTE
•Solid / liquid waste generated during the diagnosis,
testing, treatment, research or production of
biological products from humans or animals
(WHO)
•The bio-medical waste treatment facility will
have to approval of either the central pollution
control board (CPCB) or the state pollution
control board.

8. COLOR CODE BINS
USE FOR BMW

9. CATEGORIES OF BIO-
MEDICAL WASTE
S.NO Waste Category
Cat. No. 1 Human Anatomical Waste (human tissues, organs, body parts)
Cat. No. 2 Animal Waste Animal tissues, organs, Body
parts carcasses, bleeding parts, fluid, blood and
experimental animals used in research, waste
generated by veterinary hospitals/ colleges,
discharge from hospitals, animal houses)
Cat. No. 3 Microbiology & Biotechnology waste (wastes
from laboratory cultures, stocks or specimens of
micro-organisms live etc)

10. Cat. No.
4
Waste Sharps (needles, syringes, scalpels blades,
glass etc. that may cause puncture and cuts. This
includes both used & unused sharps)
Cat. No.
5
Discarded Medicines and Cytotoxic drugs(wastes comprising
of outdated, contaminated and discarded medicine
CAT.6 Soiled Waste (contaminated with blood, plaster
cast)
Cat. No.
7
Solid Waste (waste generated from disposable
items other than the waste sharps such as tubing,
catheters, intravenous sets etc
Cat. No.
8
Liquid Waste (waste generated from laboratory
& washing, cleaning , house-keeping and
disinfecting activities)

11. OBJECTIVES-
1. To determine the type and quantity
of biomedical waste generated in
hospital.
2. To find out degree of misplacement
of BMW in hospital.
3. To study the disposal practices of
various categories of BMW.
•

12. RESEARCH
METHODOLOGY
• Types of Study - Exploratory Study, as
it explore the concept and
administration of BMW practice in
BLK.
• Research Techniques - Through the
Observation and structured audit sheet
was used to observe and records the
information on aspects of BMW.

14. SURVEY AREA OF BMW
S.NO AREA/DEPARTMENT/UNIT
1 Floors (4)
2 Operation theatre (OT)
3 Out Patients Department (OPD)
4 Intensive Care Unit (ICU)
5 Emergency unit

15. CONT..
6 Dialysis unit
7 Radiation unit
8 Laboratories
9 Pharmacy / Chemist’s dispensation unit
10 Kitchen
11 Administrative unit and central store

16. 1 ST OBJECTIVE-
INTERPRETATION
S.NO TYPE OF WASTE TOTAL
QUANTITY OF
WASTE (kg)
1 Human anatomical
waste
14 kg
2 Cotton/ Gauze 352 kg
3 Glass, Plastic bottles 290 kg
4 I.V. Sets, Syringes 2603kg
Total 3259 kg

18. MISPLACEMENT OF
BIO MEDICAL WASTE

19. •INTERPRETATION
• From graph it is observed that
majority of misplacement found in
the blue bins of hospital that are
45%, 40% of misplacement are
found in yellow container, only 5%
and 10% misplacement are found in
black and white container.

20. 3. TREATMENT AND
FINAL DISPOSAL
Colour Coding
Type of Container - Waste
Category
Treatment
Yellow
Plastic bag Cat. 1(anatomical
waste), Cat. 2(animal waste),
Cat. 3 (laboratory
&biotechnology waste) and
Cat. 6 (soiled like-
contaminated with blood,
plasters)
Local autoclaving/ micro
Waving/ incineration.
Incineration/deep burial
Blue
Disinfected container/plastic
bag Cat.7 solid ( I.V sets)
Disinfections by
chemical treatment
Autoclaving/microwaving/
chemical treatment

21. White
Plastic bag/puncture proof
Cat. 4 (sharps-needles
blade glass).
Autoclaving/microwaving/
chemical treatment and
destruction/shredding
Black
Plastic bag and general
waste (solid),cat 8(liquid
waste from housekeeping)
Incineration / destruction
& disposal in secured
landfill.
Cytotoxic
Cat 5 Cytotoxic
drugs(wastes comprising of
outdated, contaminated
and discarded medicine
Incineration / destruction
& drugs disposal in secured
landfill

22. FINDINGS
• The majority of misplacement
found in the blue bins in hospital
that are 45%, 40% in yellow
container.
• The total quantity generation of
waste 3259 kg
• In BLK red colour bins is not in
practice

23. CONT...
•Lack of proper and complete knowledge
about biomedical waste management
impacts practices of appropriate waste
disposal.
•Sometimes bins are over filled
•Housekeeping staff are not using
proper safety technique at the time of
segregation e.g. apron, gloves mask

24. SUGGESTION
• Staff awareness program should be
done twice in a month.
• Training should be provided to
housekeeping employees for proper
handling of waste & use of personal
safety device.
• Segregation should be done properly at
the source

25. CONT..
• All hospital waste should be labelled
properly indicating the nature of waste
to the hospital staff and patients
• Proper attention must be given by
hospital staff members for correct
disposal of sharp (needle) because the
needle prick injury is a great problem
which generates infection in human
body

26. CONT..
• Collect waste when the bin is ¾ th
full
and avoid using common lift to move
waste.
• Proper segregation prevents illegally
reuse of certain components of BMW.
• Name of ward, date, packaging, weight
and daily recording is mandatory.
•

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