::: Hospital Services : Bio medical waste management

                                      BIOMEDICAL WASTE MANAGEMENT

Background:
                         
               Biomedical Waste  Rules, 1998 BMW Rules have been adopted and notified with the objective to stop the indiscriminate disposal of hospital / bio-medical waste, ensure that such waste is handled without any adverse effect on the human health and environment.As per Bio-Medical Waste (Management and Handling) Rules, 1998 and amendments, any waste  which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in the production of testing of biological and including categories mentioned in schedule 1 of the Rule, is bio-medical waste. Implementation of Bio medical waste management has been piloted in 2 districts of Dharmapuri and Krishnagiri since march 2006. Based on the experience gained from the pilot, we have successfully established Biomedical Waste segregation and management in our Government Dharmapuri Medical College and Hospital.

Vision and Management:
Biomedical waste management is an important concern in hospital infection control,  and primary responsibility of a healthcare professional.
Biomedical waste classification: 
Contaminated plastic waste: Plastic syringes, IV catheters tubes Set, Blood bags / Urosacbags, Vacutainers and Endotracheal tubes / Ryle’s tube.
Sharps waste:
Hypodermic needles, Scalpel blade, Metal tops of vials,broken ampoules Vials and Glass syringe – brokenglass syringes/bottles intact.
Anatomical Waste: 
Placenta, Amputated limbs and Excised organs
Pharmaceutical waste:
Unused vials / ampoules /tablets / syrup
Cytotoxic Waste:
Methotrexate tablets, Drugs used for the treatmentof cancers /leukemia
Radiological waste:
Radioactive Iodine,Itrium 90,Dosimeters
 
Movement of BMW across Lifecycle:
Bio medical waste have been collected in our hospital  from various ward at the point of generation, subsequently disinfected with disinfectants and then segregated in to color coded bins. Every day, source and quantity of various categories of bio medical waste are documented by the paramedical staffs in the ward.
Common storage area:
All the collected Bio medical waste will be stored in common storage area in our hospital  and then transported to CTF( Common Treatment Facility) by the authorized vehicle. At every level records have been maintained.
Common Treatment Facility:
                                 Once BMW transported from common storage room to CTF, subjected to treatment process and then disposed to concerned containment area. Our Institution dispose BMW at CTF located at Edapadi, Salem District
Administators:
  • Dr. B.Ramesh Babu M.D (Paed)., Medical Superintendent
  • Dr.R.Surabi,MBBS.,   Resident Medical Officer
  • Dr. C. SenthilVadivu. M.D., Assistant Professor in Microbiology
  • Mrs.B.Vaijeyanthi : Head Nurse, Supervisor - Bio medical waste management.
  • Mrs.K.Chitra : Staff Nurse, Bio medical waste management.
  • Mr.K.Krishnan: Sanitary worker, Bio medical waste management
  • Mr.Shanmugasundaram: Sanitary worker, Bio medical waste management
 Duty of the Occupiers:

The duty of the every occupier in Health care unit is to ensure biomedical waste is handled without any adverse effect to human health and environment.

Sanitary worker / Hospital worker:

Maintain  record at Common storage area &the record  is filled-up by the biomedical staff nurse and they supervise all BMW disposal from entire hospital.

Staff Nurse

Segregate biomedical waste as per colour code, then disinfect the segregated waste, and record the  quantity of weighed bio medical waste in prescribed register in daily basis. Maintaining record in the wards daily is done .

In charge Medical officer:

 Periodical visit to the wards to inspect bio medical waste segregation and to ensure their requirements for the Bio medical waste management.

Medical superintendent / Chief medical officer:  

Monitor and maintain the registry for collection of BMW, periodical meeting with
 Bio medical staffs and conduct CME to bring awareness among the hospital workers.

 
Bio medical waste yearly statistics

A Statistics below shows increasing in bio medical waste at every year, as we following routine practices of biomedical waste management in our Hospital; this may implicate infection control as well as healthy environment.
 
 
Year Red Cover Blue Cover Yellow cover Black Cover Total
  No of Bags Wt in Kg No of Bags Wt in Kg No of Bags Wt in Kg No of Bags Wt in Kg No of Bags Wt in Kg
2008(Nov-Dec) 450 391.250 336 621.000 243 408 - - 1029 1420.200
2009-2010 3129 3288.450 2556 4836.600 1294 2524 - - 6979 10589.550







 
Year Small Red Cover Big Red Cover Blue Cover Yellow cover Black Cover Total
  No of Bag Wt
(Kg)
No of Bags Wt  (Kg) No of Bags Wt  (Kg) No of Bags Wt  (Kg) No of Bags Wt  (Kg) No of Bags Wt (Kg)
2010-2011 356 283.750 4094 4037 3775 6138.500 1331 2662.750 - - 9200 12838.250
2011-2012 2369 2266 4978 5078.750 4317 7782.500 1385 2880 1 0.250 12100 18346.400
2012-2013 2307 2195.500 2617 3197.500 3867 6630.250 1932 3066 - - 10521 15089.500
2013-2014 2855 2211.650 3567 3557.250 4002 5742.850 1758 3003.650 8 4.200 12190 14545.100
 

 
 
 
 




















 
 





 

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