bio medical waste management presentation 2016
TRANSCRIPT
BIOMEDICAL WASTE (BMW) MANAGEMENT
Prepared By Prashant Fulluke
Elixir Consultancy ServicesMob: 9881381700
WHAT IS BMW ? It is defined as “any waste, which is generated during the
diagnosis, treatment or immunization of human beings or animals or research activities pertaining thereto or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to BMW rules 2016”
“Any solid and/or liquid waste including its container and any intermediate product, which is generated during the diagnosis, treatment or immunization of human beings or animals”.
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Biomedical W
aste (BMW
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Bio-Medical Waste generated by Hospitals Nursing Homes Clinics Dispensaries Veterinary Institutes/Animal Houses Pathological Laboratories Blood Banks/Blood Donation Camps Ayush Hospitals Clinical Establishment Research/Educational Institute/Research Labs Health Camps Medical or Surgical Camps Vaccination Camps Blood Donation Camps First Aid Rooms of Schools Forensic Laboratories 3
WHO GENERATES BMW ?Biom
edical Waste (BM
W) M
anagement
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Bio-Medical Waste75-85%
Non-infectious
10-15% Infectious
5-10% Hazardous
BMW CHARACTERIZATIONBiom
edical Waste (BM
W) M
anagement
Non-Hazardous Waste
Bio-degrada
ble
Potentially Infectious Waste
Dressings,
swabs, laborato
ry wastes, instruments used
in patient care..
Potentially Toxic Waste
Radioactive
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CLASSIFICATION OF BMWBiom
edical Waste (BM
W) M
anagement
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CATEGORIES OF PERSONS EXPOSED TO RISK OF INFECTION
Biomedical W
aste (BMW
) Managem
ent
Risk of HIV & HBV
Nosociomial infections
Others..
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HEALTH HAZARDSBiom
edical Waste (BM
W) M
anagement
By ingestion (contaminated
unwashed hands, contaminated
food stuffs, water etc)
Intact or non intact
skin, mucous
membranes
Inhalation of dust
particles containing
germs
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ROUTES OF TRANSMISSIONBiom
edical Waste (BM
W) M
anagement
05/02/2023
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Biomedical W
aste (BMW
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Medical, Paramedical & Sanitation staff should be
vaccinated against Hepatitis B
Using heavy duty gloves especially while dealing with
infectious wastes Recapping needles should be
discouraged. In case, if unavoidable single handed method should be used
Segregation of Biomedical Waste & Safe disposal.
All necessary compliance in accordance with BMW (Management) Rules 2016 to
avoid unwanted occurrence. 10
PRECAUTIONSBiom
edical Waste (BM
W) M
anagement
The Air (Prevention and Control of Pollution) Act, 1981 The Water (Prevention and Control of Pollution) Act, 1974 The Environment (Protection) Act, 1986 The Hazardous Waste (Management & Handling) Rules, 2016 The National Environmental Tribunal Act, 1995 The Biomedical Waste (Management) Rules, 2016 The Municipal Solid Waste (Management & Handling) Rules, 2000 The E-Waste (Management) Rules, 2016 11
ENVIRONMENT LEGISLATIONBiom
edical Waste (BM
W) M
anagement
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KEY FEATURES OF BMW (M) RULES, 2016
The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity.
Occupier shall take all necessary steps to ensure that bio-medical waste is handled without any adverse effect to human health and the environment and in accordance with these rules.
Make a provision within the premises for a safe, ventilated and secured location for storage of segregated biomedical waste in colored bags or containers in the manner as specified.
Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years.
Pretreatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization onsite in the manner as prescribed by WHO or NACO.
Do not give treated bio-medical waste with municipal solid waste Conduct health check up at the time of induction, provide
training to all its health care workers and immunize all health workers at the time of induction and thereafter at least once every year.
Report major accidents.Cont……
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aste (BMW
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The details of training programmes conducted, number of personnel trained and number of personnel not undergone any training shall be provided in the Annual Report.
Ensure occupational safety of all its health care workers and others involved in handling of biomedical waste by providing appropriate and adequate personal protective equipments.
Establish a Bar Code System for bags or containers containing biomedical waste for disposal.
Untreated human anatomical waste, animal anatomical waste, soiled waste and, biotechnology waste shall not be stored beyond a period of forty – eight hours:
Existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Furans within two years.
Ensure segregation of liquid chemical waste at source and ensure pre- treatment or neutralization prior to mixing with other effluent generated from health care facilities.
Biomedical waste has been classified in to 4 categories instead 10 to improve the segregation of waste at source.
Cont……
Biomedical W
aste (BMW
) Managem
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Procedure to get authorization simplified. Automatic authorization for bedded hospitals. The validity of authorization synchronized with validity of consent orders for Bedded HCFs. One time Authorization for Non-bedded HCFs;
Operator of a common biomedical waste treatment and disposal facility to ensure the timely collection of biomedical waste from the HCFs and assist the HCFs in conduct of training.
Maintain and update on day to day basis the bio-medical waste management register and display the monthly record on its website according to the bio-medical waste generated in terms of category and colour coding as specified.
Establish a system to review and monitor the activities related to bio-medical waste management by forming a committee & maintain the record.
Every occupier or operator of common bio-medical waste treatment facility shall submit an annual report to the prescribed authority in Form-IV, on or before the 30th June of every year.
Occupier shall make available the annual report on its web-site and all the health care facilities shall make own website within two years.
Biomedical W
aste (BMW
) Managem
entKEY FEATURES OF BMW (M) RULES, 2016
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COLOR CODE
TYPE OF BAG/ CONTAINER TYPE OF WASTE TREATMENT OPTIONS
Yellow
Yellow colourednon-chlorinated
plastic bags
(a) Human Anatomical Waste Incineration or Plasma Pyrolysis or
deep burial(b)Animal Anatomical Waste
(c) Soiled Waste:(d) Expired or Discarded
Medicines:Returned back to the
manufacturer or supplier for incineration
(e) Chemical WasteDisposed of by incineration or
PlasmaPyrolysis or Encapsulation
Separatecollection
system leadingto effluent
treatment system
(f) Chemical Liquid WasteChemical
liquid waste shall be pre-treated before
mixing with other wastewater
Non-chlorinatedyellow plastic
bags or suitablepacking material
(g) Discarded linen,mattresses, beddings
contaminated withblood or body fluid.
Non- chlorinated chemical disinfection
followed by incineration or Plazma
Pyrolysis or for energy recovery
Autoclave safeplastic bags or
containers
(h) Microbiology,Biotechnology and
other clinicallaboratory waste:
Pre-treat to sterilize with nonchlorinated
chemicals on-site
CATEGORIES OF BMWBiom
edical Waste (BM
W) M
anagement
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CATEGORIES OF BMW
COLOR CODE TYPE OF BAG/ CONTAINER TYPE OF WASTE TREATMENT OPTIONS
RedRed coloured
non-chlorinatedplastic bags or
containers
Contaminated Waste(Recyclable)
Autoclaving or micro-waving/hydroclaving followed by
shredding ormutilation or combination ofsterilization and shredding.
Treatedwaste to be sent to registered or
authorized recyclers
White(Translucent)
Puncture proof,Leak proof,
tamper proofcontainers
Waste sharpsincluding Metals:
Autoclaving or Dry Heat Sterilization
followed by shredding
BlueCardboard boxes
with bluecolored marking
(a) Glassware
Disinfection and thensent for recycling.(b) Metallic Body
Implants
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aste (BMW
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STEPS FOR EFFECTIVE BMW MANAGEMENT
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aste (BMW
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WASTE SURVEYWaste survey is an important component of the waste management scheme. A survey helps in evaluation both the type and quantity of waste generated in hospitals.Aims:• Differentiate the types of waste• Quantify the waste generated• Determine the points of generation &
type of waste generated at each point
• Determine the level of generation &disinfection within the hospital
• To find out the type of disposal carried out
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aste (BMW
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Segregation refers to the basic separation of different categories of waste generated at source and thereby reducing the risks as well as cost of handling and disposal.
Segregation is the most crucial step in bio-medical waste management. Effective segregation alone can ensure effective bio-medical waste management.
The BMWs must be segregated in accordance to guidelines laid down under schedule 1 of BMW Rules, 2016.
SEGREGATIONBiom
edical Waste (BM
W) M
anagement
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• The collection of biomedical waste involves use of different types of container .
• The containers/ bins should be placed in such a way that 100 % collection is achieved.
• Sharps must always be kept in puncture-proof containers to avoid injuries and infection to the workers handling them.
COLLECTIONBiom
edical Waste (BM
W) M
anagement
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Once collection occurs then biomedical waste is stored in a proper place. Segregated wastes of different categories need to be collected in identifiable containers. The duration of storage should not exceed for 8-10 hrs in big hospitals (more than 250 bedded) and 24 hrs in nursing homes. Each container may be clearly labelled to show the ward or room where it is kept. The reason for this labelling is that it may be necessary to trace the waste back to its source. Besides this, storage area should be marked with a caution sign.
STORAGEBiom
edical Waste (BM
W) M
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TRANSPORTFinal Transport of BMW must be to CBMWTSDF only in authorized vehicle with appropriate documentation for further record.
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aste (BMW
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Biomedical W
aste (BMW
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entRECORD KEEPING MPCB Consent & Authorization. Formation of Committee to Establish a system to review and monitor the
activities related to bio-medical waste management & maintain the record.
Documents of Tie-up with CBMWTSDF to safe dispose of BMW. Record of Pretreatment of BMW & Trade Effluent. Records of Training, Health Check up. Record of BMW generation & disposal through CBMWTSDF. Annual Report.
LABEL FOR BIO_MEDICAL WASTE CONTAINERS or BAGS
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BMW TREATMENT
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Biomedical W
aste (BMW
) Managem
entDUTIES OF HCF’S / COMPLIANCE
To obtain MPCB Consent & Authorization for it’s activity. To take all necessary steps to ensure the appropriate handling of BMW as
per the guidelines of BMW (M) Rules, 2016. To make all the provisions of safe segregation, pre-treatment, storage &
transport to CBMWTSDF. Pre-treatment of BMW. Phase out the chlorinated bags, gloves & blood bags. Not to give any BMW to Municipal solid waste unless the solid waste other
than BMW. Provide the training to all health care workers, staff at the time of
Induction & thereafter once in year & maintain the record of the same. Immunize all its health care workers and others time to time & maintain
the record. Establish a Bar- Code System for bags or containers containing bio-
medical waste
Cont….
It shall be the duty of every Occupier………
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Biomedical W
aste (BMW
) Managem
entDUTIES OF HCF’S / COMPLIANCE
Ensure segregation of liquid chemical waste at source and ensure pre-treatment or neutralization.
Ensure treatment and disposal of liquid waste before mixing with sewage water.
Ensure complete treatment of sewage waste water & chlorination before discharge to drain.
Ensure occupational safety of all its staff & monitor the same time to time. Conduct health check up at the time of induction and at least once in a
year for all its health care workers and maintain the records. Maintain and update on day to day basis the bio-medical waste
management register and display the monthly record on its website. Report major accidents. Prepare the Annual report for the Period of January to December & submit
the same till 30th June. Make available the annual report on its web-site. Form a committee to establish a system to review and monitor the
activities related to bio-medical waste management & maintain the record.
It shall be the duty of every Occupier………
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Biomedical W
aste (BMW
) Managem
entOUR HELPING HAND
Consultancy services to obtain MPCB Consent & Authorization. Preparation & Submission of Annual Report. Plant installation for pre-treatment/treatment of waste water (ETP), full-
fledge treatment of sewage waste water (STP). Consultancy services/Annual Contract to
Pre-treatment of BMW Formation of committee & BMW management Implementation of Bar code system. Systematic procedure for Segregation, storage & final disposal of BMW. Training to Health work Record keeping of Training, Health check up, Immunization of Health
Care workers & staff, BMW generation & disposal, occupational safety. Report major accidents.
Services offer by us………
Concluding….
It is just not the law abide compliance but the SOCIAL RESPONSIBILITY of every Health Care Establishment to say…NO TO HAZARD OF BIOMEDICAL WASTE
It will only take.. Proper planning. Spread Awareness. Involvement everyone. Segregation, Pre-treatment at first stage. Appropriate Storage Timely Disposal. All Records…And………………………….. ALL CLEAN. 28
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aste (BMW
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