Professional Documents
Culture Documents
HOSPITAL WASTE
MANAGEMENT
DEFINITIONS
4
HOSPITAL
WASTE
Biohazardo
us (20%)
Infectious (15%)
Non Infectious
(5%)
7
Non Hazardous
(80%)
Municipal
Dump
INFECTIOUS WASTE
Lab cultures
Waste from wards
Tissues (swabs)
Excreta
Human tissues or fluids
E.g. Body parts
Blood
Body fluids
Foetuses
Sharps-Needles
Infusion sets
Scalpels
Knives
Blades
Broken glass
NON-INFECTIOUS WASTE
Drugs expired
Genotoxic chemicals
Lab reagents
Expired Disinfectants
Batteries
Broken Thermometers
Gas cylinders
Radioactive waste
10
INFECTIOUS WASTE
MANAGEMENT
STEPS IN WASTE
MANAGEMENT
1. Protection
2. Segregation
3. Storage
4. Transportation
5. Treatment
11
12
PROTECTION
13
WORKERS
PROTECTION
14
HELMET
EYE PROTECTORS
FACE MASK
PLASTIC APRON
HEAVY-DUTY
RUBBER GLOVES
NITRILE/
NEOPRENE GLOVES
GUM BOOTS
15
16
17
SEGREGATIO
N
18
19
20
21
22
23
24
TYPE OF
WASTE
CONTAINER CATEGORY
YELLOW
Plastic Bag
Categories 1, 2, 3
& 6.
Disinfected
container/Plastic
bag
Categories 3, 6, 7
BLUE/ WHITE
TRANSLUCEN
T
Plastic Bag
/puncture proof
containers
Categories 4,
7
BLACK
Plastic Bag
Categories 5, 9, 10
RED
25
BACTERIOLOGY / MYCOLOGY/
VIROLOGY LABORATORY
26
SPECIMEN RECEIVED
27
LIQUID- Blood,
Urine,
Stool, Peritoneal
fluid,
Pleural fluid,
Synovial fluid,
CSF, pus,
sputum
SOLID- Anatomical
Tissues, Vaginal,
Throat, Wound swabs
PROCESSING
28
STAINING
CULTURE
BIOCHEMICAL TESTS
ANTIBIOTIC SENSITIVITY TESTING
DISCARDING OF WASTE
29
HUMAN
TISSUES
GLASS
SLIDES,
TEST TUBES
1. Autoclaving
Autoclave the liquid waste
2. Chemical Treatment
Add 1% hypochloride solution to a final dilution of
1:10
(1 part bleach to 9 parts contaminated
liquid)
31
STAINED SLIDES
32
33
34
35
TUBERCULOSIS LABORATORY
36
37
DISCARDING OF WASTE
38
ANATOMICAL
TISSUE
SPUTUM
SAMPLE,
PUS,
ASCITIC
FLUID,
PLEURAL
ZN
SLIDES
40
41
Disposal of ZN slides
42
Disposal of TB culture
Incineration/ Autoclaving
43
Disposal of used
Syringes/needles/broken vials
44
cauterized needles,
plastic
syringes
broken vials
ampoules
45
SEROLOGY LABORATORY
47
SYRINGE
CAP
48
HOLE
WHERE N/S
IS
INSERTED
DETACHABLE
LID
AIRTIGHT
LID
Disposal of syringes
52
The syringes
which are
dismantledthick plastic
bag
53
Disinfection
54
55
56
FINAL DISPOSAL
For needles-SHARP PITS or
ENCAPSULATION
For syringes-SHREDDING OR BURIAL
ON SITE
57
Labelling
58
Date of generation__________
Waste Class
Waste Description
Phone No.:_________________
Phone No.:_______________
Telex No.:_______________
Fax No.:________________
Contact Person:____________
Phone No.
Covered
containers to be
used for waste
segregation.
Bags/ Containers
to be filled 2/3rd
ofcapacity
STORAGE
59
BIG ENOUGH TO
STORE BAGS
PROPERLY
VENTILATED
NOT STORED FOR
MORE THAN 24
HRS
TRANSPORTATION
60
61
WASTE TREATMENT
62
Incineration
Autoclaving
Microwaving
Hydroclaving
Chemical treatment
Inertization
Land disposal/ fill
63
64
PRINCIPLE :
High temperature dry oxidation process that
reduces organic & combustible waste to
inorganic & incombustible waste
Reduction of waste volume & weight.
Wastes that cannot be recycled, reused or
disposed off in a land fill site.
TYPES OF INCINERATORS
65
DOUBLE CHAMBERED
SINGLE CHAMBERED
ROTATORY KILNS
2 Chambers
67
USES
68
ADEQUATE
Infectious waste
Pathological waste
Pharmaceuticals
INADEQUATE
Genotoxic waste
Radioactive waste
69
Single-chamber
incinerator
Rotatory kilns
NOT TO BE INCINERATED
70
AUTOCLAVING
71
72
MICROWAVING
73
No Microwaving to be done
Cytotoxic,
ardous or
Hazardous
or
radioactive waste,
Radioactive
contaminated waste.
animal parts and
Contaminated
body
large metal parts
parts, tissues and
large metal parts.
74
HYDROCLAVING
75
A.
A.
A.
Pathological waste,
Sharps containers
Liquid containers
Cardboard
containers
Metal objects
80
Hydroclave
No pre-shredding of
infectious waste
High level of sterility
Low operating cost
(by steam)
81
Microwave
(non-pressure type)
Must pre-shred
No sterility, only
disinfection
High operating
cost
(expensive
electricity)
Chemical Treatment
82
FORMALDEHYDE
ETHYLENE OXIDE
GLUTRALDEHYDE
SODIUM HYPOCHLORITE
CHLORINE DIOXIDE
PHENOLS
Suitable for Liquid waste treatment
blood, urine, stool, hospital sewage.
LAND DISPOSAL
83
INERTIZATION
85
DISPOSAL
86
SHARP PITS
87
ENCAPSULATION
88
89
Disposal of plastic
syringes
SHREDDINGhand mill or
electric shredder.
Later can be
buried
MUTILATION-tip
cut with hub
cutter or scissor
& then buried
90
Referances
92
93