hospital waste managementproject training for nursing and para-medical staff by: alamgeer memon...
TRANSCRIPT
HOSPITAL WASTE MANAGEMENTPROJECT
TRAINING FOR NURSING AND PARA-MEDICAL STAFF
By: Alamgeer MemonProject Manager
Mashriq Foundation Hyderabad 25th February 2010
Mashriq Foundation
Mashriq Foundation is an NPO and has a multi-dimensional focus on Environment and community health activities.
Based in Hyderabad, Mashriq Foundation is currently executing following two projects
1. Hospital Waste Management (HWM) Project at 4 Taluka hospitals of Hyderabad District:
2. Hospital Waste Management (HWM) Project at DHQ Hospital Sanghar:
Some successes achieved:
Conducted awareness seminars Baseline survey Waste management team formation Stakeholders integration, like EPA,
Ministry of Environment, Municipal authorities, BP Pakistan, Civil society and Hospital Administration
Mass media coverage
How We conceived this project
Disposal
Movie
Disposal
Disposal
Disposal
Disposal End …..
Carriers
Project Nexus
Burning of HW – dioxin formation
Exposure of hepatitis B & C through needle pricks
Contamination of Water canals
Hospital Waste Types:
Segregation/collection
The most important component of HWM is segregation.
Segregation is the process of separating different waste streams
Risk waste will be separated at source from non-risk waste
Color coding of Waste Bins
Red colored waste bins for Risk/infectious waste
Blue colored waste bins for Non-risk waste
Black colored dust bins for Garbage (fruits/food)
BLUE COLORED WASTE BINS:
(NON-RISK WASTE) Paper and cardboard, packing materials, empty bottles, used vials, used
drips after cutting the drip sets and their needles etc.
RED COLORED WASTE BINS:
(RISK WASTE) Infectious waste like blood soiled materials of all types, soiled used
dressings/bandages, human blood and tissues/body parts from surgical OTs and Labor rooms, waste generated during minor procedures in OPD, body fluids of the patients, contaminated syringes and drip sets, I/V canulas, used catheters, NG tubes, removed stitches, used swabs, soiled or used protective equipments i.e. gloves and masks, waste generated during clinical examination, expired medicines & injections, spoiled pharmaceutical products, needles, sharps, broken glass pieces or any other thing that can puncture, chemical and radioactive waste from laboratories and radiology department, waste after procedure of dialysis, waste generated from ENT and Dental surgery departments during procedures etc.
Collection & Transportation
Collection will be on daily basis from specific color coded waste bins
Risk waste from Red-bins and non risk waste from Blue-bins placed at bed side, will be collected separately in the LARGE bins of same color scheme
Transportation of waste from wards to Central Storage Facility will be done by covered drums
Waste Transport
HW Storage
Mashriq Foundation suggests Central storage room facility with Incinerator.
CSF locations to store waste temporarily before Incineration and Land filling/Dumping
These CSF will be covered and having large containers for the waste storage
Earlier
Work in progress by Mashriq Foundation
HW Disposal:
Incineration for Risk/ Infectious waste
Land filling for Non-risk waste
Packing papers, plastic bags, empty bottles and other pharmaceutical waste of non-infectious type back to supplier
Story of Incinerator
HWM – Good and Bad practices
HWM – Good and Bad practices
HWM – Good and Bad practices
HWM – Good and Bad practices
HWM – Good and Bad practices
Injection Safety
Screening & Vaccination of staff
We recognize high importance of Screening and Vaccination of Hepatitis B & C, for hospital staff
Sanitary staff and waste handlers could be primary carriers for Hepatitis B & C
Other categories in service providers shall also be included
Sustainability:
HWM to be considered as a routine business of hospital rather than one-time project activity
WMT to own and execute “Waste Management Plan”
This Plan will be the actual document to achieve the desired goals under this HWM system