A case study to review compliance to biomedical waste management rules in a tertiary care hospital

Background: Every healthcare establishment is known to produce several tonnes of waste. Over a period of time to cater to the needs and demands of the growing population has resulted in rapid mushrooming of hospitals, both in the government and private sector. Improper management of waste generated in health care facilities causes a direct health impact on the community, the health care workers and the environment. Such waste requires management & specific treatment prior to its final disposal. The objectives were to observe compliance of protocols in handling, transport & storage of Biomedical Waste in a tertiary care hospital and to assess compliance to occupational safety measures used by the health care staff.Methods: A validated checklist with 41 parameters to check compliance to various functions carried out at source of generation, handling, transport & storage by a Health Care Worker for BMW management was prepared. It was an observational study that made use of complete enumeration method to select all study sites. A total of 67 sites were visited and observed. A total of 4 visits were made to each area to assess the compliance to rules.Results: Out of 64 wards that were observed for compliance to BMW handling and Management rule 2011, 42.18% disinfected the biomedical waste bins daily. Mixing of contents in the red bag, yellow bag and black bag was found to be 20.31%, 12.5% and 10.93% respectively. None of the wards observed cutting of gloves and saline bottles prior to disposal.Conclusions: The tertiary care hospital where the study was carried out was compliant with most rules with respect to BMW management. Segregation, mutilation and disinfection practices were not performed strictly at all waste generating sites. Due to patient overload and lack of staffing mutilation and disinfection practices were overlooked at many sites. Day to day collection of waste from all sites was not carried out due to which record books were not properly maintained. False reporting was noted on records at various sites.

Download Full-text

Effect of in-house training of health care personnel on biomedical waste management in a tertiary care hospital, Warangal, Telangana, India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20200975 ◽

2020 ◽

Vol 7 (3) ◽

pp. 1110

Author(s):

Priyanka Sriramula ◽

Rajashekar Neelakanti ◽

P. S. Supriya

Keyword(s):

Health Care ◽

Waste Management ◽

Tertiary Care ◽

Specific Treatment ◽

Health Care Facilities ◽

Health Care Personnel ◽

Healthcare Personnel ◽

Care Hospital ◽

Biomedical Waste ◽

Post Test

Background: Every day, relatively large amount of potentially infectious and hazardous wastes is generated in the health-care hospitals and facilities around the world. Indiscriminate disposal and improper management of waste generated in health care facilities causes serious threat to environment and to human health that requires specific treatment and management prior to its final disposal.Methods: Cross-sectional study was conducted among 241 health care personnel working at Mahatma Gandhi Memorial hospital, Warangal. Data was collected and pre and post analysis was done using a pre-validated self-administered questionnaire. Data was entered in MS Excel and analysed using SPSS 17 software.Results: Among 241 respondents, 33.2% were sanitary staff, 35.3% are nursing staff and 31.5% are nursing students. Only 35.7% of participants has knowledge regarding the colour of the bag into which expired antibiotics are discarded and 45.2% of participants were aware of the colour of the bag in which IV bottles, gloves were discarded. Scoring for 10 was done in both pre and post-test and post test scores were found to be higher and there is significant increase in level of knowledge of biomedical waste management rules in study population in post-test analysis (p<0.001).Conclusions: Training program on the waste management in the health sector has significant effect in increasing knowledge of the healthcare personnel.

Download Full-text

The Changing Pattern of the Quantum of Biomedical Waste Generated from a Tertiary Care Hospital in Delhi

Journal of Laboratory Physicians ◽

10.1055/s-0041-1723056 ◽

2021 ◽

Author(s):

Arvind Achra ◽

Rakesh Kumar Mahajan ◽

Sambit Sahoo

Keyword(s):

Health Care ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Health Care Facilities ◽

Plastic Waste ◽

Annual Growth Rate ◽

Care Hospital ◽

Biomedical Waste ◽

Health Care Waste ◽

Health Care Production

Abstract Background As a consequence of growth and advancement in health care, production of health care waste has seen an exponential upward trend. Waste from individual health care facilities can vary based on the nature and scope of health care services they provide. Objectives To analyze the amount of biomedical waste generated by a tertiary care hospital. Methods Biomedical waste generated by the hospital from 2005 to 2019 was quantified and analyzed to calculate the total amount of incinerable waste, recyclable plastic waste, and sharp and glass waste. The amount of waste generated per bed per day and the compound annual growth rate (CAGR) were also calculated. Results The total amount of biomedical waste generated in 2005 was 65,658 kg, which has substantially increased to 374,712 kg in 2019, with a CAGR of 12.5%. The hospital was producing average biomedical waste of 0.179 kg/bed/day in 2005, which has increased four times in 2019 to reach 0.709 kg/bed/day. The overall estimated plastic waste was 31% of the total biomedical waste in 2005 and 53% in 2019. Conclusion The generation of biomedical waste is likely to see significant upward trends unless diligent deliberations are held between different stakeholders in regard to the reintroduction of reusable materials and waste reduction strategies.

Download Full-text