scholarly journals Assessment of bio medical waste management practices of staff nurses according to newer guidelines in a teaching hospital of rural Vadodara, Gujarat

Author(s):  
Bhavesh R. Bariya ◽  
Grishma D. Chauhan ◽  
Aarti Jadeja ◽  
Meet Jain

Background: The healthcare services while providing curative, promotive or preventive services inevitably produce waste which may be hazardous to health of patients and hospital staff as well as to the environment. The bio medical waste (management and handling) rules were recently updated by Government of India notification 2016. The present study was carried out to observe and assess the BMW management Practices among staff nurses in a teaching hospital of Vadodara district.Methods: A cross sectional study was carried out to assess BMW management practices in the hospital using BMW Checklist. Observation was the predominant method for data collection.Results: Segregation of BMW at the site of generation was found in 72.73%. Sharp and non-sharp infectious waste was correctly segregated in 72.73% and 100% of areas respectively. Bio medical Waste was found covered in bins, but overfilled in 81.82%. In 6 out of 11, BMW was kept beyond 48 hours. IV set, bottles, syringes, latex gloves, catheters etc. were cut by scissors before disinfection in 45.45%. Staff nurses were using gloves while handling syringe and needles in 10 out of 11 places.Conclusions: Staff nurses were knowledgeable about segregation of BMW, but storage and pretreatment of BMW before its final disposal needs to be improved. An orientation programme about newer guidelines may improve the current practice. 

2020 ◽  
Vol 38 (4) ◽  
pp. 160-165
Author(s):  
Mohammad Ferdous Rahman Sarker ◽  
Rupa Debnath ◽  
AFM Shahidur Rahman ◽  
Liton Bhushan Howlader ◽  
Zakia Jalal Sarker ◽  
...  

Introduction: Living things and human activities produce huge waste every day. Globally medical waste is the second most hazardous waste after radiation waste. In this context, this study was a modest endeavor to examine the current situation of ‘Jamalpur 250 Bed General Hospital’s’ medical waste management practice. Methods : This cross sectional study was conducted among doctors, nurses, laboratory technicians and sanitary staffs at ‘Jamalpur 250 Bed General Hospital’. 185 healthcare personnel were purposively interviewed (face to face) to assess previous and existing knowledge and practices of medical waste management. Informed written consent was taken from the study subjects before taking interview. Data was collected by a pretested semi-structured questionnaire. Results : In our current study, out of 185 respondents, 10.0% were doctors and 43.0% were nurses. Five among six color coding segregation system, below 50.0% of the respondent answered correctly. Only 23.8% respondents revealed that the waste handler use PPE properly. 90.8% respondents were mentioned about the lack of storage place for medical waste at hospital premise. 55.7% respondents didn’t know about the in house disinfection process, 56.8% respondents didn’t know about the municipal vehicle support and 52.4% didn’t know about the availability of waste management equipment. Poor knowledge with favorable attitude and risky medical waste management practice of this hospital’s healthcare personnel were detected. Conclusion : This study were indicated that the majority of healthcare personnel did not apply the recommended medical waste management practice set by WHO. Moreover, the current medical waste management practice in selected district hospital was not managed properly and could pose a risk for human health and the environment. J Bangladesh Coll Phys Surg 2020; 38(4): 160-165


2021 ◽  
pp. 22-24
Author(s):  
Anitta Jose Ellenkil ◽  
Anila Varghese ◽  
Nitin Dutt Bharadwaj ◽  
U B Mishra

Health care workers have an important role in managing the bio medical waste and periodic studies should be carried out in order to identify the gaps with respect to knowledge and practices of healthcare workers. This cross-sectional study was undertaken in a government tertiary care teaching hospital in Lucknow between June 2019 and June 2020. Sample size was calculated to be 407 and population proportion sampling was used. Data collection was done using a pre-tested semi-structured questionnaire translated to Hindi which was administered by the researcher to assess knowledge and attitudes. An observational checklist was used to assess the practices of bio medical waste management. Majority (72%) of the study participants had received training in biomedical waste management. Mean score of knowledge about Biomedical waste management rule was highest for doctors, followed by staff nurses and housekeeping staffs and paramedical staffs. Positive attitude was more among the paramedical staffs followed by doctors and housekeeping staffs. With respect to practice, highest mean score was observed for staff nurses followed by housekeeping staffs. Periodic trainings and appreciation will go a long way in reinforcing the good practices.


Author(s):  
Fatema Musa ◽  
Ayatullah A. Mohamed ◽  
Nagah Selim

Background: The improper management of wastes generated in health care facilities can severely affect the health of caregivers, patients and members of the community. Medical waste management can be achieved with the cooperation of all workers and patients; however, nursing personnel play a significant role in the whole process. Therefore, this study was done to evaluate the knowledge of nursing professionals regarding waste management in Hamad Medical Corporation (HMC) hospitals in Doha and to assess their attitude towards medical waste management.Methods: Descriptive cross-sectional study conducted at 4 governmental hospitals in Doha city; Hamad General Hospital (HGH), Women's Hospital (WH), Rumiallalh Hospital (RH) and Al-Amal hospital among 420 nurses.Results: The response rate among nurses were 82.3%, most of them are female and non-Qatari. On analyzing data on knowledge about waste management procedures, it was found that the most widely reported procedures was segregation (89.9%) and incineration (84.9%). Almost all nurses (99.4%) believed that training and education regarding medical waste is required for all staff, also 98.8% of the studied nurses agreed that attending medical waste management program is beneficial.Conclusions: Knowledge of most studied nurses regarding medical waste management was found to be high and had positive attitude.


Author(s):  
Anjuman Chowdhary

Background: Healthcare wastes are of great importance due to its hazardous nature. As World Health Organization (WHO) indicated, some of healthcare wastes are considered the most hazardous and potentially dangerous to human health and pollute the environment. With this background this study was undertaken to assess awareness, behavior and practices healthcare personnel about biomedical waste, its hazards and management.Methods: This one cross-sectional study was conducted at S.V.B.P. hospital associated with L.L.R.M. medical college, Meerut. A total of 291 healthcare personnel who consented for interview were interviewed biomedical waste management rules and observed for biomedical waste management practices by using redesigned and a pretested questionnaire. The data was analysed by using SPSS software.Results: Awareness regarding bio-medical waste management rules was 67% in doctors, 60% in nurses, 57% among lab technicians, but the sanitary staff was not aware about this. Awareness about category of BMW, number, colour coding, disposed content, labelling and cover of waste containers and segregation of waste were more among nurses and lab technicians in comparison to doctors but minimum among sanitary staff. All the respondents (100%) doctors, nurses and lab technicians knew that HIV and Hepatitis B transmitted through Bio medical waste but their awareness regarding Hepatitis C and other diseases was very low. 74% of sanitary Staff did not know that these diseases could be transmitted through bio medical waste.Conclusions: Healthcare facilities should get their healthcare personnel trained from accredited training centers.


2020 ◽  
Vol 2020 ◽  
pp. 1-14
Author(s):  
Robert Ohene Adu ◽  
Samuel Fosu Gyasi ◽  
David Kofi Essumang ◽  
Kenneth Bentum Otabil

Hospital waste management in Ghana faces the risk of cross-contamination from the lack of thorough sorting of the waste at the points of generation, codisposal of hazardous and nonhazardous waste types, and use of open-fire pits and substandard incinerators for burning infectious waste. This has increased the potential for the spread of infections and chemical pollutants. A cross-sectional study was conducted in five hospitals in Ghana to assess behavioral patterns on waste sorting and the effectiveness of hospital waste management in Ghana. A total of 250 questionnaires were distributed purposively to some staff of the five hospitals to assess workers’ perceptions on medical waste sorting and handling. Additionally, focused group discussions and transect walks were adopted to examine the current collection, storage, treatment, and disposal methods used in the health facilities. Chi-square analyses showed significant differences in waste-sorting behavior based only on occupation (p<0.0001, n=180) and not on gender, education, or experience in the health sector. Even though contaminated sharps were separated into brown safety boxes, color coding for other infectious waste containers was inconsistent across the health facilities. The study revealed that incineration is still the modal method of treatment in Ghanaian hospitals and therefore new approaches such as an engineering approach were required to minimize its environmental effects. It is recommended that periodic in-service training workshops be held for healthcare staff on the right source-segregation of medical waste, in order to facilitate the effective and safe handling, transport, treatment, and disposal of waste from health facilities.


2021 ◽  
Vol 11 (2) ◽  
pp. 42-48
Author(s):  
Urvashi Mishra ◽  
Sarjoo Patel ◽  
Kushan Shah

The increased number of hospitals with rising number of beds generate about 1.5 to 2 kg waste per day and per bed. This gives an insight about the volumes of waste generated from the government and private sector hospitals per day. Therefore, the hospital waste management is of utmost importance in the present public health scenario, where the occurrence and recurrence of the infectious diseases is a major public threat. The objective of this research was to find out how hospitals can benefit from improving medical waste management practices. In the questionnaire, survey questions were formulated for gathering data. The questionnaire was designed in such a way that it can provide general information about the hospital staff along with their knowledge about the medical waste and their concern regarding the waste disposal-training program. It was found that the importance was being laid on proper waste disposal only and much less focus was given on waste minimization and recycling of the waste. The study has found that the city can benefit both environmentally and economically by improving the medical waste management at different hospitals.


2019 ◽  
Vol 1 (4) ◽  
pp. 36-44
Author(s):  
Erigene Rutayisire ◽  
Jean Aime Nsabimana ◽  
Michael Habtu

Background Globally, about 10 to 25% of the volume of bio-medical waste from hospitals and healthcare institutions presents a serious health risks to patients, healthcare personnel, and anybody who comes in contact with it. The waste management practices in Rwanda healthcare facilities are poor and need improvement. Objectives To assess the knowledge and practices regarding bio-medical waste management among healthcare personnel at Kabgayi district hospital in Southern Province of Rwanda. Materials and Methods A cross-sectional study design was conducted. A total of 200 healthcare personnel were selected randomly out of 400 target population including doctors, nurses, social workers, and cleaners. Structured questionnaire was used to collect data. Descriptive analysis using frequency and proportions were used. Chi-Square test was used to determine the association between the variables and level of significance was set at p ≤ 0.05. Results The study found that about half (49.0%) of healthcare personnel had good knowledge about waste management. We found that the majority of healthcare personel 133(66.5%) had poor practices towards bio-medical waste management. The factors associated with good practice were better knowledge on bio-medical waste management (p=0.013) and older age group (p=0.001). Conclusion/Recommendations The level of in both knowledge and practice towards bio-medical waste management among healthcare personnel was low. Continuing education and training programmes and short courses on bio-medical waste management should be carried out to improve the knowledge and practices towards bio-medical waste management among healthcare personnel.


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