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

Author(s):  
Priyanka Sriramula ◽  
Rajashekar Neelakanti ◽  
P. S. Supriya

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. 

Author(s):  
Dipika Shrestha ◽  
Seema Bansode Gokhe ◽  
Anurag Dhoundiyal ◽  
Prashant Bothe

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.


2018 ◽  
Vol 10 (3) ◽  
pp. 70 ◽  
Author(s):  
Ahmed Yar Mohammed Dawood Al Balushi ◽  
Muhammad Muqeet Ullah ◽  
Amal Ali Al Makhamri ◽  
Fatma Sulieman Al Alawi ◽  
Mansoor Khalid ◽  
...  

BACKGROUND: Due to existence of highly infectious materials, the biomedical waste can be a probable source for transmission of diseases as well as occupational hazards among health care workers if not adequately managed. Objective: To assess the knowledge, attitude and practices of biomedical waste management among health care personnel in a secondary hospital of Al Buraimi Governorate, Sultanate Oman.METHODOLOGY: A Cross sectional descriptive self-administered questionnaire based study was conducted among 207 subjects from 30th September 2015 to 30th March 2016 in Al-Buraimi hospital, Oman. Stratified random sampling comprised of four strata (100 nurses, 65 doctors, 22 housekeeping staff and 20 laboratory technicians).Chi-Square test was applied using SPSS version 21 with significance level ≤ 0.05. Confidentiality was maintained with ethical approval from research committee and informed formal consent was taken from the participants. RESULT: Overall response rate was 125 (60.3%) from total 207, mean age 36.14±8.9 and age ranges from 20 to 58 years with mean age (doctors 42.5, nurses 29.8, laboratory technician 29.2 and housekeeping staff 36). Female proportion of 82 (65.6%) was higher as compare to males 43 (34.4%). The study was analyzed on the basis of “satisfactory” and “unsatisfactory” scores using “cut-off point” tools. Nurses had better satisfactory knowledge (90.9%), attitude (94.5%) and practice (80%) scores as compare to other participants. The overall “satisfactory” knowledge, attitude and practice scores were found to be statistically insignificant (P=0.100, P=0.346, P=0.364 respectively). No significant relationship established between dichotomized variables of knowledge and practice (P = 0.264) as well as attitude and practice (P = 0.147).CONCLUSION: The “satisfactory” scores of knowledge, attitude and practice were found to be higher among nurses as compared to other participants, which may be due to intensive patient care and more involvement in biomedical waste management as well as greater responsibility allocated by hospital administration.


Author(s):  
Ramakrishna Shenoi ◽  
JIGNESH RAJGURU ◽  
Anup Marar

Health care waste is a unique category of waste by the source of generation, the quality of its composition, its hazardous nature and the need for appropriate protection during handling, treatment and disposal. Little knowledge and inappropriate technique of handling of biomedical waste can lead to serious consequences on health of the individual handling the bio-medical waste, the community and environment. Biomedical waste management begins with sequential efforts from the early stage of waste generation, segregation at the source itself, storage at the site, disinfection and transfer to the terminal disposal site safely. A questionnaire study was conducted in a tertiary care hospital in Nagpur, India to assess the current knowledge, attitude and practices regarding Bio-medical waste management


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