RESULTS OF ENVIRONMENTAL MONITORING IN 6 PROVINCIAL HOSPITALS HIGHLAND AREA 2011-2013

2016 ◽  
pp. 101-108
Author(s):  
Duy Tao Tran ◽  
Trong Si Hoang

Objective: Monitoring and evaluation of air environmental quality, waste water and medical waste management activities in some hospitals in the Central Highlands. Research Methodology: Cross-sectional descriptive survey was deployed in 6 provincial hospitals of the Central Highlands in 7th- 8th months every year for 3 years, 2011, 2012, 2013. Observing the process of waste management in hospitals, weighing the medical solid waste generated daily, sampling and environmental monitoring of air, water waste samples after treatment of hospitals. Findings: The percentage of substandard sample of radioactive 2011 was 5.88%, in 2012 was 5%, 2013 was 0.02%. Mainly in dose laboratories, rinse the nuclear medicine department, hatch covers radioactive waste storage. 100% of the air sample of wastewater treatment areas have NO2 target and 60% of SO2 target sample have not reached allowed regulations. The atmosphere at the garbage area hospitals in Kon Tum and Lam Dong provinces through 2 years of monitoring in 2012, 2013 exceeded SO2 target standards. Monitoring results incinerator emissions sample at 3 hospitals: Kontum, Gia Lai, Dak Nong in 3 years reached Regulations allow. The observation sample treated waste water of the hospital in 2013 with low contamination rate than in 2011 and 2012 in terms of physics and chemistry. Particularly criteria Total coliforms 3 years are from 40-50% of samples exceeded standards. Regarding waste management, the results of monitoring in 2013 showed that 60% of faculties have sharps instruments and 20% of the faculties have satisfactory utensils anatomical waste. 59.48% of the faculties have the guidelines for waste separation. Condition misclassified not many and occur in two hospitals Gia Lai, Dak Lak. Only Lam Dong hospitals have waste transportation vehicles secured closed during transport. The amount of waste / beds / 24 hours is 1.097kg. In particular infectious waste is 0.26kg. Only two hospitals in Daklak, Lam Dong has generated radioactive waste with a total of 0.9 kg/day. Key words: Medical waste, medical waste management.

Author(s):  
Gajanan C. Soyam ◽  
Prabhakar A. Hiwarkar ◽  
Umesh G. Kawalkar ◽  
Vishal C. Soyam ◽  
Vimal K. Gupta

Background: Bio-medical waste management is vital issue not only to hospitals, but also to the environment, law enforcement agency, media and to the general public.The objectives of the study were to find out level of knowledge, attitude and practices of health care workers (HCWs) about bio-medical waste management in a rural hospital of Delhi. Methods: A cross sectional study was carried out in rural hospital, Delhi on 155 HCWs. Pre-designed, pretested, structured questionnaire were administered on 155 HCWs of hospital. Data collected and analyzed by using SPSS-17. Results: Total of 155 HCWs were selected. Majority of HCWs were in the age group of 30.3 years±5.6 (mean age±SD) Almost half (54.2%) of study population comprised of female. Most of them were nursing staff. Mean years of experience in service was 4.8±3.7 (mean age±SD). Majority HCWs in this study took education up to senior secondary and they possess respective professional qualification. Statistically significant numbers of HCWs vaccinated with HBV vaccine and received training of bio-medical waste management (p<0.05). Almost all (97.4%) HCWs aware of bio-medical waste management rules and have very positive attitude. Practice of HCWs regarding bio-medical waste management was relatively poor. Conclusions: Nursing staff have not only best knowledge and attitude but also good practices among all HCWs. Additional training have been required to Paramedics and group-D workers.  


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.


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


2020 ◽  
Author(s):  
Virender Verma ◽  
Priya Soni ◽  
Meenakshi Kalhan ◽  
Sanjiv Nanda ◽  
Anjani Kumar ◽  
...  

Background and PurposeFrom antiquity, the healthcare facilities have treated sick people but there was little awareness about the fact that hospitals generate a lot of hazardous bio-medical waste, which had been disposed without proper guidelines. Lately, it has been a proven thing that bio-medical-waste is a potential hazard for heath-personals, and environment. Therefore, it must be disposed in a proper manner.ObjectivesThis was an observational study carried out at one of the tertiary care hospitals in Rajgarh city about the knowledge, attitude and practices of the hospital staff about the bio-medical waste management.Material and methodAn observational (cross-sectional) study using questionnaires was carried out at one of the non-NABH accredited tertiary care hospitals of Rajgarh City in Rajasthan (India).ResultsMore than 70% staff (except housekeeping) had good ideas about waste categories, segregation and color coding except in radioactive waste. The house keeping staff did well in 3 categories (Linen, sharps and glasses). Most of the employees has clarity about BMW except the housekeeping staff which did well on most of parameters except barcoding, pretreatment of anatomical/ biotechnology waste, knowledge about STP plant (Sewage treatment plant), Hazmat and signage. On actual hospital rounds we found that the hazmat practices were in a poor shape. Most of staff was aware occupational hazards except housekeeping staff.ConclusionA written policy, induction training of healthcare workers, constant and repetitive workshops, and motivation are important human factors to implement the biomedical waste practices in a small-scale healthcare organization. Risk-stratification, understanding of health hazards and how to activate hazmat protocols are important things which are to be brought into practice.


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.


2021 ◽  
Vol 5 (2) ◽  
pp. 169-182
Author(s):  
Alifa Nisrina ◽  
Efendi Efendi

Article 13 Permenkes No. 18 of 2020 states, Local Governments have the responsibility to facilitate the management of medical waste. In reality, the Banda Aceh City Government has not provided facilitation in the management of medical waste in Banda Aceh City. The purpose of the study was to determine the form of facilitation provided by the Banda Aceh City Government and the policies taken in the management of medical waste. The main data of this study is secondary data and is supported by primary data. Secondary data was obtained from legislation, scientific journals and books, while primary data was obtained through interviews. The results showed that the facilitation provided by the Banda Aceh City Government was only in the form of socialization and advocacy to cross-sectors and monitoring and evaluation of Health Service Facilities. The medical waste management facilitation policy has not been implemented in accordance with the Minister of Health Regulation No. 18 of 2020 and the Banda Aceh City Sanitation Strategy 2010-2025.


2019 ◽  
Vol 1 (2) ◽  
pp. 70-77
Author(s):  
Bunga Mari Sembiring ◽  
Fithri Handayani Lubis

ABSTRACT The hospital is one of health service units that produces medical waste. Medical waste management well be giving effect to health workers, patients and the patient’s family. Toable do medical waste management is needed good knowledge and behavior of nurses. The results of pre study at Sembiring hospital, there are activity of nurses of medical waste management like a needle, spuit, a bandage thrown away without separated. Thepurposes of this study is to know The Relationship The Level Of Knowledge With The Actions Nurse Of Medical Waste Management In Sembiring Hospital Deli tua City. The design of study is qualitative and quantitative. The method use descriptive correlative, with cross sectional approach. The populatin study are all of nurses count 50 persons. The sample wew 44 respondents, taken a sample of 44 respondents with a simple random sampling technique. The instrument study used knowledge questionnaire and questionnaire actions of medical waste management after validity and reability tested. The data then tested with Chi Square test. The result showed that 5 respondents (55,6%) with knowledge isn’t good doesn’t take action and 4 respondents (44,4 %) with that takes action of medical waste management. The result of rank the Chi Square test obtained p value = 0,010 ; α = 0,05. The conclusion of the study there were relationship the level of knowledge with the actions nurse of medical waste management in Sembiring hospital. The higher the nurse’s knowledge about medical waste management, the better the nurse’s actions in managing medical waste.


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