scholarly journals Hospital Wastes Handlers’ Understanding of Medical Waste in Selected Hospitals in Ota, Nigeria

Author(s):  
O.P. Akinpelu

The study assessed waste handlers’ understanding of hospital waste components, in order to provide information that would inform policy intervention. Data was collected through questionnaire administration. There were thirty-eight (38) hospitals distributed across five (5) political wards in Ota Township. Twenty-five per cent of the hospitals were sampled, two hospitals in each ward, making ten altogether. Questionnaires were administered to all forty-nine waste handlers in the surveyed hospitals. Data were analysed using descriptive and inferential statistics. The study established that only 8.2% and 14.3% of waste handlers were informed on colour-coded storage receptacles for pharmaceutical and sharp materials respectively. Though 46.9% of waste handlers knew that pathological, pharmaceutical, sharps and infectious wastes were harmful. However, 53.1% was not aware of the harmful nature of radioactive waste. The use of protective materials by the waste handlers was noted to be inadequate. Training of cleaners on proper management of medical waste was insufficient. It was found that there is a strong relationship between educational status and monthly income of the cleaners (r =.67, p > .05), though not significant. It could be concluded that waste handlers in the selected hospitals did not fully understand the hazardous nature of medical waste components.

2012 ◽  
Vol 5 (1) ◽  
pp. 121-127
Author(s):  
MY Mia ◽  
MA Ali ◽  
MA Rahman ◽  
L Naznin ◽  
MU Hossain

An investigation was conducted on hospital waste management in Tangail Municipality and its impact on human health. Data was collected through questionnaire interview from local residents, superintendents, nurses, observation and secondary sources. The results revealed that wastes are collected every alternative day and though sometime in irregular basis. Hospital wastes causes different health hazards like bad smell, infestation of animals, diarrhoea, skin diseases etc. due to irregular collection, unsafe handling, disposal, storage, transportation and finally dumped with municipal wastes. For knowing health impacts, among 110 general respondents 63% was affected, and 50 respondents who were associated with medical waste handling including nurse,  pickers, workers, etc. in which more than 90% were affected one or more diseases due to improper management and imposed of hospital wastes. Shortage of dustbin is common in every hospitals and clinics in Tangail Municipality. The study also revealed that 1000-1500kg wastes were generated per day in Tangail Municipal area in which 19.23% infectious and 80.77% noninfectious. DOI: http://dx.doi.org/10.3329/jesnr.v5i1.11566 J. Environ. Sci. & Natural Resources, 5(1): 121 - 127, 2012  


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.


2021 ◽  
Vol 13 (4) ◽  
pp. 2207
Author(s):  
Charlotte Harding ◽  
Joren Van Loon ◽  
Ingrid Moons ◽  
Gunter De Win ◽  
Els Du Bois

While taking care of the population’s health, hospitals generate mountains of waste, which in turn causes a hazard to the environment of the population. The operating room is responsible for a disproportionately big amount of hospital waste. This research aims to investigate waste creation in the operating room in order to identify design opportunities to support waste reduction according to the circular economy. Eight observations and five expert interviews were conducted in a large sized hospital. The hospital’s waste infrastructure, management, and sterilization department were mapped out. Findings are that washable towels and operation instruments are reused; paper, cardboard, and specific fabric are being recycled; and (non-)hazardous medical waste is being incinerated. Observation results and literature findings are largely comparable, stating that covering sheets of the operation bed, sterile clothing, sterile packaging, and department-specific products are as well the most used and discarded. The research also identified two waste hotspots: the logistical packaging (tertiary, secondary, and primary) of products and incorrect sorting between hazardous and non-hazardous medical waste. Design opportunities include optimization of recycling and increased use of reusables. Reuse is the preferred method, more specifically by exploring the possibilities of reuse of textiles, consumables, and packaging.


2018 ◽  
Vol 15 (3) ◽  
pp. 1584
Author(s):  
Gökhan Baş ◽  
Mehmet Özcan

This research aimed to identify the differences in foreign language learning (FLL) anxiety levels between high school and university students based on some variables such as gender, current educational status, parents’ (father and mother) educational status, and monthly income of families.  The survey model was adopted in the research.  The research included high school (n = 333) and university (n = 341) students from Nigde and Afyonkarahisar provinces. In the research, “Foreign Language Learning Anxiety Scale” (FLLAS) was used in order to collect data. For the analyses of the data, independent samples t-test and one-way ANOVA were performed. The results of the research indicated that gender, fathers’ educational status and monthly income of family variables did not have a significant impact on foreign language anxiety levels of high school and university students. It was also found that students’ educational status as well as their mothers’ educational status variables influenced their FLL anxiety significantly.


Author(s):  
Alok Rai ◽  
Richa Kothari ◽  
D. P. Singh

Modern hospital practices with galloping growth in medical technology facilitate increase human life span, decrease mortality rate and increase natality rate. Life supporting health services generates potentially hazardous and infectious hospital wastes like pharmaceuticals, cottons, food, paper, plastics, radionuclide, sharps, and anatomical parts etc. These wastes are complex in nature with maximum part of municipal solid waste and small part of biomedical waste (anatomical parts, body parts etc.). Improper conduct and management of hospital waste create several problems and nosocomial diseases to human beings and harms environment. Traditional practices included for management are open burning, mixing waste, liquid discharge and waste disposal without treatment normally. Hence, this issue comes in lime light and several guidelines come to sort out this problem. Thus, challenges associated with traditional hospital waste management techniques and modern techniques for management are assessed in general and association with human society in particular in this chapter.


For a long time, China's medical problem is very serious. There are very few researches on medical waste data, which can not provide enough evidence for managers. Therefore, combining some methods of data analysis and data mining to analyze the medical waste data.In this study, based on the collection of the hospital garbage data of over five years from some area in China, the hospital garbage data are analyzed with consideration of the location, the hospital level, hospital beds and number of doctors and staff members, by using some data analysis and data mining methods. The time series analysis of garbage data proves that the medical wastes so produced are on the rise and the sharing of the burden of medical missions is unbalanced with regard to the hospital location and levels. By establishing an auto regressive integrated moving average(ARIMA) (0,1,1) model, the prediction and analysis for the every-day production of the hospital wastes in the area are made.The research results of the K-Means clustering analysis and the PARETO contribution analysis provide some empirical evidences for the future planning and development of the hospitals in this area


2016 ◽  
Vol 13 (1) ◽  
pp. 87
Author(s):  
Luz Divia Mejía-Reales ◽  
Lilibeth Romero-Mendoza ◽  
Viadcy Lineth Beltrán-Quintero

Objetivo: describir el manejo de residuos peligrosos hospitalarios generados en los domicilios por usuarios con enfermedades crónicas de  una institución prestadora de servicios de salud en la ciudad de  Valledupar, Colombia. Materiales y Métodos: estudio de enfoque cuantitativo, la muestra estuvo conformada por 85 usuarios con enfermedades crónicas que cumplieran con los criterios de inclusión, a quienes se les aplicó un cuestionario sobre manejo de residuos peligrosos hospitalarios en casa. Resultados: la población encuestada  estuvo expuesta a riesgos relacionados con el manejo de  agujas un 40% de los diabéticos, el 55% de quienes padecen enfermedad renal, en contacto con  líquido peritoneal, y los usuarios con enfermedad pulmonar obstructiva crónica 36% presentaron  reacciones anafilácticas. Además se encontró que el 66% de la población no tiene conocimientos acerca del manejo de estos residuos, cuál es el almacenamiento,  recolección, transporte, tratamiento y/o disposición final de los mismos. Conclusión: el estudio reveló que existe una  problemática relacionada con el proceso  integral de los residuos peligrosos hospitalarios, debido a que la población generadora de estos pertenecen a estratos medios - bajos y asumir la totalidad de los gastos generados es poco viable, además no está capacitada adecuadamente, por tal razón resultó pertinente la elaboración de un manual para el manejo de residuos peligrosos hospitalarios generados en casa, para instruir  sobre actividades que  realizan estos usuarios, buscando disminuir el impacto en la salud y el ambiente derivados de la producción de estos desechos.PALABRAS CLAVE: atención domiciliaria de salud, residuos sanitarios, riesgo. Hazardous hospital wastes in the home: an emerging threatABSTRACTObjective: to describe the management of hazardous hospital waste generated in households by users with chronic diseases from one institution providing health services in the city of Valledupar, Colombia. Materials and Methods: study of quantitative approach, the sample consisted of 85 users with chronic illnesses that met the inclusion criteria, who were given a questionnaire on management of hazardous hospital waste in the home. Results: the survey population was exposed to risks associated with needle handling 40% of diabetics, 55% of those with kidney disease, contact with peritoneal fluid, and users with chronic obstructive pulmonary disease, 36% had anaphylactic reactions . It was also found that 66% of the population had no knowledge about handling these wastes, which involves storage, collection, transportation, treatment and / or disposal thereof. Conclusion: the study revealed that there is a problem related to the whole process of hazardous hospital waste, because the generating population of residues belong to middle strata - low and assuming all of the costs incurred is unfeasible, then there is  inadequate training for this reason it was relevant to develop a manual for the management of hazardous hospital waste generated in the home, to educate on activities carried out by these users, seeking to reduce the impact on health and the environment from the production of these wastes .KEYWORDS: home nursing, medical waste, risk. Resíduos hospitalares perigosos em casa: uma ameaça emergenteRESUMOObjetivo: descrever a gestão de resíduos hospitalares perigosos produzidos pelo sector doméstico por usuários com doenças crônicas de uma instituição que presta serviços de saúde na cidade de Valledupar, Colômbia. Materiais e Métodos: estudo de abordagem quantitativa, a amostra foi composta por 85 usuários com doenças crônicas que preencheram os critérios de inclusão, que foram aplicados um questionário sobre gestão de resíduos hospitalares perigosos em casa. Resultados: a população do estudo foi exposto a riscos associados com a manipulação de agulha 40% dos diabéticos, 55% das pessoas com doença renal, entre em contato com o fluido peritoneal, e os usuários com doença pulmonar obstrutiva crônica, 36% tiveram reações anafiláticas . Constatou-se também que 66% da população não tem conhecimento sobre o manuseio desses resíduos, que é o armazenamento, coleta, transporte, tratamento e / ou eliminação dos mesmos. Conclusão: O estudo revelou que existe um problema relacionado a todo o processo de resíduos hospitalares perigosos, porque a população de geração de resíduos pertencem a estratos médios - baixo e assumir todos os custos incorridos é inviável, então não há nenhuma treinados adequadamente por este motivo foi relevante o desenvolvimento de um manual para a gestão de resíduos hospitalares perigosos gerados em casa, para instruir sobre as actividades realizadas por estes utilizadores, procurando reduzir o impacto sobre a saúde eo ambiente decorrentes da produção destes resíduos .PALAVRAS-CHAVE: assistência domicilar, resíduos de serviços de saúde,  risco. 


2020 ◽  
Vol 8 (1) ◽  
pp. 1-16
Author(s):  
Bambang Bambang ◽  
Setiawan Setiawan ◽  
Marlik Marlik

Medical Waste solid is solid waste that consist of waste infeksius, pathology waste, sharp object waste, pharmacy waste, waste sitotoksis, chemical disposal, radioactive waste, waste container and waste with high heavy metal content. Solid Waste non medical is solid waste that produced by from activity in hospital outside medical that indigenous to kitchen, office, garden, and hall. Target at research this is the relation analysis between knowledge and nurse understanding hit sorting medical garbage. and garbage non medical in IGD RSUD Dr. Soetomo Surabaya. Type from research is analytic research by using design wake up research that is a research design that used by to study correlation between variable dependen and independent variable.  Population in this research 34 nurse responders in Installation Emergency Departments. This Research is executed during the month of January–February 2019. This Research uses intake technique sampel nonprobability sampling. Data collecting Method uses admission filling quesioner.


2020 ◽  
Author(s):  
Andualem Wubetie Aniley ◽  
Biniyam Taye ◽  
Biruk Girma

Abstract Background: Turnover intention is a probability of an employee to leave the current institution within a certain period due to various factors. It is the strongest predictor of actual turnover expected to increase as the intention increases. Emergency Department (ED) nurses are especially vulnerable to high turnover because of their increased risk of developing burnout and compassion fatigue associated with the work environment. This study is aimes to assess nurses’ intention to leave emergency departments and associated factors at selected governmental hospitals in Addis Ababa, Ethiopia.Methods: Institutional based cross-sectional study was conducted on 102 nurses in three selected governmental hospitals, Addis Ababa from February 19 to March 31, 2018, using a structured pre-tested self-administered questionnaire. The logistic regression model was used and an adjusted odds ratio with a 95% confidence interval was calculated to identify associated factors.Result: A total of 102 respondents were involved with a response rate of 91.1%. Among them, 79 (77.5%) respondents had the intention to leave the current working unit of the emergency department or hospital. Significant predictive factors of nurses' intention to leave their institutions are educational status (adjusted odds ratio (OR) =4.700, 95% confidence interval (CI)=1.033- 50.772; p<0.048), monthly income of less than 3145 Birr (adjusted OR=6.05, 95% CI=1.056-34.641; p<0.043) and professional autonomy (adjusted OR=0.191, 95% CI=0.040- 0.908; p<0.037).Conclusion: More than 77% of the respondents have the intention to leave their current working place of the emergency unit. Educational status, monthly income, and autonomy were significantly associated with emergency nurses’ turnover intention in three governmental hospitals. Emergency leaders and hospital managers should have made efforts to enhance nurses' decision making for patient care activities and shared decision overwork or unit related activities.


Author(s):  
Abubakar, I. ◽  
Mohammed, A. ◽  
Tanko, M.M. ◽  
Elisha, R.

Resistant strains of K. pneumoniae and C. freundii due to under use and over use of antibiotics and biocides has contributed to economic burden due to nosocomial infections. This study focuses on screening hospital wastes for antibacterial and biocide resistant K. pneumoniae and C. freundii in Adamawa state specialist hospital, Yola. One hundred and twenty (120) hospital wastes samples were analysed. Samples were cultured on appropriate media and incubated at 37 oC for 24h. Biochemically identified isolates were molecularly confirmed and sequenced. K. pneumoniae being 93% identical to strain KPNIH48 and C. freundii being 99% identical to complex sp CFNH4 were confirmed. Resistant K. pneumonia and C. freundii were subjected to phenotypic ESBLs test, then DDS test was carried out to confirm ESBLs production. Phenotypically ESBLs positive K. pneumoniae were positive for DDST but negative for C. freundii. The DDST positive isolates were then screened for bla-TEM-68 gene. All the DDST positive K. pneumoniae harboured the bla-TEM-68 gene but none in C. freundii. The isolates carrying bla-TEM-68 gene were cured using 10 % SDS and the results showed that the ESBLs genes were plasmid and/or chromosomally encoded. The presence of K. pneumoniae carrying bla-TEM-68 gene indicates a possibility for increased nosocomial infections in Adamawa state and Nigeria at large and so relevant preventive recommendations were made.


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