Biomedical waste management involves safely handling waste generated during medical diagnosis and treatment. It includes segregating waste like infectious materials, chemicals, and expired drugs. Waste must be transported and disposed of properly to protect human health and the environment. Effective methods include sterilization using steam, ethylene oxide, or dry heat to kill microbes, and disinfection with chemicals to reduce potential infectivity. Proper waste handling following established guidelines helps reduce disease transmission.
Biomedical waste management involves safely handling waste generated during medical diagnosis and treatment. It includes segregating waste like infectious materials, chemicals, and expired drugs. Waste must be transported and disposed of properly to protect human health and the environment. Effective methods include sterilization using steam, ethylene oxide, or dry heat to kill microbes, and disinfection with chemicals to reduce potential infectivity. Proper waste handling following established guidelines helps reduce disease transmission.
Biomedical waste management involves safely handling waste generated during medical diagnosis and treatment. It includes segregating waste like infectious materials, chemicals, and expired drugs. Waste must be transported and disposed of properly to protect human health and the environment. Effective methods include sterilization using steam, ethylene oxide, or dry heat to kill microbes, and disinfection with chemicals to reduce potential infectivity. Proper waste handling following established guidelines helps reduce disease transmission.
Biomedical waste management involves safely handling waste generated during medical diagnosis and treatment. It includes segregating waste like infectious materials, chemicals, and expired drugs. Waste must be transported and disposed of properly to protect human health and the environment. Effective methods include sterilization using steam, ethylene oxide, or dry heat to kill microbes, and disinfection with chemicals to reduce potential infectivity. Proper waste handling following established guidelines helps reduce disease transmission.
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Biomedical waste management
Presented by: Mahusmita Naik
Sushruta Mohapatra Itismita Biswal Sandhya Sahoo Definition: According to Biomedical Waste (Management and Handling) Rules, 1998 of India “Any waste which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining there to or in the production or testing of bio medicals. OR According to WHO, the waste generated during the diagnosis,testing, treatment, research or production of biological products for humans or animals. Importance of biomedical waste management: • To protect the environment . • For the health & Safety of the Population. TYPE OF HOSPITAL WASTE 1. Non-hazardous waste:- • Biodegradable • Non- Biodegradable
• Radioactive :- Radiotherapy/lab research liquids Contaminated glass wares, packages, absorbent papers • Chemical :- Lab reagents , Film developer, Expired disinfectants, Expired solvents • Pharmaceutical:- Expired Pharmaceuticals, Contaminated Pharmaceuticals, Banned Pharmaceuticals SEGREGATION, TRANSPORTATION & DISPOSAL OF BIO-MEDICAL WASTE • No untreated bio-medical waste shall be mixed with other wastes. • The bio-medical waste shall be segregated into containers or bags at the point of generation prior to its storage, transportation, treatment and disposal. • The containers or bags are according to the type of Bio- medical waste. • The operator of common bio-medical waste treatment facility shall transport the bio-medical waste from the premises of hospital to any off-site bio-medical waste treatment facility only in the vehicles having label along with necessary information of segregation of Bio-medical waste Cont… • The vehicles used for transportation of bio- medical waste should be a covered trolly. • It transport bio-medical waste usually at morning 6am & evening 4pm( especially when there is not busy schedule) • Microbiology waste and all other clinical laboratory waste shall be pre-treated by sterilisation or disinfection as per the World Health Organisation guidelines before packing and sending to the common bio-medical waste treatment facility. cont…. • Untreated human anatomical waste, animal anatomical waste, soiled waste and, biotechnology waste shall not be stored beyond a period of 48hrs. DECONTAMINATION OF BMW • Decontamination is the process whereby microbial contamination of a material is reduced to render it safe to handle. There are two methods of achieving this, disinfection and sterilisation, which are used in hospitals. • The combination of processes (including cleaning, disinfection and sterilisation) used to render a re- usable item safe for further use on patients and handling by staff. Effective decontamination is essential in reducing the risk of transmission of infectious agents. In the decontamination process soiled instruments are stored, inspected and if necessary, disassembled. Disinfection • It is the process of partial removal or destruction of organisms except spores.
• Disinfection refers to a treatment that is designed
to reduce the potential infectivity of a material to a level that effectively destroys its potential to cause harm. It does not necessarily remove all viable micro-organisms.
• Chemical disinfection should be used routinely for
decontamination of discarded liquid cultures, possibly small amounts of solid material (e.g. small sample tubes), surfaces and spillages. Types of disinfectants
• Aldehyde mainly gluteraldehyde
Formaldehyde ◦ should only be used for fumigation of laboratories • Alcohol • Virkon is often the disinfectant of choice in laboratories due to its wide spectrum of activity and less hazardous properties Sterilization: • It is the process used to render an object free from all organisms including spores. • Sterilisation is best practice for inactivating biological waste and is defined as effectively giving a 100% kill. • The Sterile Processing Department (SPD), also known as the Central Sterile Services Department (CSSD), is the area in a hospital where cleaning and sterilization of devices used in medical procedures takes place. Process of sterilization: • Soiled instruments from the operating room are first taken to the decontamination area to be cleaned of gross soils and inspected for damage. • The Instruments are first manually cleaned. Depending on the device, they may then go through an automated washing process following manual cleaning. Cont… • Manual cleaning requires either a two-bay sink or three-bay sink. In a three-sink method, each bay plays a role in the cleaning process. • Sink 1: Instruments are immersed in an enzymatic solution to begin breaking down soils • Sink 2: Instruments are immersed in a detergent solution and manually brushed • Sink 3: Instruments are thoroughly rinsed with clean, treated water Methods of sterilization: • Reliable sterilization depends on contact of the sterilizing agent with all surfaces of the item to be sterilized. Steam • Heat destroys microorganisms, but this process is hastened by the addition of moisture. • Pressure, greater than atmospheric, is necessary to increase the temperature of steam for thermal destruction of microbial life. • Death by moist heat in the form of steam under pressure is caused by the denaturation and coagulation of protein or the enzyme-protein system within the cells. • Exposure time depends upon size and contents of load, and temperature within the sterilizer. Ethylene Oxide
• Ethylene oxide is used to sterilize items that
are heat or moisture sensitive. • Ethylene oxide (EO) is a chemical agent that kills microorganisms, including spores, by interfering with the normal metabolism of protein and reproductive, processes, resulting in death of cells. Dry heat • Dry heat in the form of hot air is used primarily to sterilize anhydrous oils, petroleum products, and bulk powders that steam and ethylene oxide gas cannot penetrate. • Death of microbial life by dry heat is a physical oxidation or slow burning process of coagulating the protein in cells. Formaldehyde gas • Formaldehyde kills microorganisms by coagulation of protein in cells. • Used as a fumigant in gaseous form, formaldehyde sterilization is complex and less efficacious than other methods of sterilization. Microwaves • The nonionizing radiation of microwaves produces hyperthermic conditions that disrupt life processes. • This heating action affects water molecules and interferes with cell membranes. • Microwave sterilization uses low-pressure steam with the nonionizing radiation to produce localized heat that kills microorganisms. Hydrogen peroxide • Hydrogen peroxide is activated to create a reactive plasma or vapor. • The plasma and vapor phases of hydrogen peroxide are highly sporicidal even at low concentrations and temperature. Summary
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