Healthcare Waste Management Unit 6
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Questions and Answers

Which of the following waste types is exposed to radionuclides and can have genotoxic effects?

  • Biodegradable general waste
  • Residual general waste
  • Radioactive waste (correct)
  • Recyclable general waste
  • What constitutes non-hazardous or general waste?

  • Waste that does not pose a hazard to health or environment (correct)
  • Waste exposed to hazardous chemicals
  • Waste contaminated with radionuclides
  • Waste containing infectious agents
  • Which of the following is an example of recyclable general waste?

  • Leftover food
  • Irradiated blood products
  • Garden waste
  • Plastic containers (correct)
  • What items are classified under biodegradable general waste?

    <p>Flowers and kitchen waste (A)</p> Signup and view all the answers

    Which of the following waste categories includes items that do not fall under recyclable or biodegradable categories?

    <p>Residual general waste (A)</p> Signup and view all the answers

    What percentage of healthcare waste is typically considered hazardous?

    <p>10-25% (A)</p> Signup and view all the answers

    Which of the following are considered healthcare waste generators?

    <p>Hospitals and medical centers (C)</p> Signup and view all the answers

    What is the average amount of healthcare waste generated per bed per day in high-income countries?

    <p>0.5 kg (A)</p> Signup and view all the answers

    Which activity is NOT classified as generating healthcare waste?

    <p>Production of educational materials (B)</p> Signup and view all the answers

    What principle should healthcare facilities follow regarding waste management?

    <p>Ensure adverse effects on health are negligible (C)</p> Signup and view all the answers

    What is the primary goal of the healthcare waste management system?

    <p>To classify biomedical waste and explain proper waste management (A)</p> Signup and view all the answers

    In low-income countries, what is the average waste generated per bed per day?

    <p>0.2 kg (B)</p> Signup and view all the answers

    Which of the following is a major impact of improper healthcare waste management?

    <p>Adverse health effects and environmental consequences (D)</p> Signup and view all the answers

    Which of the following is NOT considered a type of chemical waste?

    <p>Antineoplastic drugs (D)</p> Signup and view all the answers

    What characteristic does a chemical need to possess to be classified as hazardous?

    <p>Must be toxic, corrosive, flammable, reactive, or oxidizing (D)</p> Signup and view all the answers

    Which of the following correctly describes a feature of corrosive chemical waste?

    <p>Can cause severe burns and injury (B)</p> Signup and view all the answers

    Among the following options, which belongs to genotoxic and cytotoxic waste?

    <p>Vomit containing cytotoxic drug residues (D)</p> Signup and view all the answers

    Which of the following is a property of oxidizing chemicals?

    <p>React chemically to oxidize combustible materials (A)</p> Signup and view all the answers

    What kind of waste category would empty vials containing drug residues fall into?

    <p>Pharmaceutical waste (C)</p> Signup and view all the answers

    Which waste material is categorized as poisonous to DNA?

    <p>Antineoplastic and cytotoxic drugs (C)</p> Signup and view all the answers

    What characteristic does a flammable chemical exhibit?

    <p>Has a flashpoint below 37.8 degrees Celsius (B)</p> Signup and view all the answers

    Which category of healthcare waste is primarily associated with items that can cause cuts, pricks, or puncture wounds?

    <p>Sharps (C)</p> Signup and view all the answers

    What type of healthcare waste includes tissues and body fluids or organs obtained from surgical procedures?

    <p>Pathological and anatomical waste (B)</p> Signup and view all the answers

    Which of the following is a typical source of infectious waste?

    <p>Blood banks (A)</p> Signup and view all the answers

    Which item is classified as sharps waste?

    <p>Broken glass (D)</p> Signup and view all the answers

    Which type of waste is considered hazardous due to the potential environmental and health risks it poses?

    <p>Hazardous waste (A)</p> Signup and view all the answers

    What type of laboratories typically generates pathological and anatomical waste?

    <p>Medical research centers (B)</p> Signup and view all the answers

    Which of the following is NOT an example of infectious waste?

    <p>Internal organs for histopathological examination (D)</p> Signup and view all the answers

    In which category would you classify materials that have come in direct contact with infected persons during medical procedures?

    <p>Infectious waste (B)</p> Signup and view all the answers

    Who is considered potentially at risk of injury or infection from healthcare wastes?

    <p>Healthcare facility staff and general public (B)</p> Signup and view all the answers

    What type of health exposure can lead to chronic effects due to healthcare waste?

    <p>Prolonged exposure to minute quantities of waste (C)</p> Signup and view all the answers

    What can result from inadequate incineration of healthcare waste?

    <p>Release of various pollutants into the air (D)</p> Signup and view all the answers

    Which of the following is NOT a recognized adverse health outcome from healthcare waste management?

    <p>Improved air quality (A)</p> Signup and view all the answers

    Which method is considered an alternative to incineration for treating healthcare wastes?

    <p>Microwaving (B)</p> Signup and view all the answers

    What is a consequence of poor compliance with healthcare waste management standards?

    <p>Long-term liabilities and loss of reputation (B)</p> Signup and view all the answers

    What is the required temperature range for modern healthcare waste incinerators to operate effectively?

    <p>850-1100 degrees Celsius (A)</p> Signup and view all the answers

    What can result from the disposal of untreated healthcare wastes in landfills?

    <p>Contamination of surface and groundwater (D)</p> Signup and view all the answers

    What is the recommended action for sharps waste before transportation to the landfill?

    <p>Shred or crush them (D)</p> Signup and view all the answers

    Which procedure must be followed for radioactive waste to be considered non-infectious?

    <p>It must decay to background radiation levels (D)</p> Signup and view all the answers

    How should hazardous chemicals be stored to ensure safety?

    <p>In strong chemical resistant and leak-proof containers (A)</p> Signup and view all the answers

    What is the proper disposal method for anatomical waste?

    <p>Dispose of them through safe burial or cremation (D)</p> Signup and view all the answers

    What must happen to pathological waste if it is not collected or treated within 24 hours?

    <p>It must be refrigerated (C)</p> Signup and view all the answers

    What is the most important step in healthcare waste management?

    <p>Waste minimization (C)</p> Signup and view all the answers

    In the context of waste recovery, what does the term 'recycling' refer to?

    <p>Processing used materials into new products (B)</p> Signup and view all the answers

    Which of the following correctly defines the 'End Pipe Approach' in waste management?

    <p>Treatment and disposal of non-reusable or non-recyclable waste (A)</p> Signup and view all the answers

    What is required for waste generators and transporters under RA No. 6969?

    <p>Registration with the EMB (C)</p> Signup and view all the answers

    What is implied by the term 'green procurement policy' in waste management?

    <p>Choosing products that are less polluting and wasteful (D)</p> Signup and view all the answers

    Which of the following is a key focus of DOH-DENR Joint AO No. 02 Series of 2005?

    <p>Enhancing the handling and disposal of healthcare waste (D)</p> Signup and view all the answers

    What process is involved when healthcare wastes undergo treatment?

    <p>Changing biological and chemical characteristics of the waste (B)</p> Signup and view all the answers

    What role do local regulatory agencies play in healthcare waste management?

    <p>They establish protocols and guidelines for waste disposal (C)</p> Signup and view all the answers

    What must companies do to treat sharps and pathological waste under DOH AO No. 2007-0014?

    <p>Register equipment with the Bureau of Health Devices and Technology (C)</p> Signup and view all the answers

    What does RA No. 8749 prohibit regarding biomedical waste?

    <p>Incineration (D)</p> Signup and view all the answers

    Which statement best describes the concept of waste recovery?

    <p>It encompasses energy recovery as well as recycling and composting (B)</p> Signup and view all the answers

    In which scenario would waste segregation be considered ineffective?

    <p>Waste is mixed together before being sorted at a treatment facility (B)</p> Signup and view all the answers

    What is a requirement stated under the Procedural Manual for hazardous waste management?

    <p>Providing comprehensive documentation on legal and technical requirements (B)</p> Signup and view all the answers

    Under which law is the handling, transport, and disposal of health care wastes specifically governed?

    <p>RA No. 6969 (B)</p> Signup and view all the answers

    Which agency is directly involved in the registration process for toxic waste treatment facilities?

    <p>Environmental Management Bureau (EMB) (A)</p> Signup and view all the answers

    What is a primary goal of harmonizing the efforts of DENR and DOH in healthcare waste management?

    <p>Clarifying jurisdiction and responsibilities (D)</p> Signup and view all the answers

    What is the primary difference between sterilization and disinfection in healthcare waste treatment?

    <p>Sterilization eliminates all microorganisms, whereas disinfection reduces their levels. (A)</p> Signup and view all the answers

    Which healthcare waste treatment method employs thermal decomposition without oxygen?

    <p>Pyrolysis (A)</p> Signup and view all the answers

    In the encapsulation process for healthcare waste, what material is commonly used to immobilize waste?

    <p>High-density polyethylene or metallic drums (C)</p> Signup and view all the answers

    What is the essential property of the chemical disinfection method?

    <p>It relies on chemical agents to destroy microorganisms. (D)</p> Signup and view all the answers

    Which waste treatment process is characterized by shredding waste before sanitation?

    <p>Microwave treatment (D)</p> Signup and view all the answers

    Which of the following best describes the autoclave process used in healthcare waste treatment?

    <p>It uses steam under high pressure to achieve sterilization. (A)</p> Signup and view all the answers

    Which step is NOT typically included in the process of biological treatment of healthcare waste?

    <p>Heating with steam at high pressure (A)</p> Signup and view all the answers

    What is the main benefit of using the inertization method for pharmaceutical waste?

    <p>It creates a homogenous mass suitable for municipal disposal. (C)</p> Signup and view all the answers

    What is the primary requirement of Presidential Decree No. 1586 concerning new hospital constructions?

    <p>To secure an Environmental Compliance Commitment Certificate (A)</p> Signup and view all the answers

    What is the aim of AOH AO No. 2008-0021 regarding healthcare facilities?

    <p>To gradually phase out mercury-containing devices and equipment (C)</p> Signup and view all the answers

    Which document serves as a key reference for healthcare facilities in implementing waste management programs?

    <p>Manual on Health Care Waste Management (A)</p> Signup and view all the answers

    What is the purpose of BFAD Memorandum Circular No. 2, Series of 1994?

    <p>To prevent counterfeit drugs caused by recycling used pharmaceutical containers (D)</p> Signup and view all the answers

    How are solid wastes required to be managed at the source according to RA No. 9003?

    <p>By segregating them into separate containers for each waste type (A)</p> Signup and view all the answers

    Which policy specifically focuses on the phaseout of mercury usage in healthcare settings?

    <p>AOH AO No. 2008-0021 (A)</p> Signup and view all the answers

    Which of the following statements best describes the Environmental Impact Statement System?

    <p>It requires an Environmental Compliance Commitment Certificate for certain projects (C)</p> Signup and view all the answers

    What is the goal of the segregation of solid wastes at the source, as mandated by RA No. 9003?

    <p>To facilitate recycling and reduce environmental impact (C)</p> Signup and view all the answers

    What is the primary mandate of RA No. 4226, known as the Hospital Licensure Act?

    <p>Requiring registration and licensure of all hospitals in the country (D)</p> Signup and view all the answers

    Which of the following provisions is included in the DOH AO No. 2007-0027 regarding clinical laboratories?

    <p>Written procedures for proper disposal of healthcare waste are required (D)</p> Signup and view all the answers

    What is the main focus of DOH AO No. 2005-0029 concerning healthcare facilities?

    <p>Mandating the submission of healthcare waste management plans for licensing (B)</p> Signup and view all the answers

    What does Protocol 9 on Dangerous Goods address in terms of healthcare waste management?

    <p>Provisions on the transport of toxic and infectious substances (B)</p> Signup and view all the answers

    Which requirement was NOT introduced in the DOH AO No. 70-A Series of 2002?

    <p>A yearly compliance report on waste management (A)</p> Signup and view all the answers

    Which component of healthcare facility regulations pertains to the preparation for emergency situations?

    <p>Drafting a biosafety and biosecurity policy (A)</p> Signup and view all the answers

    What is one of the primary guidelines mandated by the DOH for hospitals regarding personnel?

    <p>Adherence to technical standards for hospital operations (C)</p> Signup and view all the answers

    Which healthcare law emphasizes the importance of appropriate physical facilities in hospitals?

    <p>RA No. 4226 Hospital Licensure Act (C)</p> Signup and view all the answers

    Flashcards

    Healthcare Waste Definition

    Any waste produced by activities like diagnosing, treating, or immunizing people; laboratory research; producing biological products; or other healthcare facility processes.

    Healthcare Waste Categories

    Healthcare wastes are broadly categorized as hazardous (infectious, toxic, radioactive) and non-hazardous waste.

    Hazardous Healthcare Waste Percentage

    A small percentage (10-25%) of healthcare waste is considered hazardous; the rest is non-hazardous.

    Healthcare Waste Generation Volume

    High-income countries generate more healthcare waste (0.5 kg/bed/day) compared to low-income countries (0.2 kg/bed/day).

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    Healthcare Waste Generators

    Hospitals, medical centers, infirmaries, birthing homes, and clinics are examples of healthcare waste generators.

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    Healthcare Waste Management Goal

    Healthcare facilities must ensure that healthcare waste disposal does not harm human or environmental health.

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    Proper Waste Segregation

    Separating hazardous and non-hazardous healthcare wastes is essential for safe management.

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    Waste Management Process Stages

    Waste generation, segregation, collection, storage, transport, treatment, and disposal need careful planning and execution.

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    Infectious Waste

    Healthcare waste with pathogens causing disease to a susceptible host

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    Pathological Waste

    Tissues, organs, and body fluids from biopsies, autopsies, or surgeries.

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    Anatomical Waste

    Recognizable body parts, usually from amputations.

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    Sharps

    Waste items that can cause cuts, pricks, or puncture wounds.

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    Hazardous Waste

    Waste that poses environmental and health risks.

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    What are examples of Infectious Waste?

    Cultures and stocks of infectious agents, surgical waste from patients with infectious diseases, waste from infected patients in isolation, and instruments or materials that have been in contact with infected persons or animals.

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    What are examples of Pathological and Anatomical Waste?

    Internal organs and tissues for examination, body fluids for analysis, and anatomical wastes such as amputated limbs.

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    What are examples of Sharps?

    Needles, syringes, scalpels, saws, blades, broken glass, knives.

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    Chemical Waste

    Discarded chemicals used in healthcare, including laboratory reagents, disinfectants, and developing solutions.

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    Hazardous Chemical Waste

    Chemical waste with at least one of these properties: toxic, corrosive, flammable, reactive, or oxidizing.

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    Toxic Chemical Waste

    Chemicals that can harm biological tissue, posing health risks.

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    Corrosive Chemical Waste

    Chemicals that can cause severe burns, with a pH below 12.

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    Flammable Chemical Waste

    Chemicals that ignite easily at normal working temperatures, with a flashpoint below 37.8°C.

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    Reactive Chemical Waste

    Chemicals that react dangerously when exposed to heat, pressure, or other stimuli.

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    Oxidizing Chemical Waste

    Chemicals that readily release oxidizing substances, accelerating combustion.

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    Pharmaceutical Waste

    Expired, split, or contaminated drugs, vaccines, and sera.

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    Radioactive Waste

    Waste materials contaminated with radionuclides, which emit ionizing radiation that can damage DNA. It includes leftover materials from diagnostic or therapeutic procedures, contaminated equipment, and even potentially contaminated patient excretions.

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    Non-Hazardous Waste

    Waste materials that do not pose a risk to health or the environment; they are generally safe to handle and dispose of using regular means.

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    Recyclable Waste

    Materials that can be processed to make new products, like paper, metal, plastic, and glass.

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    Biodegradable Waste

    Waste materials that can decompose naturally by microorganisms, such as food scraps, leaves, and yard waste.

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    Residual Waste

    Waste materials that don't belong to any other category, often ending up in landfills.

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    Healthcare Waste Impact

    Healthcare waste can harm individuals through injuries, infections, and exposure to toxic substances. This exposure can be chronic (long-term, low levels) or acute (short-term, high levels).

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    Why is proper healthcare waste management important?

    Proper healthcare waste management protects patients, healthcare workers, and the general public from harm. It also helps the environment and ensures compliance with regulations.

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    Adverse Health Outcomes

    Exposure to healthcare waste can cause serious health issues like sharp injuries, toxic exposure from chemicals, and radiation burns.

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    Landfill Contamination

    Untreated healthcare waste in landfills can contaminate drinking water, surface water, and groundwater, posing a serious threat to public health.

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    Chemical Disinfectants

    Using disinfectants on healthcare waste can release harmful chemicals into the environment if not handled safely. This can contaminate soil and water sources.

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    Incineration Risks

    Incineration of healthcare waste, if not done properly, can release harmful pollutants into the air and leave behind ash residue. This can cause air pollution and soil contamination.

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    Alternatives to Incineration

    Methods like autoclaving (using steam under pressure), microwaving, and steam treatment offer safer and more environmentally friendly ways to manage healthcare waste.

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    Benefits of Compliance

    Strict compliance with healthcare waste management standards protects people and the environment, increases the credibility of healthcare institutions, and prevents legal and reputational issues.

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    Waste Minimization

    The most important step in healthcare waste management, aiming to reduce the volume of waste generated by prevention (using less-polluting products and services) and reduction (proper segregation).

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    Green Procurement Policy

    A policy that supports purchasing products and services that have minimal environmental impact throughout their lifecycle. It guides healthcare facilities to choose options that are least harmful and reduce overall waste generation.

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    Reuse

    Giving a new application to a used material or using it again for the same purpose. This reduces the need for new materials and avoids unnecessary waste.

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    Recycling

    Processing used materials into new products. This helps conserve resources and reduce the demand for virgin materials.

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    Recovery

    Extracting valuable resources from waste, such as energy recovery (converting waste to fuel) and processing. This reduces waste by turning it into something useful.

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    Treatment

    A process that alters the biological and chemical characteristics of waste, making it safer for the environment or further processing.

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    Disposal

    The final step where waste is released, deposited, or placed into the environment in a controlled manner, ensuring minimal environmental impact. This involves specific procedures depending on the waste type.

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    Proper Waste Management Process

    A systematic approach to handling healthcare waste, including stages like generation, segregation, collection, storage, transport, treatment, and disposal. Each stage needs careful planning and execution for safe and efficient waste management.

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    What is the first step for highly infectious waste?

    Highly infectious waste needs to be disinfected at the source, meaning where it is generated. This helps prevent the spread of infections.

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    Why is safe burial important for anatomical waste?

    Anatomical waste, like body parts and organs, needs to be handled carefully. Burial or cremation ensures proper disposal and prevents possible contamination.

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    What is the rule regarding pathological waste storage?

    Pathological waste containing tissues, organs, and fluids needs to be chilled. This ensures it doesn't spoil and remains safe until collected or treated within 24 hours.

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    How are sharps disposed of?

    Sharp objects like needles and scalpels need to be shredded or crushed before final disposal. This prevents accidental injuries during handling.

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    Why is a color-coding system used for healthcare waste?

    Different colors on bins help categorize and separate healthcare waste. This makes handling and disposal safe and efficient by grouping similar types of waste together.

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    Healthcare Waste Collection

    Collecting healthcare waste requires specific protocols to ensure safety and prevent contamination. It involves designated collection containers, trained personnel, and proper personal protective equipment (PPE).

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    Healthcare Waste Transport

    The movement of healthcare waste from the point of generation to treatment, storage, or disposal facilities. Only authorized transporters with specific certifications are allowed.

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    Sterilization vs. Disinfection

    Sterilization eliminates ALL microorganisms, while disinfection reduces their number. Both are essential for safe healthcare waste management.

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    Pyrolisis

    A thermal treatment process for healthcare waste that uses extreme heat in the absence of oxygen to convert waste into gas, liquid, or solid forms.

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    Autoclave

    A high-pressure steam sterilizer used for healthcare waste treatment. High temperatures destroy microorganisms efficiently.

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    Microwaving

    A method for disinfecting healthcare waste. Waste is shredded, then exposed to microwaves, generating heat to destroy microorganisms.

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    Chemical Disinfection

    Using chemicals like bleach or hydrogen peroxide to disinfect healthcare waste. It generates chemical wastes as a by-product.

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    Encapsulation

    A waste management technique where waste is encased in high-density polyethylene or metal drums. This immobilizes and isolates hazardous waste.

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    RA No. 4226

    This Philippine law requires hospitals to register and be licensed, ensuring proper standards for personnel, equipment, and facilities.

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    DOH AO No. 70-A

    This DOH Administrative Order sets specific guidelines for hospitals, including design requirements and the need for waste management manuals.

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    DOH AO No. 2005-0029

    This order adds to the previous one, requiring healthcare facilities to submit a waste management plan for license approval.

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    DOH AO No. 2007-0027

    This AO focuses on clinical laboratories, requiring written procedures for waste disposal and policies about biosafety and biosecurity.

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    What are the objectives of RA No. 4226?

    This law aims to ensure proper health standards in hospitals by requiring registration, licensure, and adherence to technical guidelines for personnel, equipment, and facilities.

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    What is the purpose of DOH AO No. 70-A?

    This order updates rules for hospital operations, covering things like registration, licensure, design requirements, and mandatory waste management manuals.

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    What is the key addition of DOH AO No. 2005-0029?

    This order amends previous guidelines by requiring healthcare facilities to submit a detailed waste management plan as part of the licensing process.

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    What are the specific requirements of DOH AO No. 2007-0027?

    For clinical labs, this AO mandates written procedures for safe waste disposal and policies addressing biosafety and biosecurity.

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    RA 6969

    A Philippine law that regulates control of substances and hazardous/nuclear waste. It requires registration of waste generators, transporters, and treatment facility operators with EMB.

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    DENR AO 36

    Revises DENR AO 29 to strengthen RA 6969 implementation and requires a procedural manual for hazardous waste management.

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    DOH-DENR Joint AO 02

    Provides guidelines for handling, collecting, transporting, treating, storing, and disposing of healthcare waste (HCW). It clarifies the roles of DENR and DOH.

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    DOH AO 2007-0014

    Requires institutions selling or using equipment for treating sharps, pathological, and infectious waste to get a Certificate of Product Registration from DOH.

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    RA 8749

    The Philippine Clean Air Act prohibiting incineration of biomedical waste, advocating environmentally friendly methods.

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    EMB

    The Environmental Management Bureau, an agency responsible for environmental protection in the Philippines. It's involved in regulating the management of hazardous waste.

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    What is the significance of RA 6969 in healthcare waste management?

    RA 6969 mandates registration for waste generators, transporters, and treatment facilities, ensuring a structured approach to managing hazardous waste.

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    How does DOH AO 2007-0014 affect healthcare facilities?

    This Administrative Order regulates the sale and use of equipment for treating specific healthcare waste, necessitating institutions to acquire a Certificate of Product Registration from DOH.

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    What is the goal of the Ecological Solid Waste Management Act of 2000?

    To promote waste segregation at the source, including households and institutions, using separate containers for different types of waste.

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    What is the purpose of the Environmental Impact Statement (EIS) System?

    To ensure that projects like hospital construction have minimal environmental impact, requiring an Environmental Compliance Commitment Certificate before starting construction.

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    What is the aim of the gradual phaseout of mercury in healthcare facilities?

    To eliminate the use of mercury-containing devices and equipment over time in all healthcare facilities.

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    What is the role of the DOH Manual on Health Care Waste Management?

    To serve as a guide for healthcare facility administrators in establishing and implementing effective and efficient waste management programs.

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    Why is the recycling of used vials and bottles prohibited?

    To prevent the spread of counterfeit and misbranded drugs, as recycling can lead to the re-entry of contaminated or misused vials and bottles into the market.

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    What are the two main categories of healthcare waste?

    Healthcare waste is broadly categorized as hazardous (infectious, toxic, radioactive) and non-hazardous waste.

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    What is the most important step for managing healthcare waste?

    Waste minimization, which involves both prevention (using less-polluting options) and reduction (segregation) of waste generation.

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    What are the benefits of following proper healthcare waste management procedures?

    Protecting people and the environment, increasing facility credibility, complying with regulations, and avoiding legal and reputational issues.

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    Study Notes

    Prayer Before Class

    • Holy Spirit, Divine Creator, true source of light and wisdom, pour forth brilliance on intellect
    • Dissipate darkness of sin and ignorance
    • Grant a penetrating mind for understanding, retentive memory, and method for ease of learning
    • Grant lucid expression
    • Guide work's beginning, progression, and completion
    • Pray through Jesus Christ, true God, and true man, living and reigning with the Father, forever and ever. Amen

    Healthcare Waste Management

    • Unit 6: Medical Technology Department, principles of medical technology practice 1
    • Healthcare facilities responsible for preventing adverse health and environmental consequences from waste generation, segregation, collection, storage, transport, treatment, and disposal of healthcare waste.

    Outline

    • Part I: Healthcare Wastes
      • Definition
      • Categories
      • Impact of Healthcare Wastes
    • Part II: Healthcare Waste Management System
      • Reuse, Recovery, and Recycling
      • Legal Issues and Local Regulatory Agencies

    Learning Outcomes

    • Classify biomedical and hazardous wastes
    • Explain the process of proper healthcare waste management

    Healthcare Wastes

    • 75-90% of healthcare waste is non-hazardous on average
    • 10-25% of healthcare waste is hazardous (infectious, toxic, radioactive)

    Healthcare Waste Generators

    • Hospitals, medical centers
    • Infirmaries
    • Birthing homes
    • Clinics and other health related facilities
    • Medical
    • Ambulatory
    • Dialysis
    • Healthcare centers and dispensaries
    • Surgical
    • Alternative medicine
    • Dental
    • Veterinary
    • Laboratories and research centers
    • Medical and biomedical laboratories
    • Medical research centers
    • Blood banks and blood collection services
    • Dental prosthetic laboratories
    • Nuclear medicine laboratories
    • Biotechnology laboratories
    • Animal research and testing
    • Drug testing laboratories
    • HIV testing laboratories
    • Drug manufacturers
    • Drug rehabilitation centers
    • Training centers for embalmers
    • Medical technology internship training centers
    • Schools of radiologic technology
    • Medical schools
    • Nursing homes
    • Dental schools
    • Mortuary and autopsy centers

    Categories of Healthcare Wastes

    • Hazardous:
      • Sharps
      • Infectious
      • Pathological
      • Anatomical
      • Pharmaceutical
      • Genotoxic
      • Chemical
      • Radioactive
      • Pressurized containers
    • Non-Hazardous (General):
      • Recyclable
      • Biodegradable
      • Residual
    • Hazardous waste* poses environmental and health risks

    Infectious Waste

    • Wastes suspected to contain pathogens or toxins causing disease
    • Examples:
      • Cultures and stocks of infectious agents
      • Wastes from surgeries
      • Wastes from infected patients
      • Wastes contacting patients undergoing hemodialysis
      • Infected animals
      • Other instruments from infected people or animals

    Highly Infectious Diseases

    • Based on WHO Laboratory Biosafety Manual 3rd ed (2004) and DOH Administrative Order 2010-33
    • Examples: SARS, HIV, AIDS, PTB, anthrax, Ebola, Hepatitis B and C, rabies, invasive group A streptococcal infections, transmissible spongiform encephalitis, Creutzfeldt-Jakob disease, mad cow disease, HIV/AIDS, meningococcemia, viral hemorrhagic fevers, Lassa, Marburg, yellow fever, plague, SARS, and others

    Pathological and Anatomical Waste

    • Tissues, fluids, or organs from biopsies, autopsies, or surgical procedures
    • Anatomical wastes are a subgroup of pathological waste, typically recognizable body parts from amputations
    • Examples: internal organs and tissues for histopathological examination

    Sharps

    • Waste items causing cuts, pricks, or puncture wounds
    • Most dangerous healthcare waste due to injury and infection
    • Examples: Needles, syringes, scalpels, saws, blades, broken glass, knives

    Chemical Waste

    • Discarded solid, liquid, or gaseous chemicals used in diagnostic and experimental work, including cleaning, housekeeping, and disinfecting procedures
    • Examples: Laboratory reagents, X-ray film developing solutions, disinfectants, used batteries, concentrated ammonia, concentrated hydrogen peroxide, chlorine, and mercury

    Considered as Hazardous Chemical Waste

    • Includes one or more of the following:
      • Toxic (health and environmental hazards)
      • Chemicals harm biological tissues
      • Corrosive (Acid pH <2 and bases pH >12).
      • Can cause severe burns
      • Flammable (flashpoint below 37.8 degrees Celsius)
      • Igite easily
      • Reactive (when exposed to heat, pressure, shock, friction, catalyst, air or water).
      • Oxidizing (oxidizing substances)
      • Oxidize combustible materials

    Pharmaceutical Waste

    • Expired, split, or contaminated pharmaceutical products, drugs, vaccines, and sera
    • Examples: Bottles, vials, boxes with residues, gloves, masks, and tubing used in handling pharmaceuticals.

    Genotoxic and Cytotoxic Waste

    • Highly hazardous, potentially mutagenic, teratogenic, or carcinogenic
    • Examples:
      • Urine, feces, vomit from patients with potentially hazardous amounts of cytotoxic, and/or their metabolites, antineoplastic drugs.
      • Contaminated materials from drug preparation and administration
      • Outdated, excess or returned drugs

    Radioactive Waste

    • Waste exposed to radionuclides (radioactive diagnostic or therapeutic materials)
    • Residues from shipments of radioactive materials and unwanted solutions of radionuclides.
    • Includes liquids, gases, and solids contaminated with ionizing radiations.
    • Examples: cobalt, technetium, iodine, iridium, irradiated blood products, contaminated wastes from patients exposed within 48 hours.

    Non-Hazardous or General Waste

    • No contact with infectious agents, hazardous chemicals, or radioactive materials, posing no hazard
    • Types:
      • Recyclable (paper, aluminum, plastics, glass, wood)
      • Biodegradable (kitchen waste, leftover food, flowers, composted garden waste)
      • Residual (general waste that doesn't fit other categories)

    Impact of Healthcare Wastes

    • Who is at risk
    • Healthcare facility staff, patients, visitors, support staff, waste transport workers, waste facility operators, and general public
    • Potential hazards: injured or infected, drug-resistant microorganisms spread from facilities to the environment, chronic or acute exposure of the general population.

    Adverse Health Outcomes

    • Sharp-inflicted injuries
    • Toxic exposure to pharmaceutical products (antibiotics, cytotoxics, mercury, dioxins)
    • Air pollution (during waste incineration)
    • Chemical burns (disinfection, sterilization, treatment)
    • Thermal injuries (medical waste incinerators)
    • Radiation burns
    • Contamination of drinking and ground water (untreated waste in landfills)
    • Release of chemical substances (incineration without proper handling)
    • Release of pollutants and ash residue (inadequate incineration)
    • Alternatives to incineration (autoclaving, microwaving, steam treatment)
    • Incineration not allowed in the Philippines

    Benefits of Proper Compliance

    • Protect patients, health workers, and general population
    • Contribute to global environmental efforts
    • Increased compliance with healthcare institution laws, regulations, and guidelines
    • Prevent long-term liabilities and reputational damage

    Assignment

    • Answer pages 189, 190, 211, 212 of Principles of Medical Laboratory Science 1 by Benitez
    • Deadline: 11/26/2024 12:00 noon

    Dominican Blessing

    • May God the Father Bless
    • May God the Son Heal
    • May God the Holy Spirit Enlighten
    • Give Eyes, Ears, Hands, Feet, and Mouth for work and the word (of salvation)
    • May the angel of peace watch over us, leading us to the Lord's kingdom
    • Amen

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    Description

    This quiz covers Healthcare Waste Management as outlined in Unit 6 of the Medical Technology Department. It discusses the definitions, categories, and impacts of healthcare wastes, along with the principles of their proper management, including reuse, recovery, and recycling.

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