BMW-Mgmt-2020.pdf

Bio Medical Waste Management 29/5/2020 Contents Definition Objectives Steps involved in BMW Management Segregation Storage Disposal 29/5/2020  What is BIO MEDICAL WASTE (BMW)? Any waste, which is generated during diagno...

Bio Medical Waste Management 29/5/2020 Contents Definition Objectives Steps involved in BMW Management Segregation Storage Disposal 29/5/2020  What is BIO MEDICAL WASTE (BMW)? Any waste, which is generated during diagnosis, treatment or immunization of human beings or animals or in research activities pertaining there to or in production or testing of biological or in health camps Source: Schedule I appended to BMWM Rules, 2016 29/5/2020  Purpose of BMW Management To prevent the environment from being a reservoir and vehicle for the spread of micro- organisms involved in HAIs (Hospital Acquired Infections) To guide the handling of contaminated solid and liquid waste material. 29/5/2020  Steps involved in BMW MANAGEMENT Survey the waste generating areas Segregation and packaging Inside Collection of waste the Transportation to storage area hospital Storage of waste (not beyond 48 hrs.) Transportation of waste from storage Outside Treatment of waste of Disposal hospital 29/5/2020  BMW Generating Areas Outpatient Operation Inpatients Department Theatre Department Dr Dr ICU & GA Examination Examination Room Room Room Dilatation Patient Block Room Area Rooms Investigations Operation Area Theatre 29/5/2020  BMW Segregation in OPD |OT |WARD 29/5/2020 BMW Segregation 1 Colour Coding YELLOW Items Treatment option ANATOMICAL WASTE, Cotton, Bandage, Wiper, Face Incineration / Deep mask, expired, discarded medicine, infected tissue paper Burial 29/5/2020 BMW segregation 2 Colour Coding RED Items Treatment option Any kind of PLASTIC or RUBBER items like bags, Gloves, Shredding after Syringe, Tubes, empty drops plastic containers… Autoclaving 29/5/2020 BMW segregation 3 Colour Coding BLUE Items Treatment option Broken or empty GLASS items like Destruction & Shredding after bottles, syringes, vials autoclaving /Chemical treatment 29/5/2020 BMW segregation 4 Colour Coding PLASTIC CONTAINER Items Treatment option Needle, Knife, Blade, Lancet and any other Destruction & Shredding after autoclaving/Chemical treatment SHARP items 29/5/2020 29/5/2020 General Waste (Non Infected Waste) Colour Items Usage Treatment coding option Green color plastic materials & papers, This container is used in Deep Burial in disposables, cardboards, the OT, OP, Ward and all the pit Bag metal containers, office common areas for paper waste, food waste and food waste 29/5/2020  Packaging & Transporting 29/5/2020  Packaging & Transporting Bags 3/4th filled should be tied Packed and removed from the generating area 29/5/2020  BMW storage and disposal Stored in the storage area Weighing & Recording in a separate register Handed over to the outsourced agency - RAMKY everyday 29/5/2020  Disposal to the treatment area 29/5/2020  General Waste Disposal 29/5/2020  BMW Treatment (outside of hospital) 29/5/2020  Disposal of Waste in Yellow Bag Incineration is a waste treatment process that involves the combustion of organic substances contained in waste materials. Incineration and other high-temperature waste treatment systems are described as "thermal treatment". Incineration of waste materials converts the waste into ash, flue gas and heat. 29/5/2020  Disposal of Waste in Red Bag Autoclaving: Autoclaves are used 90% of the time to treat medical waste. They are closed chambers that apply heat, pressure and steam to sterilize the medical waste and to kill all the microorganisms. Shredding: A plastic shredder is a machine used to cut plastic into smaller pieces for granulation. In the process, large plastic items are fed into the shredder. Moving at a slower speed than a granulator, blades break the plastic down into smaller chunks. Shredder Autoclave Machine 29/5/2020  Disposal of Waste in Blue Bag/White container Secured land fill: The incinerator ash, discarded medicines, cytotoxic substances, Sharps, Glasses and solid chemical waste should be treated by this option. The shredded particles could be sent to recycling plants 29/5/2020 Consequences of Poor Segregation May lead to penalty and legal action Affect the recognition of organization It has become more rigorous due to COVID-19 High risk for infection Re-segregation may not be possible after transportation Appropriate Treatment will not be possible 29/5/2020