HOSPITAL WASTE MANAGEMENTPROJECT

TRAINING FOR NURSING AND PARA-MEDICAL STAFF

By: Alamgeer MemonProject Manager

Mashriq Foundation Hyderabad 25th February 2010

Mashriq Foundation

Mashriq Foundation is an NPO and has a multi-dimensional focus on Environment and community health activities.

Based in Hyderabad, Mashriq Foundation is currently executing following two projects

1. Hospital Waste Management (HWM) Project at 4 Taluka hospitals of Hyderabad District:

2. Hospital Waste Management (HWM) Project at DHQ Hospital Sanghar:

Some successes achieved:

Conducted awareness seminars Baseline survey Waste management team formation Stakeholders integration, like EPA,

Ministry of Environment, Municipal authorities, BP Pakistan, Civil society and Hospital Administration

Mass media coverage

How We conceived this project

Disposal

Movie

Disposal

Disposal

Disposal

Disposal End …..

Carriers

Project Nexus

Burning of HW – dioxin formation

Exposure of hepatitis B & C through needle pricks

Contamination of Water canals

Hospital Waste Types:

Segregation/collection

The most important component of HWM is segregation.

Segregation is the process of separating different waste streams

Risk waste will be separated at source from non-risk waste

Color coding of Waste Bins

Red colored waste bins for Risk/infectious waste

Blue colored waste bins for Non-risk waste

Black colored dust bins for Garbage (fruits/food)

BLUE COLORED WASTE BINS:

(NON-RISK WASTE) Paper and cardboard, packing materials, empty bottles, used vials, used

drips after cutting the drip sets and their needles etc.

RED COLORED WASTE BINS:

(RISK WASTE) Infectious waste like blood soiled materials of all types, soiled used

dressings/bandages, human blood and tissues/body parts from surgical OTs and Labor rooms, waste generated during minor procedures in OPD, body fluids of the patients, contaminated syringes and drip sets, I/V canulas, used catheters, NG tubes, removed stitches, used swabs, soiled or used protective equipments i.e. gloves and masks, waste generated during clinical examination, expired medicines & injections, spoiled pharmaceutical products, needles, sharps, broken glass pieces or any other thing that can puncture, chemical and radioactive waste from laboratories and radiology department, waste after procedure of dialysis, waste generated from ENT and Dental surgery departments during procedures etc.

Collection & Transportation

Collection will be on daily basis from specific color coded waste bins

Risk waste from Red-bins and non risk waste from Blue-bins placed at bed side, will be collected separately in the LARGE bins of same color scheme

Transportation of waste from wards to Central Storage Facility will be done by covered drums

Waste Transport

HW Storage

Mashriq Foundation suggests Central storage room facility with Incinerator.

CSF locations to store waste temporarily before Incineration and Land filling/Dumping

These CSF will be covered and having large containers for the waste storage

Earlier

Work in progress by Mashriq Foundation

HW Disposal:

Incineration for Risk/ Infectious waste

Land filling for Non-risk waste

Packing papers, plastic bags, empty bottles and other pharmaceutical waste of non-infectious type back to supplier

Story of Incinerator

HWM – Good and Bad practices

HWM – Good and Bad practices

HWM – Good and Bad practices

HWM – Good and Bad practices

HWM – Good and Bad practices

Injection Safety

Screening & Vaccination of staff

We recognize high importance of Screening and Vaccination of Hepatitis B & C, for hospital staff

Sanitary staff and waste handlers could be primary carriers for Hepatitis B & C

Other categories in service providers shall also be included

Sustainability:

HWM to be considered as a routine business of hospital rather than one-time project activity

WMT to own and execute “Waste Management Plan”

This Plan will be the actual document to achieve the desired goals under this HWM system