1. 14 - September - 2012 Prepared By Dr Gamal Soliman 1 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A INFECTIOUS WASTEINFECTIOUS WASTE DISPOSALDISPOSAL

2. 14 - September - 2012 Prepared By Dr Gamal Soliman 2 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A PURPOSE: To define infectious waste in order to segregate it from other medical waste 3. 14 - September - 2012 Prepared By Dr Gamal Soliman 3 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A POLICY: To segregate infectious waste from other medical waste in order to deliver it to a waste management company 4. 14 - September - 2012 Prepared By Dr Gamal Soliman 4 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A The infectious waste is then treatedThe infectious waste is then treated by Microwaves to render it nonby Microwaves to render it non infectious.infectious. 5. 14 - September - 2012 Prepared By Dr Gamal Soliman 5 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A The end product willThe end product will be sent to landfillsbe sent to landfills assigned by theassigned by the municipalitymunicipality 6. 14 - September - 2012 Prepared By Dr Gamal Soliman 6 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A There is noThere is no epidemiologicalepidemiological evidence to suggestevidence to suggest that hospital waste isthat hospital waste is anymore infectiveanymore infective thanthan residential wasteresidential waste 7. 14 - September - 2012 Prepared By Dr Gamal Soliman 7 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A PROCEDURE: InfectiousInfectious BiohazardousBiohazardous Color-coded plasticColor-coded plastic bags are to be usedbags are to be used for containment offor containment of designated wastedesignated waste 8. 14 - September - 2012 Prepared By Dr Gamal Soliman 8 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A colored bags (with biohazard label) are to be used for Biohazardous waste (Plastic, leak proof puncture resistant containers - with biohazard label) 9. 14 - September - 2012 Prepared By Dr Gamal Soliman 9 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Plastic, leak proofPlastic, leak proof puncture resistantpuncture resistant containers (with biohazardcontainers (with biohazard label) are to be used forlabel) are to be used for disposal of solid/liquiddisposal of solid/liquid waste materials and sharpwaste materials and sharp instrumentsinstruments 10. 14 - September - 2012 Prepared By Dr Gamal Soliman 10 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Plastic Sharps containers designedPlastic Sharps containers designed to contain contaminated andto contain contaminated and isolation solid waste materials willisolation solid waste materials will be used wall-mounted in smallbe used wall-mounted in small containerscontainers 11. 14 - September - 2012 Prepared By Dr Gamal Soliman 11 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Biohazardous waste willBiohazardous waste will be transported from thebe transported from the hospital by ahospital by a commercial companycommercial company and processed byand processed by acceptable meansacceptable means (microwave treatment)(microwave treatment) to render it non-to render it non- hazardoushazardous 12. 14 - September - 2012 Prepared By Dr Gamal Soliman 12 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A With the exception ofWith the exception of units, all otherunits, all other patient care areaspatient care areas within the hospitalwithin the hospital will use a designatedwill use a designated red bagred bag wastewaste container to becontainer to be located in the soiledlocated in the soiled utility roomutility room 13. 14 - September - 2012 Prepared By Dr Gamal Soliman 13 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Soiled dressings removedSoiled dressings removed from surgical wounds or otherfrom surgical wounds or other open skin sites will be placedopen skin sites will be placed inin yellow plastic bagsyellow plastic bags and mayand may be then discarded in bedsidebe then discarded in bedside waste containerswaste containers 14. 14 - September - 2012 Prepared By Dr Gamal Soliman 14 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A The biohazardous waste bags are collected by housekeepinghousekeeping personnelpersonnel and stored in a pre- designated room on each unit 15. 14 - September - 2012 Prepared By Dr Gamal Soliman 15 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A These bags are thenThese bags are then transported from the units totransported from the units to an externalan external storage area bystorage area by closed mobileclosed mobile containerscontainers 16. 14 - September - 2012 Prepared By Dr Gamal Soliman 16 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Finally, the biohazardousFinally, the biohazardous waste is collected andwaste is collected and transported away for treatmenttransported away for treatment by an external contractorby an external contractor (SEPCO)(SEPCO) 17. 14 - September - 2012 Prepared By Dr Gamal Soliman 17 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Please refer toPlease refer to ( housekeeping policy and( housekeeping policy and procedure manual)procedure manual) 18. 14 - September - 2012 Prepared By Dr Gamal Soliman 18 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Regular Waste should be kept in black or blue bags 19. 14 - September - 2012 Prepared By Dr Gamal Soliman 19 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A Regulatory Maintain compliance with national standards and regulating bodies such as CBAHI, MOH, CDC, FDA CBAHI, CENTRAL BOARD FOR ACCREDITATION OF HEALTH INSTITUTIONS MOH, MINISTRY OF HEALTH CDC, CENTER FOR DISEASES CONTROL & PREVENTION FDA, FOOD AND DRUG ADMINISTRATION 20. 14 - September - 2012 Prepared By Dr Gamal Soliman 20 S ilv e r C r e s c e n t D is p e n s a r y K h o b a r - K S A DiscussionDiscussion Our setbacks and corrections RCARCA= Root Cause Analysis of incidents answering questions Where, What, When, How and Who = 5 Ws