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SURYA CLINIC SOP REV-00 Policy: Hospital Waste Management Prepared by: Policy type: Departmental Date Approved:

SURYA CLINIC SOP REV-00

Policy: Hospital Waste Management

Prepared by:

Policy type: Departmental

Date Approved:

Approved by

Policy Number:

Dept: Housekeeping

Review on

No of Pages

8

1.0 Introduction

Handling medical waste is crucial issue since this is a potential hazard affecting the health of your clients, health care workers, the community and most important of all the environment. This is caused due to improper disposal of un- segregated medical waste.

It is a well known fact that of the total waste generated from hospitals more than 80 – 85 % is non-hazardous and only a small amount of 15 – 20 % is hazardous and /or infectious. To have comprehensive solution to this problem, health care institutions need to design an appropriate waste management programme comprising of awareness campaign, manpower training, waste segregation, collection, transportation, disinfection and treatment.

2.0 Objectives:

To comply with the Biomedical waste Handling rules, 1997, Ministry of Environment and Forests, and set a waste disposal technology. Institute a waste management plan for the clinic to comply with the law.

Protection of environment by minimizing polluting materials like Mercury, PVC etc.

Identify a responsible waste manager and institute a waste management team.

Identify spaces required to support the waste plan e.g. space planning for storage, define disposal pathway etc.

Implement good infection control measures

3.0. Functions:

3.1.

To lay down policy guidelines for waste management

 

3.2.

Meet every quarter to evaluate the program

 

3.3.

Organize educational programs for the clinic staff regularly

 

3.4

Recommend

measures

to

improve

performance

in

the

waste

management program

SURYA CLINIC SOP REV-00 4.0. Key requirements of Waste Disposal Management: The Law wants essentially

SURYA CLINIC SOP REV-00

4.0. Key requirements of Waste Disposal Management:

The Law wants essentially to:

Segregate waste at source.

Use designated colour containers.

Transport the waste in designated vehicles by authorised personnel

Treat infectious waste according to prescribed standards

5.0. The Waste Management Plan:

1.

STARTING UP:

Set Up a Team

Creating awareness through education by instituting various training modules for all categories of staff

Conducting a Waste Audit

 

Identify quantum of waste - category wise and ward wise

Ensure proper color coding for each clinic section

Ensure implication of the plan through staff training covering all sections from the Managers, Medical upto the Attendants

Identify /Align with the outsourced vendor for waste collection.

Allocate adequate resources - money, men, space

2.

IMPLEMENTING THE PLAN:

Segregation (Color Coding) through a Waste Audit

 

Classify / Identify quantum of waste

Category wise

Ward wise Ensure proper color coding for each clinic section

Institute a sharps management system

Transportation methods and schedules

Storage & Disposal requirements

SURYA CLINIC SOP REV-00 ∑ Institute a worker safety program ∑ Periodic review of the

SURYA CLINIC SOP REV-00

Institute a worker safety program

Periodic review of the plan and feedback mechanisms

Waste Minimization, recycling and Greening of the Supply Chain

Set Up the Team Feedback & Control through Supervision Waste specific Disposal Technologies
Set Up the Team
Feedback &
Control through
Supervision
Waste specific
Disposal Technologies
SURYA CLINIC SOP REV-00 6.0. Policies 6.1. The waste management program will be written in

SURYA CLINIC SOP REV-00

6.0. Policies

6.1. The waste management program will be written in a manual

6.2. The policies will be reviewed at least once a year and as and when

required

6.3. Policies to be made on the following:

Conducting a waste audit

Classification

Segregation based on international color coding system

Transportation

Disposal methods -Outsourcing

Training modules for all categories of staff

Worker safety

Conducting a Waste Audit:

The waste audit would confirm the number of waste receptacles

required.

The places where it needs to be set.

Amounts of waste generated from various areas both clinical

(wards, OT, OPD’s etc.) and non-clinical (administrative offices, lobby, receptions etc.)

Classification, Segregation and Disposal:

The classification, segregation and disposal of waste is to be done

in compliance with the MOEF Rules, stated as under:

Color

Type

of

Waste category

Treatment

Coding

container

Options

Yellow with

Plastic bag

Human anatomical (Cat. 1), Microbiological & Biotechnological (Cat. 2), Solid wastes (Cat. 6)

Incineration @ / Deep Burial*

Biohazard

Sign

 

Red

Disinfected

Solid wastes (Cat. 6), Solid wastes (Cat.7)

Autoclaving /

container /

Microwaving /

plastic bag

 

Chemical

Treatment &

**Destruction /

Shredding

Blue / White translucent with Biohazard Sign

Plastic /

Waste Sharps (Cat.4), Solid wastes (Cat.7)

Autoclaving /

Puncture proof

Microwaving /

container

 

Chemical

Treatment &

destruction /

SURYA CLINIC SOP REV-00       shredding Autoclaving Black Plastic Bag Discarded medicines

SURYA CLINIC SOP REV-00

     

shredding

Autoclaving

Black

Plastic Bag

Discarded medicines & cytotoxic drugs (Cat.5), Incineration ash (Cat. 9) & Chemical Waste (Cat.

10)

Disposal in

secured landfill

@: There will be no chemical pretreatment before incineration. Chlorinated plastics shall not be incinerated. *: Deep burial option shall be available as an option only in towns with population less than five lakhs and in rural areas. **Mutilating and shredding must be such as to prevent unauthorized use.

Labelling of bio-hazardous waste (any article contaminated with blood/body fluid) must include the “Bio-hazard” symbol on the container. The labels must be non-washable and must be prominently visible on the containers.

Category of Waste Generated:

Refer Annexure - "Bio Medical Waste Management Handling Rules" - 1998 enforced by the MOEF.

Segregation plan to be finalised after the waste audit:

The waste audit would enable the Administrator / Waste manager to determine the size (Should ideally be mentioned in Kgs / Litre capacity) and physical location of the waste receptacles. Some examples are given below:

General Guidelines for Waste Segregation:

Clinical Areas:

Department

Waste Generated

Color

Type

of

Size

of

Location

Code

Receptacle

Receptacle

General

1.

Category 6

Yellow

Plastic bag

Small

Nursing

Ward

 

Station

 

2.

Category 7

Red

Disinfected

Small

Nursing

 

container

/

station

plastic bag

 

3.

Category 4

Blue

/

Plastic bag / Puncture Proof containers

Medium

Nursing

 

White

Station

Translu

cent

 

4.

Household

Green

 

Large

Bedside

Waste

Special

4.

Category 6

Yellow

Plastic bag

Small

In

the

Rooms

 

Room

SURYA CLINIC SOP REV-00         Small (NS) Nursing Station   5. Category

SURYA CLINIC SOP REV-00

       

Small (NS)

Nursing

Station

 

5.

Category 7

Red

Disinfected

Small (NS)

Nursing

 

container

/

station

plastic bag

 

6.

Category 4

Blue

/

Plastic bag / Puncture Proof containers

Small

Nursing

 

White

Station

Translu

cent

 

4.

Household

Black

 

Small

Rooms

Waste

Operation

1. Category 6

Yellow

Plastic bag

Large

 

Theatre

 

2. Category 7

Red

Disinfected

Large

 

container

/

plastic bag

 

3. Category 4

Blue

/

Plastic bag / Puncture Proof containers

Large

 

White

Translu

cent

 

4. Category 1

Yellow

Plastic Bag

Large

 

Diagnostic Services

Department

Waste

Color

Type

of

Size

of

Generated

Code

Receptacle

Receptacl

e

Department of

4.

Category 6

Yellow

Plastic bag

Small

Laboratory

 

Medicine

 

5.

Category 7

Red

Disinfected

Small

 

container

/

plastic bag

 

6.

Category 4

Blue

/

Plastic bag / Puncture Proof containers

Medium

 

White

Transluce

nt

 

4.

Household

Black

 

Large

Waste

Similarly all functional areas will have to be audited.

SURYA CLINIC SOP REV-00 Transportation & Scheduling: While transporting waste the following guidelines need to

SURYA CLINIC SOP REV-00

Transportation & Scheduling:

While transporting waste the following guidelines need to be followed:

They should be in the respective color coded bags (if at all they are all put into one bag).

The waste transportation time should be scheduled during the non – traffic hours i.e. during the afternoon or late evenings / nights.

The schedule can be fixed at twice a day for the busy client care units like the OT, Laboratory Sample Collection area, and once a day for the relatively less waste generating areas like the Administrative areas, Billing, Reception, OPD etc.

Waste can be transported on specially allocated trolleys and collected floor- wise to the storage / disposal area.

Care must be taken to ensure that the bags are not spilt and not broken during transport

All waste spills should follow the infection control guidelines and all such events be reported to the Infection Control Officer.

All bags should be secured at the neck prior to transportation

Any sharp found in the bags during transportation should be reported and follow the Sharps management policy

Treatment and Disposal:

As mentioned in the MOEF rules one has several treatment options. The clinic should decide the best option keeping in mind both the cost factor and the environmental impact which would affect the health of its clients, staff and the people.

Since creating stand alone treatment facilities may not be feasible, the option of outsourcing waste disposal should be implemented.

For outsourcing, the following should be considered and steps taken

:

SURYA CLINIC SOP REV-00 ∑ The vendor should have approval from the local/state Pollution Board

SURYA CLINIC SOP REV-00

The vendor should have approval from the local/state Pollution Board Department to provide the said services in the region.

Have adequate infrastructure and bandwidth for picking the waste from respective facilities across the region as per the defined schedule and treat the waste.

Adequate trained manpower to collect waste across facilities as per the defined norms, i.e. not segregating the waste at the site/facility.

Enter into a formal contract with the vendor for the said services.