SURYA CLINIC SOP REV-00

Policy: Hospital Waste Management Policy type: Departmental Policy Number: Dept: Housekeeping Review on Date Approved:

Prepared by: Approved by

No of Pages

1.0 Introduction Handling medical waste is crucial issue since this is a potential hazard affecting the health of your clients health care wor!ers the community and most important of all the environment" #his is caused due to improper disposal of un$ segregated medical waste" %t is a well !nown fact that of the total waste generated from hospitals more than 8& ' 8( ) is non$hazardous and only a small amount of *( ' +& ) is hazardous and ,or infectious" #o 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 b!ecti"es: #o comply with the -iomedical waste Handling rules *../ 0inistry of 1nvironment and 2orests and set a waste disposal technology" %nstitute a waste management plan for the clinic to comply with the law" Protection of environment by minimizing polluting materials li!e 0ercury P34 etc" %dentify a responsible waste manager and institute a waste management team" %dentify spaces re5uired to support the waste plan e"g" space planning for storage define disposal pathway etc" %mplement good infection control measures #.0. $unctions: 6"*" #o lay down policy guidelines for waste management 6"+" 0eet every 5uarter to evaluate the program 6"6" 7rganize educational programs for the clinic staff regularly 6"8 Recommend measures to improve performance in the waste management program

SURYA CLINIC SOP REV-00

%.0. &ey re'uirements o( Waste Disposal Management: #he 9aw wants essentially to: :egregate waste at source" ;se designated colour containers" #ransport the waste in designated vehicles by authorised personnel #reat infectious waste according to prescribed standards

).0. *+e Waste Management Plan: 1. ,*-.*IN/ 0P: :et ;p a #eam 4reating awareness through education by instituting various training modules for all categories of staff 4onducting a <aste Audit %dentify 5uantum of waste $ category wise and ward wise 1nsure proper color coding for each clinic section

1nsure implication of the plan through staff training covering all sections from the 0anagers 0edical upto the Attendants %dentify ,Align with the outsourced vendor for waste collection" Allocate ade5uate resources $ money men space

2. IMP12M2N*IN/ *H2 P1-N: :egregation =4olor 4oding> through a <aste Audit 4lassify , %dentify 5uantum of waste 4ategory wise <ard wise 1nsure proper color coding for each clinic section

%nstitute a sharps management system #ransportation methods and schedules :torage ? Disposal re5uirements

SURYA CLINIC SOP REV-00

%nstitute a wor!er safety program Periodic review of the plan and feedbac! mechanisms <aste 0inimization recycling and @reening of the :upply 4hain

Set Up the Team

Feedback & Control through Supervision

ecessar! Action taken like

Awareness & Training

Waste Audit

Waste specific Disposal Technologies Transportation Storage

Segregation

SURYA CLINIC SOP REV-00

A"&" Policies A"*" A"+" A"6" #he waste management program will be written in a manual #he policies will be reviewed at least once a year and as and when re5uired Policies to be made on the following: 4onducting a waste audit 4lassification :egregation based on international color coding system #ransportation Disposal methods $7utsourcing #raining modules for all categories of staff <or!er safety

Conducting a Waste Audit: #he waste audit would confirm the number of waste receptacles re5uired" #he places where it needs to be set" Amounts of waste generated from various areas both clinical =wards 7# 7PDBs etc"> and non$clinical =administrative offices lobby receptions etc"> Classification, Segregation and Disposal: #he classification segregation and disposal of waste is to be done in compliance with the 0712 Rules stated as under: 3olor 3oding Cellow with -iohazard :ign Red *ype o( Waste category container Plastic bag Human anatomical =4at" *> 0icrobiological ? -iotechnological =4at" +> :olid wastes =4at" A> Disinfected :olid wastes =4at" A> container , :olid wastes =4at"/> plastic bag *reatment ptions %ncineration D , Deep -urialE Autoclaving , 0icrowaving , 4hemical #reatment ? EEDestruction , :hredding Autoclaving , 0icrowaving , 4hemical #reatment ? destruction ,

-lue , <hite Plastic , <aste :harps =4at"8> translucent Puncture proof :olid wastes =4at"/> with container -iohazard :ign

"

SURYA CLINIC SOP REV-00

-lac!

Plastic -ag

Discarded medicines ? cytotoFic drugs =4at"(> %ncineration ash =4at" .> ? 4hemical <aste =4at" *&>

shredding Autoclaving Disposal in secured landfill

D: #here will be no chemical pretreatment before incineration" 4hlorinated plastics shall not be incinerated" E: Deep burial option shall be available as an option only in towns with population less than five la!hs and in rural areas" EE0utilating and shredding must be such as to prevent unauthorized use" 9abelling of bio$hazardous waste =any article contaminated with blood,body fluid> must include the G-io$hazardH symbol on the container" #he labels must be non$washable and must be prominently visible on the containers" 3ategory o( Waste /enerated: Refer AnneFure $ I-io 0edical <aste 0anagement Handling RulesI $ *..8 enforced by the 0712" ,egregation plan to be (inalised a(ter t+e 4aste audit: #he waste audit would enable the Administrator , <aste manager to determine the size =:hould ideally be mentioned in Jgs , 9itre capacity> and physical location of the waste receptacles" :ome eFamples are given below: /eneral /uidelines (or Waste ,egregation: 3linical -reas:
Department Waste /enerated @eneral <ard *ype o( ,i5e o( 1ocation .eceptacle .eceptacle *" 4ategory A Plastic bag :mall Nursing :tation +" 4ategory / Red Disinfected :mall Nursing container , station plastic bag 6" 4ategory 8 -lue , Plastic bag , 0edium Nursing <hite Puncture :tation #ranslu Proof cent containers 8" Household @reen 9arge -edside <aste 8" 4ategory A Cellow Plastic bag :mall %n the Room 3olor 3ode Cellow

:pecial Rooms

SURYA CLINIC SOP REV-00

:mall =N:> (" 4ategory / Disinfected :mall =N:> container , plastic bag A" 4ategory 8 -lue , Plastic bag , :mall <hite Puncture #ranslu Proof cent containers 8" Household -lac! :mall <aste *" 4ategory A Cellow Plastic bag 9arge +" 4ategory / 6" 4ategory 8 Red Disinfected 9arge container , plastic bag -lue , Plastic bag , 9arge <hite Puncture #ranslu Proof cent containers Cellow Plastic -ag 9arge Red

Nursing :tation Nursing station Nursing :tation Rooms

7peration #heatre

8" 4ategory *

Diagnostic Services Department Waste /enerated 3olor 3ode Cellow Red *ype o( ,i5e o( .eceptacle .eceptacl e Plastic bag :mall

Department of 8" 4ategory A 9aboratory 0edicine (" 4ategory /

Disinfected :mall container , plastic bag A" 4ategory 8 -lue , Plastic bag , 0edium <hite Puncture #ransluce Proof nt containers 8" Household -lac! 9arge <aste

:imilarly all functional areas will have to be audited"

SURYA CLINIC SOP REV-00

*ransportation 6 ,c+eduling: <hile transporting waste the following guidelines need to be followed: #hey should be in the respective color coded bags =if at all they are all put into one bag>" #he waste transportation time should be scheduled during the non ' traffic hours i"e" during the afternoon or late evenings , nights" #he schedule can be fiFed at twice a day for the busy client care units li!e the 7# 9aboratory :ample 4ollection area and once a day for the relatively less waste generating areas li!e the Administrative areas -illing Reception 7PD etc" <aste can be transported on specially allocated trolleys and collected floor$ wise to the storage , disposal area" 4are must be ta!en to ensure that the bags are not spilt and not bro!en during transport All waste spills should follow the infection control guidelines and all such events be reported to the %nfection 4ontrol 7fficer" All bags should be secured at the nec! prior to transportation Any sharp found in the bags during transportation should be reported and follow the :harps management policy *reatment and Disposal: As mentioned in the 0712 rules one has several treatment options" #he clinic should decide the best option !eeping in mind both the cost factor and the environmental impact which would affect the health of its clients staff and the people" :ince creating stand alone treatment facilities may not be feasible the option of outsourcing waste disposal should be implemented" 2or outsourcing the following should be considered and steps ta!en :

SURYA CLINIC SOP REV-00

#he vendor should have approval from the local,state Pollution -oard Department to provide the said services in the region" Have ade5uate infrastructure and bandwidth for pic!ing the waste from respective facilities across the region as per the defined schedule and treat the waste"

Ade5uate trained manpower to collect waste across facilities as per the defined norms i"e" not segregating the waste at the site,facility" 1nter into a formal contract with the vendor for the said services"

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