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ON
BIO-MEDICAL WASTE
MANAGEMENT
PRAVEEN.J,
MSc(Nsg)
Cleanliness
is Next to
Godliness.
BIO-MEDICAL WASTE
Hospitals produce waste, which is
increasing over the years in its
amount and type. The hospital
waste, in addition to the risk for
patients and personnel who handle
them also poses a threat to public
health and environment.
HOW WASTE
GENERATED?
DEFINITIO
NS OF THE
TERMS
(a)Bio-Medical Waste :
May be defined as any solid, fluid or liquid waste,
including its container and any intermediate product,
which is generated during its diagnosis, treatment or
immunisation of human beings or animals, in
research pertaining thereto, or in the production or
testing of biologicals and the animal waste from
slaughter houses or any other like establishments.
(b) Medical Waste :
Is a term used to describe any waste that is
generated in the diagnosis, treatment or immunisation
of human beings or animals, in research pertaining
thereto, or in the production or testing of biologicals.
TYPES OF
BIO-MEDICAL
WASTE
SCENARIO IN NEPAL
In Nepal, there are no special policies, legislation or
guidelines related to wastes from health care
institutions. The statistics presented at the workshop
on waste management held in January 2011 revealed
that more than 50% of the government institutions do
not practice proper waste segregation.
The reasons are mainly:
Poor management,
Absence of policy/guidelines,
Lack of awareness/understanding on the part of health
staff and the general
public, and
Large influx of patients to government hospitals
Arboviral
infections
Brucellosis
Creutzfeldt-Jakob
Disease
Hepatitis C
Leptospirosis
Malaria
Rabies
Syphilis
Tularemia
Viral Hemorrhagic
Fevers
SOLUTION
FOR THE
PROBLEM...
ROLES AND
RESPONSIBILIT
ES OF THE
SUPERIORS
Role of Matron
The Matron will designate one of the senior
administrative level deputies as Sister Incharge of
Hospital Waste Management, who will be
responsible for close monitoring of the activity. She
will conduct surprise rounds and will review and
evaluate the various aspects of scientific hospital
waste management at all levels from generation
and segregation to final disposal. She will also
attend the meetings of Hospital Waste
Management Committee on behalf of the Matron
and co-ordinate the training of nurses on Hospital
Waste Management with administration.
TOPICS INCLUDED
ARE
PROPER
MEDICAL
HAND
WASHING
PRACTICES NEEDED
1. Hand Washing
Frequent hand washing (before and after
attending to a patient) is the most important
factor in preventing infections.