Implementation of Biomedical Waste Management


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Implementation of Biomedical Waste Management
COVID -19 Pandemic
Dr Deepika S Senior Consultant Quality Improvement
NHSRC

Background
BMW 2019 2 Revisions in 2019 Biomedical waste management ( Amendment) 2019- Clarity on liquid waste management. Biomedical waste management ( 2nd Amendment) 2019-Clarity on chlorinated plastic bags.
BMW 2016 Launch of Biomedical Waste Management Rules – by Ministry of Environment, forest1&3-0c5l-i2m02a1te change – March 2016

National Health Systems Resource Centre

18 & 25 March, 18April, 10 June & 17 July 2020
Guidelines for management* of waste generated during diagnostics, treatment and Quarantine of COVID-19. (* Handling , treatment 7 disposal)
BMW 2018
Biomedical waste management ( Amendment) 2018 – Broadly revision on few sections in BMW -2016 & revision of few deadlin2es

Biomedical Waste
 Any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or in research activities pertaining thereto or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to these Rules” as per Biomedical Waste Rules 2016.

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Categories of Bio medical Waste

Yellow
•Human Anatomical Waste – Placenta etc. •Animal Anatomical waste •Soiled waste – Gauze, Bandage •Expired or Discarded drugs •Chemical waste •Chemical liquid waste •Discarded linen. Mattress, Beddings contaminated with Blood, Body fluids, •Microbiology, Biotechnology and Other Clinical Laboratory Waste

Red
Contaminated waste (Recyclable)

White
Waste Sharp including metals

Blue
Glassware Metallic Implants

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Applicable
• COVID -19 Isolation wards : (Where COVID-19 Positive patient are kept for treatment/diagnosis).
• It includes temporary healthcare facilities like rail coach wards, COVID Care centres etc.
• Sample Collection Centre & Laboratories for COVID -19 suspected patients
• Quarantine Centres/Camps/ Home Quarantine or Home Care Facilities

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Pre Requisite for Segregation of Bio medical Waste

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Key Points to Remember

• Bins should be closed all the time • Foot operated lids • Both liners & bins must have sign of Biohazard Symbol • Both liner & bins used in COVID wards must have labels of

“COVID -19 waste”- as it helps CWTF to identify the waste

for priority treatment.

• Double layer of liner – should be used- to ensure adequate

strengthen & there is no leaks.

• Liner should be Non Chlorinated & not be less than 15

microns

• Segregation at source should be ensured ( No segregation

of waste in temporary waste collection /storage area)

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Segregation of Waste

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Segregation of Waste

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Segregation of Waste

All used masks including triple layer & N-95 masks
Head Cover/ cap

Disposable linen gown

• Non- plastic or Semi Plastic coverall • Tissue • Toiletries of COVID patient

Shoe Cover

Any Non- plastic or Semi Plastic

coverall

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Segregation of Waste

Goggles

HAZMAT suits

Splash Proof gown Plastic Cover on

Face- Shield

13-05-2021Nitril Gloves

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Implementation of Biomedical Waste Management