Types of Hospital Waste & Waste Segregation Guidelines
Types of Hospital Waste:
There are two types of hospital wastes.
Types of Hospital Risk Waste:
This is the waste contaminated by any type of bacterium, virus, parasites or fungi, which includes:
This waste includes:
Sharps include the following whether infected or not:
These wastes include:
These wastes include Liquid, solid or gaseous waste contaminated with radio nuclides generated from invitro (outside) analysis of body tissue/fluid, invivo (body organ imaging) and tumor localizations and investigations and therapeutic procedures.
Non-risk waste is that, which is comparable to normal domestic garnage and presents no greater risk, therefore, than waste from a normal home. This general waste is generated by almost everybody in the hospital, I.e., administration, patient's risk, cafeterias rooms, cafeterias and nursing station. Such waste may include:
Risk From Waste:
Parsons at Risk:
All parsons exposed to the hazardous biomedical waste are potentially at risk, which includes all those who either handle the waste at any stage or are exposed to it as a consequence of careless management. Infectious waste may contain a great variety of pathogenic micro organisms. These pathogens contained contained in the waste may infect the human body through different ways, which includes:
Infectious of particular concern biomedical these days, for which there is a strong evidence of transmission via the biomedical waste, are HIV virus and Hepatitis B and C. syringes and needles are especially very dangerous because they are often contaminated with patient's blood. Many pharmaceuticals used in hospitals are hazardous. They can cause intoxication from absorption through skin, mucus membrane and from inhalation or ingestion.
Many catatonic drugs are extremely irritant and produce harmful local effects after drugs are extremely irritant and produce harmful local effects after direct contact with the skin or eyes in addition to the more serous genetic effects. They can cause dizziness, nausea, headache or dermatitis.
Many chemicals can be toxic, corrosive, flammable, reactive and explosive or shock sensitive. The most common injuries are burns. Contact with skin, eyes or mucosa of the lung airways can provoke injuries. Chemical residues discharged in the sewerage system can affect the working of biological sewage treatment plants. Also may have toxic effects on the natural ecosystem of recipient waters. The type of injury caused by radioactive waste is determined by the among and type of exposure. This may start from simple dizziness (feeling about to fall), headaches, vomiting and may lead to genetic effects. Hazards from low activity waste may occur from contamination of external surfaces of contamination of external of containers or improper storage.
The risk waster should be segregated at the point of generation from Non-risk waste. It is useful for safe disposal of risks waste.
For the different types of waste separate containers are required i. e. risk waste sharps and non-risk waste. All the different colored containers limed with plastic begs are placed in each ward and department.
The person responsible for waste handling must do source segregation to reduce the chance of infection and lesser amount of waste to be incinerated. Segregation must be practiced from the source of generation to handling, transportation till the final disposal. The following steps should be observed.
All categories of risk waste other than sharps are collected in "white color" container lined with plastic bag. When the plastic hags, and immediately replace it with a new plastic beg, and immediately replace it with a new plastic bag. The bags are sealed and labeled on site with the name of ward and location. The sharps are stored in "Red" color hard plastic container lined with a plastic bag. The medical staff cuts the needles of syringes making it unfit for reuse. If the sharp container is to be incinerated, it shall be placed in the yellow waste bag with the other risk waste. Large quantities of pharmaceutical waste shall be returned to suppliers. Small quantities may be placed in a yellow waste bag, preferably after being crushed.
Radioactive waste may be placed in large yellow container or drum and may be marked with "Radioactive" waste. Non infectious radioactive waste may be placed in white bags. The non risk waste is stored separate from all other waste and is collected in a "Blue" container with a plastic bag lining. The blue containers should be located in the corridors open spaces and other visiting places etc.
All the containers in hospital wards and department should be capable of handling waste with out spillage a puncture. The 40 liters capacity containers well are sufficient for one day storage. The containers will be of hard polythene materials.