HOSPITAL WASTE MANAGEMENTPROJECT

TRAINING FOR SCAVANGERS AND SANITARY WORKERS

By: Alamgeer MemonProject Manager

Mashriq Foundation Hyderabad 30th March 2010

Mashriq FoundationMashriq Foundation Mashriq FoundationMashriq Foundation is an NPO and has a multi- is an NPO and has a multi-

dimensional focus on Environment and community health dimensional focus on Environment and community health activities. activities.

Based in Hyderabad, Mashriq Foundation is currently Based in Hyderabad, Mashriq Foundation is currently executing following two projectsexecuting following two projects

1.1. Hospital Waste Management (HWM) Project at 4 Hospital Waste Management (HWM) Project at 4 Taluka hospitals of Hyderabad District with Taluka hospitals of Hyderabad District with collaboration of UNDP GEF SGP:collaboration of UNDP GEF SGP:

2.2. Hospital Waste Management (HWM) Project at DHQ Hospital Waste Management (HWM) Project at DHQ Hospital Sanghar with collaboration of BP Pakistan:Hospital Sanghar with collaboration of BP Pakistan:

How We conceived How We conceived this projectthis project

DisposalDisposal

Movie

DisposalDisposal

DisposalDisposal

DisposalDisposal

Disposal End …..Disposal End …..

Carriers Carriers

Project Nexus Project Nexus

Burning of HW – dioxin formation Burning of HW – dioxin formation

Exposure of hepatitis B & C through needle Exposure of hepatitis B & C through needle pricks pricks

Contamination of Water canals Contamination of Water canals

Hospital Waste Types:Hospital Waste Types:

Color coding of Waste Color coding of Waste BinsBins

Yellow colored waste bins for Risk/infectious wasteYellow colored waste bins for Risk/infectious waste

Blue colored waste bins for Non-risk wasteBlue colored waste bins for Non-risk waste

Black colored dust bins for Garbage (fruits/food)Black colored dust bins for Garbage (fruits/food)

BLUE COLORED WASTE BINS:BLUE COLORED WASTE BINS:

(NON-RISK WASTE)(NON-RISK WASTE) Paper and cardboard, packing materials, empty bottles, used vials, used Paper and cardboard, packing materials, empty bottles, used vials, used

drips after cutting the drip sets and their needles etc.drips after cutting the drip sets and their needles etc.

RED COLORED WASTE BINS:RED COLORED WASTE BINS:

(RISK WASTE)(RISK WASTE) Infectious waste like blood soiled materials of all types, soiled used Infectious waste like blood soiled materials of all types, soiled used

dressings/bandages, human blood and tissues/body parts from surgical OTs dressings/bandages, human blood and tissues/body parts from surgical OTs and Labor rooms, waste generated during minor procedures in OPD, body and Labor rooms, waste generated during minor procedures in OPD, body fluids of the patients, contaminated syringes and drip sets, I/V canulas, fluids of the patients, contaminated syringes and drip sets, I/V canulas, used catheters, NG tubes, removed stitches, used swabs, soiled or used used catheters, NG tubes, removed stitches, used swabs, soiled or used protective equipments i.e. gloves and masks, waste generated during protective equipments i.e. gloves and masks, waste generated during clinical examination, expired medicines & injections, spoiled clinical examination, expired medicines & injections, spoiled pharmaceutical products, needles, sharps, broken glass pieces or any other pharmaceutical products, needles, sharps, broken glass pieces or any other thing that can puncture, chemical and radioactive waste from laboratories thing that can puncture, chemical and radioactive waste from laboratories and radiology department, waste after procedure of dialysis, waste and radiology department, waste after procedure of dialysis, waste generated from ENT and Dental surgery departments during procedures generated from ENT and Dental surgery departments during procedures etc.etc.

Collection & Collection & TransportationTransportation

Collection will be on daily basis from specific color Collection will be on daily basis from specific color coded waste bins coded waste bins

Risk waste from Red-bins and non risk waste from Risk waste from Red-bins and non risk waste from Blue-bins placed at bed side, will be collected Blue-bins placed at bed side, will be collected separately in the LARGE bins of same color separately in the LARGE bins of same color schemescheme

Transportation of waste from wards to Central Transportation of waste from wards to Central Storage Facility will be done by covered drums Storage Facility will be done by covered drums

Waste Transport Waste Transport

HW Disposal:HW Disposal:

Incineration for Risk/ Infectious wasteIncineration for Risk/ Infectious waste

Land filling for Non-risk wasteLand filling for Non-risk waste

Packing papers, plastic bags, empty bottles and Packing papers, plastic bags, empty bottles and other pharmaceutical waste of non-infectious other pharmaceutical waste of non-infectious type back to suppliertype back to supplier

Story of Incinerator Story of Incinerator

Incinerator Incinerator ProcessProcess

HWM – Good and Bad HWM – Good and Bad practices practices

Syringe Syringe Cutter Cutter

Good and Bad practicesGood and Bad practices

Good and Bad Good and Bad practicespractices

HWM – Good and Bad HWM – Good and Bad practicespractices

HWM – Good and Bad HWM – Good and Bad practicespractices

Injection SafetyInjection Safety

Screening & Vaccination of Screening & Vaccination of staffstaff

We recognize high importance of Screening and We recognize high importance of Screening and Vaccination of Hepatitis B & C, for hospital staffVaccination of Hepatitis B & C, for hospital staff

Sanitary staff and waste handlers could be primary Sanitary staff and waste handlers could be primary carriers for Hepatitis B & Ccarriers for Hepatitis B & C

Other categories in service providers shall also be Other categories in service providers shall also be includedincluded