::: : Bio Medical Waste Management
BMW COMMITTEE
 
1 Dr. R.Shanthi Malar M.D,D.A
The Dean,
Govt. Stanley Medical College
Chairperson
2 Dr. Dhanasekaran. M.D,
Medical Superintendent
Administrator
3 Dr.Ramesh
Resident medical officer
4 B.Subitha, Assosiate Professor of Microbiology Bio-Medical Waste Management Nodal Officer
5 Mrs. Sugirtha Rani Matron – BMWM
6 Mr.Nagaraj Health Inspector
7 PWD Engineers
8 Mr.B.Jagadeesan CSSD Engineer
9 Er.Pradeep
Er. Amlu Annamma Abraham
Bio Medical Engineer
 
 
 
 
 
 
 
 
 
INTRODUCTION
As per the act passed by the Ministry of Environment and Forests in 1986 & notified the Bio Medical Waste (Management and Handling) Rules in July 1998, it is the duty of every “occupier”, i.e. a person who has the control over the institution(The Dean, Govt. Stanley Medical college and hospital) or its premises, to take all steps to ensure that waste generated is handled without any adverse effect to human health and environment.
The biomedical waste management policy followed at Govt. Stanley Medical college and hospital is as per the Biomedical Waste Management Rules 2016, notified by the Ministry of Environment, Forest and Climate Change, Government of India as per the gazette notification dated 28th March 2016.
DEFINITIONS
• Hospital waste: refers to all waste, biological or non‐ biological that is discarded and not intended for further use.
• Bio-medical waste means 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 biologicals, and including categories mentioned in Schedule I, of the BMW rules, 2016.
SALIENT FEATURES:
The major salient features of BMW Management Rules, 2016 include the following:-
(a) The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity;
(b) Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years;
(c) Pre-treatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization on-site in the manner as prescribed by WHO or NACO;
(d) Provide training to all its health care workers and immunize all health workers regularly;
(e) Establish a Bar-Code System for bags or containers containing bio-medical waste for disposal;
(f) Report major accidents;
(g) The new rules prescribe more stringent standards for incinerator to reduce the emission of pollutants in environment;
(h) Existing incinerators to achieve the standards for retention time in secondary chamber and Dioxin and Furans within two years;
(i) Bio-medical waste has been classified in to 4 categories instead of 10 to improve the segregation of waste at source;
(j) Procedure to get authorization simplified. Automatic authorization for bedded hospitals. The validity of authorization synchronized with validity of consent orders for Bedded HCF(Health Care Facility)s. One time Authorization for Non-bedded HCFs;
(k) No occupier shall establish on-site treatment and disposal facility, if a service of `common bio-medical waste treatment facility is available at distance of seventy-five kilometers.
(l) Operator of a common bio-medical waste treatment and disposal facility to ensure the timely collection of bio-medical waste from the HCFs and assist the HCFs in conduct of training.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
*New Updated Color Coding for Bio-Medical Waste Management -2016*
 

SCHEDULE I

[See rules 3 (e), 4(b), 7(1), 7(2), 7(5), 7 (6) and 8(2)]
Part 1
Biomedical wastes categories and their segregation, collection, treatment, processing and disposal options
 
 
 
Category
 
Type of Waste
Type of Bag or
Container to be used
Treatment and Disposal options
(1) (2) (3) (4)
  (a) Human Anatomical Waste: Yellow coloured Incineration or Plasma Pyrolysis
  Human tissues, organs, body non-chlorinated or deep burial
  parts    and    fetus    below    the plastic bags  
  viability    period   (as    per   the    
  Medical         Termination         of    
  Pregnancy Act 1971,amended    
  from time to time).    
  (b)Animal Anatomical    
  Waste :    
  Experimental animalcarcasses,    
  body    parts,    organs,    tissues,    
  including the waste    
  generated from animals used in    
  experiments     or     testing     in    
Yellow veterinary hospitals or colleges    
  or animal houses.    
  (c) Soiled Waste:   Incineration or Plasma Pyrolysis
  Items contaminated with blood, or deep burial*
  body     fluids     like     dressings, In absence of above facilities,
  plaster casts, cotton swabs and autoclaving    or   micro-waving/
  bags      containing residualor hydroclaving       followed       by
  discarded    blood    and    blood shredding    or    mutilation     or
  components. combination of sterilization and
    shredding. Treated waste to be
    sent for energy recovery.
  (d)    Expired    or    Discarded Yellow coloured Expired `cytotoxic drugs and
  Medicines: non-chlorinated items        contaminated        with
  Pharmaceutical      waste       like plastic bags or cytotoxic drugs to be returned
  antibiotics,      cytotoxic      drugs containers back to the manufacturer or
  including             all             items   supplier    for    incineration    at
  contaminated    with     cytotoxic   temperature >1200 0C or to
  drugs along with glass or plastic   common     bio-medical      waste
  ampoules, vials etc.   treatment facility or hazardous
      waste treatment, storage and
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Yellow
    disposal facility for incineration at >12000C Or Encapsulation or Plasma Pyrolysis at >12000C.
All other discarded medicines shall be either sent back to manufacturer or disposed by incineration.
(e) Chemical Waste:
Chemicals used in production of biological
and used or discarded disinfectants.
Yellow coloured containers or non-chlorinated plastic bags Disposed of by incineration or Plasma
Pyrolysis or Encapsulation in hazardous     waste     treatment, storageand
disposal facility.
(f) Chemical Liquid Waste :Liquid waste generated due to use of chemicals in production of    biological    and    used    or discarded disinfectants, Silver X-ray film developing liquid, discarded    Formalin,    infected secretions,      aspirated      body fluids, liquid from laboratories and floor washings,cleaning,
house-keeping and disinfecting activities etc.
Separate collection system    leading to            effluent treatment system After resource recovery, the chemical liquid waste shall be pre-treated before mixing with other          wastewater.                   The combined discharge shall conform to the discharge norms given in Schedule-III.
(g) Discarded linen, mattresses, beddings contaminated with blood or body fluid. Non-chlorinated yellow      plastic bags or suitable packing material. Non- chlorinated chemical disinfection followed by incineration or Plazma Pyrolysis or for energy recovery. In absence of above facilities, shredding or mutilation or combination of sterilization and shredding. Treated waste to be sent for energy recovery or
incineration          or                           PlazmaPyrolysis.
(h)                        Microbiology, Biotechnology      and      other clinical laboratory waste: Blood bags, Laboratory cultures, stocks or                  specimens    of microorganisms, live or attenuated vaccines, human and animal cell cultures used in research,                       industrial laboratories,      production      of biological,       residual       toxins,
dishes and devices used for cultures.
Autoclave safe plastic bags or containers Pre-treat to sterilize with non chlorinated chemicals on-site as per National AIDS Control Organisation or World Health Organisation                 guidelines thereafter forIncineration.
 
 
 
 
 
 
Red
Contaminated                  Waste (Recyclable):
(a) Wastes generated from disposable items such as tubing, bottles, intravenous tubes and sets, catheters, urine bags, syringes (without needles and fixed needle syringes) and vaccutainers with their needles cut) and gloves.
Red              colourednon-chlorinated plastic bags or containers Autoclaving or micro-waving/ hydroclaving followed by shredding or mutilation or combination of sterilization and shredding. Treated waste to be sent to registered or authorized recyclers or for energy recovery or plastics to diesel or fuel oil or for road making, whichever is possible. Plastic waste should
not be sent to landfill sites.
 
 
 
 
White (Translucent)
Waste sharps including Metals:
Needles, syringes with fixed needles, needles from needle tip cutter or burner, scalpels, blades, or any other contaminated sharp object that may cause puncture and cuts. This includes both used, discarded and contaminated metal sharps.
Puncture proof, Leak           proof,
tamper       proof containers.
Autoclaving or Dry Heat Sterilization followed by shredding or mutilation or encapsulation in metal container or                   cement                concrete; combination of shredding cum autoclaving; and sent for final disposal to iron foundries (having consent to operate from the State Pollution Control Boards or Pollution Control Committees) or sanitary landfill or designated concretewaste
sharp pit.
 
 
 
 
Blue
(a) Glassware:
Broken or discarded and contaminated glass including medicine vials and ampoules except those contaminated with cytotoxic wastes.
Cardboard boxes with blue coloredmarking Disinfection (by soaking the washed glass waste after cleaning with detergent and Sodium Hypochlorite treatment) or through autoclaving or microwaving or hydroclaving
and then sent for recycling.
(b) Metallic Body Implants Cardboard boxes  withblue
coloredmarking
 
 
 
* Disposal by deep burial is permitted only in rural or remote areas where there is no access to common bio-medical waste treatment facility. This will be carried out with prior approval from the prescribed authority and as per the Standards specified in Schedule-III. The deep burial facility shall be located as per the provisions and guidelines issued by Central Pollution Control Board from time to time.



 


 
 

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