hospital waste management Flashcards

1
Q

what is biomedical waste?

A

waste generated during :
-diagnosis
-treatment
-immunization of humans/animals
-research activities

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2
Q

what are the main classification of hospital waste

A

1- non hazardous
2- hazardous waste
3- potentially toxic

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3
Q

what are the divisions of non hazardous waste including examples?

A

1-biodegradable: food items
2- non-biodegradable: foil, plastic

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4
Q

what are the divisions of hazardous waste including examples?

A

1- laboratory waste
:cultures, samples, glassware
2- instruments used
:endoscope, syringe, needle
3- infected animals for research
4- pathological waste
:organs, placenta, limbs ,etc
5- contaminated swabs/dressings

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5
Q

what are the divisions of potentially toxic waste including examples?

A

1- radioactive
: could be gas, liquid, solid
2- chemical waste
3- pharmaceutical waste
:expired products
: contaminated products
: spilled products
:excess stock

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6
Q

what are the properties of chemical waste?

A

1- corrosive
2- inflammable
3- toxic
4- genotoxic: toxic to genes

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7
Q

how is biodegradable waste disposed?

A

1- using biodegradation technologies
2- composing the items, collecting them and putting into green containers, where they will be put into a bio culture pit

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8
Q

how is non-biodegradable waste disposed?

A

disposed in municipal bags

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9
Q

what are laboratory waste material including examples?

A

1- sample collection waste
: syringe, needle, cotton swab
2- biochemistry waste
: test tubes, glass bottles
3- hematology waste
: hemoglobin HB tubes
:lancet
:ESR[ erythrocytes sedimentation rate device]
5- bacteriology
: syringe and needle

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10
Q

what are the categories of person in risk of infection

A

1- patients
2- medical and paramedical staff
3- personal involved in waste disposal
4- person involved in cleaning the hospital

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11
Q

what are the health hazards associated with poor hospital waste management?

A

1- injuries and contamination by hospital items’
: causes HIV- needle infected with HIV
hepatitis virus: in blood, semen, body fluids
2- nosocomial infection
: infection originating from hospitals
3- infecting others outside hospital

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12
Q

what are the routes of transmission of infections from potentially infectious waste?

A

1 non-intact skin
2- mucosa membrane
3- ingestion
4- inhalation of dust particles containing germs

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13
Q

what are general precautions to take?

A

1- workers vaccinated against hepatitis B virus
2- wear heavy duty gloves
3- do not leave sharps on counter top
4- no recapping of needles

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14
Q

what are the primary steps to an effective healthcare waste management system?

A

1- evaluate scenario of the hospital
2-have job charts for waste management
3- discuss all cost associated with hospital waste management team
4-develope waste management policies
5- train the trainees and employers
6-evaluate technical procedures, cost and polices yearly

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15
Q

what are the steps in waste management?

A

1- waste survey
2- waste minimization
3- waste segregation
4-safe storage
5- waste handling and treatment
6- waste transportation
7-waste disposal

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16
Q

what is the purpose of waste survey?

A

1- to evaluate the types of waste
2- to evaluate the quantity of waste

17
Q

describe waste segregation

A

1- occurs before transportation and handling
2- waste segregated into bags
3- each bag is labelled
4- each bag has necessary information as per recommended rules

18
Q

what happens if infectious waste is mixed with non-infectious waste?

A

the whole waste is infectious due to contamination

19
Q

what are the functions of segregation?

A

1- reduction in total treatment cost
2-recued impacts of waste on the community
3-reduces chances of infecting healthcare workers

20
Q

describe waste handling

A

1-bags are lined with polythene bags
2-person involved should be trained
3- person involved should wear protective gear

21
Q

what are the divisons of treatment?

A

1-disinfection
2- needles, syringes+sharps
3-liquid waste

22
Q

what is used for disinfection including its percentage if present

A

dettol-5%
alcohol-70%
savlon
sodium hypochlorite-5%
formaldehyde gas

23
Q

what is Dettol used to disinfect?

A

instruments

24
Q

what is alcohol used to disinfect?

A

skin

25
Q

what is savlon used to disinfect?

A

clinical thermometers

26
Q

what is formaldehyde gas used to disinfect?

A

rooms

27
Q

what is sodium hypochlorite used to disinfect?

A

overall decontamination including penicillin bulbs

28
Q

what happens to needles and syringe after use?

A

needles placed in white bag and syringe in blue bags and both sent to pharmacy stores

29
Q

what happens to liquid waste?

A

1- disinfected
2- reagent is added to neutralize it

30
Q

describe transportation of waste

A

waste transported from facility all the way to its final destination

31
Q

describe waste disposal

A

do not burn any waste in hospitals

32
Q

in what bags are sharps such as needles placed in?

A

white bags

33
Q

in what bags are non-hazardous biodegradable waste placed in?

A

green bags

34
Q

in what bags are solid infectious waste placed in?

A

red bags

35
Q

what are placed in black bags?

A

non-infectious waste

36
Q

what are placed in yellow bags?

A

anatomical/pathological waste

37
Q

what are placed in blue bags?

A

infected plastics

38
Q

what are examples of infected plastics?

A

Plastic IV
catheter
cannulas