Lesson 11: HEALTH CARE WASTE MANAGEMENT

Question 1

Refers to ALL SOLID OR LIQUID WASTES

Answer 1

Health Care Wastes

Question 2

All health care facilities, institutions, business establishments, and other spaces where health care services are offered with activities or work processes that generate health care wastes

Answer 2

Health Care Generators

Question 3

• Suspected to contain pathogens or toxins
• Discarded materials or equipment used for diagnosis, treatment and
  management of patients with infectious diseases

Answer 3

Infectious Waste

Question 4

• Tissue sections and body fluids or organs derived from biopsies, autopsies, or surgical procedures sent to the laboratory for examination
• Internal organs and tissues used for histopathological examinations

Answer 4

Pathological & Anatomical Waste

Question 5

• Cause cuts, pricks or puncture wounds
• Most dangerous health care waste because of their potential to cause both injury and infection
• Used syringes in phlebotomy, blood lancets, surgical knives, and broken glasswares

Answer 5

Sharps

Question 6

• Discarded chemicals (solid, liquid or gas) generated during disinfection and sterilization procedures
• Laboratory reagents, X-ray film developing solutions, disinfectants and soaking solutions, used batteries, concentrated ammonia solutions, concentrated hydrogen peroxide, chlorine and mercury from broken thermometers and sphygmomanometers

Answer 6

Chemical Waste

Question 7

• Expired, split and contaminated pharmaceutical products, drugs and vaccines including discarded items used in handling pharmaceuticals
• Antineoplastic, cytotoxic and genotoxic wastes such as drugs used in oncology
• Empty drug vials, medicine bottles, containers of cytotoxic drugs, materials used for preparation & administration – syringes, needles, vials

Answer 7

Pharmaceutical Waste

Question 8

• Wastes exposed to radionuclides including radioactive diagnostic materials or radiotherapeutic materials
• Cobalt, technetium, iodine and iridium, irradiated blood products and contaminated waste, patients excretion, all materials used by patients exposed to radionuclides within 48 hours

Answer 8

Radioactive Waste

Question 9

• Waste that have not been in contact with communicable or infectious agents, hazardous chemicals, or radioactive substances and do not
  pose a hazard
• Plastic bottles, used paper products, office wastes, scrap wood, food waste of non-infectious patients

Answer 9

Non-hazardous or General Waste

Question 10

What are the kinds of health care waste management system?

Answer 10

Green Procurement Policy, Resource Development, End of pipe

Question 11

• Minimizing waste before it’s generated by choosing eco-friendly products and services

Answer 11

Waste prevention

Question 12

• Involves decreasing waste at the source through practices like proper segregation to manage waste efficiently and affordably

Answer 12

Waste reduction

Question 13

finding a new application for a used material/using the same product for the same application repeatedly

Answer 13

Reusing

Question 14

processing of used materials into new products

Answer 14

Recycling

Question 15

waste is converted to fuel for generating electricity

Answer 15

Energy recovery

Question 16

recycling, composting, energy recovery

Answer 16

Waste recovery

Question 17

for wastes that cannot be safely reused, recycled or recovered

Answer 17

End of pipe

Question 18

changing the biological and chemical characteristics of waste to minimize its potential to cause harm

Answer 18

Treatment

Question 19

discharging, depositing, placing or releasing any health care waste into air, land or water

Answer 19

Disposal

Question 20

Is the process of separating different types of waste at the point of generation until their final disposal

Answer 20

Segregation

Question 21

Kills all microorganisms

Answer 21

Sterilization

Question 22

Reduces the level of microorganisms

Answer 22

Disinfection

Question 23

Thermal decomposition of health care wastes in the absence of supplied molecular oxygen in the destruction chamber – converted into gaseous, liquid or solid form

Answer 23

Pyrolysis

Question 24

greasy aggregates or slugs, recoverable metals, carbon black

Answer 24

Waste residues

Question 25

• Use of steam sterilization to render waste harmless
• Efficient wet thermal disinfection process
• Uses pressure – 15 psi and heat – 121°C
• 15 to 30 minutes

Answer 25

Autoclave

Question 26

100°C (237.6°F) for at least 30 minutes

Answer 26

Microwave

Question 27

• Sodium hypochlorite, hydrogen peroxide, peroxyacetic acid & heated alkali – kill or inactivate present pathogens
• Recommended - Sodium hypochlorite (bleach) with 5% concentration for chemical disinfection
• Generates chemical waste

Answer 27

Chemical disinfection

Question 28

Uses enzyme mixture

Answer 28

Biological process

Question 29

Filling of containers with waste, adding and immobilizing material & sealing the containers

Answer 29

Encapsulation

Question 30

Suitable for pharmaceutical waste – mixing of waste with cement and other substances before disposal

Answer 30

Inertization

Question 31

After treatment, health care wastes are usually disposed in ___________

Answer 31

landfills

Question 32

engineered site designed to keep waste isolated from the
environment

Answer 32

Landfill

Question 33

Majority of the wasted produced by health care facilities are

Answer 33

Non-hazardous wastes

Question 34

A syringe used for the injection of an antineoplastic drug is classified under this type of waste

Answer 34

Pharmaceutical waste

Question 35

What is an example of a halogenated disinfectant?

Answer 35

Sodium hypochlorite

Question 36

DOH Administrative Order No. 2008-0021 mandated the phaseout of equipment containing this metal

Answer 36

Mercury

Question 37

Strong leak-proof BIN, Yellow plastic LINER

Answer 37

Infectious Waste, Pathological and Anatomical Waste

Question 38

Puncture-proof bin

Answer 38

Sharps

Question 39

Yellow with black band plastic LINER

Answer 39

Chemical Waste, Pharmaceutical Waste, Cytotoxic Waste

Question 40

Radioactive proof repositories BIN, Orange plastic LINER

Answer 40

Radioactive Waste

Question 41

Optional recycle symbol BIN, Black or colorless for non-biodegradable, green for biodegradable LINER

Answer 41

General Waste

Question 42

3 ka arrow ga cycle

Answer 42

Recycle Symbol

Question 43

Triangle sign, opposite sa infectious symbol

Answer 43

Biohazard Symbol

Question 44

Diamond sign, chemical touch sa kamot

Answer 44

Corrosive

Question 45

☢️

Answer 45

Old Radiation Symbol

Question 46

Triangle sign, radiation sa taas, death saleft, tao running sa right

Answer 46

New Radiation Symbol
Ionizing Radiation Sign

Question 47

Diamond sign, Flask nga naay sharp lines

Answer 47

Explosive Symbol

Question 48

Cell nga toxic

Answer 48

Cytotoxic Symbol

Question 49

Diamond sign, Opposite sa biohazard symbol

Answer 49

Infectious Symbol

Question 50

Diamon sign, ball nga nagkalayo

Answer 50

Reactive Symbol

Question 51

Diamond sign, kalayo nga solid color

Answer 51

Flammable Liquid Symbol

Question 52

Diamond sign, kalayo na striped

Answer 52

Flammable Solid Symbol

Question 53

Diamond sign, death symbol

Answer 53

Poison/Toxic Symbol