NABH Bio Medical Waste Management Presented by Dr

NABH, Bio Medical Waste Management Presented by Dr. Sarvesh Kumar Singh Department of Panchakarma N. I. A. Jaipur

NABH (National Accreditation Board for Hospitals and Health Care Providers NABH is accreditation system which is set up to establish and operate accreditation programme for healthcare organizations as a constituent of Quality Council of India (QCI) in year of 2006. �The standard of NABH is revised every 3 years which firstly released in 2006 and currently 4 th edition of NABH standards released in December 2015 which is in use.

Aims and Objective of NABH �Enhance the health system and promote continuous quality improvement �Provide patient safety through focusing on health promotion, disease prevention or treatment and rehabilitation �Establish common framework for healthcare organizations to demonstrate and practice compliance to patient safety protocols.

NABH Standards The NABH standards are documented in 10 chapters, which are as follows 1. Access, Assessment and Continuity of Care 2. Care of Patients (COP) 3. Management of Medication (MOM) 4. Patient Rights and Education (PRE) 5. Hospital Infection Control (HIC) 6. Continual Quality Improvement (CQI) 7. Responsibilities of Management (ROM) 8. Facility Management and Safety (FMS) 9. Human Resource Management (HRM) 10. Information Management System (IMS)

Hospital Infection Control (HIC) �This standard focus on to guide the provision of an effective infection control programme in the organization and the programme is aims at reducing or eliminating infection risks to patients, visitors and providers of care. �Control outbreaks of infection, disinfection/sterilization activities, Bio-medical Waste (BMW) management and training of staff and employee health all are comes under the infection control programme

Bio Medical Waste (BMW) Liquid or solid which contain infectious materials from biological and medical sources and activities, such as the diagnosis, prevention and treatment of diseases for example used bandages and dressing material, discarded gloves, laboratory waste such as unwanted microbiological cultures and stocks, discarded blood, sharps which include potentially contaminated used needles, scalpels, lancets etc.

Type of waste Hazardous waste Toxic waste Infectious waste Non hazardous waste 85% of the waste is nonhazardou s

Steps for waste management are as following

Yellow bag �All anatomical and lab waste (body parts, placenta, blood bag, microbiology and bio technology waste) – Pre treatment at hospital as per NACO/ WHO guidelines

Cont… �All contaminated waste (solid cotton bandages, plaster casts, dressing and surgical waste, blood/fluid soaked material, discarded medicine Incineration

Red Bag �Plastic waste ( syringes without fixed needles, I. V. sets & bottles, urine bags, gloves ) – Autoclave

White Puncture Proof Container �Metal sharp waste (needles, blades, scalpels, syringe with fixed needles, burnt needles – Autoclave

Blue Category (Cardboard Box Blue Marking) �Glasses waste (broken and unbroken glass waste, slides, ampoules vials etc. ) Autoclave

Black Category Container �General waste

Liquid Waste �Liquid waste from O. T. , lab etc. to be pre treated with 10% sodium hypochlorite solution having 30% residual chlorine for 40 min. before discharging in sewers.

7 steps of hand washing �Step 1 - Wet your hands and apply enough soap (coin size).

�Step 2 - Rub your palms together

�Step 3 - Rub the back of each hand

�Step 4 - Rub both your hands while interlocking your fingers

�Step 5 - Rub the back of fingers and the tips of your fingers.

�Step 6 - Rub your thumbs and the ends of your wrists.

�Step 7 - Rinse both hands properly with water. And finally dry with a clean towel/disposable tissue paper