Health Care Waste Management

Subject: Community Health Nursing I

Overview

Definition:

Any item that is thrown away after its initial use or that is useless, broken, or otherwise unusable is considered waste. Examples include sewage, which contains human waste (feces and urine), surface runoff, hazardous waste, radioactive waste, and municipal solid waste (household trash/refuse).

Types of waste

There are 5 types of waste

  • Liquid Waste: Liquid trash In both homes and businesses, liquid waste is a regular sight.
  • Solid Rubbish: Solid Garbage Numerous materials that you can find in your home, as well as in business and industrial settings, can be considered solid waste.
  • Organic Waste: Organic Sludge Organic waste is another typical domestic issue.
  • Recyclable Waste
  • Dangerous waste

Liquid Waste:
In both homes and businesses, liquid waste is a regular sight. This waste comprises waste detergents, filthy water, organic liquids, wash water, and even rainwater. You should also be aware that liquid waste can be categorized as coming from point sources or non-point sources. Point source waste includes all manufactured liquid waste. Natural liquid waste, on the other hand, is categorized as non-point source waste. To properly dispose of liquid waste, it is best to contact garbage removal professionals like 4 Waste Removals.

Solid Rubbish: 
Numerous materials that you can find in your home, as well as in business and industrial settings, can be considered solid waste. Common categories for solid waste include the following:

  • Bags, containers, jars, bottles, and many other items that you might find around your home are examples of plastic waste. Although many types of plastic can be recycled, plastic is not biodegradable. Plastic should be separated and put in your recycling bin rather than being mixed in with your regular trash.
  • Packaging materials, newspapers, cardboards, and other products fall under the category of paper/cardboard trash. Paper may be readily recycled and reused, so be sure to put it in your recycling bin or take it to the recycling center nearest you in Brisbane.
  • Metals and tins: This can be found in many different forms all over your house. Metals can generally be recycled. To properly dispose of this kind of waste, think about taking these items to a scrap yard or your neighborhood recycling center in Brisbane.
  • Glass and ceramics are easily recyclable materials. To dispose of them properly, look for bottle banks and special glass recycling bins.

Organic Waste:
Another household's garbage is organic waste. Organic waste includes all leftover food, manure, and rotten meat. It also includes garden waste. Microorganisms convert organic waste into manure over time. This does not, however, imply that you can discard them anywhere.

Recyclable Waste
All waste materials that can be recycled into new goods are considered recyclable trash. Paper, metals, furniture, and organic trash are all recyclable solid materials. clable or not

Dangerous waste
All trash that is flammable, poisonous, corrosive, and reactive is considered hazardous waste. These things need to be disposed of properly since they can harm both you and the environment. As a result, I advise using a waste removal company for the appropriate disposal of all hazardous waste.

Health Care Waste

Sharps, non-sharps, blood, body parts, chemicals, pharmaceuticals, medical equipment, and radioactive materials are all included in healthcare waste, or HCW. Poor HCW management puts the community, waste handlers, and healthcare workers at risk for infections, toxic effects, and injuries.

Types of Waste

The following list demonstrates the wide range of materials that are included in waste and byproducts:

  • Waste from patients who have infections, such as swabs, bandages, and disposable medical devices; Waste contaminated with blood and other bodily fluids from autopsies and other laboratory work; Cultures and stocks of infectious agents from laboratory work; Waste from patients with infections;
  • Pathological waste includes contaminated animal carcasses, human tissues, organs, or bodily fluids.
  • Syringes, needles, disposable scalpels and blades, and other sharps waste;
  • Chemical waste, such as chemicals and solvents used in laboratories, sterilants and disinfectants, and heavy metals found in batteries and medical equipment (such as mercury in thermometers that have broken); Pharmaceutical waste includes contaminated, outdated, and expired medications and vaccines.
  • Products polluted with radionuclides, such as radioactive diagnostic and therapeutic materials, are examples of radioactive waste.
  • Cyctotoxic waste is waste that contains genotoxic substances, such as cytotoxic drugs used to treat cancer and their metabolites, which are highly hazardous substances that are mutagenic, teratogenic, or carcinogenic;
  • Waste that doesn't pose a specific biological, chemical, radioactive, or physical risk is referred to as non-hazardous or general waste.

The following are the main sources of waste in healthcare:

  • Medical institutions, including hospitals
  • Centers for research and laboratories
  • Banks and collection services for blood used in animal testing and research
  • Elderly care facilities laboratories
  • Autopsy and morgue facilities

Sources of Health Care Waste:

The following organizations are involved in the generation of biomedical waste:

  • Governmental facilities
  • Private hospitals
  • Care facilities
  • Clinics and doctor's offices
  • Dental offices and/or clinics
  • Dispensaries
  • Primary care facilities
  • Institutions engaged in medical research and training Mortuaries
  • Blood donation facilities and banks
  • Slaughterhouses and animal housing
  • Laboratories
  • Scholarly associations
  • Vaccination facilities

Bio-technology instiiutions/ production units

These medical facilities all produce trash, making them subject to the Bio-Medical Waste (BMW) Rules.

Health risks from medical waste One or more of the following characteristics can cause disease or injury as a result of exposure to hazardous medical waste:

  • It includes potentially harmful substances or medications.
  • It emits radiation.
  • It is carcinogenic
  • It has sharps in it.
  • It has contagious elements.

All individuals who are exposed to such hazardous health-care waste, including those who produce the waste, those who handle the waste, or those who are exposed to it as a result of negligent management, could be at risk. Those who are most at risk are:

  • Medical professionals, nurses, support staff, and hospital maintenance staff
  • Patients in healthcare facilities and people who visit healthcare facilities
  • Employees of allied health-care facilities who work in laundry, waste handling, and transportation
  • Workers at landfills and incinerators that dispose of waste, including scavengers.

 

 

  1. Hazards Jromint'ectious waste and sharps
    Infectious waste contains pathogens that can enter the body through cuts, punctures, and other skin injuries as well as mucous membranes, inhalation, and ingestion. Infections with HIV and hepatitis B and C, for which there is compelling evidence of transmission via medical waste, are of special concern. The risks brought on by improper waste management may also be attributed to bacteria that are resistant to antibiotics and chemical disinfectants.
  2. Hazards from chemical and pharmaceutical waste
    Numerous drugs and chemicals used in healthcare facilities are hazardous, genotoxic, caustic, flammable, explosive, or shock-sensitive. Even though they are in small amounts, they can nevertheless lead to burns and intoxication from acute or chronic exposure. Members of this group that are particularly significant include disinfectants. They are frequently corrosive and used in large quantities. Reactive chemicals can also produce secondary compounds that are extremely toxic.
  3. Hazards from genotoxic waste
    A combination of the substance's toxicity and the amount and length of exposure determines how serious the risks are for health-care workers who handle or dispose of genotoxic waste. Additionally, exposure might happen while a certain medicine or chemical is being prepared or used for a therapy. The primary routes of exposure are through the skin, ingestion of food that has been unintentionally contaminated with cytotoxic drugs, chemicals, or waste, inhalation of dust or aerosols, etc.
  4. Hazards from radioactiue waste
    The type and level of exposure affect the sickness that radioactive waste can cause. From headaches, vertigo, and vomiting to far more serious issues, it can fluctuate in severity. It may also have an impact on genetic material because it is genotoxic.
  5. People's sensibility In addition to health risks, the general public is particularly sensitive to the visual impact of medical waste, especially anatomical waste.

Treatment and disposal technologies for health-care waste

  • Incineration
    An extremely considerable reduction in trash volume and weight is achieved through the high temperature dry oxidation process known as incineration, which converts organic combustible waste into inorganic and noncombustible stuff. The method is typically chosen to handle trash that cannot be recycled, reused, or dumped in a landfill. The most common way for disposing of hazardous medical wastes is still incinerating them. But recently created alternative therapeutic approaches are gaining popularity. A number of considerations should go into the final therapy decision. Many of which are based on regional circumstances.

    Pretreatment is not necessary for incineration as long as particular waste kinds are excluded from the material being burned. The following are characteristics of waste that can be burned:
    • Low heating volume, which is defined as more than 2000 kcal/kg for single chamber incinerators and more than 3500 kcal/kg for pryolytic double chamber incinerators;
    • Combustible matter content greater than 60 percent:
    • A noncombustible solids composition of less than 5%;
    • A noncombustible fines content of less than 20%
    • A moisture content of less 30%.

      The following waste types should not be burned:
    • Pressure-filled gas containers 
    • Significant quantities of reactive chemical wastes
    • Waste from photography or radiography and silver salts
    • Plastics containing halogens, such as PVC
    • Waste that contains a lot of mercury or cadmium, such as old batteries or broken thermometers
  • Chemical disinfection
    Waste is treated by adding chemicals to kill or inactivate the microorganisms it contains; this process often disinfects rather than sterilizes. For treating liquid waste like blood, urine, stools, or hospital sewage, chemical disinfection is best. However, with some restrictions, solid wastes, such as microbiological cultures, sharps, etc., may also be chemically disinfected.
  • Wet and dry thermal treatment
    HYDROTHERMIC WET TREATMENT Similar to the ineffective autoclave sterilization procedure, thermal treatment or steam disinfection involves subjecting shredded pathogenic debris to high temperature, high pressure steam. for The technique will not effectively treat chemical and pharmaceutical waste, just anatomical waste and animal carcasses. Screw-feed technology is the cornerstone of a non-burn, dry thermal disinfection method that shreds and heats waste inside of a rotating auger. The waste is decreased in weight and volume by 20–35% and by 80%, respectively. This method can be used to treat infectious waste and sharps, but pathological, cytotoxic, or radioactive waste should not be processed using this method.
  • Microwave irradiation
    Microwave radiation with a frequency of about 2450 MHz and a wave length of 12.24 nm can kill the majority of microorganisms. The microwaves quickly heat the water that is present in the waste, and heat conduction kills the infectious elements. Virulological tests should be used on a regular basis to assess the effectiveness of microwave disinfection. both bacterial and
  • Land disposal
    MUNICIPAL DISPOSAL SITES: The use of a landfill must be considered a viable disposal option if a municipality or authority legitimately lacks the resources to treat trash before disposal. There are two different types of disposal areas: sanitary landfills and open dumps. It is not acceptable to dispose of medical waste near or on open dumps. It is obvious that there is a risk that either people or animals will come into contact with infectious pathogens. Advantages over open dumps: Sanitary landfills are intended to have at least four. The site has been properly engineered, isolated from the environment by geology, and is ready to accept waste.
  • Inertization
    In order to reduce the chance that harmful materials included in the wastes may migrate into the surface water or ground water, the process of "inertization" entails mixing trash with cement and other materials before disposal. 65 percent of the combination is typically made up of pharmaceutical waste. Lime, cement, and water are all 15%, respectively. Cubes or pellets are created on-site from the homogeneous mass after which they are transported to convenient storage locations.

 

Things to remember

© 2021 Saralmind. All Rights Reserved.