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BIOMEDICAL WASTE MANAGEMENT IN SIR J.J.HOSPITAL
The Sir
JJ hospital has 1352 hospital beds generating biomedical
waste.
The
average occupancy ranges from 80-85 %.
Quantification of the Biomedical Waste:
An
average of 2500 – 5000 Kgs of biomedical waste is
generated per month.
The
total amount of biomedical waste generated in the last
year is 50,900 Kg.
Colour Code System:
In
J.J.
Hospital, for Biomedical Waste Management, standard
guidelines given by Ministry of Environment and Forest are
followed. Waste is segregated in following colour coded
bags: -
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Colour code of bag |
Waste disposed |
 |
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1)
Black bag |
Noninfectious waste: - office papers, general waste,
kitchen waste |
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2)
Red bag |
Infectious plastic waste, disposable tunings,
catheters, gloves, gauze, bandages and items
contaminated with blood and body fluids |
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3)
Yellow bag |
Human tissues, organs, body parts, pathology tissues,
animal carcass |
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4)
Puncture proof containers |
Used
needles, syringes, scalpels, blades, sharps |
Needle-burners have been provided in each ward and at the
sites where injections are given or blood is collected.
Transport and Treatment:
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When three-fourth full, bags are tied and transported in
closed plastic trolleys to a central storage facility
except black bags that goes in general municipal waste.
Central storage facility has been constructed for the safe
storage of bags till the transporter picks them up.
Yellow and red bags are weighed and handed over to the
transporter who caries it in a special closed van for
transport of biomedical waste only. Waste is taken to the
common biomedical waste treatment facility.
Liquid waste is being decontaminated and released into the
drains.
Plastics (saline bottles, IV sets etc) are mutilated and
given for recycling.
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Monitoring of Biomedical waste Management practices by
HICT:
The
Hospital Infection Control team (HICT) is doing
supervision of appropriate segregation of waste.
The HIC
team visits different areas of the hospital on a daily
basis. They check that appropriate color-coded bags are
available and appropriate waste is being discarded in
them.
Monitoring of Biomedical waste Management practices by
MPCB:
MPCB
officers regularly visit and check the waste management
practices. The last visit was on 1/03/07.
The
effluent of the hospital was checked in 2005.
Training Activities:
A sensitization workshop was conducted for Sir JJ hospital
and other Government hospitals in the state in 2004.
A
detailed refresher programme had been organized for all
the staff at different levels in September 2005.
An
ongoing training programme is conducted by the HIC team,
which consists of one Associate Professor (Microbiology),
one lecturer (Microbiology), one RMO and 4 staff nurses.
They supervise and train the staff in the wards on a one
to one basis, daily. At least two biomedical waste
generating sites are covered daily.
OPERATION THEATRES IN
SIR
J.J. HOSPITAL
J.J.
Hospital
has total 15 major operation theatres namely:
- Main OT
- Orthopedic OT
- Urology OT
- Thoracic OT
- Neurology OT
- ENT OT
- Haemodynamic OT
- Minor OT (Ward 4)
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- Emergency OT
- CJ OT
(Ophthalmology)
- Eye Bank OT
- Pediatric OT
- Skin OT
- Plastic OT
- Gynecology OT
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At least 200-300 operations are performed daily in our
operation theatres.
Hospital Infection Control team (HICT) visits individual OT
regularly to check whether all aseptic precautions are
followed or not.
Whether biomedical waste is segregated properly in
different colour coded bags.
Surveillance of OTs is carried out once in a week. Every
weekend, operation theatres are fumigated overnight. After
fumigation is over, blood agar plate is exposed on
operation table for 30 minutes, and then plate is sealed
after labeling properly and send to microbiology
department to see whether aerial bacterial count in OT is
within permissible limit or not.
NURSING HOME IN
SIR
J.J.
HOSPITAL
Sir J.J.
Hospital has a very good nursing home situated in third
floor of main building of hospital.
Dr Daulatrao Aher, then health minister and Dean Dr
Shirodkar, inaugurated it in 1995.
It has total 13 rooms with attached toilet and bathroom.
One room is exclusively reserved for VVIPs.
Patients from all the units can be admitted there with
charges of 150 per day. For state government employees,
charges are 75 rupees per day.
Nursing home always has occupancy of 100 %.
HOSPITAL INFECTION CONTROL COMMITTEE
HICC (Hospital Infection
Control Committee) comprises of: -
1. Dean
2. Superintendent
3. H.O.D. Microbiology
4. HICT members
They meet once every Thursday to discuss various aspects of
hospital infection control and hospital waste management &
form policies for its improvement.
Once in three months, there is an administrative meeting
with respective head of the departments, PWD,
Administrative staff to discuss various matters related to
hospital infection and to solve any problem related to it.
HOSPITAL INFECTION CONTROL TEAM
Hospital has Hospital Infection Control Team (HICT), which
carries out surveillance of different areas of hospital.
HICT comprises of: -
1.
Associate Professor, Microbiology
2.
Lecturer, Microbiology
3.
RMO
4.
Infection Control Nurses - 4
Work done by HICT: -
HICT take rounds together on every Thursday of wards,
operation theaters (O.T.), waste disposal facility and see
whether all the Universal aseptic precautions are followed
or not in all the areas of hospital. Nurses take daily
rounds of wards and O.T.s individually and cover at least
two wards daily.
HICT team fills following proformas: -
1.
Operation theater inspection report
2.
Ward
inspection report
3.
Hospital
Infection form
4.
Surgical
site infection form
HOSPITAL
INFECTION SURVEILLANCE LAB
This laboratory carries out surveillance of all wards,
operation theaters in the hospital to prevent hospital
acquired infection.
Samples
received in this lab
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1)
Air Settle Plates |
Taken from OT table after routine weekly fumigation of OT
to see whether aerial bacterial count in OT is within
permissible limit or not.
Maximum permissible limit for operation theatre is up to
30 colony forming units except if coagulase-positive
staphylococci are present; it is reported, as not
within permissible limit even if colony count is less
than thirty. |
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2)
Environmental swabs |
From O.T.s, Wards, NICU. These swabs are taken from
various sites suspected as source of infection
whenever there is outbreak of infection.
In O.T.s swabs are taken whenever there is any repair or
renovation. All swabs are cultured to see for aerobic
& anaerobic organisms.
Four swabs are collected from following sites:
1.
Operation table
2.
Overhead lamp
3.
Instrument trolley
4.
Anesthesia machine |
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3)
Milk Bank Samples |
Human Milk donated by lactating mothers for newborn
babies in NICU is checked for growth of
microorganisms. |
Registers & Records maintained in this lab
1.
OT air
settle plate register
2.
Environment swabs register
3.
Milk
Bank register
4.
Monthly
report file
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