WHAT IS BMW ? FS o It is defined as “any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or research activities pertaining thereto or in the production or testing of biological or in health camps, including the categories mentioned in Schedule I appended to BMW rules 2016” o “Any solid and/or liquid waste including its container and any intermediate product, which is generated during the diagnosis, treatment or immunization of human beings or : ” animals .WHO GENERATES BMW ? | o Bio-Medical Waste generated by Hospitals Nursing Homes Clinics Dispensaries Veterinary Institutes/Animal Houses Pathological Laboratories ae Blood Banks/Blood Donation Camps > wt e: ty Ayush Hospitals Clinical Establishment Research/Educational Institute/Research Labs Health Camps Medical or Surgical Camps Vaccination Camps Blood Donation Camps First Aid Rooms of Schools 6 Forensic Laboratories ‘Scanned with CamScannerBMW CHARACTERIZATION 75-85% Non- infectious 10-15% 5-10% Infectious Hazardous 69.5%. — ‘Sharp objcets Pathological wastes 10.6% “Pharmaceutical and Cytotoxic wastes uWastes with suspicious biological risk 8.3% Yat Wastes similar to municipal wastes ‘Scanned with CamScannerCLASSIFICATION OF BMW Bio- degradabl Dressings, swabs. laboratory ‘wastes, ati instrument ‘on biow 3 used in , degradabl atid Radioactive | Chemical | Pharmaceutical ¢ ‘cares. ‘Scanned with CamScannerPRECAUTIONS Scanned with CamScannerKEY FEATURES OF BMW (M) RULES, 201: © The ambit of the rules has been expanded to include vaccination camps, blood donation camps, surgical camps or any other healthcare activity. © Occupier shall take all necessary steps to ensure that bio-medical waste is handled without any adverse effect to human health and the environment and in accordance with these rules. © Make a provision within the premises for a safe, ventilated and secured location for storage of segregated biomedical waste in colored bags or containers in the manner as specified. © Phase-out the use of chlorinated plastic bags, gloves and blood bags within two years. © Pretreatment of the laboratory waste, microbiological waste, blood samples and blood bags through disinfection or sterilization onsite in the manner as prescribed by WHO or NACO. © Do not give treated bio-medical waste with municipal solid waste © Conduct health check up at the time of induction, provide training to all its health care workers and immunize all health workers at the time of induction and thereafter at least once every year. © Report major accidents. gy ‘ = = Coni = how tentieree ‘Scanned with CamScannerCATEGORIES OF BMW ATMENT OPTION (a) Human Anatomical Waste Incineration or Plasma Pyrolysis or {b)Animal Anatomical W: {e] Soiled Waste: deep burial Yellow coloured Returned back to the Toaionmarca | ESnied or Diacaded | sugncerror soph or plastic bags jedicinest incineration Disposed of by incineration oF (c) Chemical Waste Plasma Pyrolysis or Encapsulation Soe ‘Chemical system leading | (9. Chemical Liquid Waste _|!ltid waste shall Be pre-treated sete tnsing with ther wastewater Non-chtorinated (4) Discarded linen, ons ehdorinated chemical yellow plastic mattresses, beddings Hatowes or bags or suitable contaminated with nea, packing material blood ar boy Mid. | pyrotysis or fer enenny recovery Thy Microbiotony, ‘Autoclave safe ts Pre-treat to sterilize with eae Biotechnology and containers rnonchlorinated e@ ‘other elnieal ‘eater cue chemicals on-site ‘Scanned with camScannerCATEGORIES OF BMW Autoclaving of micro-waving/ |nydroctaving followed by shredding, 5 Cardboard boxes with blue colored, ” (a) Glassware Red coloured « nonchlorinated | Contaminated Waste | mutilation ar combination of plastic bags or {Recyclable} sterilization and shredding. containers “Treated waste to be sent to registered or authorized reeyelers Puncture proof, ' white Leak proof, Waste sharps ‘Autoclaving or Dry Heat Cranstucent| tamper proot inchuding Meta: (toe (b) Metallic Body Implants Disinfection and then sent for recycling. Categories ‘Scanned with CamScannerSTEPS FOR EFFECTIVE BMW = MANAGEMENT D-MEDICAL ‘Scanned with CamScannerSEGREGATION ° ° tases! Segregation refers to the basic separation of different categories of waste generated at source and thereby reducing the risks as well as cost of handling and disposal. Segregation is the most crucial step in bio-medical waste management. Effective segregation alone can ensure effective bio-medical waste management. The BMWs must be segregated in accordance to guidelines laid down under schedule 1 of BMW Rules, 2016. Scanned with CamScannerCOLLECTION Transportation “The collection of biomedical waste involves use of different types of container . * The containers/ bins should be placed in such a way that 100 % collection is achieved. + Sharps must always be kept in puncture-proof containers to avoid injuries and infection to the workers handling them. ‘Scanned with CamScannerSTORAGE Once collection occurs then biomedical waste is stored in a proper place. Segregated wastes of different categories need to be collected in identifiable containers. The duration of storage should not exceed for 8-10 hrs in big hospitals (more than 250 bedded) and 24 hrs in nursing homes. Each container may be clearly labelled to show the ward or room where it is kept. The reason for this labelling is that it may be necessary to trace the waste back to its source. Besides this, storage area should be marked with a e caution sign. ‘Scanned with CamScannerLy . é o R Concluding.... © It is just not the law abide compliance but the SOCIAL RESPONSIBILITY of every Health Care Establishment to say... NO TO HAZARD OF BIOMEDICAL WASTE It will only take.. Proper planning. ° Spread Awareness. HE tmvtvement everyone. + Segregation, Pre-treatment at first stage. iy - Appropriate Storage + Timely Disposal. v + All Records... And... vee ALL CLEAN. @ STN eve onetencon, 3 - & % be Dy, ‘Scanned with CamScanner