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HEALTHCARE WASTE


HEALTHCARE WASTE<br />

• Waste category<br />

• Waste Packaging<br />

• Handling, Segregation, Disposal<br />

• Tags and Labels<br />

• Method of Waste Treatment<br />

• HAZMAT Disposal Procedure<br />

• HMC Waste Treatment Technology<br />

• Medical Waste Statistic


HEALTHCARE WASTES<br />

• Any material produced by health care establishment<br />

that is no longer useful and/or wanted by the<br />

organization.<br />

Types of Wastes:<br />

A. Non-Risk Wastes<br />

B. Risk Wastes


HEALTHCARE WASTES CATEGORY<br />

A. Non-Risk Wastes<br />

Non-hazardous<br />

Not contaminated<br />

B. Risk Wastes<br />

Hazardous chemicals<br />

Potentially contaminated waste<br />

General Fluid Container<br />

Paper<br />

Cardboards<br />

Metal and plastic containers<br />

Food<br />

Administrative wastes<br />

Infectious wastes<br />

Maintenance wastes<br />

Pressurized containers<br />

Radioactive<br />

Cyto-toxic wastes<br />

Pharmaceutical waste


PROPER PACKAGING OF WASTE<br />

Domestic Waste<br />

Infectious Waste<br />

Sharp ( needles, syringes, etc)<br />

Placenta<br />

Pathological Waste<br />

Contaminated Solid Metal Instruments<br />

Cytotoxic waste<br />

Needles, sharps contaminated with cytotoxic<br />

agents<br />

Non-contaminated vial, glass container and<br />

broken glass<br />

Black Bag<br />

Yellow bag labeled with Universal<br />

Biohazard sign<br />

Yellow sharp box with Universal<br />

Biohazard Sign<br />

Yellow plastic bag ( Double Bag)<br />

Yellow plastic bag<br />

In separate plastic container and pack in<br />

yellow bag, label describing its contents<br />

Red Bag with Cytotoxic Hazard label<br />

Leak proof sharp container with<br />

Cytotoxic Hazard Label pack in red bag<br />

In separate white plastic container with<br />

black plastic liner on the inside


HANDLING, SEGREGATION AND DISPOSAL<br />

Disposal of Bags and Sharp Boxes<br />

<br />

<br />

<br />

Do not overfill waste containers or sharps containers<br />

Bags and sharp boxes have to be replaced when content is three<br />

quarters (3/4) full.<br />

Sharps boxes when 3/4 th full, should be packed in a yellow bag<br />

(Cytotoxic sharps in Red bags) with the required Tag/Label.


HANDLING, SEGREGATION AND DISPOSAL<br />

Materials that are non contaminated<br />

shall be handled in a separate white<br />

plastic container/bucket and dispose<br />

off as non-risk waste.<br />

Non contaminated<br />

Bottle<br />

Vial<br />

Glass<br />

Broken glass container


HANDLING, SEGREGATION AND DISPOSAL<br />

Example of “Solid Metal Instrument”<br />

Handling of these materials should<br />

be in a separate Sharp Box<br />

container, packed in Yellow bag<br />

and must be properly labeled.


TAGS AND LABELS<br />

Department / Unit<br />

Actual Date and Time<br />

Potential Risk<br />

Blood Spill<br />

WH – Central 2<br />

15 January 2011<br />

@ 0900 Hrs<br />

• Blood Spill<br />

• Clinical waste<br />

• Radioactive Waste<br />

• Cytotoxic Waste<br />

• Contaminated solid metal<br />

instrument<br />

• Expired/Spilled/Hazardous<br />

chemicals<br />

Tagging is done by the housekeeping with the<br />

supervision of the department or unit staff.


TAGS AND LABELS


WASTE TREATMENT & DISPOSAL<br />

Non-Risk Waste (Domestic Waste)<br />

Infectious waste<br />

Placenta<br />

Solid Metal Instruments an d contaminated<br />

Hepa Filters<br />

Chemotherapy & Cytotoxic waste<br />

Human body parts<br />

Non-infectious body fluids including blood<br />

and urine<br />

Hazardous and expired chemical<br />

Direct to landfill<br />

Autoclaving (Steam Sterilization)<br />

Incineration<br />

Incineration<br />

Incineration<br />

Buried or incinerated depending on religious<br />

practice<br />

Decanted and flushed to sewer<br />

Returned to Supplier/incineration/Any<br />

approved chemical treatment process


ALTERNATIVE MEDICAL WASTES<br />

TREATMENT TECHNOLOGY<br />

A technology or process designed<br />

to change the biological character<br />

of healthcare risk wastes to<br />

substantially reduce or eliminate<br />

its potential to cause disease.


MEDICAL WASTE TREATMENT<br />

FACILITY<br />

Autoclave<br />

Shredder


HAZARDOUS MATERIALS DISPOSAL<br />

PROCEDURE<br />

Notify Occupational Health and Safety (OHS) Department by<br />

filling the Hazardous Waste Disposal Form with detailed<br />

description of hazardous chemicals which requires disposal.<br />

Attach copies of needed Materials Safety Data Sheet (MSDS).<br />

OHS Department will endorse the said information to Ministry<br />

of Environment (MOE) for assessment.<br />

Should be packed in a leak proof Containers or Bags


INCREASING OF TOTAL MEDICAL WASTE<br />

DELIVERY FROM HMC<br />

YEAR TOTAL DIFFERENCE FROM<br />

PREVIOUS YEAR<br />

Percentage<br />

2009 745, 758.10 16.28<br />

2010 920,758.00 174,999.90 20.10<br />

2011 1,293,408.00 372,650.00 28.24<br />

2012 1,620634.13 327,226.13 35.38<br />

Increasing percentage from 2009 to 2012


Increase of Medical Waste<br />

The increase rate of medical waste from 2009 to 2012 is due<br />

to the following reasons:<br />

• Increase in the number of HMC hospitals<br />

• Increase in the population<br />

• Expansion of the vertical and horizontal level in the health<br />

care field in the State of <strong>Qatar</strong><br />

• Application of environmental laws to protect the<br />

environment and committed medical waste treatment and<br />

disposal according to the Environmental Law No.8/2006.


COMPARISON REPORT OF MEDICAL WASTE<br />

PROCESSED<br />

YEAR TOTAL DIFFERENCE FROM PREVIOUS<br />

YEAR<br />

Percentage<br />

2009 695,39.3 2.27<br />

2010 837,393.0 767,853.7 27.38<br />

2011 1,168,166.4 330,773.4 38.19<br />

2012 983,569.9 184,596.5 32.16


Medical Wastes Processing<br />

• Due to the Machine failure, no alternative way to treat this<br />

wastes;<br />

• Due to the delay in collection and delivery of the wastes by the<br />

Waste collecting company, which led to accumulation wastes;<br />

• Capacity of Machines is less compared to the quantity of<br />

medical wastes delivered;<br />

• Environmental Law No.8, 2006 and Guide line of Health care<br />

waste management, states that the wastes need to treated with<br />

in 24 hrs. But due to the accumulation of wastes we were<br />

forced to send the wastes to the outside treatment company for<br />

treatment.


COMPARISON REPORT SENT TO BOOM<br />

YEAR TOTAL DIFFERENCE FROM<br />

PREVIOUS YEAR<br />

Percentage<br />

2009 50,365.78 9.43<br />

2010 83,365.78 3300 15.62<br />

2011 125,241.6 41,875.82 23.46<br />

2012 274,961.85 149,720.25 51.49


Medical Waste Sent to BOOM<br />

• Here we face the problem of not being able to<br />

accommodate all the medical waste and treatment<br />

due to lack of appropriate facility to deal with this<br />

waste<br />

According to the Environmental Law No. 8 of 2006<br />

• HMCWTP can only treat infectious waste using<br />

steam sterilization while Pathological & cytotoxic<br />

waste should be treated by incineration


COMPARISON REPORT OF EXPIRED<br />

CHEMICALS<br />

YEAR TOTAL DIFFERENCE FROM PREVIOUS<br />

YEAR<br />

Percentage<br />

2009 14179.6 2.95<br />

2010 34512.9 20333.3 7.19<br />

2011 68724.1 34211.2 14.33<br />

2012 362102.4 293378.3 75.51


Expired chemical<br />

• Lack of Facility to treat the expired chemicals in <strong>Qatar</strong><br />

• There is no place for the treatment and discharge of expired<br />

chemicals in HMC.<br />

• There are no treatment device to be used in chemical<br />

processing and disposal as ordinary waste<br />

• According to the Ministry of Environment there is no<br />

specialized/Authorized treatment companies in <strong>Qatar</strong> to<br />

treat/recycle of expired/used chemicals as of to date.


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