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Integrated Maternal and Newborn Care Basic Skills Course ...

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Waste Disposal<br />

Proper waste disposal:<br />

• minimizes the spread of infections <strong>and</strong> reduces the risk of accidental injury to staff who<br />

h<strong>and</strong>le the waste.<br />

• prevents the spread of infection to clients, visitors, <strong>and</strong> the local community.<br />

• helps provide an aesthetically pleasing atmosphere.<br />

• reduces odors.<br />

• attracts fewer insects <strong>and</strong> does not attract animals.<br />

• reduces the likelihood of contamination of the soil or ground water with chemicals or<br />

micro-organisms.<br />

There is no risk from uncontaminated waste such as office paper, boxes, packages, plastic<br />

containers, <strong>and</strong> food-related trash which can be disposed of according to local guidelines.<br />

Materials needed to dispose of waste include:<br />

• Separate waste containers for medical <strong>and</strong> nonmedical waste<br />

• “Sharps” containers<br />

• An interim storage area<br />

• An incinerator, an on-site burial pit<br />

• Protective gear, including utility gloves<br />

Proper h<strong>and</strong>ling of contaminated waste, such as items with blood or body fluid, is required to<br />

minimize the spread of infection to other staff <strong>and</strong> the community. Proper h<strong>and</strong>ling includes:<br />

• Wearing heavy-duty gloves.<br />

• Transporting solid contaminated waste to the disposal site in covered containers<br />

• Disposing of all sharp items in puncture-resistant containers<br />

• <strong>Care</strong>fully pouring liquid waste down a drain or flushable toilet<br />

• Burning or burying contaminated solid waste<br />

• Washing h<strong>and</strong>s, gloves, <strong>and</strong> containers after disposal of infectious waste<br />

Housekeeping<br />

Good housekeeping reduces micro-organisms, reduces the risk of accidents, <strong>and</strong> provides an<br />

appealing work <strong>and</strong> service-delivery space.<br />

Materials required for good housekeeping include:<br />

• Detergent <strong>and</strong> water (for cleaning of walls, windows, ceilings, doors, floors, <strong>and</strong><br />

equipment such as stethoscopes <strong>and</strong> weighing scales)<br />

• Disinfectant solution (0.5% chlorine solution for decontamination of soiled area before<br />

cleaning with detergent <strong>and</strong> water)<br />

• Disinfectant cleaning solution (0.5% chlorine solution with detergent):<br />

o Add detergent until the solution is slightly foamy.<br />

o Use for cleaning contaminated areas (examination <strong>and</strong> delivery rooms, operation<br />

theaters, floors, sinks, toilets/latrines, waste containers, beds, mattresses, etc.).<br />

Do not mix chlorine solution with cleaning solutions such as ammonia or phosphoric<br />

acid.<br />

20<br />

<strong>Integrated</strong> maternal <strong>and</strong> newborn care<br />

<strong>Basic</strong> skills course

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