Guidelines for INFECTION CONTROL POLICY - Safdarjung Hospital

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Biomedical Waste Management ‘Segregation Chart’Yellow Bag (one)BlackCategory 1,2, 3,6Bag (one)Category5,9,10Items Non Infected Infected General andhouseholdcontaminated I/V Bottles-1 Syringes-2 Gloves-3 1/V sets -4 type ofwith blood orwastebody fluid, Blood Give a nick, Destroy/cut the After Catheters paper, peelsbags and blood Collect, tie hub with needle Clipping tubings, Ryles leftovertransfusion set when 3/4ths syringes and tube, Suction food(non-PVC), full and send destroyer, disinfecton tubes,Cotton swabs, for disposal. disinfect in Collect urobes,body tissues, bleach solution for disposals Oxygen Mask All expired/body parts, (1%, for 30 when etc, give a medicines,organ tissues, minutes). 3/4th full. nick incinerationMicorobiology and Collect and Collect and Ash andBiotechnical send for final send for solidwaste without disposal when disposal when chemicalschemical 3/4 full. 3/4the full. sent totreatment Puncture proof securedContainerlandfillDestroyedNeedles, ScalpelBlades, OtherMetal SharpsNB: No PVC material should be placed in yellow bag.Any material treated with hypo-chlorite solution should never be sent for incineration22
Color-coded bags & Category wise TreatmentColor Coding Type of Container-1 Treatment option as perWaste Category Schedule 1Yellow Bags Cat. 1, Cat. 2 and Cat. 3, IncinerationCat. 6.Blue Bags Cat. 4, Cat. 7. Chemical Treatment Microwavingand shreddingBlack Bags Cat. 5 and Cat. 9 and Disposal in municipal landfillCat. 10. (solid)SEPARATE PUNCTURE PROOF CONTAINERSSeparate Puncture proof Containers are used i.e., one for each of following:• Metallic sharps in a container with hypochlorite solution and• Glass vials, broken glass.CARDBOARD BOXES• Paper/cardboards• othersBINS AND LINERS :The container comprises of an inner bag of color depending on the type of waste, and shouldmatch the chosen outer container is a plastic bin with handles, and of a size which will dependon the amount of waste generated. The inner polythene bag should be leak proof, and shouldfit into the container with one-fourth of the polythene bag turned over the rim.LINERS/PLASTIC BAGS: MATERIALS USED:Biodegradable plastic bags of 3 colors yellow, and black are used, to line the same coloredbins with the specifications ad guidelines of BMW Rules:-• Gauze – 225 (55 microns) if low density• Gauze-100 (25 microns), if high densityYellow and Blue bags are marked with Biohazard symbol and hospital logo.Black bags – Hospital logo and name.BINS :Containment of waste : An optimum number of easy to use, Standard, uniform, covered, footoperatedbins of 3 colors i.e., yellow, blue and black, of appropriate size would be placed atidentified places in all clinical areas.DISINFECTION OF BINS :Chemical disinfection of the waste bins using hypochlorite solution should be done frequentlyat a separate washing facility in the hospital.DISINFECTION AND MUTILATION OF SHARPS :In order to render them harmless to waste handlers a Pre-Treatment of the infectious wastegenerated in the patient-care areas is required, prior to transportation for onsite treatment anddisposal. It is required for the following infectious items;• Syringes• Needles• Catheters, I/V sets, gloves23
Page 2 and 3: CONTRIBUTORSCreated by : Dr. Rajni
Page 5 and 6: HOSPITAL INFECTION CONTROL TEAM (HI
Page 7 and 8: 12. Training and education of HCW C
Page 9 and 10: Schedule may be changed to increase
Page 11 and 12: Semi-critical instruments /equipmen
Page 13 and 14: • The isolation of the patient wo
Page 15 and 16: Microbiological StudyMicrobiologica
Page 17 and 18: Annexure-1Policy on‘Hospital Wast
Page 19 and 20: CONTENTSTOPIC SUB-TOPIC PAGE NO.1.
Page 21: HOSPITAL WASTE MANAGEMENT COMMITTEE
Page 25 and 26: MAINTENANCE OF EQUIPMENTMaintenance
Page 27 and 28: • Labelled as with ‘Cytotoxic
Page 29 and 30: MERCURY SPILL MANAGEMENT :If accide
Page 31 and 32: FUTURE PROPOSAL FOR DISPOSAL OF RAD
Page 33 and 34: Minimization (ofwaste)MonitoringOn-
Page 35 and 36: PERFORMA OF BIOMEDICAL WASTE MANAGE
Page 37 and 38: ANNEXURE-2PROTOCOL FOR MANAGEMENT O
Page 39 and 40: ANNEXURE-IIRECOMMENDED POSTEXPOSURE
Page 41: Step-II : Determine the HIV STATUS

Guidelines for INFECTION CONTROL POLICY - Safdarjung Hospital

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