SOPBio-MedicalWasteDisposal.doc

Doc. Title:Standard Operative Procedure Bio-Medical Waste DisposalRev 0Doc. No.:M-09Page 9 of 9GENPACT GlobalBio-Medical Waste Disposal - 09Document Issue / RevisionRevIssue DateRevision StatementReview DateAuthorApproved1.017Sept 071st version16th Sept 08Chief Medical OfficerInfrastructure and LogisticsBusiness: GENPACTLocation: GlobalAim: To provide guidelines to the On-site Medical Services of the procedures to be followed for Bio-Medical Waste DisposalObjective: To dispose the Bio-Medical Waste produced in the Medical Rooms in Genpact premises as per the guidelines laid down in the statute of the Pollution Control Boards of the states in which GENPACT operates. Scope: All Genpact sites.Responsibility: All the Medical and Para-Medical Staff on the site, EHS personnel, Site Logistics Leader, and Site Leader.Definitions:Bio-Medical Waste: any waste, which is generated during the diagnosis, treatment or immunisation of human beings or animals or in research activities pertaining thereto or in the production or testing of biologicals, and including categories mentioned in Schedule I of Environment (Protection) Act, 1986. (Appended)Bio-Medical Waste produced in Genpact Medical Rooms:1. Category No 4 Waste sharps: needles, syringes, scalpels, blades, glass, etc. that may cause puncture and cuts. This includes both used and unused sharps.2. Category No 5 Discarded Medicines: wastes comprising of outdated, contaminated and discarded medicines.3. Category No 6 Solid Waste: Items contaminated with blood, and body fluids including cotton, dressings, soiled plaster casts, lines, beddings, other material contaminated with blood.4. Category No. 7 Solid Waste: wastes generated from disposable items other than the waste sharps such as tubings, catheters, intravenous sets etc.Procedure: (for Categories 4, 6 & 7)1. The Medical Team along with the EHS team should identify the agency which is responsible for proper handling and disposal of the Bio-Medical Waste as laid down by the Environmental (protection) Act for the respective city.2. The Medical team to procure the colour coded waste bins / disposal bags from the identified agency. (Colour coding appended)3. The waste to be collected in the segregated form in the respective bins.4. The agency to come and collect the thus segregated wastes as per the statute on the agreed day and time of the week. Procedure: (for Category 5):1. Expired Tablets/Capsules: Defoil the tablet/capsule. The tablet/capsule to be dissolved overnight in a bucket filled with water. Water to be drained off in the Medical Room Sink. Discarded foils to be discarded after proper inspection into general waste.2. Expired Injections: Ampoules: Break the ampoule and discard the injection into the sink. The sharp of the ampoule to be discarded in the sharps bin. Vial: Open the vial and discard the injection in the sink. Destroy the label on the vial and discard it in the sharps bin. 3. Expired Ointments/Creams: Squeeze out the ointment/cream into a plastic bag and discard it after securing the mouth into the yellow bin. Deface the tube by scratching with a scalpel and discard it into the red bin. 4. Expired Liquids/Syrups/Suspensions: Drain out the liquid/syrup/suspension in the sink. Deform the cap and discard in general waste. Deface the label on the bottle and discard in general waste.5. Empty Aerosol Cans: Puncture the can with a sharp object and discard in general waste.Record Keeping: A log book for the Bio-Medical Waste collection should be maintained separately from other records which should be duly signed with date and time by the representative of the collection agency and the duty nurse in whose presence the waste was collected. Classification: GENPACT Internal Appendix - ISCHEDULE ICATEGORIES OF BIO-MEDICAL WASTE-Option Waste CategoryTreatment & Disposal-Category No. IHuman Anatomical Waste(human tissues, organs, body parts)incineration/deep burial*Category No. 2Animal Waste(animal tissues, organs, body parts carcasses, bleeding parts, fluid, incineration/deep burial*blood and experimental animals used in research, waste generatedby veterinary hospitals colleges, discharge from hospitals, animalhouses)Category No 3 Microbiology & Biotechnology Waste(wastes from laboratory cultures, stocks or specimens of micro-local autoclaving/micro-organisms live or attenuated vaccines, human and animal cellwaving/incinerationculture used in research and infectious agents from researchand industrial laboratories, wastes from production of biologicals,toxins, dishes and devices used for transfer of cultures)Category No 4Waste sharps(needles, syringes, scalpels, blades, glass, etc. that may causedisinfection (chemical treat-puncture and cuts. This includes both used and unused sharps)ment01/auto claving/micro-waving and mutilation/shredding"Category No 5 Discarded Medicines and Cytotoxic drugs(wastes comprising of outdated, contaminated and discardedinc ineratio n/destruct ion andmedicines)drugs disposal in secured landfillsCategory No 6Solid Waste(Items contaminated with blood, and body fluids including cotton,dressings, soiled plaster casts, lines, beddings, other materialincinerationcontaminated with blood)autoclaving/microwavingCategory No. 7Solid Waste(wastes generated from disposable items other than the waste sharps treatment autoclaving/such as tubings, catheters, intravenous sets etc).microwaving and mutilation/shredding# disinfection by chemical Category No. 8Liquid Waste(waste generated from laboratory and washing, cleaning, house-disinfection by chemicalkeeping and disinfecting activities)treatment and discharge into drains. Category No. 9Incineration Ash(ash from incineration of any bio-medical waste)disposal in municipal landfillCategory No. 10Chemical Waste(chemicals used in production of biologicals, chemicals used inchemical treatment anddisinfection, as insecticides, etc.)discharge into drains for liquids and secured landfill for solids- Chemicals treatment using at least 1% hypochlorite solution or any other equivalent chemical reagent. It must be ensured that chemical treatment ensures disinfection. # Multilation/shredding must be such so as to prevent unauthorised reuse. There will be no chemical pretreatment before incineration. Chlorinated plastics shall not be incinerated. * Deep burial shall be an option available only in towns with population less than five lakhs and in rural areas. Appendix - IISCHEDULE IICOLOUR CODING AND TYPE OF CONTAINER FOR DISPOSAL OF BIO-MEDICAL WASTESColour CondingType of Container - Waste CategoryTreatment options as per Schedule IYellowPlastic bag Cat. 1, Cat. 2, and Cat. 3, Cat. 6.Incineration/deep burialRedDisinfected container/plastic bag Cat. 3, Cat. 6, Cat.7.Autoclaving/Microwaving/ Chemical TreatmentBlue/White translucentPlastic bag/puncture proof Cat. 4, Cat. 7. ContainerAutoclaving/Microwaving/ Chemical Treatment and destruction/shreddingBlackPlastic bag Cat. 5 and Cat. 9 and Cat. 10. (solid)Disposal in secured landfillNotes: 1. Colour coding of waste categories with multiple treatment options as defined in Schedule I, shall be selected depending on treatment option chosen, which shall be as specified in Schedule I. 2. Waste collection bags for waste types needing incineration shall not be made of chlorinated plastics. 3. Categories 8 and 10 (liquid) do not require containers/bags. 4. Category 3 if disinfected locally need not be put in containers/bags. Appendix - IIISCHEDULE IIILABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS