BIOMEDICAL WASTE MANAGEMENT

Scope: All Facilities in the Hospital

Distribution list: All departments

Policy:

1. Aims to outline safe and efficient practices for the segregation, store and
disposal of biomedical and general waste generated by the hospital.

2. Hospital Waste: All waste coming out of Hospital out of which around 80% is
non hazardous & 15% is infectious waste and 5% is non-infectious but
hazardous.

3. Infectious waste includes all kinds of waste that may transmit Viral, bacterial
or parasitic diseases to human beings.

4. Pathological waste: include human tissues, organs and body parts and body
fluids that are removed during surgery or autopsy or other medical procedures
and specimens of body fluids and their containers.

5. Biomedical Waste: Bio-medical waste means any waste which is generated

during the diagnosis, treatment or immunization of human beings from research
activities pertaining there to or in production or testing or biological (preparations
from organism or microorganism or product of metabolism and bio chemical
reaction intended for use in diagnosis, immunization or treatment).

6. Identifying waste: Classified into two categories:

a. Infectious
b. Non-infectious

7. Infectious waste: Pathological waste including tissues, organs, blood and

body fluids. Syringes, IV tubing, blood bags and other items contaminated with
blood and body fluids like plaster, casts, Human anatomical and surgical waste,
body excretions needles, IV canulas, cotton, swabs, bandages, mops etc.

8. Non-infectious waste: 85% of the entire hospital waste.

CATEGORIES OF BIO-MEDICAL WASTE(AS PER DPCC

GUIDELINES)

Option Waste Category Treatment & Disposal

Category No. 1 Human Anatomical Waste incineration @/deep burial*

(human tissues, organs, body parts)
Category No. 2 Animal Waste incineration@/deep burial*
 BIOMEDICAL WASTE MANAGEMENT
(animal tissues, organs, body parts
carcasses, bleeding parts, fluid, blood
and experimental animals used in
research, waste generated by
veterinary hospitals, colleges,
discharge from hospitals, animal
houses)
Category No. 3 Microbiology & Biotechnology local autoclaving/micro-
Waste waving/incineration@
(Wastes from laboratory cultures,
stocks or micro-organisms live or
vaccines, human and animal cell
culture used in research and
infectious agents from research and
industrial laboratories, wastes from
production of biologicals, toxins,
dishes and devices used for transfer
of cultures)
Category No. 4 Waste Sharps disinfection (chemical
(needles, syringes, scalpels, blade, treatment @@@/auto
glass, etc. that may cause puncture claving/microwaving and
and cuts. This includes both used and mutilation/shredding##
unused sharps)
Category No. 5 Discarded Medicines and Cytotoxic incineration@/destruction
drugs and drugs disposal in
(Waste comprising of outdated, secured landfills
contaminated and discarded
medicines)
Category No. 6 Soiled Waste Incineration/ autoclaving
(items contaminated with blood, and /microwaving
body fluids including cotton,
dressings, soiled plaster casts, lines,
bedding, other material contaminated
with blood)
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Category No. 7 Solid Waste disinfection by chemical
(Waste generated from disposal items treatment@@
other than the sharps such a tubings, autoclaving/microwaving
catheters, intravenous sets etc.) and mutilation/shredding##
Category No. 8 Liquid Waste disinfection by chemical
(Waste generated from laboratory and treatment@@ and
washing, cleaning, housekeeping and discharge into drains
disinfecting activities)
Category No. 9 Incineration Ash disposal in municipal landfill
Ash from incineration of any bio-
medical waste)
Category No. 10 Chemical Waste chemical treatment@@ and
(Chemicals used in production of discharge into drains for
biological, chemicals used in liquids and secured landfill
production of biological, chemicals for solids
used in disinfection, as insecticides,
etc.)

 Schedule-II

COLOUR CODING AND THE TYPE OF CONTAINER FOR DISPOSAL

OF BIO MEDICAL WASTES

Color Type of Waste Treatment options as per

Coding Container Category Schedule-I

Yellow Plastic bag Category 1, 2 Incineration/deep burial

and Category 3,
6
Red Disinfected Category 3, 6, 7 Autoclaving/Microwaving/
container/Plastic Chemical Treatment
bag
Blue/White Plastic Category 4, 7 Autoclaving/Microwaving
translucent bag/puncture Chemical Treatment and
proof container destruction/shredding
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Black Plastic bag Category 5, 9 Disposal in secured landfill
and Category
10 (solid)
Note :

 Color 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.
 Waste collection bags for waste types needing incineration shall not be
made of chlorinated plastics.
 Categories 8 and 10 (liquid) do not require containers/bags.

 Category 3 if disinfected locally need not be put in containers/bags.

 BIOMEDICAL WASTE MANAGEMENT

 Schedule-III

LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS

BIOHAZARD SYMBOL CYTOTOXIC HAZARD SYMBOL

BIOHAZARD CYTOTOXIC
HANDLE WITH CARE
Note : Label shall be non-washable and prominently visible.
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COLOUR CODING INSTRUCTIONS FOR SEGREGATION AT THE POINT OF

GENERATION
Yellow Bag Red Bag Blue Bag Black Bag White
Anatomical Soiled Waste *Plastic Waste General Waste Puncture proof,
Waste Solid Waste tamper resistant
container soaked
in 1% sodium
• Blood & body I/V sets & Paper, card hypochlorite.
• Tissues fluid stained tubings. board, kitchen Burnt / broken
• Organs dressings, catheters wastes etc. nozzles of

• Body Parts swabs, cotton syringes Discarded syringes.

etc. Vacutainers medicines Scalpels
• Cytotoxic
• contaminated (without Lancets
drugs
• Lab Cultures • Soiled Plaster needles) Blades

casts Urine Bags Broken

Blood bags ampoules
Glass pieces

* Plastic wastes to be autoclaved and shredded / chemically disinfected .

• Sodium Hypo chlorite to be changed every 24 hours and sharps disposed on 3/4th filling.
Wastes to be cleared as per periodicity laid down by the hospital