Infectious Medical Waste

School of public healthUdayana University

Diseases Caused by Bloodborne Pathogens

MalariaRabiesSyphilisViral Hemorrhagic

Fevers

Arboviral infectionsArboviral infections Hepatitis CHepatitis C LeptospirosisLeptospirosis

HIV / AIDSHIV / AIDS Hepatitis BHepatitis B

Apakah yang dimaksud sampah medis ?

sampah medis adalah berbagai jenis buangan yang dihasilkan rumah sakit dan unit-unit pelayanan kesehatan yang dapat membahayakan dan menimbulkan gangguan kesehataan bagi manusia, yakni pasien maupun masyarakat.

Jenis sampah medis

1. Sampah infeksius 2. Sampah jaringan tubuh 3. citotoksik 4. sampah farmasi 5. sampah kimia 6. Sampah bahan radioaktif 7. sampah plastic

Pengaruh sampah pada kesehatan ?

Efek langsung : efek yang disebabkan karena kontak langsung dengan sampah, misalnya : sampah beracun ; sampah yang korosif terhadap tubuh yang karsinogenik, teragonik, sampah yang mengandung kuman pathogen

Efek tidak langsung : dapat dirasakan masyarakat akibat proses : pembusukan, pembakaran, pembuangan sampah secara sembarangan, penyakit bawaan vector yang berkembang biak  didalam sampah.

Bagaimanakah penanganan sampah medis ???

Preventing Disease Transmission

The single most effective measure to control the transmission of Bloodborne

Pathogens is:

Universal PrecautionsTreat all human blood and other

potentially infectious materials like they are infectious for Hepatitis B and HIV

Collection of Infectious Waste

Infectious medical wastes must be collected at the point of generation in the appropriate color coded bags

Orange bags for autoclaved waste, Red bags for all other treatment methods

Biohazard bags must be labeled with the international biohazard symbol and appropriate wording; “biohazard,” “biomedical waste,” “infectious medical waste,” or “regulated medical waste”

Sharps

Must be collected at the point of generation, in a leak-proof and puncture-resistant container

Containers must bear the international biohazard symbol and appropriate wording

Containers should never be completely filled, nor filled above the full line indicated on box.

Liquid Infectious Medical Wastes

Placed directly in the Biohazardous waste,

Poured down a sanitary sewer,

Solidified using an approved disinfectant solidifier and discarded in the solid waste

Liquid Infectious Medical Waste, i.e., the Liquid Infectious Medical Waste, i.e., the contents of suction canisters, may be contents of suction canisters, may be disposed of in several ways:disposed of in several ways:

Packaging and Storage

Wastes shall be collected in a lined, cardboard box or reusable plastic container that is labeled with the biohazard symbol and appropriate wording.

Once the box or container is full, the bag lining it must be sealed and the container then sealed shut

Boxes must be labeled with facility name, address, phone and fax numbers, and the date

A full, sealed container can be stored on site for no more than 30 days

Shipping and Manifests

Every load of waste shipped off-site for destruction is tracked using a manifest system

The manifest is a multiple copy document that accompanies the waste to the treatment facility

Every individual who takes possession of the waste, including someone from your facility, must sign the manifest

As the waste generator, the WVU HSCis responsible for the waste until we receive the proof-of-destruction copy of the manifest

Over Classification

The improper disposal of solid wastes that do not meet the definition of infectious medical waste, as if they were infectious

It is the most commonly cited violation, with 98% of permitted facilities being marked

It increases the financial burden on patients and taxpayers in the form of increased disposal costs for health care facilities

Routinely Over Classified Items Diapers (adult and baby) Paper towels Unsaturated dressings and

chucks Wrappers and packaging IV bags and oxygen tubing Gloves with no visible

contamination Urine catheters and bags Paper, newspapers, and

food containers Urine cups and specimen

containers with no visible blood

Empty Medication vials and broken glass

When you mix infectious waste and regular solid waste together, you are not permitted to separate them

Once combined, Once combined, the entire the entire contents are contents are considered considered infectious waste!infectious waste!

Thank YOU