WASTE STORAGE

WASTE STORAGE

The waste of all types is stored in the respective zones before transporting to the waste treatment facilities. The storage area may fulfills the following criteria,

1. It should be located in each zone/ward and secured from scavengers and stray (Homeless cat) animals.
2. The area may be properly ventilated
3. The storage area may have masonry walls.
4. The storage area may be large enough to accommodate excessive waste in case of collection shutdown.
5. The waste storage area is screened (Test or examine for the presence of disease or infection) properly.

WASTE COLLECTION

The waste may not be collected at the generation point or zone level. The sanitary staff/sweepers must use all precautionary measures while handling waste. It includes

1. wearing protective clothing at all times including face masks, aprons, leg protectors, long boots and disposable or heavy duty gloves as required. Sanitary staff and sweepers may ensure that.

1. Waste is collected at least daily, but more often if necessary.
2. All waste bags are labeled before removal, indicating the point of generation, ward, hospitals and contents.
3. The waste bags and containers which are removed may be immediately replaced with new once of the same type.
4. When a waste bag is removed from a container, the container is properly cleaned before a new bag is fitted therein.

WASTE TRANSPORTATION

For on-site transportation the waste collection trolley shall be free of sharp edges, easy to load and unload, easy to clean and preferably a stable three or four wheeled design with high sites to avoid damage to the user and spillage of the waste. The trolley shall not be used for any other purpose. The trolley should be clean properly and regularly. The sealed waste bags shall be carefully loaded by hand on to the trolley, to minimize the risks of puncture or tears.

The Risk waste and Non Risk waste shall be collected on separate trolley. The collection route must be the most direct one from the final collection point to the central storage facility. The collected waste shall not be left temporarily any where except central storage facility. The Risk waste is taken to the incinerator, while non risk to the site of storage.

WASTE STORAGE

A separate storage facility for the yellow bag waste with a biohazard symbol showing that the facility is used only for risk waste. The designated central storage facility shall be:

a. be located with in the hospital premises close to the incinerator.

b. The facility will be large enough to accommodate all the risk waste generated by the hospital.

c. the space should have a spare capacity to cater for collection or incineration break down.

The area will be easy to clean and disinfect, with an impermeable hard standing Base, with plenty water supply, good drainage, lighting and ventilation, it may have adequate cleaning equipment, protective clothing with the waste bags and containers nearby.

§ The area should be easily accessible to authorized vehicles and staff but totally enclosed and secure from unauthorized access and especially inaccessible to animals, insect’s and birds.

§ Only yellow bagged waste shall be stored in the central storage facility.

§ No waste shall be store for more than 24 hours at central storage facility.

§ Chemical waste shall be stored I separate area.

§ The area shall be thoroughly cleaned and ventilated.

WASTE DISPOSAL

After the waste storage, the waste should be properly disposed off, depending upon the type and nature of the waste materials. The risk waste should be inactivated or rendered safe before the final disposal by a combination of any of the above method involving proper validation and monitoring procedures.

Yellow bagged waste shall be disposed of by burning in an incinerator or by burying in a landfill. All risk waste delivered to and incinerator shall be burned with in 24 hours. Ash and residues from incineration should be disposed of in risk waste landfill site. The landfills should be located at sites with minimal risk of pollution of air, ground water or rivers. Access should be allowed to authorize personals only. Risk waste shall be buried in a separate area of landfill at least one meter thickness which shall then be compacted. The landfill site shall be examined regularly to check for contamination of water and air pollution. Radioactive waste after decaying shall be buried or incinerated.

Waste collected from the hospital is taken by the Municipal Authorities to their landfill dumps which are a few kilometers outside the city. The waster is carried for final disposal by Municipal trucks, some of which covered while others are not covered leading to spread of infection to the community. As in most of the cases there is no differentiation between the risk and non risk waste and trucks are fully loaded so that spillage of the infected materials or accident may occur. In case of spillage and accident the following measures should be taken:

1. The contaminated area is evacuated immediately if required.
2. The contaminated area shall be cleaned and disinfected if necessary.
3. The exposure of staff shall be limited during the clean up operation and appropriate immunization carried out.
4. All hospital staff shall be properly shall be properly trained and prepared for emergency response.

SOME WASTE DISPOSAL RECORDS OF H.M.C

Table – A2: Infectious Waste Disposal Record of Hayatabad Medical Complex, Peshawar

Date: 4/1/2010

Shift: Night:

Day: Monday

S.NO	Ward/Unit	Wt. in Kg	S.NO	Ward/Unit	Wt. in kg
1	CCU	2.5	19	G ALR	3
2	NSW	1.5	20	CH. AB	3
3	CT W	3.5	21	G BLR	3.5
4	CSW	3.55	22	COT	6.5
5	CFR	2	23	P SOT	12.5
6	CMR	4	24	GALR	3
7	MSA	2	25	FER	4.5
8	MSB	4.5	26	MMC	3
9	MSC	3.5	27	MUW	3
10	FS AB	3.5	28	DYLAYSIS	5.5
11	MMA	2	29	MMA	3.5
12	FMA	2.5	30	GBLR	4
13	CHEST	2.5	31	GB2W	4
14	MUW	1.5	32	GBIW	4
15	MMB	1.5	33	FMC	1.5
16	COT	3.5	34	GOT	11.5
17	GA 1	32	35	GB2	3.5
18	P S W	3.5
	Total Waste 73 kg

Table – A3: Infectious Waste Disposal Record of Hayatabad Medical

Complex, Peshawar

Date: 22/1/2010

Shift: Night:

Day: Friday

S.NO	Ward/Unit	Wt. in Kg	S.NO	Ward/Unit	Wt. in kg
	FMA	1.5	12	PSW	1.5
	MSB	2	13	MUW	2
	MSC	1.5	14	CTW	1.5
	G OT	8.5	15	NSW	1.5
	FS AB	1.5	16	CCU	1.53
	MA	1.5	17	MB	1.5
	CFR	2	18	CMR	2
	GALR	4	19	GA 1	1.5
	GB2	1.5	20	CHEST	1.5
	CSW	2	21	COT	4
	CHAB	1.5	22	------	------
	Total WASTE 46 kg

Table – A4: Infectious Waste Disposal Record of Hayatabad Medical Complex, Peshawar

Date: 5/2/2010

Shift: Night:

Day: Friday

S.NO	Ward/Unit	Wt. in Kg	S.NO	Ward/Unit	Wt. in kg
	SOT	9.5	22	GA 1	2
	PSW	1.5	23	GA	1.5
	COT	7.5	24	FMA	1
	CMR	1.5	25	NEPH	1.5
	G OT	14.5	26	CHEST	1.5
	NS ICU	4.5	27	NS OT	5.5
	CT ICU	5.5	28	FMC	1.5
	CSW	1.5	29	CCU	2
	MSB	2	30	MSB	4.5
	MMA	3.5	31	CSW 1	1.5
	GB 1	2	32	GB 2	2
	TRAMA	2	33	CFR	2
	E DCC	2	34	FOW FSC	1.5
	M OA	1.5	35	CS OT	8
	BULASIS	4.5	36	ENT	20
	EYE OT	5	37	ISLATION	2
	G AB	1.5	38	CH A	1.5
	PSCHETRY	2	39	CH B	1.5
	FC ROOM	2	40	M LAB	8.5
	G ICU	6	41	MM B	1.5
	BL. BANK	3.5	42	MMC	1.5
	Total WASTE 149 Kg

Table – A5: Infectious Waste Disposal Record of Hayatabad Medical Complex, Peshawar

Date: 23/2/2010

Shift: Night:

Day: Tuesday

S.NO	Ward/Unit	Wt. in Kg	S.NO	Ward/Unit	Wt. in kg
	SOT	10	22	FMC	3
	ORTH OT	14.5	23	NEPH.	3.5
	CATH.LAB	8	24	MSA	5.5
	GOT	16.5	25	MOA	4
	MSB	4	26	CCU	3
	FS AB	3	27	F CYE	2
	CFR	4	28	F ENT	2.5
	E DCC	3.5	29	NURSING	4
	CMR	4	30	ISOLATION	4
	TRAMA	4.5	31	MSC	4
	CT OT	7.5	32	FOW FSC	3.5
	CT ICU	7.5	33	U OT	8
	CTW	3.5	34	U OT	8
	CSW	3.5	35	NS ICU	8.5
	MMB	3	36	NB PR	2.5
	CJEST	3	37	N S W	3
	MAIN LAB	12	38	GAIW	3
	B BANK	6.5	39	GB2W	3.5
	G ICU	8	40	FMF	2
	CU A	3	42	F S W	3.5
	Total WASTE 267.5 Kg

Table – A6: Infectious Waste Disposal Record of Hayatabad Medical Complex, Peshawar

Date22/3/2010

Shift: Night:

Day: Monday

S.NO	Ward/Unit	Wt. in Kg	S.NO	Ward/Unit	Wt. in kg
	MUA	2.5	12	MSA	3.5
	CFR	4	13	CMR	4.5
	GALR	4	14	G OT	6.5
	PSW	3	15	CHEST AB	3.5
	CHEST	3	16	CCU	2.5
	MA	1	17	MB	1.5
	CSW	4	18	FPS AB	3
	MS B	3	19	GA 1	4
	GB 2	4	20	GB LR	3
	COT	6.5	21	MUW	2
	CTW	3	22	MS	4
	Total WASTE 80 Kg