IJCRR - Vol 07 Issue 09, May, 2015
INTENSIVE AUDIT DRIVE OF HEALTH-CARE WASTE AT A REFERRAL HOSPITAL IN DELHI
Author: Renu Gur, Sharon Rainy Rongpharpi, Shalini Dewan Duggal, Avinash Kumar, Ritu Nayar, Priyanka Chaskar, Sudesh Sagar, Manju Rani, Devendra Dhayal, Chander Mohan Khanijo
Introduction: The quantum of biomedical waste generated during diagnosis, treatment, interventions and management of patientscan be minimised and effectively managed if there are continuous surveillance mechanisms and regular audits. One such intensive biomedical waste audit drive was undertaken at our hospital, a 500 bedded hospital in Northwest Delhi.
Methodology: A prospective study involving daily audits was carried out by the biomedical waste team including doctors from the department of Microbiology. At the end of every month audit report was discussed in the biomedical waste committee and sent to the Medical Superintendent for necessary action.
Results: A total of 280 rounds were taken of different areas in the hospital during a period of 9 months (January –September 2013). The most common problem was improper segregation (19.28%); followed by overfilled sharp containers (3.57%), nonfunctional needle destroyer (3.57%) and non-availability of bags (1.43%). Documentation of biomedical waste generation, segregation and transport was improper in 19.64% areas.
Discussion and conclusion: Daily discussions of observations and prompt rectification helped to maintain a constant sense
of awareness of the biomedical waste rules and regulations. Proactive measures concerning biomedical waste management, timely interventions and involvement of all the hospital staff go a long way in effective management of health-care waste.
Keywords: Health-care waste, Audit, Rounds, Segregation, Fraining
Renu Gur, Sharon Rainy Rongpharpi, Shalini Dewan Duggal, Avinash Kumar, Ritu Nayar, Priyanka Chaskar, Sudesh Sagar, Manju Rani, Devendra Dhayal, Chander Mohan Khanijo. INTENSIVE AUDIT DRIVE OF HEALTH-CARE WASTE AT A REFERRAL HOSPITAL IN DELHI International Journal of Current Research and Review. Vol 07 Issue 09, May, 91-94
1. Government of India. Health-care Waste (Management and Handling) Rules. 1998. Extraordinary, Part II, Section3, Subsection (ii). The gazette of India, No. 460,27 Jul 1998.
2. Hem Chandra. Hospital Waste an Environmental Hazard and Its Management,(1999).
3. Chartier Y, Emmanuel J, Pieper U, Pruss A, Rushbrook P, Stringer R, et al. Safe management of wastes from health-care activities. 2 nd Edition. World Health Organization 2013, Geneva, SwitzerlandVol I: p. 77-85.
4. Department of Health, State Government of Victoria. Waste management auditing: Example waste audit specification. Available at: http://docs.health.vic.gov.au/docs/doc/B2 8E7910B30DA408CA2579FE007FB7D2/$FILE/examplewaste-audit-specification.pdf. Accessed: 27/01/2015.
5. Chitnis V, Vaidya K, Chitnis DS. Health-care waste in laboratory medicine: audit and management. Indian J Med Microbiol. 2005 Jan;23(1):6-13.
6. Srivastav S, Kariwal P, Singh AK, Shrotriya VP. Evaluation of Biomedical waste management practices in multi-speciality tertiary hospital. Indian Journal of Community Health 2010; S(1): 46-50.