Tuesday 11 September 2018

Bio Medical Waste

Yellow
Type of Waste
(a) Human Anatomical Waste : Human tissues, organs, body parts and fetus below the viability period
(as per the Medical Termination of Pregnancy Act 1971, amended from time to time).
(b) Animal Anatomical Waste : Experimental animal carcasses, body parts, organs, tissues, including
the waste generated from animals used in experiments or testing in veterinary hospitals or colleges
or animal houses
(c) Soiled Waste: Items contaminated with blood, body fluids like dressings, plaster casts, cotton
swabs and
(d) Expired or Discarded Medicines: Pharmaceutical waste like antibiotics, cytotoxic drugs including
all items contaminated with cytotoxic drugs along with glass or plastic ampoules, vials etc.
(f) Chemical Liquid waste : Liquid waste generated due to use of chemicals in production of
biological and used or discarded disinfectants, Silver X-ray film developing liquid, discarded Formalin,
infected secretions, aspirated body fluids, liquid from laboratories and floor washings, cleaning,
house-keeping and disinfecting activities etc.
(g) Discarded linen, mattresses, beddings contaminated with blood or body fluid.
(h) Microbiology, Biotechnology and other clinical laboratory waste: Blood bags, Laboratory cultures,
stocks or specimens of microorganisms, live or attenuated vaccines, human and animal cell
cultures used in research, industrial laboratories, production of biological, residual toxins, dishes
and devices used for cultures.


Type of Bag or Container to be used :Yellow coloured non-chlorinated plastic bags
Treatment and Disposal options :Incineration or Plasma Pyrolysis or deep burial


Red
Type of Waste
(a) Wastes generated from disposable items such as tubing, bottles, intravenous tubes and sets,
catheters, urine bags, syringes (without needles and fixed needle syringes) and vaccutainers with
their needles cut) and gloves.
Type of Bag or Container to be used :Red coloured non-chlorinated plastic bags or containers


Treatment and Disposal options: Autoclaving or micro-waving/ hydroclaving followed by shredding
or mutilation or combination of sterilization and shredding. Treated waste to be sent to registered
or authorized recyclers or for energy recovery or plastics to diesel or fuel oil or for road making,
whichever is possible. Plastic waste should not be sent to landfill sites








White (Translucent)
Type of Waste
Waste sharps including Metals: Needles, syringes with fixed needles, needles from needle tip cutter
or burner, scalpels, blades, or any other contaminated sharp object that may cause puncture and
cuts. This includes both used, discarded and contaminated metal shar


Type of Bag or Container to be used :Puncture proof, Leak proof, tamper proof containers


Treatment and Disposal options : Autoclaving or Dry Heat Sterilization followed by shredding
or mutilation or encapsulation in metal container or cement concrete; combination of shredding
cum autoclaving; and sent for final disposal to iron foundries (having consent to operate from
the State Pollution Control Boards or Pollution Control Committees) or sanitary landfill or
designated concrete waste sharp pit


Blue
Type of Waste
(a) Glassware: Broken or discarded and contaminated glass including medicine vials and ampoules
except those contaminated with cytotoxic wastes. Cardboard boxes with blue colored marking
Disinfection (by soaking the washed glass waste after cleaning with detergent and Sodium
Hypochlorite treatment) or through autoclaving or microwaving or hydroclaving and then sent for
recycling.


(b) Metallic Body Implants


Type of Bag or Container to be used :Cardboard boxes with blue colored marking

Treatment and Disposal options :Disinfection (by soaking the washed glass waste after cleaning
with detergent and Sodium Hypochlorite treatment) or through autoclaving or microwaving or
hydroclaving and then sent for recycling.

Wednesday 5 September 2018

Some poisons & their specific antidotes

1. Anticholinergics --> Cholinergics.
2. Atropine and/or scopolamine --> Physostigmine.
3. benzodiazepines and barbiturates --> flumazenil.
4. Calcium Channel Blockers (Verapamil, Diltiazem) --> Calcium Gluconate.
5. Isoniazid --> Pyridoxine.
6. Magnesium --> Calcium Gluconate.
7. opioids --> naloxone.
8. paracetamol (acetaminophen) --> N-acetylcysteine.
9. Thallium --> Prussian blue.
10. Nicotine --> Bupropion and other ganglion blockers.
11. ethylene glycol --> ethanol or fomepizole, and thiamine.
12. methanol --> ethanol or fomepizole, and folinic acid.