Health Care Waste Management Flashcards

(66 cards)

1
Q

According to WHO/UNICEF 2015: Only 24 countries had adequate systems in place for the safe disposal of health care wastes

A

true

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2
Q

Facts on Health Care Waste (WHO)
__% generated non-hazardous wastes

A

75-90%

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3
Q

Facts on Health Care Waste (WHO)
___% Considered hazardous and may be infectious, toxic, or radioactive

A

10-25%

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4
Q

0.5 kg hazardous wastes per hospital bed per day

A

High-income countries

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5
Q

0.2 kg hazardous wastes per hospital bed per day

A

Low-income countries

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6
Q

Facts on Health Care Waste (Philippines)
____% - Hazardous health care wastes

A

30.37%

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7
Q

Facts on Health Care Waste (Philippines)
____% - general wastes

A

69.63%

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8
Q

Philippines hospitals (per hospital bed per day)
____kg infectious sharps and pathological wastes

A

0.34kg

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9
Q

Philippines hospitals (per hospital bed per day)
____kg general wastes

A

0.39kg

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10
Q

Health Care Waste Generators

A

Hospitals and medical centers
Infirmaries
Birthing homes
Drug manufacturers
Mortuary and autopsy centers
Clinics and other health-related facilities
Laboratories and research centers
Institutions

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11
Q

All wastes suspected to contain pathogens or toxins in sufficient concentration that may cause disease to a susceptible host

A

Infectious Wastes

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12
Q

Includes discarded materials or equipments used for diagnosis, treatment, and management of patients with infectious diseases.

A

Infectious wastes

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13
Q

Tissue sections and body fluids or organs derived from biopsies, autopsies, or surgical procedures sent to the laboratory for examination.

A

Pathological and Anatomical Waste

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14
Q

Subgroup referring to recognizable body parts usually from amputation procedures

A

Anatomic waste

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15
Q

Waste items that can cause cuts, pricks, or puncture wounds.
It is considered the MOST DANGEROUS health care waste because of their potential to cause both injury and infection

A

Sharps

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16
Q

Discarded chemicals generated during disinfections and sterilization procedures
Includes wastes with high content of heavy metals and their derivatives

A

Chemical Wastes

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17
Q

Chemical are considered hazardous when they are:

A

Toxic - with health and environmental hazards
Corrosive - acid of pH <2.0 and bases of pH >12.0
Flammable - with a flash point below 60*C
Reactive - explosive with water

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18
Q

Expired, split, and contaminated pharmaceutical products, drugs, and vaccines including discarded items used in handling pharmaceuticals

A

Pharmaceutical Waste

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19
Q

Wastes exposed to radionuclides including radioactive diagnostic materials or radiotherapeutic materials

A

Radioactive Waste

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20
Q

Wastes that have not been in contact with communicable or infectious agents, hazardous chemicals, or radioactive substances, and do not pose a hazard

A

Non-hazardous/general Waste

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21
Q

Who are being exposed in health care wastes?

A

Medical staff, in-patients, out-patients, visitors, etc etc

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22
Q

Short periods in large quantities

A

Acute exposure

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23
Q

Prolonged periods in minute quantities

A

Chronic Exposure

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24
Q

Adverse Health Outcomes such as
Sharp-inflicted injuries
Toxic exposure to pharmaceutical products
Antibiotics and cytotoxic drugs
Mercury and dioxins
Chemical burns
Air pollution
Thermal injuries
Radiation burns

A

May lead to blood-transmissible diseases
May be released to the surrounding during the handling or incineration of these wastes
From disinfection, sterilization, or waste treatment activities
Release of particulate matter during medical waste incineration
In conjunction with open burning and the operation of medical waste incinerators

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25
Waste in landfills can lead to the contamination of drinking, surface, and ground waters if not properly constructed
true
26
When incinerated, Chlorine generates what?
Dioxins and furans - CARCINOGENIC
27
Use modern incinerators operating at what *C?
850*C to 1100*C
28
Disposal through incineration is NOT allowed in the Philippines
true
29
Alternatives to incineration to minimized the formation and release of chemicals or hazardous emissions
Autoclave, microwave, steam treatment integrated with internal mixing
30
Health care Waste Management Hierarchy From most preferred to Least preferred
Avoidance Reduction Reuse Recycling Treatment Safe disposal
31
The most important step in the proper management of health care wastes
Waste minimization
32
green procurement policy's two aspects:
Waste prevention and waste reduction
33
Resource Development
Safely reusing, recycling, and recovering wastes
34
For wastes that cannot be safely reused, recycled, or recovered,
End of Pipe Approach
35
Two aspects of End of Pipe Approach
Treatment and disposal
36
Process of changing the biological and chemical characteristics of waste to minimize its potential to cause harm
Waste Treatment
37
Discharging, depositing, placing, or releasing any health care waste into air, land, or water
Waste Disposal
38
Strong leakproof bin with cover labelled "infectious" with biohazard symbol
Pathological and Anatomical Waste BIN
39
Yellow plastic that can withstand autoclaving with 0.009mm thickness and labelled "infections waste" with a tag indicating source and weight of waste and date of collection
Pathological and Anatomical Waste Liner
40
Puncture-proof container with wide mouth and cover labeled "sharps" with biohazard symbol
Sharps BIN
41
Sharps Liner
Not applicable
42
Labeled Chemical waste
Chemical waste bin
43
For liquid chemical waste, inside the bin is a disposal bottle made of
Amber-colored glass with at least 4 liters capacity that is strong, chemical resistant, and leak-proof
44
Yellow with black band plastic with 0.009 mm thickness and labelled “Chemical Waste” with a tag indicating source and weight of waste and date of collection
Chemical Waste Liner
45
Strong leakproof bin with cover labelled “Pharmaceutical Waste” for expired drugs and drug containers “Cytotoxic Waste” for cytotoxic, genotoxic, and antineoplastic
Pharmaceutical Waste Bin
46
Yellow with black band plastic with 0.009 mm thickness and labelled “Pharmaceutical Waste” with a tag indicating source and weight of waste and date of collection
Pharmaceutical Waste liner
47
Radiation-proof repositories, leak-proof, and lead-lined container labeled with name of radionuclide and date of deposition with radioactive symbol
Radioactive waste bin
48
Orange plastic with 0.009 mm thickness and labelled “Radioactive” with a tag indicating name of radionuclide and date of deposition
Radioactive waste liner
49
Optional recycle symbol for recyclable non-hazardous waste Varying sizes depending on the volume of waste
General waste Bin
50
Black or colorless plastic for non-biodegradable Green for biodegradable With 0.009 mm thickness with a tag indicating source, weight of waste, and date of collection
GENERAL WASTE LINER
51
Highly infectious waste must be
disinfected at source
52
Anatomical waste should be disposed through
safe burial or cremation
53
Pathological waste must be__ if not collected or treated within 24 hours
refrigerated
54
Sharps must be ____ or ____ before they are transported to the landfill
shredded or crushed
55
Chemical and pharmaceutical wastes shall be
segregated and collected separately
56
Radioactive waste has to be _________ to background radiation levels
decayed
57
All waste bins must be properly covered to prevent
cross contamination
58
Aerosol containers can be collected with
general wastes
59
Thermal decomposition of health care wastes in the absence of supplied molecular oxygen in the destruction chamber where the said waste is converted into gaseous, liquid, or solid form.
Pyrolysis
60
Use of steam sterilization to render waste harmless
Autoclave
61
Incorporates some type of size reduction device Shredding of wastes is done before disinfection
Microwave
62
waste is exposed to microwaves that raise the temperature to
100*C for at least 30 mins
63
Chemical like sodium hypochlorite, hydrogen peroxide, peroxyacetic acid, and heated alkali are added to health care wastes to kill or inactivate present pathogen
Chemical disinfection
64
Uses an enzyme mixture to decontaminate health care wastes Resulting by-product is put through an extruder to remove water for wastewater disposal Suited for large applications
Biological Process
65
Filling of containers with waste, adding and immobilizing material, and sealing the containers Process uses either cubic boxes made of high-density polyethylene or metallic drums, that are three-quarters filled with sharps or chemicals, or pharmaceutical residues
Encapsulation
66
Suitable for pharmaceutical waste that involves the mixing of waste with cement and other substances before disposal The packaging is removed, the pharmaceuticals are grounded, and a mixture of water, lime, and cement is added.
Inertization