Guidelines for INFECTION CONTROL POLICY - Safdarjung Hospital

• Labelled as with ‘Cytotoxic’• Weighed, and weight should be written over it• Send for incineration through 2 responsible staff members from the ward, who willget it incinerated in the presence of Sanitary Inspector.• After incineration all three staff members will record the same and duly put theirsignatures on the document.• A copy of the same may be sent to M.S. for informationMERCURY AND LEAD WASTE, DENTAL OPDs :– Our hospital has stopped purchase of mercury-based BP Instrument and Thermometers andtheir use is being phased out. The mercury waste generated is ‘contained’, awaiting appropriatedisposal options e.g., handing over to Govt. approved vendors. Similarly the Lead waste is alsobeing contained awaiting suitable and safe disposal options.Mercury amalgum fillings are not being used in dental fillings are present.DISPOSAL OF BIOMEDICAL WASTE GENERATED IN THE RNTCP LABORATORY (DOTSCENTRE)Sputum cups and broom sticks : The use of cups made from biodegradable poly propylenepoyethylene will be encouraged. The lids will be removed from used cups. Then the cups andlids will be placed in the disinfectant 5% Phenol provided by the RNTPCP or hypochlorite solutionovernight. The broom sticks will be placed in the separate container having similar disinfectant.Next the cups, lids and broomsticks will be autoclaved provided to the RNTTCP Centre. Theautoclaved cups and lids will be sent for shredding and further disposal in blue bags. Thechemically disinfected and autoclaved broomsticks can be disposed of as general waste. Theleft over fluid after chemical disinfection will be drained in hospital drainage.Used slides: The slides will be disinfected by immersion in 5% Phenol for a minimum of 30minutes. After that it is disposed of with other hospital sharps. Breaking of slides is notrecommended. The used chemical solution will be drained away in the hospital drain.WASTE FROM RADIOLOGY :The fixer and developer and contained and then sold periodically to Govt. authorized vendorfor recycling.DISPOSAL OF RADIOACTIVE WASTEThe department of radiotherapy is not generating Radio-Active waste for disposal. The departmentuses sealed sources. The depleted sources are sent back to BARC by the Authorized Agentsof equipment concerned.DISPOSAL OF RADIOISOTOPE/NUCLEAR WASTE1. The hospital is authorized by the competent authority, i.e. Atomic Energy RegulatoryBoard of India, Mumbai – 400094 vides letter no. AERB/RSD/RIA-Auth/DL-07/2009/3166 dated March 17, 2009.2. At present we are using RIA / IRMA kits which contain radioactive 125-lodine. Theabove authorization is for the procurement and use of the radioactive material in ourdepartment. It also specifies the numbers of kits which we can use per months.3. After use, the radioactive material is disposed into the sewerage system in thehospital. The quantity disposed by per day is much less than the maximum limiton total discharge per day.E-WASTE :Electronic Waste–Some called E-Waste. A term loosely applied to consumer and businesselectronic equipment that is near or at the end of its useful life. It includes, computers, computer27