KNOWLEDGE ASSESSMENT OF HOSPITAL STAFF REGARDING BIOMEDICAL WASTE MANAGEMENT IN A TERTIARY CARE HOSPITAL (original) (raw)
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IP innovative publication pvt. ltd, 2019
Background: Biomedical waste management is integral part of medical microbiology and infection control program in any healthcare institute. Proper management of the waste generated in the healthcare facilities needed to carried out in accordance with the BMWM Rules, 2016. Any loophole in this management can lead to hazardous consequences. Material and Method: more than 100 health care workers participated in this study. A pre formed questionnaire was used to assess the knowledge of all study participants. Also major demographic and occupational variables were recorded and analyzed in this study. Result: most of the participants were having average and good knowledge of BMW. Mean score recorded for this study was 17.82 out of 30 with standard deviation of 5.61. Also majority of participants including housekeeping staff knows about colour coding in BMW management. Conclusion: In conclusion, BMW training should be integral part of continuous medical education in each health care facility.
International Journal of Basic and Applied Medical Science, 2015
Inadequate and inappropriate knowledge of handling of healthcare has serious health consequences and a significant impact on the environment as well. Lack of awareness can lead to the hospitals becoming a hub of spreading disease rather than working toward eradicating them. Hence, there is a need for resource material to help administrators, doctors, nurses and paramedical staffs and sanitary workers to aid in proper and safe disposal of waste. The study was conducted at Pt. B.D. Sharma PGIMS, Rohtak during the months of September and October 2013. Study participants included, interns and house officers doctors, nursing staff, laboratory technicians, sanitary workers (ward boys and sweepers) working in the institute and dealing with BMW. The responses to schedule by each participant were entered into excel sheet and data was tabulated and for statistical analysis we calculated percentages and applied the Chi-square test wherever necessary and required. Knowledge score as satisfactory was highest among doctors (86%), followed by nursing staff (70%) and lab technicians (46%). The practice score of BMWM was satisfactory in most doctors (90%), nursing staff (78%) and lab technician (68%) and it was poor in 62% of sanitary workers. To tame this shortfalls induction training of newer health care personnel and continuous in-service training programs and periodically evolution of the health care personnel is required.
Biomedical and Pharmacology Journal, 2018
Biomedical waste (BMW) generated in our nation on a day to day basis is immense and contains infectious and hazardous materials. It is crucial on the part of the employees to know the hazards of the biomedical waste in the work environment and make its disposition effective and in a scientific manner. It is critical that the different professionals engaged in the healthcare sector have adequate Knowledge, Attitudes and Practices (KAP) with respect to biomedical waste management. Many studies across the country have shown that there are still deficiencies in the KAP of the employees in the organizations and hence it is necessary to make the appraisal of the same. To ascertain the levels of and the expanse of gaps in knowledge, attitudes and practices among doctors, post graduates, staff nurses, laboratory technicians and housekeeping staffs in a tertiary care teaching hospital in Mysuru, Karnataka. A cross sectional study was carried out using questionnaire as the study tool among the health care professionals in a tertiary care teaching hospital. The study demonstrated gaps in the knowledge amongst all the cadres of the study respondents. The knowledge in relation to BMW Management including the hospital BMW protocols was more desirable among doctors, but practical facets were better in nurses and the lab technicians. Knowledge, Attitude and Practice amongst the different cadres of staff members were found to be significant statistically.
2020
Biomedical waste (BMW) generated in our country containing infectious and hazardous materials in large quantity on daily basis. Biomedical waste (BMW) is waste generated during diagnosis, treatment or immunization of human beings or animals, or in research activities pertaining thereto, or in the production and testing of biological, and is contaminated with human fluids. The waste produced in the course of health care activities carries a higher potential for infection and injury than any other type of waste. Employees like doctors and nurses must know about biomedical waste and its impact on their health as well on environment. In some hospital there is no proper training of the employees in hazardous waste management. This indicates the lack of even basic awareness among hospital personnel regarding safe disposal of BioMedical waste. Keeping in view the above scenario, the present study has been undertaken to assess the knowledge regarding different aspects of Bio-medical waste a...
IP Innovative Publication Pvt. Ltd., 2018
Introduction: Health care workers (HCWs) are constantly associated with generation, segregation and disposal of biomedical wastes (BMW). Knowledge, attitude and practice (KAP) of BMW management among HCWs are the three determinants used to evaluate the effective functioning of BMW management system of the Institution. Aims: This study aims to detect the degree of knowledge, attitude and practice of BMW management among HCWs in a tertiary care hospital. Materials and Methods: This study included 150 HCWs from five groups (postgraduates, interns, nurses, technicians and sanitary staffs), each group comprising of 30 individuals. They were instructed to tick their response in the questionnaire containing 30 questions (10 questions about each parameter) and were graded as good, average and poor based on individual score. Results: Order of decreasing knowledge and practice seen among the five groups was postgraduates followed by laboratory technicians, interns, nurses and sanitary staffs. Decreasing order of attitude was postgraduates, interns and laboratory technicians with same score, followed by nurses and sanitary staffs. In our study, 81.33%, 86.7% and 69.33% of participants had above average KAP values respectively. Conclusion: Postgraduates and interns had better understanding of BMW management than other groups. Laboratory technicians were better than nurses and sanitary staffs. Sanitary workers were highly ignorant regarding BMW management. So a continuing medical education program on BMW management should be conducted on yearly basis to train and update newly appointed as well as existing HCWs. Keywords: Attitude, Biomedical waste, Knowledge, Practice, Questionnaire.
International Journal of Biomedical Research, 2015
Background: Studies in India and other developing countries has shown lack of knowledge and poor practice of Biomedical waste management (BMW). Hence this study was undertaken to know the KAP of BMW in our hospital, to identify the gaps and to take necessary steps for rectification. Materials & Methods: This was an observational descriptive hospital based cross sectional study. The study group included the 337 healthcare personnel which included doctors (residents), nurses, laboratory technicians and multipurpose workers. The study was done using a pre-tested semi-structured questionnaire. The data was analysed using software SPSS 20 version. Proportions were used for interpretation. Results: It showed that <50% of nursing staff and <25% of MPWs had the knowledge of colour coding and segregation. There was also poor knowledge regarding disposal of sharps among technicians and MPWs. It also brought to our notice that only 50% of the doctors (residents) and nursing staff and 26% of the laboratory technicians have undergone training in BMW management. None of the MPWs had received training regarding BMW management. They had good knowledge regarding the diseases transmitted through improper bio medical waste handling. Conclusion: This study revealed that there is the need to continue the training programme for BMW and to include technicians and MPWs in the programme. It also shows that the administration needs to put protocols, provide PPE and other resources for better compliance of BMW rules.
International Journal Of Community Medicine And Public Health
Background: Bio-medical waste is defined as any waste that is generated during the diagnosis, intervention, treatment, immunisation and research activities. Hospital waste refers to all waste generated in hospitals whether biological or non-biological. As per World Health Organization (WHO) fact sheet, total of waste generated by health care activities 20% are hazardous among them 18%–64% of waste from health care facilities have unsatisfactory management as per protocol because of improper segregation and gaps in knowledge and practice. To assess the level of knowledge, attitude and practices regarding management of bio-medical waste among medical personnel.Methods: A hospital based descriptive study was done over the period of one year (April 2019 to March 2020). On the basis of the eligibility criteria total 500 medical and paramedical personal were finally got enrolled. Pre-designed, pre-tested, structured questionnaires were used.Results: The majorities of participants were mal...
Perception and Practice of Health Personnel Regarding Biomedical Waste Management (BMW) in Selected wards of S.C.B. Medical College Hospital, Cuttack, Odisha, 2016
Background: The wastes produced in healthcare especially in hospitals have serious health problems of individuals who directly or indirectly come in contact with this product and it has also hazardous effect on environment if they are not handled properly. Objective: This paper describes the co-relation between perception and practice of health personnel regarding biomedical waste management (BMW) whether the health personnel have some knowledge regarding BMW or not. So to enunciate the perception, a study was therefore undertaken in selected wards of a Medical College Hospital of district Cuttack in the state of Odisha and then we assess the practice of health personnel regarding BMW. Methods: In the study, the researcher adopted "Purposive Sampling" technique. The study consisted of 90 number of health personnel; doctors, nurses, laboratory technician, waste handler, nursing orderly of 5 major wards like medicine, surgery, obstetrics and gynaecology, operation theatre and regional diagnostic centre at Results: The data collected, organized, tabulated and planned to be analyzed using descriptive statistics on the basis of objectives and hypotheses of the study. The analyzed data will be presented in the form of table, diagrams, charts & graphs. Conclusions: We found there is a good proportion of hospital manpower is untrained. Though not poor, the practice of the BMW in the said setting is not good either. The practice of BMW could be enhanced by a training package to different category of personnel considering their level of understanding along with better supervision.
Background: "Bio-Medical Waste" means any waste, which is generated during the diagnosis, treatment or immunisation of human beings or animals or research activities pertaining thereto or in the production or testing of biological or in health camps, including the categories mentioned in rules. Approximately 15-35% of the Bio-Medical waste is hazardous/infectious and can be injurious to humans or animals and deleterious to environment. It is estimated that India generates around three million tonnes of medical wastes every year and the amount is expected to grow at eight per cent annually. Objectives: To assess the knowledge regarding new Bio-Medical Waste (Management & Handling) rules 2016 amongst Resident Doctors (PG-Junior Residents) working in Government Medical College, Haldwani. Material and Methods: The study comprises of assessment of the knowledge regarding BMW management and disposal as per the Bio-Medical Waste (Management & Handling) Rules 2016. For this purpose, structured questions were used, and questionnaires were e-mailed to 108 respondents to get the primary data. Out of 108 PG-Residents (Junior residents) 55 (50.93%) responded to the questionnaire e-mailed. Results: Majority of PG-Residents (65.5%) did not attend training of BMW management. Only 18.18% Residents are aware that as per new rules there are 04 categories of waste. Awareness of PG residents about the BMW disposal in different bags was found to be Inadequate and poor. Upto 29% PG-Residents were found not aware of the prescribed color coding used for the collection of the waste as per the new rules. The process of incineration was known to 61.8% PG-Residents and the presence of sewerage was known to 56.4% residents for the disposal of liquid waste. The practices adopted by the PG-Residents in Bio-Medical Waste Management found to be good and their knowledge regarding Hazardous nature of the Bio-Medical Waste is also better i.e. 98.2%. They are theoretically aware of segregation and waste minimization, but still some are lacking in practice seems to be practically not sound. Conclusion: The Residents were observed to be either inadequate or poor or lack in knowledge regarding segregation of waste, various color coding as prescribed in the new rules good in theoretical knowledge. Recommendation: The need of comprehensive training programs on newly formed Bio-Medical waste management and handling is highly recommended to the Residents.
2019
Background and Objectives: Despite the statutory provision of Biomedical Waste Management, practice in Indian Hospitals has not achieved the desired standard even after seven years of enforcement of the law. In view of this, the present study on Knowledge, of health care worker regarding biomedical waste management. on the subject was carried out in Yashwant hospital Kodoli. The hospital under is a 300 bedded super specialty teaching hospital and research centre with latest facilities. The study is based on a questionnaire designed to understand the Knowledge of the staff involved in direct patient care facility regarding the biomedical waste management practices. The study enrolled 50 respondents, representing doctors and nurses from selected patient care areas; The objectives of the study were 1) To understand the standard procedure for bio medical waste management. 2) To assess the current level of knowledge among the health care staff members 3) Identify the gap and to provide recommendation for efficient bio medical waste management. 4) To find the association between knowledge of health care worker with selected demographic variables. Methods: A descriptive approach with descriptive correlation design was used for 50 health care workers drawn through purposive sampling technique in a selected Yashwant hospital at Kodoli. The conceptual framework for the study was developed from the system model consists of 3 phases input, process and output hypotheses formulated were that there will be an association between knowledge & selected demographic variables. The content validity and reliability of the tools were established. The pilot study was conducted using a structured knowledge questionnaire.. An average of 4-5 observation was done. Results: The collected data was analyzed by using descriptive and inferential statistics. The study findings revealed Data presented in the figure shows that the respondents in pulse two have majority poor knowledge compare to post graduation. In all post graduation have good knowledge. Age is associated with the level of knowledge of health care worker (2 = 14.59 P>0.05.) & Educational Experience is associated with the level of knowledge of health care worker (2 = 12.68 P>0.05). The 'r' value computed was 0.82. Interpretation and Conclusion: Majority (54%) of health care worker had good knowledge & (26%) of health care worker have average knowledge & only (20 %) health care worker had a poor knowledge. Concluding from the results, the importance of training regarding biomedical waste management cannot be overemphasized; lack of proper and complete knowledge about biomedical waste management impacts practices of appropriate waste disposal. Suggestions: Proper and scheduled training has to be given for the staffs. Special training has to be given for the personnel who are handling the waste directly on regular basis.