Syllabus of Semester system For the Trade of hospital waste management




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Syllabus of Semester system


For the Trade of
HOSPITAL WASTE MANAGEMENT

Under Craftsmen Training Scheme (CTS)
(ONE SEMESTER)

Designed in

2012

By
Government of India

Ministry of Labour & Employment (D.G.E & T)

CENTRAL STAFF TRAINING AND RESEARCH INSTITUTE

Block - EN -81, Sector-V, Salt Lake City,

Kolkata-700 091


List of trade committee members approved the syllabus of semester system for the trade of “Hospital Waste Management” under CTS held on 12th December’2011 at Central Staff Training & Research Institute (CSTARI), Kolkata.
Shri SJ Amalan, Director, CSTARI, Kolkata


Sl. No.

Name & Designation

Shri/Smt.

Representing Organisation

Remarks

1.

S.J.Amalan, Director

CSTARI, EN-81, Salt Lake, Kolkata-91

Chairman

2.

Rabin Debnath, Asstt. Director of Industrial Trg.

DTE. Of Indl. Trg., TE&T Dept., Govt. of West Bengal.

Member

3.

Sougata Saha, Director

Comtel Electronics (P) Ltd. Salt Lake, Kolkata.

Member

4.

Pijush Chatterjee, Manager

Hotel Kamala Residency, New Digha.

Paschim Midnapore

Member

5.

M.C.Sharma, JDT.

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

6.

Dibyendu Paul, MD & CEO

PTIMA, BE-54, Salt Lake City, Sector-I, Kolkata-700 064

Member

7.

Dr. Ayan Dasgupta, Medical Practitioner

Dunlop, Kolkata-108.

Member

8.

Nisith Ranjan Seal, Director

Soft Tek, AB-19, Deshbandhu Nagar, Kolkata-59.

Member

9.

Dr. Amarendu Mondal, Director

PTIMA, BE-54, Salt Lake City, Sector-I, Kolkata-700 064

Member

10.

Swami Nath Prasad, Director

Dream Merchant Privet Limited, Kolkata.

Member

11.

Kshetra Mohan Ghosh, Instructor

ITI, Howrah Homes, West Bengal.

Member

12.

Muktanand, Trg. Officer

RDAT (ER), Kolkata-64.

Member

13.

Gautam Sardar, Director

National Institute of Hotel Management, Kolkata.

Member

14.

Mrs. Mousami Panigrahi, Manager

SAPTAK Tour & Travels, Kolkata.

Member

15.

Ganesh Sen, Manager

Sunita Tourist & Travels, Andaman & Nicobar Island, Kolkata.

Member

16.

Pranabesh Maity, Officer

Life Insurance corporation of India, Kolkata.

Member

17.

Soma Das (Talukdar)

RVTI (W), Kolkata

member

18.

A.K.Mandal, ADT

ATI, Kolkata

Member

19.

L.K.Mukherjee, DDT

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

20.

S.B.Sardar, ADT

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

21.

Nirmalya Nath, ADT

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

22.

Sipra Das, ADT

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

23.

R.N.Manna, T.O.

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

24.

Hemant Kujur, D/Man

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

25.

Pradip Biswas, D/Man

CSTARI, EN-81, Salt Lake, Kolkata-91

Member

GENERAL INFORMATION




1. Name of Trade : Hospital Waste Management
2. N.C.O. Code No. :


  1. Duration of training :- 6 Months. (One Semester having duration of

six months)

4. Eligibility :- 10th Class Passed
5. Unit size :- 20 Trainees
6. Space requirement : 80 Sq. mtr.
7. Power Norms :- 5 Kw
8. Qualification for Instructors:- M.Sc Microbiology with one year experience in the relevant field or Degree with Environment Engg. with One year Experience.

OR B.Sc Microbiology with 2 years relevant experience

OR NTC/NAC in the trade of Hospital waste Management and 3 years experience in the relevant field

9. Desirable Qualification : Preference will be given to a candidate with CITS in

Hospital waste Management trade

NB : Demonstration should be given in a Hospital on common facility site.

Syllabus of Hospital Waste Management under CTS Scheme
Duration: Six Month


Week no

Theory

Practical

1-2

Introduction, definition

of general and hazardous health care waste and diseases, Infectious waste, genotoxic waste, waste sharps, biomedical waste categories categorization and composition of Biomedical waste .Specification of materials. Color coding. Sources of Health care wastes, Hospitals and health care establishments & other sources. Specifically Communicable diseases, Diseases epidemiology and mode of transmission of disease and prevention. Environmental pollution, its causes, consequences, mitigation and remedies.

Waste survey in a hospital practice on categorization of hospital waste. Awareness of environmental pollution.

3.


Health impacts of biochemical’s waste. Direct & indirect hazards. Potential health hazards. Persons at risk .Basic information about infection? Infection agents on organizations spread of infection and Hospital acquired infection.

'Demonstration on disease epidemiology. By various chart and CD.

4



Legislation, policies and law regarding environment on Health care waste management. Biomedical waste management and handling rules, 1998 and its amendment there after.CPCB guidelines.

(Central pollution control board)Some idea on safe disposal of Radioactive waste rules,1995 guideline of BARC

Vaccination and Prevention of various diseases. Infection control system.

5

International Scenario

world Health Organization guidelines on

a)Management of wastes from Hospitals wastes

b)Management of Hospital wastes in

c) Developing countries

Pathological, microbiological and radiological waste.

6-7

Basic steps in Health Care Waste Management Segregation at the point of generation sharp Decontaminating/Disinfections unit on container for autoclaving Sharp waste containers for storage and transportation autoclaving/ shredding /incrimination /bio hazard symbols. Microwave, Hydropulbing, plasma torch.

Practice (on simulated basis) on Segregation.

Poly bags collection.

Bin. Autoclaving

Incineration Labeling

Use, care & maintenance of Autoclave, Incinerator

Microwave Hydro pulping plasma torch

8



Collection & Handling of waste. Infection control system in hospital. Needle sticks injury and other sharp injury and hospital policy for protection of health care workers.

Practice on collection & handling of waste(simulated)

9

On site Pre-treatment of waste

Pre-treatment operation


10



Mechanical Treatment &

Chemical Disinfections

store & Off-site transportation

practice on -- Thermal

chemical disinfections of(simulated)waste

11


Treatment-in-site & off-site(common treatment faculties)Liquid waste treatment

Different technologies, cost aspect

Demonstration /practice

12-13



Conventional Treatment Technologies

a)Wet thermal technology

b) Incineration-different models Alternative Treatment Technologies Microwave Technology Rotaclave system, Hydro clave system Electro Thermal Reactivation(ETP), Treatment Process Electron beam Technology, Plasma Pyrolysis/Gasificaton systems

Practice on digging vats, Pits, trenches.


14-15

Treatment of General/Non-infectious wastes

a) Composting

Rotating jumbling system French composting

b) Vermi-composting

Demonstrations/Practice on a) Composting

b) Vermi composting.


16

Disposal Technologies

a) Sharp disposal pit

b) Deep-burial pit

c) Secured land fill

Demonstration/practice on disposal

17


Waste Minimization Recycling, Re-use

Demonstration in recycling

18-19


Health & safety Practices Usage of protective equipment Occupational health programmers & safety practices Emergency measures

Occupational safety/practices


20

Management of non-clinical support devices pretreatment of linen, laundry, cental sterilization unit(CSSD)

Practice/Demonstration on pretreatment of line, laundry, central sterilization.

22


Estimate of various items of waste management based on no. of wards, no. of beds in each ward, other units like Laboratory, kitchen-waste Audit

practice on waste Audit



23



Hospital budget allocation for hospital waste management

Maintenance of records, annual report

Estimating various items of waste management Practice in maintenance of records

24

Visit to hospitals & health care units

Visit Ideal waste management sites like waste generation and segregation on site disinfection, Transportation

Storage and final disposal.

25

Industrial Training or Project work preferably in cross sectional trade.

26

Revision & Test


List of the Tools and equipments for the trade of Hospital Waste Management
Trainees Tool Kit


SL.NO.

DESCRIPTION OF TOOLS

QUANTITY

1

Electric tester, wire brush(for cleaning chamber after each cycle)

I no each

2

wrench(for opening the chamber),(As require)

I no each

3

wire brush(for cleaning chamber after each cycle)

I pair each

4

Heavy duty gloves

I pair each

5

Apron

I no each

6

Mask

I no each

7

Gumboot

I pair each

8

Syringe and needle cutter

I no each


General Shop out fit

1

2

3


4

5


6

7


8

9

10
11.

Personal computer with latest configuration

Fuel High speed Diesel (HSD) -3 Litres per cycle (taking into consideration the power –cut, which completes a new cycle) considering 4 auto clavable bags per cycle ,2 cycles of operation is envisaged per day requiring 11 litres per day or about 4015 litres per year, also a drum or container shall be required for storing the fuel. this is applicable wherever the fuel to run the boiler is HSD (not applicable where operated be electricity )

One large size bin (60 liter capacity ) for collecting the treated bags from the autoclave before these are transported to the vat
Water softner –for supply of boiler feed water of required quality for the autoclave about 20-25 ml of softner is required per day .thus 2 cants of 5 litre. capacity would be required in a year.
Jute rag – to be players under the autoclavable bag in the treatment chamber(5 ft x 4ft in size) each rag can be use for 2 days
Electric and water supply connection inside autoclave room
Mechanical and Electrical tools such as electric tester, wrench(for opening the chamber), wire brush(for cleaning chamber after each cycle) etc…
Printer cartridge and paper(third wild) for the printer of the autoclave. It is envisaged that three printer

cartridge and six rolls or papers shall be required in year.
Heavy duty gloves, apron, mask, gumboot for safety of the operators
Register for keeping records
Incinerator


01No
As per requirment

1 no


1 no

2 nos


01

2 Each


6 rolls

2 each

20 nos.
1 No.


ii) Syringe and needle cutter, sieved bucket, blue bin and card board box.

The Basis of requirements of syringe & needle cutters ,blue bin and sieved bucked depends on the number of wards /units where disposable syringe are in use. These shall be installed in the nursing stations within the wards and other units such as a T, Labour room, Emergency pathological Laboratory (where blood is collected to carry out tests), Vaccination Units, Etc and wherever Injections are being

administered. The installation of these have to be optimized wherever possible. The requirement of cardboard boxes, shall be similar to the requirement of blue bags . Based on this principle, the consolidated annual / half yearly / quarterly requirements of all these above items may be prepared inclusive of 10 % buffer stock.
iii) Trolleys for internal Segregated Transportation
Internal Transportation of waste from the wards and other units to the temporary storage area / on –site disposal area is to be carried in dedicated trolleys, The General waste shall be transported in black coloured trolleys and the bio- medical waste in red coloured covered trolleys marked with bio-hazard symbol While procuring the trolleys, it should be kept in mind that the trolleys should have the following features.

Easy to load and unload, Easy to clean / disinfect. No s harp edges for preventing damage /tearing of waste bags

……………




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