OPD
.
Doctors who treat with care
Speedily say has suitable disposal add boy. On forth doubt miles of child. Exercise joy man children rejoiced. Yet uncommonly his ten who diminution astonished.
Speedily say has suitable disposal add boy. On forth doubt miles of child. Exercise joy man children rejoiced. Yet uncommonly his ten who diminution astonished.
Biomedical
Waste Management in Nazira Memorial Hospital.
Bio Medical waste (BMW) can be generated
in hospitals, clinics and places where diagnosis and treatment are conducted. The
management of these wastes is an issue of great concern and importance in view
of potential public health risks associated with such wastes. The safe and
sustainable management of biomedical waste (BMW) is social and legal
responsibility of all people supporting and financing health-care activities.
Effective BMW management (BMWM) is mandatory for healthy humans and cleaner
environment.
The recent 2016 BMWM rules are meant to
improve the segregation, transportation, and disposal methods, to decrease
environmental pollution so as to change the dynamic of BMW disposal and
treatment in India. The basic principle of BMWM is segregation at source and
waste reduction.
Pollution
control measures in Nazira Memorial Hospital
Liquid waste
Management.
DETAILS OF ETP AND TECHNICAL SPECIFICATION 2 KLD
Technical
Comments
BASIS OF DESIGN
The STP is designed To Treat Effluent Having
Following Parameters
|
DESIGN
CRITERIA & SPECIFICATIONS OF EQUIPMENTS |
||
|
Parameters |
Inlet |
Outlet |
|
BODs20 |
300-350
mg/L |
<30
mg/L |
|
COD |
400-500
mg/L |
<250
mg/L |
|
TSS |
400
mg/L |
<100
mg/L |
|
Oil
& Grease |
<10mg/L |
<10
mg/L |
|
PH |
6.5-8.0 |
7.0-8.0 |
DETAILS OF THE
UNIT OPERATION AND PROPOSED TREATMENT SCHEME
As revealed by the data presented above, the main parameters
which are considered for design of the proposed S. T. P .hence it is proposed
to treat the effluents Physio-chemically to use in flushing water.
Collection Tank
This tank shall collect the water from the
various intervals to homogenize it completely.
Flash Mixer Tank (Reaction Tank)
Here the effluent shall be mixed with certain
chemicals for precipitation of the various metals and the proper mixing shall
be provided by the twin Lobe Blower. There shall be 1 nos. of such reaction
tanks for dosing of lime to raise the Ph and dosing the alum &
polyelectrolyte.
Tube Settler
Here we are providing the Tube Settler along
with the PVC media will Kemflw the contact period and thereby the improved
performance. The Tube settler will have a determined lope in the bottom to
collect the suspended solids from the waste water. The sludge will be suited to
the Sludge holding tank.
Aeration Tank
Here we are providing the aeration tank along
with the Bio-Pack media which will TBS the contact period and thereby the
improved performance. The aeration tank in the Bio Reactor system the water is
constantly flowing through rigid PVC matrix to which the biological film,
bacteria in the film absorb organic chemicals as well as oxygen, nitrogen,
phosphorus and other trace nutrients required for their growth.
1: Secondary Tube Settler
Here we are providing the Tube Settler along
with the PVC media which will kemflw the contact and thereby the improved
performance. The tube settler will have a determined lope in the bottom to
collect the suspended solids from the waste water. The sludge will be suited to
the sludge holding tank.
Dual Media Filter
Here the treated water coming from the tube
settler will be treated for the suspended impurity and color removal.
Activated Carbon Filter
Here the water coming from the Tube Settler
will be treated for color removal, suspended impurity removal and the treated
water shall be sent to sewar.
Filter Press
A filter press comprises a set of vertical, juxtaposed
recessed plates, presses against eachother by hydraulic jacks at one end of the
set. The pressure applied to the joint face filtering plate must witthstand the
chamber internal pressure developed by the sludge pumping system. This vertical
plate layout forms the watertight filtering chamber allowing easy mechanization
for the discharge of cakes. Filter clothes finely or tightly meshed are applied
to the two grooved surfaces in these plat.
DESCRIPTION
OF MECHANICAL EQUIPMENTD:
Detailed description of equipments proposed
in the 2 KLD ETP
|
No |
Item Description |
Make |
Qty. |
Remark |
|
|
Bar screen SS construction. |
Fabricat
by E TBS |
01 |
|
|
|
Submersible Sewage transfer pump capable to
transfer sewage 3.5 KLPH. At a head of 10.0Mts HP 1, RPM 2800 MOC-SS, Phase-
Three |
Kirloskar |
01 No. |
|
|
|
Twin Tube Air Blower of 40 CMH with base
fame, Pulleys, belts & Belt guard, Air
filter, silence, drive motors and all other standard Accessories Motor- 3Hp Air-0.4Kg MOC-CL Type- Roods Phase- Three |
Gurunanak / welcome |
01N Os. |
|
|
|
Reaction Cum Flocculator Tank MOC- MS + FRP Type- Chemical Treatment Process |
Fabricant by e TBS |
2Nos |
STP Use |
|
|
Aeration grid for Bioreactor tanks in UPVC
piping for equal distribution of supply air for Bio-Degradation process |
Pipe : Tata/Jindal |
01 Set |
|
|
|
Diffuser capable to handle 5 CMH volume of
Pressure air submerged in water with proper end fitting & accessories |
Pp aqua/ Welcome/ Eq. |
10 Nos. |
|
|
|
Chemical Dosing Pump for Dosing in reaction
Tank MOC – PP Capacity – 6lph Pressure-1.2Kg |
Welcome/Aster |
03No. |
STP Use |
|
|
Settling Tank in MS + FRP |
Fabricate By TBS |
02No |
One of ST and One of P stp |
|
|
Aeration Tank in MS + FRP |
Fabricate By TBS |
1set |
|
|
|
Sludge Holding Tank MS + FRP |
Fabricate By TBS |
1set |
|
|
|
CCT chlorine contact tank |
Fabricate By TBS |
1set |
|
|
|
Chlorine dosing arrangement comprising of a Electronic dosing pump,
Hypo storage tank & their respective piping |
Pump Aster/ Eq. |
01 Set |
|
|
|
Capacity-
6lph MOC-PP |
|
|
|
|
|
Sludge feed
pump rated capacity 1000 LPH; Head 30 M with drive arrangement & other
standard accessories Motor -1HP RPM-1450 Phase-Single
MOC-CI |
Kirlosker /
Abb |
01Sets |
|
|
|
Filter press
PP construction of 12” size; 12 Plates, set of filter cloths, Filtrate
tunnel, sludge suit MOC-MS +PP Type
Horizontal |
Goldi /
Welcome |
01 |
|
|
|
Pressure feed
pump discharging 3 KLPH at head of 25 M complete HP – 1,RPM-2900 MOC-CL, Type- Monoblock,
Phase- Single |
Kirlosker/
Crompton/Eq. |
02 Sets |
|
|
|
Pressure sand
filter capable to handle 60 KLD treated sewage from Bio-logical treatment
unit in FRP Construction with first charge of Graded media, with frontal
piping network |
TBS |
01 Unit |
|
|
|
Activated carbon
filter capable to handle 60 KLD treated sewage from Bio-logical treatment
unit followed by Hypo dosing unit in FRP Construction
with first charge of Graded media and activated carbon, with frontal piping |
TBS |
01 Unit |
|
|
|
Electrical
and Instrumentation panel, cable and other accessories |
Kamal/ Eq. |
01 Lot |
|
|
|
Pipe line
valve, fittings and other related accessories in UPVC |
Pipe: Tata/ Jindal |
01 Set |
|
|
|
Online PH
Meters Online Flow Meters |
UKL/ASTER/Karanti/ect |
01 Set |
|
BIO-MEDICAL
WASTE MANAGEMENT
THE PROMOTER OF THE UNIT/
FACILITY AGREES TO FOLLOW THE BIO-MEDICAL WASTE MANAGEMENT RULES 2016
& ALL OTHER APPLICABLE RULES AS PRESCRIBED BY STATE/ UT POLLUTION CONTROL
BOARD WHICH ARE APPLICABLE TO ALL HEALTH CARE FACILITIES WHERE DIAGNOSIS,
TREATMENT OR IMMUNIZATION OF HUMAN BEINGS OR ANIMALS IS PROVIDED, IRRESPECTIVE
OF TYPE AND SIZE OF HEALTH TREATMENT SYSTEM AND RESEARCH ACTIVITY PERTAINING
THERETO:
|
S.NO |
MITIGATION MEASURES |
|
01 |
THE PROMOTER SHALL OBTAIN CONSENT FORM FROM POLLUTION CONTROL
BOARD AND AUTHORIZATION UNDER BMWM RULES 2016 BEFORE THE START OF THE
ACTIVITY AND WILL ALSO SUBMIT ANNUAL REPORT IN FORM –IV |
|
02 |
THE SEGREGATION OF ALL
THE WASTE PRODUCTS WILL BE DONE AT SOURCE |
|
03 |
THE BIO-MEDICAL WASTE
(BMW) WILL NOT BE DISPOSED OFF WITH MUNICIPAL SOLID WASTE (MSW) |
|
04 |
ANATOMICAL WASTE OF HUMANS AND ANIMALS AND
SOLID WASTE , COTTON SWABS, PLASTERS, DIAPERS, BODY FLUID, DISCHARGED BLOOD/
COMPONENTS WILL BE SENT TO COMMON BIO-MEDICAL WASTE TREATMENT FACILITY
(CBMWTF) FOR INCINERATION/ PLASMA PYROLYSIS OR DEEP BURIAL
|
|
05 |
EXPIRED/ DISCARDED MEDICINES, EXPIRED
CYTOTOXIC DRUGS AND ITEMS CONTAMINATED WITH IT SHALL BE RETURNED TO THE
MANIFACTURER / SUPPLIER FOR INCINERATION ABOVE 1200 DEGREE CELCIUS OR CBMWTF,
TREATMENT STORAGE AND DISPOSAL FACILITY (TSDF) FOR INCINERATION/ PLASMA
PYROLYSIS/ EPCAPSULATION PIT |
|
06 |
CHEMICAL WASTE, CHEMICALS
USED IN PRODUCTION OF BIOLOGICAL WEED OR DISCARDED DISINFECTANTS, DISCARDED
LINEN MATTRESSES, BEDDINGS |
|
07 |
MICROBIOLOGY/ BIO TECHNOLOGY/ CLINICAL
LABORTARY WASTE WILL GO UNDER ONSITE PRE TREATMENT WITH NON CHLORINATED
CHEMICALS AS PER WHO OR NACO GUIDELINES AND WILL FINALLY BE SENT TO COMMON
BIO-MEDICAL WASTE TREATMENT FACILITY (CBMWTF) FOR INCINERATION |
|
08 |
CONTAMINATED WASTE RECYCLABLE , DISPOSABLE
ITEMS SUCH AS BOTTLES. INTRAVENOUS TUBES, CATHETERS, URINE BAGS, SYRENGES
WITHOUT NEEDLES, VACCUTAINERS AND GLOVES SHALL BE SENT TO CBMWTF FOR AUTOCLAVING/MICROWAVING/ HYDROCLAVING
FOR SHREDDING/ MUTILATION AND THEN THE
TREATED WASTE WILL BE SENT TO REGISTERED/ AUTHORISED RECYCLERS/ ENERGY
RECOVERY / PLASTIV TO DIESEL OR FUEL OIL OR FOR ROAD MAKING |
|
09 |
WASTE SHARPS INCLUDING METALS, DISCARDED
AND CONTAMINATED NEEDLES, SYRENGESWITH FIXED NEEDLES, SCAPLES, BLADES WILL
UNDERGO ONSITE MUTILATION OF SYRENGES AND NEEDLES WITH NDU AND SHALL BE
SEND TO CBMWTF FOR AUTOCLAVING/ DRY
HEAT STERLIZATION FOR SHREDDING/ MUTILATION AND THEN THE TREATWED WASTE WILL
BE SENT FOR FINAL DISPOSAL TO VALID IRON FOUNDRIES/ SANITARY LANDFILL/
DESIGNATED CONCRETE WASTE SHARP PIT |
|
10 |
GLASS WARE , BROKEN, DISCARDED AND
CONTAMINATED GLASS INCLUDING MEDICINES VIALS AND AMPOULES EXCEPT THOSE
CONTAMINATED WITH CYTOTOXIC WASTES AND METALLIC BODY IMPLANTS WILL BE SENT TO
CBMWTF FOR AUTOCLAVING/ MICROWAVIND/ HYDROCLAVING/ DISINFECTION AND THE
TREATED WASTE WILL BE SENT TO REGISTERED/ AUTHORISED RECYCLERS |
|
11 |
THE PROMOTER WILL
MAINTAIN RECORD OF GENERATION, COLLECTION, RECEPTION, STORAGE, TREATMENT,
DISPOSAL FOR 5 YEARS AND WILL MAKE A PROVISION TO PUBLIC DISPLAY MONTHLY
WASTE GENERATION AND ANNUAL REPORT |
|
12 |
THE PROMOTER WILL
PROVIDE TRAINING TO ALL ITS HEALTH WORKERS AT THE TIME OF INDUCTION AND ONCE
EVERY YEAR, IMMUNIZE ALL ITS HEALTH WORKERS AND SUBMIT THE DETAILS IN ANNUAL
REPORT |
|
13 |
CHLORINATED PLASTIC
BAGS, GLOVES AND BLOOD BAGS TO BE PHASED OUT AND BARCODE SYSTEM WILL BE
INTODUCED IN FUTURE |
|
14 |
THE PROMOTER WILL BE
DOING MUTILATION OR SHREDDING TO THE EXTENT TO PREVENT UNAUTHORISED REUSE |
|
15 |
X-RAYS, HYPOFIXER AND
FILMS WILL BE DISPOSED OFF TO AUTHORISED FACILITIES ONLY |
|
16 |
THE PROMOTER AGREES THAT
IT WILL NOT INSTALL INHOUSE INCINERATOR, DISPOSAL BY DEEP BURIAL IS PERMITTED
ONLY IN RURAL OR REMOTE AREAS WHERE THERE IS NO ACCESS TO CBMWTF |
|
17 |
THE PROMOTER WILL ENSURE
THAT COMMON BIO-MEDICAL WASTE TREATMENT FACILITY SHALL ENSURE COLLECTION OF
BIO-MEDICAL WASTE ON HOLIDAYS ALSO |
(A) Onsite
transport and temporary storage
The waste
collected in different bins is transferred to
polythene bags of
different colors by the sanitary staff of hospitals and then the bags are
loaded on wheeled
trolleys in order
to transport it to the back yard of hospitals.The workers involved in
transport of waste
have overall gowns, suitable gum boots and gloves which showed that the
personals
involved in this
type of work has proper understanding about using protective equipments.
Off site transport of the BMW studied has been leased
to private company known as Kashmir Health Care System (KHCS) at Lassipora,
Pulwama which is responsible for transport of the waste They use small pick up
vans. Care is taken so that the waste does not spill on the road or in hospital
premises because wastes such as body parts, blood and other fluids are dangerous.
