Going Green: A Manual of Waste Management for the Dental Practitioner Uma Raman, Vidyaa Hari Iyer
INDEX
A
Accident reporting 87
AIDS and hepatitis 60
Anatomical wastes (human tissue) 32
B
Biohazard—handle with care 15
Biomedical waste 5, 55, 93
cardinal principles 56
categories 76
classification 63
dental clinic waste 55
health hazards 55
objectives 55
risk 55
safe methods 56
training programs 56
Biomedical waste management and handling rules 1998 3
Blood soaked materials 31
C
Case study 40
environmental management system 40
pilot study 40
sample collection 40
study results 42
Central legislations 3
Chemical for sterilization 34
Chemical treatment 68
Color-coding system 11
Colour-coded bags 14
Cytotoxic waste 93
D
Deep burial 82
Dental and biomedical wastes 1
Dental unit wastewater 60
Department of environment 88
Development of a waste management plan 49
Disinfection 93
infectious waste before disposal 13
Disposal 93, 66
hospital waste 67
options 23
E
Elemental mercury 24
Encapsulation 21, 93
H
Hazardous waste 5, 6, 93
Health hazards 7
chemical and pharmaceutical waste 8
infectious waste and sharps 7
Hospital dental waste - management 48
Hospital engineer 52
I
Incineration 93
Inertisation 93
Infectious wastes 5, 6, 93
L
Label for biomedical waste containers 15
Land filling in municipal disposal sites 18
Leachate 93
Lead aprons 29
Lead foil packets 29
M
Matron and hospital manager 51
Mercury spill 57
Microwaving 82
N
Needle stick injury 61
Non-anatomical wastes 31, 32
O
Office engineering 58
Offsite 93
P
Plastic waste 62
Pollution prevention 2
Pretreatment 93
R
Ragas Dental College Waste Management Programme 45
Recyclable waste 63, 64
Recycle 94
S
Safe burying 19
Sanitary landfill 94
Scavenging 94
Scrap amalgam 24, 25
Segregation 94
Sharps 94
Shredding 94
Smelting 94
Spent fixer chemistry program 62
Spent X-ray fixer 27
Spore testing 81
Standards of liquid waste 81
Storage 16
Supply officer 51
T
The Gazette of India 71, 90
accident reporting 75
advisory committee 74
annual report 74
appeal 75
application 71
authorization 74
definition 71
duty occupier 72
maintenance of records 75
prescribed authority 73
segregation packaging transportation and storage 73
short title 71
treatment and disposal 72
Training of waste handlers 52
Transportation 16
Treatment 94
Types of infection waste 14
U
Undeveloped film 28
V
Validation test 81
W
Waste Handling and Management Rules 10
Waste management officer 49
Waste management protocol 36
amend the plan as required 39
monitor performances and review 39
train staff 38
waste audit 36, 37
waste management plan 37
Waste management team 65
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Chapter Notes

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Introduction1

Dental Hospitals and Clinics generate a number of infectious and hazardous wastes that can be—if not properly managed—detrimental to the public and health care worker alike.
It is the purpose of this manual to provide dental practitioners and all members of the Oral Health Care team with information on how to properly manage infectious and hazardous wastes in order to minimize the release of toxic substances to the environment.
We encourage all members of the dental team to become familiar with the best management practices outlined in this manual. Know the facts about waste management and your responsibilities for ensuring proper handling of hazardous wastes in your office.
Individual dental offices and hospitals alike can make a difference.