Haryana CHO - 2022
Applied Microbiology & Infection control
Easy

According to Biomedical Waste (BMW) management principles, in which bag are expired medicines disposed of?

Appeared in: Haryana CHO - 2022

Explanation

  • Expired and discarded medicines are categorized as pharmaceutical waste under the Bio-Medical Waste (BMW) Management Rules, 2016.
  • This category of waste must be segregated at the point of generation into yellow-colored, non-chlorinated plastic bags or containers.
  • The designated final treatment for this waste is incineration or plasma pyrolysis to ensure complete and safe destruction, preventing environmental contamination.

Why Other Options Were Wrong

  • Option B: Black bags are used for general, non-biohazardous waste, such as administrative waste, kitchen waste, and packaging. Expired medicines are considered hazardous chemical waste.
  • Option C: Red bags are designated for contaminated recyclable waste, primarily plastics like IV tubing, catheters, syringes without needles, and gloves.
  • Option D: White (or translucent) containers are specifically designed to be puncture-proof and are used exclusively for the disposal of sharps waste, such as needles, scalpels, and blades.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Biomedical Waste (BMW) Management Color Coding as background academic context rather than a clinical decision trigger.
  • Proper segregation of biomedical waste at the point of generation is a critical nursing responsibility to prevent the spread of infections to healthcare workers, patients, and the community.
  • Incorrect disposal of pharmaceutical waste, especially antibiotics and cytotoxic drugs, can lead to environmental contamination, the development of drug-resistant microorganisms, and pose serious public health risks.
  • What if? If a cytotoxic (anti-cancer) drug is accidentally disposed of in a red bag, it would not undergo the required high-temperature incineration (above 1200°C). This could lead to the release of highly toxic compounds into the environment if improper recycling is attempted.
How to Approach the Question
  • First, identify the core of the question, which is about the disposal of a specific type of biomedical waste: 'expired medicines'.
  • Recognize this as a factual recall question based on established national guidelines (Bio-Medical Waste Management Rules).
  • Mentally access the color-coding system for BMW.
  • Recall that chemical and pharmaceutical wastes are designated for incineration and are collected in yellow bags.
  • Eliminate the other options by recalling their specific uses: Red for recyclable contaminated plastics, White for sharps, and Black for general, non-hazardous waste.
Concept Tested & Keywords
  • Concept Tested: Biomedical Waste (BMW) Management Color Coding
  • Stem keywords: Biomedical Waste, BMW management, expired medicines, disposed
  • Lead-in keywords: in which bag
  • Negative lead-in flag: false

Question ID

Q0hnXhSr4tuo9zNjOwl7tr

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 109-111

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 194-196

Practise the full Haryana CHO - 2022

Attempt every question from this paper in a timed mock, then review the full solution for each one.