DSSSB 6 September 2024
Nursing Foundation
Easy
All items contaminated with cytotoxic drugs should be discarded in which of the following?
Appeared in: DSSSB 6 September 2024
Explanation
- According to the Bio-Medical Waste (Management and Handling) Rules, 2016, all cytotoxic waste must be segregated into yellow-colored containers.
- This category includes expired or discarded cytotoxic drugs and any items contaminated with them, such as vials, ampoules, IV sets, and personal protective equipment (PPE).
- The yellow color code signifies highly hazardous waste that requires special handling and disposal, typically through incineration at temperatures above 1200°C, to neutralize its toxic properties.
Why Other Options Were Wrong
- Option A: The red bin is designated for contaminated but recyclable plastic waste. Cytotoxic waste is highly toxic and is never recycled.
- Option C: The black bin is used for general, non-infectious municipal waste. Disposing of cytotoxic waste in a black bin would lead to severe environmental contamination and pose a significant public health risk.
- Option D: The blue bin is for glassware and metallic implants. However, the guidelines explicitly state it is for vials and ampoules except those contaminated with cytotoxic drugs.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Biomedical Waste Management (BMW) and disposal of cytotoxic drugs as background academic context rather than a clinical decision trigger.
- Proper segregation of cytotoxic waste is a critical safety measure to prevent accidental exposure of healthcare workers, sanitation staff, and the public to highly toxic substances.
- Adherence to BMW guidelines is a legal requirement for all healthcare facilities in India, and non-compliance can result in significant penalties and public health crises.
- What if? If a nurse accidentally discards a cytotoxic drug vial in the blue bin, it creates a major safety hazard. Waste handlers processing blue bin contents for recycling may not use the high-level precautions required for cytotoxic agents, leading to potential exposure and injury.
How to Approach the Question
- First, identify the key term in the question: 'cytotoxic drugs'. This indicates the waste is highly hazardous.
- This is a knowledge-based question requiring recall of the Bio-Medical Waste (BMW) Management guidelines.
- Access your memory of the color-coding system for waste segregation in healthcare settings.
- Match 'cytotoxic drugs' to the correct color. Yellow is for highly hazardous waste, including chemical and cytotoxic waste. Red is for recyclable plastics. Blue is for non-cytotoxic glass. Black is for general waste.
- Select the option corresponding to the correct color code, which is yellow.
Concept Tested & Keywords
- Concept Tested: Biomedical Waste Management (BMW) and disposal of cytotoxic drugs.
- Stem keywords: contaminated, cytotoxic drugs, discarded
- Lead-in keywords: which of the following
- Negative lead-in flag: false
Question ID
QSuaMrGsdHE83KLCOzBkP
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 109-111
E6 Nursing Fundamentals Taylor p. 180-182
Practise the full DSSSB 6 September 2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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