NHM UP Staff Nurse-2023 Shift-2nd
Applied Microbiology & Infection control
Easy

Scalpels, suture needles, and blades are segregated into which color bag?

Appeared in: NHM UP Staff Nurse-2023 Shift-2nd

Explanation

  • The items listed—scalpels, suture needles, and blades—are all classified as 'waste sharps' because they can cause punctures or cuts.
  • According to the Bio-Medical Waste (BMW) Management Rules, 2016, waste sharps pose a high risk of injury and infection transmission (e.g., HIV, HBV).
  • To mitigate this risk, these items must be segregated at the point of generation into designated containers that are puncture-proof, leak-proof, and tamper-proof.
  • The specific color code for containers holding waste sharps is white (translucent).

Why Other Options Were Wrong

  • Option A: Yellow bags are designated for waste that requires incineration or deep burial, not for sharps. Placing sharps in a plastic bag would lead to punctures and risk of injury.
  • Option B: Red bags are for contaminated waste that is recyclable after disinfection. Sharps are not typically recycled in this manner and would perforate the bag, posing a significant risk.
  • Option D: Blue bags or cardboard boxes are intended for non-sharp items like glassware and metallic implants. While sharps are metal, their primary hazard is their ability to puncture, which dictates their placement in a puncture-proof container, not a cardboard box.

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 Management as background academic context rather than a clinical decision trigger.
  • Strict adherence to biomedical waste segregation is a fundamental nursing responsibility for infection control and occupational safety. It prevents the transmission of blood-borne pathogens like HIV, Hepatitis B, and Hepatitis C to healthcare workers and the community.
  • Improper segregation can lead to significant legal penalties for the healthcare facility under the Bio-Medical Waste Management Rules.
  • What if? - If a nurse accidentally disposes of a needle in a red bag, they must not attempt to retrieve it. They should immediately label the bag as containing sharps, seal it, and report the incident to the infection control officer or supervisor to ensure it is handled as sharp waste and not sent for recycling.
How to Approach the Question
  • First, identify the key items in the question: 'scalpels, suture needles, and blades'.
  • Recognize that all these items belong to the category of 'sharps' – objects that can cause cuts or punctures.
  • Recall the core principle of sharps disposal: to prevent injury, they must be placed in a container that cannot be punctured.
  • Access your knowledge of the Bio-Medical Waste Management color-coding system.
  • Match the waste type ('sharps') with its designated container type (puncture-proof) and color (white).
  • Systematically eliminate the other options by recalling the types of waste designated for yellow (anatomical/soiled), red (recyclable plastics), and blue (glassware) containers.
Concept Tested & Keywords
  • Concept Tested: Biomedical Waste Management
  • Stem keywords: Scalpels, suture needles, blades, segregated
  • Lead-in keywords: which color bag
  • Negative lead-in flag: false

Question ID

q_p4vX1KijEIWSi1pykKw

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

E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 191-193

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