GMCH Nursing Officer-2025
Applied Microbiology & Infection control
Hard

Which of the following combinations best meets the WHO criteria for a safe sharp's container in a high-risk infectious disease ward?

Appeared in: GMCH Nursing Officer-2025

Explanation

  • This option correctly identifies the three most critical safety features for a sharps container as per WHO and national guidelines.
  • A puncture-resistant design is essential to prevent needlestick injuries, which are a primary route of occupational exposure to bloodborne pathogens.
  • A leak-proof container is necessary to contain any residual blood or body fluids, preventing contamination of surfaces and personnel.
  • The universal biohazard symbol provides a clear, non-verbal warning about the dangerous nature of the contents, ensuring proper handling and disposal.

Why Other Options Were Wrong

  • Option A: Sharps containers are typically translucent, not fully transparent, to allow monitoring of the fill level without compromising structural integrity. A foot-operated lid is a feature of general waste bins, not a core requirement for the sharps container itself.
  • Option B: Sharps containers are color-coded for easy identification (e.g., white/translucent in India), not colorless. 'Autoclavable' describes a sterilization process for the waste, not a primary design feature of the point-of-use container.
  • Option D: The location is critically wrong. Placing a sharps container far from the point of use (like a pharmacy) dramatically increases the risk of injury, as it requires carrying a contaminated sharp across a distance. The WHO mandates disposal at the point of use.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Infographic - A chart showing the different color-coded bins for biomedical waste (Yellow, Red, White, Blue) with examples of waste for each. This helps reinforce the segregation rules.
  • Visual 2: Image - A correctly assembled sharps container, highlighting the key features: puncture-proof material, a clear biohazard label, and a visible fill line indicating it should not be filled beyond three-quarters full.
Clinical Relevance
  • Nursing practice connection: Knowing WHO and national guidelines for safe disposal of biomedical sharps waste helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • Proper sharps disposal is a cornerstone of infection control, directly preventing needlestick injuries and the transmission of bloodborne pathogens like HIV, Hepatitis B, and Hepatitis C to healthcare workers.
  • Nurses are primarily responsible for ensuring sharps are disposed of correctly and immediately at the point of care. This includes activating safety features on needles and placing the entire sharp in the correct container without recapping.
  • What if a sharps container is filled beyond the recommended three-quarters full line? This creates a major hazard. It becomes difficult to place more sharps inside without forcing them, increasing the risk of a sharp protruding from the opening or causing a needlestick injury during handling or transport. The nurse's responsibility is to remove the full container from use and replace it with an empty one.
How to Approach the Question
  • First, identify the key concepts in the question: 'WHO criteria', 'safe sharp's container', and 'high-risk'. This tells you the answer must align with international safety standards for infectious waste.
  • Evaluate each option against the primary goal of a sharps container: preventing injury and contamination.
  • Analyze Option A: 'Puncture-resistant' is good, but 'transparent' is not standard, and 'foot-operated' is not a core container requirement.
  • Analyze Option B: 'Rigid' is good, but 'colorless' is incorrect (they are color-coded), and 'autoclavable' is a disposal method, not a container feature for collection.
  • Analyze Option D: The location 'near pharmacy' is a major safety violation. Sharps must be disposed of at the point of use. This makes the option immediately incorrect.
  • Analyze Option C: 'Leak-proof', 'puncture-resistant', and 'labeled with biohazard symbol' are all fundamental, non-negotiable safety requirements for any sharps container. This combination represents the most accurate and complete answer.
Concept Tested & Keywords
  • Concept Tested: WHO and national guidelines for safe disposal of biomedical sharps waste.
  • Stem keywords: WHO criteria, safe sharp's container, high-risk infectious disease ward
  • Lead-in keywords: best meets
  • Clinical cues: The phrase 'high-risk infectious disease ward' emphasizes the critical need for strict adherence to safety protocols to prevent transmission of pathogens.

Question ID

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