Hariyana-CHO-2021
Applied Microbiology & Infection control (E5)
Medium

Which of the following is not to be discarded in yellow BMW bin?

Appeared in: Hariyana-CHO-2021

Explanation

  • Used gloves that are not visibly contaminated with blood or body fluids are classified as 'Contaminated Waste (Recyclable)'.
  • According to the Bio-Medical Waste Management Rules, 2016, recyclable contaminated waste, including gloves, must be segregated into red-colored non-chlorinated plastic bags or containers.
  • These items are then treated through methods like autoclaving or microwaving, followed by shredding, and sent to authorized recyclers.
  • Since they are designated for the red bin, they are not to be discarded in the yellow bin.

Why Other Options Were Wrong

  • Option A: Masks are considered Personal Protective Equipment (PPE). Guidelines mandate that routine masks used in healthcare settings be discarded in the yellow bin as potentially infectious waste.
  • Option B: Like masks, caps are part of PPE used to maintain hygiene and prevent contamination. They are disposed of in the yellow bin along with other potentially infectious PPE.
  • Option C: Shoe covers fall under the category of PPE. After use in a patient area, they are considered potentially contaminated and must be discarded in the yellow bin for incineration.

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 waste segregation is a fundamental nursing responsibility critical for infection control, preventing the spread of diseases to healthcare workers, patients, and the community.
  • Incorrect segregation increases the risk of injuries (e.g., sharps in the wrong bag), environmental pollution, and raises waste management costs, as infectious waste treatment is more expensive than general or recyclable waste processing.
  • What if the gloves were visibly stained with blood? In that case, they would be classified as 'Soiled Waste'. The presence of blood would require them to be discarded in the yellow bin for incineration, not the red bin for recycling.
How to Approach the Question
  • First, identify the negative keyword 'not'. This tells you that three of the options are correct for the yellow bin, and one is incorrect.
  • Recall the purpose of the yellow bin in biomedical waste management: it is for infectious waste, soiled items, anatomical waste, and certain PPE, all destined for incineration.
  • Evaluate each option against this rule. Ask yourself, 'Does this item belong in the yellow bin?'
  • Masks, caps, and shoe covers are all PPE and are considered potentially infectious, so they go in the yellow bin.
  • Consider the gloves. Gloves are plastic and recyclable. If not soiled with blood, they belong to the recyclable category (red bin).
  • The item that does not belong in the yellow bin is the correct answer.
Concept Tested & Keywords
  • Concept Tested: Biomedical Waste (BMW) Management Color Coding
  • Stem keywords: yellow BMW bin, discarded
  • Lead-in keywords: not
  • Negative lead-in flag: The question uses the word 'not', which means you must identify the item that does NOT belong in the yellow bin.

Question ID

QWHkYjzDXpPfpliQg2ywRG

Reference Book

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

E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart B (pp 233-449 of 464) p. 110-112

Practise the full Hariyana-CHO-2021

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