NORCET 2 -2021 (Shift-2)
Applied Microbiology & Infection control
Easy

Which technique used for biomedical waste management is not appropriate?

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

  • Bending or recapping used needles is strictly prohibited in healthcare settings as a primary infection control measure.
  • This practice significantly increases the risk of accidental percutaneous (needlestick) injuries to healthcare workers.
  • Needlestick injuries are a major occupational hazard and a primary route for the transmission of serious blood-borne pathogens, including Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), and Human Immunodeficiency Virus (HIV).
  • The universally accepted safe procedure is to immediately dispose of the entire needle and syringe unit into a designated, puncture-proof sharps container after use, without any manipulation.

Why Other Options Were Wrong

  • Option B: This is a correct and appropriate procedure. According to biomedical waste management guidelines, discarded glassware, including medicine vials and ampoules, should be segregated into a blue-colored cardboard box or container for disinfection and recycling.
  • Option C: This is a correct and appropriate procedure. The yellow-colored bag is designated for infectious waste, which includes items contaminated with blood and body fluids like soiled dressings, cotton swabs, and human anatomical waste.
  • Option D: This is a correct and appropriate procedure. The red-colored bag is used for contaminated but recyclable waste, such as plastic items like IV tubes, catheters, gloves, and syringes without the needle.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Infographic: A chart illustrating the color-coding system for biomedical waste segregation (Yellow, Red, Blue, White/Translucent) with clear examples for each category.
  • Visual 2: Diagram: A 'Do and Don't' visual guide for sharps safety, showing the incorrect action of recapping a needle versus the correct action of disposing it directly into a sharps container.
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Biomedical waste management and prevention of needlestick injuries as background academic context rather than a clinical decision trigger.
  • Adherence to proper biomedical waste management protocols is a fundamental nursing responsibility to prevent healthcare-associated infections (HAIs) and protect oneself, colleagues, patients, and the community.
  • A needlestick injury is a serious reportable event requiring immediate first aid (washing the area with soap and water), prompt reporting to the occupational health department, and evaluation for post-exposure prophylaxis (PEP), which can be physically and emotionally taxing.
  • What if a sharps container is not immediately available? The nurse should not recap the needle. The needle should be kept in a safe position (e.g., in a kidney tray) away from the patient and others until a sharps container can be brought to the location. Never leave a used sharp unattended.
How to Approach the Question
  • First, identify the negative framing of the question ('not appropriate'). This signals that you are looking for the unsafe or incorrect action among the options.
  • Read all four options, which describe different waste disposal techniques.
  • Systematically evaluate each option against your knowledge of standard infection control and biomedical waste management (BMW) guidelines.
  • Recall the standard color-coding system for BMW: Yellow for infectious waste, Red for contaminated plastics, and Blue for glassware.
  • Confirm that options B, C, and D describe correct segregation practices according to these guidelines.
  • Recognize that needle recapping is a universally prohibited practice due to the high risk of injury. This identifies it as the 'not appropriate' technique and, therefore, the correct answer to the question.
Concept Tested & Keywords
  • Concept Tested: Biomedical waste management and prevention of needlestick injuries.
  • Stem keywords: biomedical waste management, technique, not appropriate
  • Lead-in keywords: not
  • Negative lead-in flag: The question asks for the inappropriate action, meaning three options will be correct procedures.

Question ID

Q_Zhgnm0Aac1r0R7BgtlYN

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