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 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
Practise the full NORCET 2 -2021 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.