Biomedical Waste Management Rules Research Articles

Survey of Biomedical Waste Management

Biomedical waste management is an integral part of traditional and contemporary system of health care. We focuses on the identification and classification of Biomedical waste in Hospitals, Clinics, Pharmacy, Pathology Lab it’s management and it’s future prospective. The constituents of this type of waste are various and hazardous. Biomedical Waste Management Rules, 2016 (BMWM Rules, 2016) Specify that every healthcare facility shall take all necessary steps to ensure that BMW is handled without any adverse effect on human and environmental health. Then used colour coding and type of containers and labels for BMW containers or bags which should be non-washable and visible. We aware in hospital, Pharmacy, pathology lab, to insect incineration process and used it. Because the incineration process safe and reduce the pollution

Sustainable Management of Bio Medical Waste in Chennai: A case study

The aim of the current research article is to study various treatment techniques involved in the management of bio medical waste and select the most appropriate treatment method in terms of cost savings, energy recovery and waste volume reduction in a sustainable manner. Most of the HCF (Health Care Facilities) lacks the provision for on-site waste treatment facility. One of the major reasons might be the fear of high pollutant emission levels from multiple machines or equipment used in the treatment process. At times, it could be due to lack of sufficient space within the clinical premises. To overcome this situation, a minor amendment has to be introduced in the bio medical waste management rules 2016, which includes providing a suitable area necessary for medical waste treatment within the premises, during the construction stage itself. Further, the identification of appropriate treatment techniques based on the type of waste generated is also important. Even a primary HCF too should be equipped with the requisite treatment facilities, considering the emission levels to be within the standards. This sort of installing an on-site waste treatment facility will reduce the amount spent upon external agencies for disposal and treatment of the medical waste. Then, the leftover residue is securely landfilled in the dedicated site or even be liable to mix with the municipal solid garbage. The current study concludes that the implementation of one of the treatment techniques in a specific hospital helps in energy recovery, huge reduction in the volume of waste generation and avoids illegal dumping of the waste, thereby creating less impact on the surrounding environment.

Assessment of Biomedical Waste Management Practices and Paramedical Staff Knowledge and Attitude at Healthcare Facilities in Lahore, Pakistan

Healthcare waste refers different natures of wastes, biological, and non-biological which are useless& do not desired to re-use again. Healthcare (Biomedical) waste can be defined that all waste generates from healthcare settings. Objective: To analyze the awareness, attitudes & Para medical’s work practically related to the management of BMW at Public, Private, DHQ and THQ Hospitals, RHC and BHU of Lahore, Punjab. Methods: The methodology was cross-sectional and consisted on the data (survey based) and talk to the heads of the Institutions, persons concerned with waste (handling and transportation). The data about medical waste management were taken from ten HCFs. Results: The results showed that <50% has knowledge about categories, color coding and different wastes that are not included in Biomedical Waste Management Rules, 2016. Attitude shows good results. >50% has faulty practice regarding bio medical waste. The findings about the awareness & practice about the management of waste among Intern Nurses and sanitary workers were poor, periodic training and their evaluation is mandatory for better outcome. Total percentage of the knowledge items was 57%. The attitude percentage was 44%. The overall level of practice was considered unsafe because only 9.4% respondent who practice always during waste management. Conclusions: Research revealed the improper practices, irregularities, and shortcomings in the overall system of the WM. The study found inconsistencies during waste management in hospitals are generally because of low amount of financial resources, poor awareness & trainings at the administrative level.

Study on needle stick injury in a tertiary-level government teaching hospital

Background and Objective: A safe injection does not harm the recipient, nor does it expose the provider of injection at risk and, does not result in the generation of hazardous waste. The study was performed with the aim to assess the knowledge, attitude and practice (KAP) about needle stick injury (NSI) with respect to biomedical waste management rules 2016 among staff of a government tertiary care teaching hospital. Methodology: It was a cross-sectional descriptive study conducted in the clinical care areas of a tertiary care government teaching hospital. The study was conducted from June 2019 to June 2020. Institutional ethics committee approval was attained before taking up the study. A study sample of 407 was calculated by applying the population proportion to size formula to each stratum and was drawn among the resident (academic) doctor, staff nurse, paramedical staff and housekeeping staff of the institute. The results were analysed statistically. Results: Out of 407 study participants, 91 (22.4%) were resident (academic) doctors, 122 (30%) were staff nurses, 23 (5.7%) were paramedical staff and 171 (42%) were housekeeping staff, respectively. Regarding the knowledge aspect, most of the study participants were unaware of the safe injection practices such as not to recap the needle and to use a needle cutter to discard the used needle immediately and NSI. The overall KAP mean score of the study participants was 0.43 out of 1, 2.7 out of 3 and 0.73 out of 1, respectively. Conclusion: The attitude and practice aspect concerning the approach to NSI was found to be better for the housekeeping staff and nursing officers when compared with the resident doctors.

Knowledge, Attitude, And Practices of Biomedical Waste Management(Principle) Rules 2016; Biomedical Waste Management (Amendment) Rules 2018 Among Health Care Workers in A Teaching Hospital: A Critical Appraisal On the Current State and Way Ahead

Hospital-generated waste materials commonly labeled as 'Biomedical waste (BMW) is a kind of remnant that includesinfectious and non-infectious materials, and their appropriate disposals are controlled per the guidelines of Biomedical wastemanagement (BMWM) Amendment Rules, 2018, Government of India. Periodic assessment on BMWM among health care workers(HCW) is mandated to ensure quality assurance which may be helpful during pandemic times. The study was conducted with ethicalclearance using a validated questionnaire (using Cronbach's α) covering Knowledge, Attitude, and Practices (KAP) derived based onrecent Biomedical waste management 2018 guidelines. The study conductors checked the responses in context to KAP; appropriatestatistical analysis was done and discussed at the end of each session. Nearly 279 HCWs participated in the study and cast theirresponses. Knowledge and attitude domain on BMWM showed statistical significance, and varied responses were observed withpractices among the participants. The present study proves novelty by extensively analyzing KAP among healthcare workers onbiomedical waste management in general, with particular emphasis on laboratory biosafety norms. The study emphasizes thatBMWM should be a continuous process, and all HCWs handling BMW must undergo regular training and assessment withquestionnaire surveys. Multi-tasking and cumulative efforts must be formulated to attain translational synergy in the stream of KAPof BMWM, which could be attained by incorporating BMWM in the health science curriculum.

Biomedical Waste Management and Its Importance: A Systematic Review.

The waste generated in various hospitals and healthcare facilities, including the waste of industries, can be grouped under biomedical waste (BMW). The constituents of this type of waste are various infectious and hazardous materials. This waste is then identified, segregated, and treated scientifically. There is an inevitable need for healthcare professionals to have adequate knowledge and a proper attitude towards BMW and its management. BMW generated can either be solid or liquid waste comprising infectious or potentially infectious materials, such as medical, research, or laboratory waste. There is a high possibility that inappropriate management of BMW can cause infections to healthcare workers, the patients visiting the facilities, and the surrounding environment and community. BMW can also be classified into general, pathological, radioactive, chemical, infectious, sharps, pharmaceuticals, or pressurized wastes. India has well-established rules for the proper handling and management of BMW.Biomedical Waste Management Rules, 2016 (BMWM Rules, 2016) specify that every healthcare facility shall take all necessary steps to ensure that BMW is handled without any adverse effect on human and environmental health. This document contains six schedules, including the category of BMW, the color coding and type of containers, and labels for BMW containers or bags, which should be non-washable and visible. A label for the transportation of BMW containers, the standard for treatment and disposal, and the schedule for waste treatment facilities such as incinerators and autoclaves are included in the schedule. The new rules established in India are meant to improve the segregation, transportation, disposal methods, and treatment of BMW. This proper management is intended to decrease environmental pollution because, if not managed properly, BMW can cause air, water, and land pollution. Collective teamwork with committed government support in finance and infrastructure development is a very important requirement for the effective disposal of BMW. Devoted healthcare workers and facilities are also significant. Further, the proper and continuous monitoring of BMW is a vital necessity. Therefore, developing environmentally friendly methods and the right plan and protocols for the disposal of BMW is very important to achieve a goal of a green and clean environment. The aim of this review article is to provide systematic evidence-based information along with a comprehensive study of BMW in an organized manner.

Knowledge, Perceptions and Practices Regarding Household Biomedical Waste in an Urban Area of Metropolitan City

Background and Aim Biomedical waste generated annually in hospitals is around three million tonnes which is expected to grow by eight percent every year. Household biomedical waste which contributes to about 0.5 of the medical wastes can be a potential source of infection. This study was aimed to assess the knowledge perceptions and practices regarding household biomedical waste.Method A cross-sectional study was carried out including the households in the field practice area of a medical college from June to August 2017. A pretested semi-structured questionnaire was used to assess the knowledge perceptions and practices regarding biomedical waste generated at home.Results Among 450 households included in the study only 75 16.6 demonstrated adequate knowledge regarding household biomedical waste. Among them only 15 20 segregated the household biomedical waste. However the final disposal was done into the municipality binvan.Conclusion Regulatory bodies should consider household biomedical waste as hazardous waste and regulations for its disposal should be taken account into the biomedical waste management rules. Stakeholders have a major role in providing options for safe management making safe disposal a reality.nbsp

Biomedical Waste Management among Primary Health Care Workers, Bauchi Local Government Area, Bauchi State, NIGERIA

Biomedical waste management is a serious issue to health and environment that must be addressed at primary health care level, especially in Bauchi local government area of Bauchi state. The objectives of this study were to assess on the knowledge, methods and problems of biomedical waste management among the primary health care workers in some selected Health Care Centers of Bauchi L.G.A. of Bauchi state. A cross sectional study was employed and sampling techniques were used to distribute a questionnaire and interview among the health workers at twenty (20) selected primary health centers with (200) sample respondents from public and private health care centers. The result from the current study shows that the knowledge of biomedical waste management awareness among the workers was represented (94%), and only (6%) were not aware. The majority of PHC workers practiced open dumping and burning method (74%), incineration (7%), chemical treatment and only 1% for autoclave methods. while, microwaving (0%), encapsulation (0%) and sanitary landfill methods (0%) were not practiced. The problems of biomedical waste management included improper planning (33%), insufficient funds (25%), lack of material (19%) and (15%) lack of staffs training. There was improper segregation, lack of planning, lack of funds and practiced open dumping and burning, which is against the biomedical Waste (Management and Handling) Rules of 2016. There was improper biomedical waste management at primary health care level in Bauchi local government of Bauchi state. Thus, the Bauchi government should give more consideration towards good plan, allocation resources, set a committee of adequate supervision, monitoring and evaluation for the sustainable biomedical waste management at Bauchi local government of Bauchi state.
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EXISTING KNOWLEDGE, AWARENESS AND PRACTICES REGARDING BIOMEDICAL WASTE MANAGEMENT AMONG HEALTH CARE WORKERS WITH ITS EFFECT AT RANI DURGAVATI MEDICAL COLLEGE BANDA (UP) INDIA

The Central Government framed certain rules to protect the Environment, namely Bio-Medical Waste Management (BMWM) Rules, 2016, and (Amendment) Rules, 2018. These were an update and simplification of prior existing rules not only for human health and also for safety of environment for the current and future generations. Effective BMWM is not only a legal necessity but also a social responsibility. Common Bio-medical Waste Treatment and Disposal Facility (CBWTF) is a set up where biomedical waste generated from member health care facilities has imparted necessary treatment to reduce adverse effects that this waste may pose on human health and environment. The study was conducted to assess / judge existing knowledge, awareness and practices regarding BMWM among Health care workers at Rani Durgavati Medical College Banda, India. A pre-tested questionnaire based on cross-sectional survey was circulated among various Health care workers / Participants using the questionnaire of BMWM for health care workers of 400 bedded tertiary care teaching Hospital Rani Durgavati Medical College. This questionnaire was distributed among 146 participants/HCWs over a period of one month i.e. from 11th January to 15th February, 2021. Each questionnaire was composed of four sections/tables: 1. Section A / Table-1 comprised of demographic profile of the subjects 2. Section B / Table-2 comprised of questions to test the Knowledge / Awareness 3. Section C / Table-3 was about the Attitudes and 4. Section D / Table-4 about the practices of BMWM. The study showed that: 1. The participants scored high on attitude and knowledge about the waste management practices while their scores on the implementation part were comparatively low. 2. There was a significant difference in relation to educational qualification of respondent in knowledge and practice score. 3. Rani Durgavati Medical College / GAMC Banda lead yearly in proper segregation, treatment and disposal. Our treatment of BMWM increased as gross generation of BMWM decreased significantly in the years2020 and 2021.

A STUDY ON QUANTUM OF BIOMEDICAL WASTE GENERATED IN A TERTIARY CARE TEACHING HOSPITAL OF SOUTH INDIA

Introduction: Management of biomedical waste (BMW) has become a very serious health problem in developing countries. Every day, in the health care hospitals and in various facilities large amount of hazardous and potentially infectious wastes is generated. Inappropriate waste management and chaotic disposal of biomedical waste that occur in hospital cause various types of health effect on society. Objectives: To estimate the quantity of BMW generated by various departments of a hospital and to determine their compliance with BMW norms. Materials and methods: With regards to quantum of BMW generated a retrospective study was conducted for a period of 3 years from January 2019 to December 2021, and with regards to compliance of bio-medical waste management an observational study was conducted for a period of 3 months from July 2021 to September 2021. Selected areas of hospital were included in the study. Area wise waste collected, segregated and disposed off was observed and recorded on checklist designed on existing BMW management rules 2016. Results: The quantum of BMW generated during 3 years is in 20-19-106563 kg/year, 2020-98353 kg/year, and 2021-75951 kg/year. Yellow waste constituted the maximum of all during all 3 years(52%). Overall compliance with BMW rules 2016 was 85%. Conclusions: The quantum of biomedical waste generated is high as per permitted norms by local regulatory body. All the concerned staff should be frequently trained in this regard to avoid excess wastage, in order to bring down biomedical waste generated.

Biomedical waste management rule and changes in the policy

The amount of biomedical waste being generated in our country is increasing day by day. Biomedical waste if not handled properly can pollute the environment and can spread many harmful diseases. Health care workers in our country are still not fully aware about proper BMW handling and disposal, despite increasing global awareness on it. Biomedical waste management rules was first implemented in India on 20th July, 1998. Thereafter, the rules have undergone amendments in years 2003, 2011 and 2016. Latest biomedical waste management rules, 2016 and (amendment) rules, 2018, were simplification of BWM disposal as compared to 2018 rules. The objective of this study was to understand the difference and compare key points to be known by all health care workers and also clarification and inclusions in the rules.

Assessing awareness and execution of “Bio medical waste management rules 2016” among health care providers and grade 4 workers in a tertiary care hospital of Bhubaneswar

Hospital waste has always been a concern for the society. Recently the government has changed the BMW handling rules in 2016. However, mere introduction of laws is not sufficient for proper disposal of BMW. Awareness of these laws is also essential. Hence, this study was conducted with the objectives to assess the Knowledge, awareness, attitude & practice (KAP) towards biomedical waste management in Health care providers (HCP) and prevalence of needle-stick injury (NSI) in them.This was a cross-sectional study done from August 2018 to January 2019 in KIMS among 400 participants. A pre-tested, close ended questionnaire was used with few added questions related to new rules. An overall average level of KAP among HCP and grade 4 workers regarding BMW Rules and management 2016 with 86.49% doctors, 91.04% dentists, 79.55% nurses and 80% grade 4 workers securing average marks in the assessment. Moreover, 14 (20 .59%) doctors, 10 (14 .71%) dentists, 30 (44 .12%) nurses and 14 (20.59%) grade 4 workers reported that they had experienced NSI in the past 12 months. Overall prevalence of NSI is found to be 17%. We found an average level of knowledge, attitude and practice among HCP and grade 4 workers regarding BMW management. It is recommended that regular monitoring and training are required at all levels of Health Care System and the rules should be sincerely followed and practiced.

Awareness of biomedical waste management among health-care workers at a tertiary hospital of Kolkata, India: How much are they acquainted with the good practices?

Background: Enormous volume of biomedical waste (BMW) is generated in health-care facilities with threat of multiple adverse consequences to human and environment. Proper BMW management is of utmost importance to get rid of those adverse effects. Methods: This institution-based cross-sectional study, conducted between 1 February 2020 and 31 March 2020, among 151 health care workers (HCWs) (80 junior doctors and 71 nursing staff) was conducted to assess the knowledge and practice about BMW management among health-care workers (HCWs) at a tertiary hospital at Kolkata. Results: All the nursing staff and 92.5% of junior doctors could identify biohazard symbol. About three-fourth of junior doctors were aware of the categories of BMW, while only 47.8% of nursing staff knew this. Only half of the HCWs knew the four colour-coded bags. About 79.5% of the HCWs knew the use of hub cutters. About three-fourth of the HCWs used colour-coded bags correctly while 90% used white puncture-proof containers for sharps. Only one-third of the HCWs were trained on BMW management. There were no significant differences in knowledge and practice scores among the two groups. Conclusions: The HCWs lacked in appropriate knowledge and practices on BMW management. BMW management rules should be strictly implemented through periodic training and monitoring of HCWs.

IMPLEMENTATION AND CHALLENGE IN DEALING WITH THE BMW DISPOSAL GUIDELINES AND LEGISLATIONS

Biomedical Waste Management (BMWM) is a public health problem. Every hospital is generating BMW needs to set up requisite BMW treatment facilities on site or ensure requisite treatment of waste at common treatment facility. The Ministry of Environment & Forests notified the situation of pollution and framed out the Biomedical Waste (management & handling) Rules, 1998 to protect the Environment Protection Act, 1986 (29 of 1986) in our country on 20th July 1998 vide notification number S.O. 630 (E) dated the 20th July, 1998, by the Government of India in the erstwhile Ministry of Environment and Forests. Now, therefore, in exercise of the powers conferred by section 6, 8 and 25 of the Environment (Protection) Act, 1986 (29 of 1986), and in supersession of the Bio-Medical Waste (Management and Handling) Rules, 1998, except as respects things done or omitted to be done before such suppression, the Central Government hereby makes the following rules, namely Bio-Medical Waste Management Rules, 2016, and (Amendment) Rules, 2018, were an update and simplification of BMW not only human health and safety but also to the environment for the current and future generations. Effective BMWM is not only a legal necessity but also a social responsibility. This article reviews the current perspectives on BMWM and rules, conventions and the treatment technologies used worldwide. Furthermore, developing models for the monitoring of hospital health-care waste practices and research into non-burn eco-friendly sustainable technologies, recycling and polyvinyl chloride-free devices will go in long way for safe carbon environment. Globally, greater research in BMWM is warranted to understand its growing field of public health importance.

Biomedical Waste Management-Related Knowledge, Attitude, and Practices among Clinical Dental Undergraduates in State of Punjab in India: A Cross-Sectional Study

Abstract Introduction Dental operatories generate a large amount of biomedical waste, and improper management of this waste poses a threat to all sections of society. Hence, being a dental practitioner, one must ensure proper management and handling of health care waste. Aims and Objectives This study aims to assess the level of knowledge, attitude, and practices toward Bio-Medical Waste Management Rules, 2016, and Amendments, 2018 and 2019, among clinical undergraduates in dental colleges of the state of Punjab in India. Settings and Design A cross-sectional study. The study was performed among 845 clinical undergraduates in dental institutes of Punjab. Materials and Methods The methodologies used were descriptive statistics and nonparametric techniques using the Kruskal–Wallis test and Dunn–Bonferroni post hoc test. Results Only 47% dental students have adequate knowledge and 48% students show positive attitude toward biomedical waste management. The difference was statistically significant (p < 0.05). Whereas, only 34% students were practicing these rules in the correct manner and this is found to be statistically insignificant. Also, the city of Ludhiana is the model district for the implementation of the Environmentally Sound Management of Medical Wastes project by United Nations Industrial Development Organization (UNIDO) and dental students of institutions involved in this project were found to be most aware about these rules among other institutes in Punjab. Conclusion The current study suggests that the knowledge and implementation of biomedical waste management practices among dental students in the state of Punjab are not adequate. It also suggests that including dental institutions in model projects of biomedical wastes will raise awareness regarding the same exponentially.

Biomedical Waste Management and Law- A Study of the Government Hospitals of District Srinagar in the Union Territory of Jammu And Kashmir, India

Healthcare is undoubtedly an inevitable facet of human existence. The very functioning of a healthcare establishment generates waste which in turn needs to be effectively managed. Bio-Medical Waste is defined as any waste produced during the diagnosis, testing, treatment, research or production of biological materials by either animals or humankind. The present study was done to access whether Government hospitals in the district Srinagar of the Union territory of Jammu and Kashmir are functioning in gross violation of the existing Bio-Medical Waste (Management and Handling) Rules, thereby posing dangers to in-patients, visitors and the public at large and whether The Bio-Medical Waste (Management and Handling) Rules suffer from certain basic shortcomings due to which they have become ineffective in protecting the environment generally and the health of the people in particular. The study revealed a gross violation of Bio-Medical Waste (Management and Handling) Rules. A judicious balance between environment protection and Bio-Medical Waste Management is the need of the hour.

English

BACKGROUND Dentists are at high risk for Hepatitis B infection. Vaccination provides effective immunity. Not all dentists are vaccinated despite awareness and availability. Hepatitis B vaccination for health care workers is mandatory as per Biomedical Waste Management Rules, 2018. The present study was planned to determine the vaccination status amongst dentists and their approach to Hepatitis B infected patients. METHODS After the institutional ethics committee permission, the study was initiated. A Google form along with an online consent was emailed to all dentists registered with Maharashtra dental council (MDC). Post survey, a short information sheet was mailed to all, about the need for Hepatitis B vaccination and certain aspects related to it. The responses were automatically transferred to a Microsoft excel sheet and analyzed. RESULTS 16,418 emails were sent out. 371 (2.3 %) participants responded, 352 (2.1 %) working dentists were included. 78.2 % (N = 273) were from urban area. 56 % (N =192) participants were in the age group 22-30 years. Male to female ratio was 0.8:1. 52.2 % (N = 184) had own clinic and 34.4 % (N = 121) were private practitioners. 56.4 % (N = 195) were dental graduates and 43.6 % (N = 151) were postgraduates. The vaccination status of dentists was found to be 74.7 % (N = 263). Only 22.1 % (N = 58) had tested for antibody titre against Hepatitis B, 55.7 % (N = 196) dentists routinely carried out hepatitis B testing of their patients. If patients tested positive, 53.1 % (N =187) provided dental care in their own clinic. CONCLUSIONS Improving the hepatitis B vaccination amongst dentists will improve their safety and reduce their fear of managing infected patients. KEY WORDS Hepatitis B, Vaccination, Dentists, Survey.

Biomedical Waste Management (BMWM) Rules, 2016 - A Short Overview

Biomedical Waste Management (BMWM) Rules, 2016 have increased the coverage, simplified the categorization and authorization while improving the segregation, transportation and disposal methods to decrease environmental pollution. Effective implementation of BMWM 2016 Rules will decrease the environmental pollution and ensure the safety of the hospital staff, patients and general public. This review focuses on BMWM Rules, 2016 with respect to: (1) salient features; (2) schedules; (3) schedule II: Colour Coding and Type of Container for disposal of BMW; (4) schedule III: Label for BMW Containers/Bags; (5) schedule IV: Label for Transport of BMW Containers/Bags; and (6) schedule V: Standards for Treatment and Disposal of BMW

Biomedical Waste Management at Health Care Facilities in Chikkaballapur District: A Situational Analysis

Background: It has been almost two decades since the implementation of biomedical waste management (BMWM) rules in India, but most Indian hospitals are yet to achieve the desired standards for BMWM practices. Hence, we intended to study the status of BMWM in healthcare facilities(HCFs) of Chikkaballapura district. Methods: A cross-sectional study was conducted in Chikkaballapura district among all 67 HCFs i.e. 46 HCFs in the private sector and 21 HCFs in the government sector. A pre-tested questionnaire was used to collect information on micro level process of healthcare waste management. Results: Segregation practices were not followed as per BMWM Rules. In private HCFs, segregation efficiency score was very poor in 23(50%) out of 46 HCFs, poor in 21(45.6%) out of 46 HCFs, and satisfactory in only 3(6.5%) out of 46 HCFs. In government HCFs, segregation efficiency score was very poor in 5(23.8%) out of 21 HCFs, poor in 12(57.1%) out of 21 HCFs, and satisfactory in only 4(19.0%) out of 21 HCFs. Conclusion: The micro-level BMWM process at the HCF under the private and government sector was found to be very poor especially the segregation practices.

KNOWLEDGE, AWARENESS AND PRACTICE OF BIOMEDICAL WASTE MANAGEMENT GUIDELINES 2016 AMONG HEALTHCARE PERSONNEL IN A TERTIARY CARE HOSPITAL, RAJASTHAN, INDIA

Introduction: Bio-medical waste” (BMW)is a term which means any waste, which is generated during the diagnosis, treatment or immunization of human beings or animals or research activities pertaining thereto or in the production or testing of biological or in health camps including the categories mentioned in Schedule I appended to these rules1.BMWM rules were made in 1998, and revised in 2016 which includes 18 rules ,04 schedules and 05 forms, in our hospital, health care personnel too needed to reinforce the revised BMWM 2016 guidelines. Our aim of this study is to determine the existing knowledge, awareness and practice about the BMWM rules 2016 in this tertiary care hospital. Material and Method: This study was an cross-sectional study conducted with a duration of 3 months from October 2018 to January 2019 in a tertiary care hospital, Rajasthan, India. A total of 150 healthcare personnel which include 75 doctors (36 senior residents and 39 junior residents), 40 nurses and 35 laboratory technicians consented for interview and observations. Result: We found out that technicians (89.95%) and nurses (88.87%) have more knowledge regarding BMWM then doctors(85.82%). But doctors (82.20%) are more aware for proper management than nurses (73.80%) and technicians (64.0%). Doctors(80.87%) and nurses (82%) are practicing these norms more than technicians(59%). Conclusion: This study shows that Doctors, nurses and laboratory technicians all had knowledge and awareness regarding revision of biomedical waste management rules in 2016, but laboratory technicians are lagging in practicing them. Strong implementations of rules should be followed in institution and regular training should be held for staff. Keywords: BMWM (bio medical waste management), knowledge, awareness, practice, healthcare workers.