DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20205195

A study on water management strategies in a selected teaching hospital

Ayshathul Femitha, Sunita Saldanha

Abstract


Background: Water is a scarce and highly valuable natural resource. Hospitals require relatively large quantity of water and quality of water is equally important. Hospitals must focus on water efficiency and conservation measures in order to ensure the sustainable use of water. This study was undertaken to understand the current water management practices in the selected teaching hospital and to develop strategies for water conservation.

Methods: Descriptive study with observational method was used, to collect the data an observational checklist based on the guidelines of bureau of Indian standards (BIS) and world health organization (WHO) was developed. To observe and collect the data, uninformed visits was done to the Department of Maintenance on random days as per the convenience and the information was collected from standard operating procedures (SOPs) and records maintained in the department of maintenance and hospital infection control unit.

Results: The study found that a well-planned water supply system is present in the selected hospital to meet the required quantity of water. The study reveals that the total consumption of water per day in the hospital is higher than the BIS standards. Preventive and corrective maintenance of all the tanks, pipelines, plumbing, and equipment is done regularly. A well-organized system of quality control of water is present in the hospital and the grey water, is drained to sewage water treatment plant from where the water is recycled and reused.

Conclusions: Conservation of water enables hospitals to cut cost and to be proactive stewards of their community’s natural resources.


Keywords


Water management, Water consumption, Water quality, Water conservation, Water treatment

Full Text:

PDF

References


Priyalal WG, De Silva ML, Rajini PA. A study on water management strategies practiced in healthcare facilities: A literature review. In: 6th International Conference on Engineering and Construction Management. 2015. Available from: www. civil. mrt.ac.lk/conference/ICSECM_2015/book_3/Extract/SECM-15-032. pdf 2015. Accessed on 10 August, 2020.

Hunter PR, MacDonald AM, Carter RC. Water supply and health. PLoS med. 2010;7(11):e1000361.

Abbasi F, Samaei MR, Mehdizadeh A. The Main Challenges and Suggested Solutions for Optimization of Water Management in an Educational hospital. J Environ Heal Sustain Develop. 2018;3(3):585-92.

Canan C. An Examination of the Emergency Water Supply of Healthcare Facilities in Southeast Louisiana. Springer. 2017;2.

Water S. World Health Organization. Guidelines for drinking-water quality: incorporating first addendum. Vol. 1, Recommendations. Available at: https://apps.who.int/iris/bitstream/handle/10665/204411/9789241547611_eng.pdf;jsessionid=BBC07CEAA70AD00F12114B89C9332F6C?sequence=1. Accessed on 10 August 2020.

ANSI/AAMI/ISO. Guidance for the preparation and quality management of fluids for hemodialysis and related therapies. Association for the Advancement of Medical Instrumentation; Arlington, VA. 2011;23500. Available at: https://dialysiswatersolution.com/regulations-and-guidelines/ansiaami/ansiaami-23500-guidance-for-the-preparation-and-quality-management-of-fluids-for-hemodialysis-and-related-therapies. Accessed on 10 August 2020.

Bureau of Indian Standards. Drinking Water-Specification (Second Revision). IS 10500: 2015. New Delhi. Available from: http://cgwb.gov.in/Documents/WQ-standards.pdf. Accessed on 10 August, 2020.

Collett S, Samarin I, Bhalchandra R, Soundaranayagam JR, Garai S, Chandy M et al. Water usage in a multi-speciality hospital and its effective management. J Academy Clin Microbiol. 2016;18(2):135.

Guibourg S, Moalic E, Baron R, Saliou P. Emergency management of water supply pollution in a French teaching hospital. Infect Cont Hospital Epidemiol. 2019;40(10):1207-9.

Guibourg S, Moalic E, Baron R, Saliou P. Emergency management of water supply pollution in a French teaching hospital. Infection Control Hospital Epidemiology. 2019 Oct; 40(10):1207-9.

West Gippsland Healthcare Group. Greening Our Hospitals: Water. Case study-Rainwater harvesting for boiler feedwater and using water three times. Available from: http://greening-westgipps%20-%20PDF.pdf. Accessed on 10 August, 2020.

Skarupskiene I, Bumblyte IA, Kuzminskis V. The level of endotoxins in hemodialysis water and dialysate. Medicina (Kaunas, Lithuania). 2007;43(l)1:81-4.

Skarupskienė I, Bumblytė IA, Tamošaitis D, Venterienė J, Kuzminskis V. The level of endotoxins in hemodialysis water and dialysate in Lithuanian hemodialysis centers. Medicina. 2010;46(8):556.