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Chs Waste Disposal Guide CHS WASTE DISPOSAL GUIDE CHS Waste Disposal Guide Page 1 of 37 October 2014 CHS Waste Disposal Guide TABLE OF CONTENTS Introduction .................................................................................................. Page 3 Types of Waste Containers .......................................................................... Page 4 Waste Segregation Table ............................................................................. Page 5 Container Management Quick Reference 2014 ........................................... Page 9 Empty Glass, Metal, & Plastic Containers................................................... Page 10 Disposable Sharps ........................................................................................ Page 11 Solid Waste or “Non-regulated Waste” ....................................................... Page 12 Regulated Medical Waste ............................................................................ Page 14 Hazardous Chemical Waste ......................................................................... Page 19 Used Oil and Filters ..................................................................................... Page 26 Universal Waste and Electronic ‘E’ Waste .................................................. Page 27 Pharmaceutical Waste .................................................................................. Page 32 Radioactive Waste ....................................................................................... Page 34 Multi-Hazard and Mixed Waste................................................................... Page 37 Data Management Equipment & Media (link to Admin Policy) ................. IS.PHI 600.06 Salvage, Storage, Surplus, or Transfer Items (link to Admin Policy) ......... MM 300.09 HIPAA Protected Health Information (link to Admin Policy) .................... PR.PHI 145.15 CHS Waste Disposal Guide Page 2 of 37 October 2014 INTRODUCTION Hospitals and healthcare facilities generate multiple types of waste streams. Proper classification, segregation and disposal of these different wastes is required to meet various local, state and federal regulations. This guide was developed by Carolinas HealthCare System (CHS) Corporate Safety to offer direction in the appropriate handling, storage and disposal of the various waste streams generated at CHS facilities. This document summarizes best management practices for dealing with wastes based on prevailing environmental regulations and the CHS Waste Management Policy (CHS 5.11). Corporate Safety encourages all CHS facilities to use this document and CHS 5.11 to establish consistent waste management practices and enhance regulatory compliance across the organization. CHS Corporate Safety has conducted a thorough review of waste streams and management practices at various CHS facilities. This guide has been revised based on that review and reflects improvements implemented within CHS, particularly, in the collection and management of certain pharmaceutical wastes, solvents, mixed alcohols, ethanol, universal wastes and Electronic-“E”-wastes. This guide is designed to address the major waste streams identified in the CHS network to date. This document and CHS 5.11 are periodically updated to reflect changes in environmental regulations, advances in waste management practices and emerging waste streams in the healthcare industry. RED BAG ABUSE In addition to meeting regulations, proper waste segregation also allows better management of disposal costs. Significant cost savings can be achieved by reducing red bag abuse. High disposal costs can be attributed to lack of training, poor practices and short cuts that cause excessive and unnecessary items to be discarded into red bags. Disposal of red bags costs about 5-6 times more than solid waste or “non-regulated waste”. Please review and follow this guide to help reduce red bag abuse. This guide was developed by Corporate Safety. Please send any comments or suggestions to CHS Corporate Safety at (704) 512-7283 or email: [email protected]. Thanks for your help in making this important CHS environmental management program successful. CHS Waste Disposal Guide Page 3 of 37 October 2014 TYPES OF WASTE CONTAINERS Biohazard Bags and Bins: Use only for the disposal of biohazardous, infectious, and pathological waste, as well as items which have been contaminated with such materials. NOTE: – pathological waste always requires an additional label on the biohazard bin which says that the waste must be incinerated. Biohazard Sharps Containers: Use only for the disposal of sharp or potentially sharp/dangerous waste items which have been contaminated with biohazardous/infectious material. Yellow Bags and Bins: Use only for the disposal of chemotherapeutic, cytotoxic, oncologic, NIOSH listed, hazardous pharmaceutical wastes that are NON-RCRA, as well as items which have been contaminated with such materials. Yellow Sharps Containers: Use only for the disposal of sharp or potentially sharp items which have been contaminated with chemotherapeutic, cytotoxic, or oncologic material. Black Bins Use for collection of RCRA hazardous wastes, including certain waste pharmaceuticals (list attached to bin). Opaque Plastic Bags: Use for disposal of solid waste or “non-regulated waste”. Clear Plastic Bags: Use only for collection of materials which are intended for recycling. Recycling Bins: Use only for collection of materials which are intended for recycling. Closed Top Steel Drums: Use for collecting larger quantities of xylene and alcohol solvents from laboratory operations and used oil. Plastic Containers: Use for collecting smaller quantities of solvents (1 gallon or less in closeable top container). Solvents include xylene, methanol, ethanol, etc. Closeable plastic containers can be used for collecting used lamps, broken lamps, batteries, ballasts and disposable gas cylinders. CHS Waste Disposal Guide Page 4 of 37 October 2014 CHS Waste Segregation Guidelines ntainers - - - Waste Category Waste - E Instructions Solid Waste SolidWaste Red BagBin / Red Other / Special Other / Sharps Container (electronic waste) Hazardous Waste Waste Hazardous & waste compatible co compatible waste & Pathological Waste Waste Pathological Regulated Waste Medical Regulated Waste Medical Regulated Universal Waste & Used Oil Used Universal & Waste Yellow Bag / Bin & Sharps/ Bin Bag Container Yellow Black Bins Designated Bin pathological yellow label with Designated Gloves, masks, PPE, bandages, items not saturated X w/ blood/OPIM Use PPE, Catheters & drainage devices empty in sewer. If grossly Suction canisters X contaminated with blood, use solidifier Ventilator tubing and place in red bag/bin. Use PPE & empty into IV bags & tubing X designated sink Tracheal tubes X Urine dipsticks, glucose test strips X Throat swabs X Packaging & wrappings X Solid waste or “non-regulated waste” X Only if Disposable diapers and non-linen materials soiled Cover X on with urine & feces container chemo Alkaline & Zinc Carbon (Heavy Duty) Batteries X Aerosol cans (fully empty – at zero pressure) X X Aerosol Cans (not fully empty) X Package separately Gas Cylinders from other can returned to Pressurized Gas Cylinders (anesthesia and blood gas wastes to manufacturer for ensure recycling in most calibration cylinders, nitrous oxide, MAP & propane proper cases. See page gas cylinders, etc.) disposal 21 of this Guide Do Not for more info on place into disposal. black bins Used Chloraprep Containers & alcohol wipes X Used Nicotine Patches X Nicotine Patch Wrappers X RCRA Listed Hazardous Waste X (see Pharmaceutical Waste section) CHS Waste Disposal Guide Page 5 of 37 October 2014 CHS Waste Segregation Guidelines - - - Waste Waste Waste Category Waste - E Instructions Solid Waste SolidWaste Red BagBin / Red Other / Special Other / Sharps Container (electronic waste) Hazardous Waste Waste Hazardous & waste compatible containers compatible waste & Waste Pathological Regulated Medical Regulated Waste Medical Regulated Universal Waste & Used Oil Used Universal & Waste Yellow Bag / Bin & Sharps/ Bin Bag Container Yellow Black Bins Designated Bin pathological yellow label with Designated Pharmaceutical Waste (not on the RCRA List) X Chemotherapy, oncologic, cytotoxic wastes, NIOSH listed - See Chemotherapy/Hazardous Agents - CHS 5.12 X policy for more information. X Linen and Materials soiled w/urine, feces from chemo Orange patients (linen with chemo is segregated, specially Bag & bagged and washed separately) Clear Bag OK in red bag if Glass (contaminated culture bottles, blood tubes, inside labeled, X puncture broken glass, broken ampoules) resistant container Syringes, with or without sharps X Suture needles / Surgical blades, staples and staplers X Disposable Cautery Pens (ONLY after snapping off cooled heating element with hemostat AND placing X cap back on to lock switch to prevent accidental activation) Sharp disposable instruments X Items saturated w/ blood or OPIM X Blood/product bags with IV tubing X Hemodialysis blood & artificial kidney tubing X Tissues, organs, body parts and animal carcasses. X (pathogenic wastes) Flush with generous DEA Controlled Substances amounts of water, follow (Pharmaceutical Waste) DEA as General (non-regulated) required Sanitary sewer – see nursing Urine & feces policy if patient on chemo Impervious Linen (wet or dry – NOT from Chemo patients) soiled linen bag Broken Fluorescent lamps, compact fluorescents, U-tubes, lamps are projector lamps, UV light lamps,
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