Best Management Practices For Hospital Waste Publication Number 05-04-013 October 2005 Best Management Practices for Hospital Waste Publication Number 05-04-013 December 2005 If you need this information in an alternate format, please call the Hazardous Waste and Toxics Reduction Program at 360-407-6700. If you are a person with a speech or hearing impairment, call 711, or 800-833-6388 for TTY. Acknowledgements The following individuals contributed in writing, review, technical assistance or consultation during the preparation of the first edition of this guide: Laura Brannen Hospitals for a Healthy Environment Janet Brown Hospitals for a Healthy Environment Cathy Buller Northwest Pollution Prevention Resource Center Dave Enos GeoEngineers/Spokane Aquifer Joint Board Michael Fagan United States Environmental Protection Agency Arianne Fernandez Washington State Department of Ecology Greg Flibbert Washington State Department of Ecology Catherine Galligan Sustainable Hospitals Kenneth Grimm Northwest Pollution Prevention Resource Center Jan Heaton Washington State Department of Ecology Liisa Itkonen Idaho Department of Environmental Quality Dave Johnson Modern Electric/Spokane Aquifer Joint Board Emma Johnson Washington State Department of Ecology Scott Mallery Washington State Department of Ecology Camille Martin Washington State Department of Ecology Chuck Matthews Washington State Department of Ecology Susan McGeorge Whitworth W.D. #2/Spokane Aquifer Joint Board Julia McHugh Spokane Aquifer Joint Board Terri Miller Washington State Department of Ecology Peggy Morgan Washington State Department of Ecology Rolfe Parsloe Washington State Department of Ecology Neha Patel Oregon Center for Environmental Health Maria Peeler Washington State Department of Ecology Lori Rodriguez Washington State Department of Ecology Laura Schleyer Washington State Department of Ecology Marni Solheim Washington State Department of Ecology Frank Triplett City of Spokane/Spokane Aquifer Joint Board Dave Waddell King County Department of Natural Resources Ty Wick Spokane County W.D./Spokane Aquifer Joint Board Jenny Yoo Washington State Department of Ecology Catherine Zimmer MnTAP The research and writing of this publication was cooperatively sponsored by Spokane Aquifer Joint Board and Washington State Department of Ecology, Hazardous Waste and Toxics Reduction Program. Table of Contentsss Chapter 1. Environmental Management Dangerous Waste ..............................................................................................................................................1-1 Getting Started ..................................................................................................................................................1-1 Dangerous Waste Management ......................................................................................................................1-4 Air Quality .........................................................................................................................................................1-7 Spills ...................................................................................................................................................................1-7 Underground Storage Tanks ...........................................................................................................................1-7 Solid Waste Management ................................................................................................................................1-7 Biomedical Waste Management .....................................................................................................................1-8 Emergency Planning and Community Right-to-Know Act (EPCRA) .......................................................1-8 Chapter 2. Self Audit Form Hazardous Waste .............................................................................................................................................2-1 Universal Waste ................................................................................................................................................2-2 Medical Waste ...................................................................................................................................................2-2 Clean Water/Water Conservation .................................................................................................................2-3 Clean Air Act .....................................................................................................................................................2-5 Federal Insecticides, Fungicide and Rodenticide Act ..................................................................................2-5 Purchasing .........................................................................................................................................................2-6 Energy Conservation ........................................................................................................................................2-6 General ...............................................................................................................................................................2-7 Mercury ..............................................................................................................................................................2-7 Chapter 3. Department-specific pages Administration ..................................................................................................................................................3-1 Anesthesia..........................................................................................................................................................3-3 Autopsy Services ..............................................................................................................................................3-5 Biomedical Engineering Services ...................................................................................................................3-7 Central Sterilization Reprocessing and Distribution ...................................................................................3-9 Clinical Research .............................................................................................................................................3-11 Construction and Renovation .......................................................................................................................3-13 Critical Care Services .....................................................................................................................................3-15 Emergency Care Services ..............................................................................................................................3-17 Emergency Dental Services ...........................................................................................................................3-19 Endoscopy Services ........................................................................................................................................3-21 Food Services ...................................................................................................................................................3-23 Groundskeeping .............................................................................................................................................3-25 Housekeeping .................................................................................................................................................3-27 Incineration Services ......................................................................................................................................3-29 Inpatient Care Services ..................................................................................................................................3-31 Kidney Dialysis Services ................................................................................................................................3-33 Laboratory Testing, Pathology and Histology Services ............................................................................3-35 Laundry Services ............................................................................................................................................3-37 Maintenance ....................................................................................................................................................3-39 Morgue .............................................................................................................................................................3-41 Nuclear Medicine ...........................................................................................................................................3-43 Oncology Services ..........................................................................................................................................3-45 Outpatient Services ........................................................................................................................................3-47 Pharmacy Services ..........................................................................................................................................3-49 Physical Therapy Services .............................................................................................................................3-51