hazardous waste regulatory update

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Hazardous Waste Hazardous Waste Regulatory Update Regulatory Update Lisa Papetti, Environmental Lisa Papetti, Environmental Engineer Engineer U.S EPA – New England U.S EPA – New England RCRA Compliance Unit RCRA Compliance Unit 617-918-1756 617-918-1756

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Hazardous Waste Regulatory Update. Lisa Papetti, Environmental Engineer U.S EPA – New England RCRA Compliance Unit 617-918-1756. Things to think about. Most small to mid-sized hospitals should be - PowerPoint PPT Presentation

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Page 1: Hazardous Waste Regulatory Update

Hazardous Waste Hazardous Waste Regulatory UpdateRegulatory Update

Lisa Papetti, Environmental Lisa Papetti, Environmental EngineerEngineerU.S EPA – New EnglandU.S EPA – New EnglandRCRA Compliance UnitRCRA Compliance Unit617-918-1756617-918-1756

Page 2: Hazardous Waste Regulatory Update

Things to think aboutThings to think about

Most small to mid-sized hospitals should be

operating as at least Small Quantity Generators. However, the proper category can only be confirmed through a full chemical and waste inventory from cradle

to grave.

Waste identification is critical for all areas of the hospital -- train technicians in waste determination and satellite storage.

Page 3: Hazardous Waste Regulatory Update

Things to think aboutThings to think about

Greater than 1 kg or 2.2 lbs. of Greater than 1 kg or 2.2 lbs. of acutely hazardous waste makes acutely hazardous waste makes you a Large Quantity Generator!!you a Large Quantity Generator!!

P-listed wastes = acutely toxicP-listed wastes = acutely toxic

Page 4: Hazardous Waste Regulatory Update

Things to think aboutThings to think about

Use the Universal Waste Rule, whereapplicable.

Check web pages and ask questions ofregulatory agencies, trade groups, andprofessional societies.

Always anticipate inspections, performself-audits, and keep records.

Page 5: Hazardous Waste Regulatory Update

Most Common RCRA Most Common RCRA Violation in HealthcareViolation in HealthcareHazardous waste determinationsHazardous waste determinationsImproper disposal, including chemotherapy wasteImproper disposal, including chemotherapy wasteImproper management of expired pharmaceuticalsImproper management of expired pharmaceuticalsOpen containersOpen containersUnmarked/unlabeled containersUnmarked/unlabeled containersSatellite accumulationSatellite accumulationHazardous waste trainingHazardous waste trainingContingency planContingency planImproper consolidation of waste from nearby Improper consolidation of waste from nearby

facilitiesfacilities

Note: Don’t forget contractors and consultantsNote: Don’t forget contractors and consultants

Page 6: Hazardous Waste Regulatory Update

Locations Where Locations Where Wastes Can Be FoundWastes Can Be Found

Laboratories Operating roomsLaboratories Operating rooms

Nursing units Haz. waste areasNursing units Haz. waste areas

Construction Satellite acc. Construction Satellite acc. areas areas

Laundry Dental clinics Laundry Dental clinics

Maintenance X-rays units Maintenance X-rays units

Pharmacy MorguePharmacy Morgue

Page 7: Hazardous Waste Regulatory Update

Typical Hospital Hazardous Typical Hospital Hazardous WasteWaste

Mercury and mercury-containing Mercury and mercury-containing items items

Includes whole items and spill Includes whole items and spill residue residue

Photographic/X-Ray fixer solutions Photographic/X-Ray fixer solutions Silver recovered from fixer, if not Silver recovered from fixer, if not recycledrecycled

Page 8: Hazardous Waste Regulatory Update

Typical Hospital Hazardous Typical Hospital Hazardous WasteWaste

X-Ray Film containing silver or other X-Ray Film containing silver or other metalsmetals

Ethanol and formaldehyde/ethanol Ethanol and formaldehyde/ethanol solutionssolutions

Spent, off-spec, or excess laboratory Spent, off-spec, or excess laboratory chemicals (solvents, acids, bases, chemicals (solvents, acids, bases, etc.)etc.)

Chemotherapy drugsChemotherapy drugs

Page 9: Hazardous Waste Regulatory Update

Typical Hospital Hazardous Typical Hospital Hazardous WasteWaste

Waste, excess, and off-spec paints and Waste, excess, and off-spec paints and cleaning productscleaning products

Fluorescent light bulbs, if not managed Fluorescent light bulbs, if not managed as Universal Wastes - Other types as Universal Wastes - Other types include high-intensity discharge (HID), include high-intensity discharge (HID), neon, mercury vapor, high pressure neon, mercury vapor, high pressure sodium, and metal halide lampssodium, and metal halide lamps

Batteries, if not managed as Universal Batteries, if not managed as Universal WastesWastes

Page 10: Hazardous Waste Regulatory Update

Typical Hospital Hazardous Typical Hospital Hazardous WasteWaste

Computers/monitors, circuit boards, and Computers/monitors, circuit boards, and other lead-bearing electronicsother lead-bearing electronics

Lead aprons and shieldingLead aprons and shielding

Includes all cathode ray tube (CRT) Includes all cathode ray tube (CRT) screensscreens

Compressed gases (generally, any that Compressed gases (generally, any that areare

ignitable)ignitable)

Waste pesticides, fungicides, etc.Waste pesticides, fungicides, etc.

Page 11: Hazardous Waste Regulatory Update

Specific Hospital HazardousSpecific Hospital HazardousWastesWastes

CerrobendCerrobend

X-ray shielding putty used to protect X-ray shielding putty used to protect patients from damage to adjacent patients from damage to adjacent healthy tissue during irradiation of healthy tissue during irradiation of tumors and other confined areastumors and other confined areas

Contains Lead and CadmiumContains Lead and Cadmium

Discarded material and shavings can Discarded material and shavings can be characteristic toxic HW when be characteristic toxic HW when disposeddisposed

Page 12: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastesChemotherapy DrugsChemotherapy Drugs

Several chemotherapy drugs Several chemotherapy drugs (antineoplastics) are listed in 40 CFR (antineoplastics) are listed in 40 CFR 261.33(f) (U-listed HW)261.33(f) (U-listed HW)

Listing includes: discarded Listing includes: discarded commercial chemical products, off-commercial chemical products, off-specification species,container specification species,container residues, and spill residuesresidues, and spill residues

Page 13: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastesIV BAGS AND ASSOCIATED IV BAGS AND ASSOCIATED

EQUIPMENTEQUIPMENT

Empty bags and equipment that are Empty bags and equipment that are not acutely hazardous may be not acutely hazardous may be disposed as empty containersdisposed as empty containers

Bags and equipment with regulated Bags and equipment with regulated material remaining must be material remaining must be managed as hazardous waste managed as hazardous waste

Page 14: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Some Examples:Some Examples:

– – chlorambucil (U035)chlorambucil (U035)– – cyclophosphamide (U058)cyclophosphamide (U058)– – daunomycin (U059)daunomycin (U059)– – melphalan (U150)melphalan (U150)– – mitomycin C (U010)mitomycin C (U010)– – streptozotocin (U206)streptozotocin (U206)– – uracil mustard (U237)uracil mustard (U237)- arsenic trioxide (P012!!!)- arsenic trioxide (P012!!!)

Page 15: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Mercury Containing Devices & Mercury Containing Devices &

Products In Patient RoomsProducts In Patient Rooms

Temperature MeasurementTemperature Measurement

Blood PressureBlood Pressure

Nursing IncubatorsNursing Incubators

Room Temperature ControllersRoom Temperature Controllers

BatteriesBatteries

Page 16: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Mercury Containing Devices & Mercury Containing Devices &

Products In Storage & Products In Storage & Maintenance RoomsMaintenance Rooms

Antifouling agentsAntifouling agents

Cleaning ChemicalsCleaning Chemicals

DegreasersDegreasers

Page 17: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Mercury Containing Devices & Mercury Containing Devices &

Products In Storage & Maintenance Products In Storage & Maintenance RoomsRooms

PreservativesPreservatives

SolventsSolvents

Outdated mercury-containing Outdated mercury-containing equipmentequipment

PaintsPaints

Page 18: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Mercury Containing Devices & Mercury Containing Devices &

Products In Treatment & Surgery Products In Treatment & Surgery RoomsRooms

MerthiolateMerthiolate

Mercury NitrateMercury Nitrate

Mercury IodideMercury Iodide

MercurochromeMercurochrome

ThimerosalThimerosal

Page 19: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastes Mercury Containing Devices & Mercury Containing Devices &

Products in Treatment & Surgery Products in Treatment & Surgery RoomsRooms

Esophageal DilatorsEsophageal Dilators

Cantor TubesCantor Tubes

Miller Abbot TubesMiller Abbot Tubes

Feeding TubesFeeding Tubes

Dental AmalgamDental Amalgam

Page 20: Hazardous Waste Regulatory Update

Specific Hospital Specific Hospital HazardousHazardousWastesWastesSodium Azide – P105Sodium Azide – P105

Also found in Enterococcus agarsAlso found in Enterococcus agars

Listed in 40 CFR 261.33(e) (P-listed HW)Listed in 40 CFR 261.33(e) (P-listed HW)

Listing includes: discarded commercial Listing includes: discarded commercial chemical products, off-specification chemical products, off-specification species, container residues, and spill species, container residues, and spill residuesresidues

Page 21: Hazardous Waste Regulatory Update

Specific Hospital HazardousSpecific Hospital HazardousWastesWastes

Picric AcidPicric Acid

2,4,6-trinitrophenol, picronitric acid, 2,4,6-trinitrophenol, picronitric acid, melinitemelinite

Sometimes used in histology labsSometimes used in histology labs

A component of Bouin’s Solution– tissueA component of Bouin’s Solution– tissue

preservativepreservative

Dry picric acid is explosive and disposal Dry picric acid is explosive and disposal is very costly and disruptiveis very costly and disruptive

Page 22: Hazardous Waste Regulatory Update

EPA New England’s Most EPA New England’s Most Recent Enforcement Recent Enforcement ActionAction Veterans Administration-New Veterans Administration-New

England England Healthcare Healthcare SystemSystem

White River Junction, VTWhite River Junction, VT

Total Penalty = $372,254Total Penalty = $372,254

Page 23: Hazardous Waste Regulatory Update

EPA New England’s Most EPA New England’s Most Recent Enforcement Recent Enforcement ActionActionViolationsViolationsFailure to conduct waste determinationFailure to conduct waste determinationFailure to have fire suppression equipmentFailure to have fire suppression equipmentFailure to labelFailure to labelFailure to close containersFailure to close containersFailure to date containersFailure to date containersUnauthorized treatment and disposalUnauthorized treatment and disposalFailure to minimize potential for releaseFailure to minimize potential for releaseFailure to conduct hazardous waste trainingFailure to conduct hazardous waste trainingUniversal Waste datingUniversal Waste datingFailure to separate incompatiblesFailure to separate incompatibles

Page 24: Hazardous Waste Regulatory Update

EPA –New England EPA –New England Compliance AssistanceCompliance Assistance

Janet BowenJanet Bowen

[email protected]@epa.gov

617-918-1795617-918-1795

www.epa.gov/region1/healthcarewww.epa.gov/region1/healthcare