waste reduction - ucsf...
TRANSCRIPT
Waste Reduction
at Washington Hospital, Fremont CA
www.WHHS.com
Toner/ Cartridge Recycling
Recycling Bins TRASH
Food and coffee groundsContainers soiled with foodNapkins and paper towels
Plastic eating utensils & strawsCoffee creamers & stirrersFoil & cellophane wrappers
Styrofoam or paper cups & lidsCold drink cups & plastic lids
RECYCLENewspapers & magazines
Plastic & glass bottlesAluminum & tin cans
Milk & TV Dinner CartonsJuice Boxes/Cardboard packages
Clean plastic food containersPlastics #1-#7 NOT Styrofoam
Reusable Sharps Containers
Waste CY 2014 TONS Cost/Ton
TRASH 763 $250
RECYCLING 18 $221
COMPOST 122 $124
903
140
15%
$16K 8%
Total Tons
Recycling / Compost
Recycling / Compost
TOTAL $ SAVINGS:
2014 data for 2015 PGH award
WASTE SEGREGATION
WASHINGTON HOSPITAL HEALTHCARE SYSTEM WASTE SEGREGATION GUIDELINES
TRACE CHEMOTHERAPY
WASTE
PHARMACEUTICAL WASTE
HAZARDOUS WASTE
NON-HAZARD PHARMACEUTICAL
LIQUIDS
SOLID WASTE (TRASH) SHARPS
REGULATED MEDICAL WASTE
REGULATED MEDICAL WASTE FOR INCINERATION ONLY
Chemotherapy Container
Blue
Black & White (RCRA) Hopper/Toilet/Sink Black Plastic Garbage Bag
in Green Barrel Sharps
Containers Red Biohazard Bag Liner in Gray Tub
Red Biohazard Bag In Red Tub
TRACE - contaminated items generated in the preparation & administration of antineoplastic/ cytotoxic drugs (TRACE amount is NOT pourable or scrapable) Examples: • Gowns (if soiled with
trace chemo) • Chemo gloves • Masks (if soiled with
trace chemo) • Barriers • IV chemo tubing • Empty chemo
bags/bottles • Empty chemo drug
vials
• Unused: partial vials, herbals capsules, tablets, patches, (except nicotine) ophthalmics, creams, oral liquids, otics, ointments and suppositories
Examples: • Reglan, rocephin,
dexamethasone, ancef, unit dose tablets removed from the original wrapping, Alphagan, cortisporin, betadine ointment
• Used narcotic patches (folded on itself and cut up) or partial narcotic suppositories
• Narcotic Drip 5ml or greater return to Pyxis Return Bin.
• Betadine solution • Partial IV solution with med
that do not go down sink, see Non-hazard Pharmaceutical Liquids ie.
• Controlled substances requiring a witness for waste record.
• Nitroglycerin tablets, patches, solutions, ointment, spray
• Nicotine patches and gums • Warfarin (coumadin) • Insulin • Outdated/unused BULK chemo
drugs (BULK amount that IS pourable or scrapeable)
• Formaldehyde & formalin, acetone, toluene, mercury fixatives, alcohol, disinfectants & chemical sterilizing agents
• Used spill clean-up materials or kits
• Corrosives, flammables • Isopropyl alcohol • Lindane (lice control solution) • Tinctures and phenols • Barium Sulfate/Readicat
solution • Empty barium sulfate bottles • Oxytocin/Casodex • Silvadene Cream • Specified lab testing cartridges
Pharmaceutical Liquid Waste (non-hazardous liquids) or for sewer/drain. Examples: • Large volume
parenterals or oral liquids which contain: - vitamins - electrolytes, such as
potassium chloride, calcium gluconate, magnesium sulfate
- lactated ringers (LR) - normal saline - dextrose solutions - nutrients - nutritional solutions
(TPN)
• Paper & plastic wrappers, packaging, boxes, computer paper, office waste
• Unused medical products & supplies
• PPE (worn, but not blood saturated)
• Food products & waste (soda cans, paper cups, plastic utensils)
• Empty IV bags, bottles & tubing without needles
• Empty urine cups, stool containers, Foley bags/tubing diapers, chux
• Exam & cleaning gloves • Empty collection bottles & bags • Sanitary napkins & tampons
(personal) • Disposable paper drapes, lab
coats, paper towels, band aids • Disposable basins, bedpans,
urinals • Empty aerosol pressure cans • Empty IV Bags /Tubing/Vials
with Patient ID covered with black-out labels.
• Empty syringes & needles • Scalpel blades & lancets • Glass pipettes, slides, and
tubes • Broken contaminated glass • Staples & wires • Disposable suture sets &
biopsy forceps • Electrocautery tips • Nuclear Medicine radiopharm
syringes after fully decayed.
Blood & blood products Examples: • Saturated or grossly soiled
disposables, i.e., bloody gauze, dressings, lap pads, OB and surgical peri-pads, gloves and PPE
• Containers, catheters or tubes with fluid blood or blood products not discarded or flushed, i.e., blood sets
• Dialyzers & tubing • Microbiology specimens, used
culture plates, tubes, bottles & devices
• Blood spill clean-up materials
• Placentas • Surgical tissue &
pathological specimens • Suction canisters placed in
individual Red Biohazard Bag tied with a gooseneck knot
For additional information, see Hospital Infection Control Manual and Waste Management Plan, OSHA Bloodborne Pathogen Standard, State Regulations or Administrative Code. WASTE SEGREGATION GUIDELINES 2011– HazMat Committee Approved 12/2010 Revised 1/21/11,3/30/11,4/18/11, 1/16/12 ; 1/21/13; 5/21/14
Cardboard Packaging & Paper Plastics #1-7 (no Styrofoam)
WHHS O.R. RECYCLABLES
Resources The Northern California (NorCal) Sustainable Healthcare Group. We are a group of dedicated individuals seeking to further sustainability initiatives in hospitals and healthcare. Subscribe: [email protected] Practice Greenhealth is the nation’s leading health care community that empowers its members to increase their efficiencies and environmental stewardship while improving patient safety and care through tools, best practices and knowledge. www.practicegreenhealth.org StopWaste is a public agency responsible for reducing the waste stream in Alameda County. We help local governments, businesses, schools and residents reduce waste through: Source reduction and recycling, Market development, Technical assistance, and Public education www.stopwaste.org
Thank You! Paul W. Kelley, CBET
Director of Biomedical Engineering, Green Initiative and Asset Redeployment
[email protected] 510-791-3493