Why so many rules and what does Stericycle have to do with it Yes Your lab waste is regulated MA state regulation 105 CMR 480000 Human blood and materials contaminated with human blood Human parts tissues fluids ID: 710301
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Slide1
Biological Waste from Laboratories
Why so many rules and what does Stericycle have to do with it?Slide2
Yes. Your lab waste is regulated.
MA state regulation 105 CMR 480.000
Human blood and materials contaminated with human blood
Human parts, tissues, fluids
Cultures of
i
nfectious agents as well as all
labware
used with cultures
generated in research and clinical laboratories
Biotechnology
b
y-product
e
ffluents such as cultures and solutions contaminated with microorganisms (including genetically altered)
Animal carcasses, body parts, body fluids, blood, bedding
Sharps
BPHC and NIH
Recombinant and synthetic nucleic acids Slide3
MA approved mechanisms of biological waste disinfection
Steam
disinfection / autoclaving;
Chemical
disinfection;
Incineration
at an approved incineration facility; or
Any
other method approved in writing by the Department
.
Pathological waste – human and animal tissues and body parts must be incinerated
Sharps – must be disinfected and then processed to eliminate the physical hazardSlide4
Steam disinfection / Autoclaving
In order to use autoclaving as the mechanism of inactivation of
waste
:
Every load must be evaluated for proper heating
Annual calibration by trained individual
Quarterly qualitative biological challenge – spore reduction
Document everything and keep records for 3 years.
How much time would this cost your lab personnel?Slide5
Feasibility of other mechanisms of disinfection on our campus
Chemical disinfection
Done routinely for liquid waste
Addition of bleach to liquid waste followed by disposal down sink
Incineration at an approved incineration facility
An approved incineration facility is not available on campus
Shredding/grinding of sharps
Equipment not available on campusSlide6
The Stericycle option.
Removes solid waste (not yet inactivated) from campus and performs disinfection and disposal processes off site:
autoclaving
Incineration
shedding/grinding
Relies on ability to ship waste via DOT regulationsSlide7
Pathological Waste
Solid Waste
Collected in cardboard boxes specifically labeled “incinerate only”
Transported to approved Stericycle incineration facility in Haw River, North Carolina
A
sh is landfilled
Transported to Stericycle autoclave plant in Woonsocket RI
Waste is autoclaved, shredded and compacted
Transported to North Andover, MA for incineration to generate
elecricitySlide8
Pathological Waste
Solid Waste
Collected in cardboard boxes specifically labeled “incinerate only”
Transported to approved Stericycle incineration facility in Haw River, North Carolina
A
sh is landfilled
Transported to Stericycle autoclave plant in Woonsocket RI
Waste is autoclaved, shredded and compacted
$$$
Transported to North Andover, MA for incineration to generate
elecricitySlide9
Pathological Waste
Solid Waste
Collected in cardboard boxes specifically labeled “incinerate only”
Transported to approved Stericycle incineration facility in Haw River, North Carolina
A
sh is landfilled
Transported to Stericycle autoclave plant in Woonsocket RI
Waste is autoclaved, shredded and compacted
$$$
Transported to North Andover, MA for incineration to generate
elecricity
NOT the mechanism of disinfectionSlide10
Exceptions
Risk Group 3 and 4 infectious microorganisms
MA regulations require this to be inactivated on site
Autoclave
Committee on Microbiological Safety (COMS) stipulations that require autoclaving of specific organisms before disposal into a Stericycle
biowaste
container
Rare
Still required to go into Stericycle
biowaste
containers because most autoclaves on campus are not calibrated and validated to meet state requirementsSlide11
Stericycle services at SPH
Solid waste options:
Gray plastic bins lined with red bag
Lab staff retrieve these from storage areas in loading dock
Cardboard boxes lined with 2 red bags
Red bags provided by custodial
NOT for autoclaving
Sharps waste options:
Disposable sharps containers purchased by labs
Placed in either gray bins or boxes when full
Removal of waste from labs
Request pick up of waste by custodial staffSlide12
Common misconceptions
It’s a “burn box”. Everything is incinerated to kill the infectious agents.
I have to autoclave all waste before putting it into the Stericycle bin/box.
We have to use the cardboard boxes because everyone else on our floor does.
Drawbacks to boxes:
Should not be placed directly on the floor
Should have plastic lid rather than cardboard
Contributes to volume of waste