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This document provides an overview and guidelines for waste management at Auckland District Health Board. It covers definitions of different waste types, containment, segregation, and disposal procedures. Responsibility lies with individual department managers to ensure all waste is disposed of according to this manual. Waste must be properly contained and stored before collection by approved contractors. All waste handling and transportation must meet legal requirements to protect personnel, the public and environment.
This document provides an overview and guidelines for waste management at Auckland District Health Board. It covers definitions of different waste types, containment, segregation, and disposal procedures. Responsibility lies with individual department managers to ensure all waste is disposed of according to this manual. Waste must be properly contained and stored before collection by approved contractors. All waste handling and transportation must meet legal requirements to protect personnel, the public and environment.
This document provides an overview and guidelines for waste management at Auckland District Health Board. It covers definitions of different waste types, containment, segregation, and disposal procedures. Responsibility lies with individual department managers to ensure all waste is disposed of according to this manual. Waste must be properly contained and stored before collection by approved contractors. All waste handling and transportation must meet legal requirements to protect personnel, the public and environment.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control
Health Board (Section 4) Manual
WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 1 of 22 Overview
Content This document covers the following topics relating to waste management.
Topic See Page Overview ..................................................................................... 1 Management of Waste Generation & Disposal ........................... 2 General Policy ............................................................................. 4 Waste Types Definitions .......................................................... 7 Types of Waste Containment ...................................................... 9 Waste Segregation & Recycling ............................................... 10 General Waste ........................................................................... 12 Clinical Waste ........................................................................... 14 Chemical Waste ........................................................................ 17 Cytotoxic Waste ........................................................................ 19 Pharmaceutical Waste ............................................................... 20 Radioactive Waste ..................................................................... 21
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 2 of 22 Waste Management Management of Waste Generation & Disposal
Purpose To manage waste generation and disposal throughout the Organisation in accordance with the terms of all relevant legislation and in a manner that meets the requirements of the New Zealand Standard for Health Care Waste Management (NZS 4304: 2002).
Scope All areas within Auckland District Health Board.
Responsibility Individual RC Managers are responsible for ensuring that all waste generated in their area is disposed of in line with this document.
Associated Document The table below indicates other documents associated with this document.
Type Document Titles Board Policies Body Parts - Autopsy Body Parts - Surgical Infection Control Policies Cleaning of Inpatient/Clinical Areas - Infection Control Requirements for Patient Isolation Standard Precautions Health & Safety Mercury Guidelines for Safe Use Pharmacy Spillage of Cytotoxic Drugs
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Type Document Titles Legislation Toxic Substances Regulation 1983; amendments 1998 & 1999 Resource Management Act 1991 Hazardous Substances & New Organisms (HSNO)Act 1996 Radiation Protection Act 1965 Radiation Protection Regulations 1982 Biosecurity Act 1993 Land Transport Rule, Dangerous Goods 2005 Land Transport Act 1998; amendment 2005 Local Authority Reg. Auckland Regional Council Trade Wastes By-laws 1991 Auckland Metropolitan Drainage Act 1960 Standards NZS 8142:2000 Infection Control NZS 4304:2002 Management of Healthcare Waste NZS 5433:1999 Transportation of Dangerous Goods on Land AS/NZS 4261:1994 Reusable containers for the collection of sharp items used in human and animal medical applications SAA/SNZ HB76:2003 Dangerous Goods - Initial Emergency Response Guide. NZS 7603:1979 Specifications for Refuse Bags for Local Authority Collection Guideline OSH Guidelines for the Safe Handling of Cytotoxic Drugs and Related Waste May 1997.
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 4 of 22 Waste Management General Policy
General Policy This document provides a broad overview of approved methods of waste management.
Specific guidelines and training are required of all areas disposing of waste types related to their specialty.
All human waste shall be treated in a manner that upholds the spiritual, cultural, and physical dignity of the person from whom the waste was generated.
All staff involved in waste management shall be trained in accordance with the protocols in this document.
All waste generated shall be handled in such a manner that it does not cause harm / injury to personnel or the environment.
Waste management within the Organisation will be monitored and audited.
This document references the Standard NZS 4304:2002 Management of Healthcare Waste which is the recommended Standard from the Ministry of Health.
Waste Disposal Plan Prior to the implementation of any procedure that generates any waste type a plan should be in place for the disposal of the waste.
Waste Reduction There will be a co-ordinated approach in the supply of goods and subsequent disposal of associated waste.
In purchasing goods and services, due consideration will be given to the principle of waste minimisation.
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Containment & Storage Waste must be contained, properly secured and stored in an appropriate bag/container.
It is not necessary for rubbish bag holders to have lids unless the waste contained therein is likely to be smelly or otherwise offensive, and/or it is impractical to change the bags at least daily.
Waste that is not adequately secured will not be collected.
All bags must be tied off at the top.
Split or leaking bags must go into another bag or placed into a fluid bin as appropriate to contain the waste.
The bag must not be overfilled which may cause the bag to split (i.e. fill to 2/3 capacity only).
Waste collection staff must not be endangered in any other way by the nature or packaging of the waste.
The contractor will not collect contaminated waste that is not appropriately packaged.
Waste shall be stored for collection in designated areas away from public traffic, and separate from any food preparation and transport routes, patient treatment, sterile supplies or other clean areas. Waste may be stored in ward sluice rooms, provided sufficient space is available so as not to compromise other functions.
Bulk storage of waste for collection shall be in designated areas that are secure, lockable, well aerated and maintained by the contractor to comply with NZS 4304:2002.
Transport Movement Any movement of waste around the organisation should maintain its segregation to ensure subsequent safe disposal. Any movement of waste around the organisation should maintain the principle of keeping clean and dirty functions and goods separate. Any reusable hard shell containers used to collect, store or transport waste must be cleaned as required by the contractor.
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Contractor Waste shall be collected from designated areas and disposed of appropriately by the contractor.
All procedures used by the contractor in fulfilling their contract must be fully documented, and these procedures approved by Infection Control. All contractors employed directly or indirectly in waste management will be required to abide by the terms of this document, and the principles laid out in NZS4304:2002. Any required documentation (e.g. Hazardous Substances or Dangerous Goods Declaration) shall be completed at the point of generation, and accompany the waste.
Legal Requirements Any additional requirements (licences, statutory documentation) required by external agencies must be complied with also.
The major requirements for waste is: Waste must be appropriately segregated and identified at the point of generation. Waste must be placed in containers displaying appropriate colour code and international hazard symbol and hazardous substance class where specified. (NZS 5433:1999).
Effluent Discharge Waste discharged to the site sewerage system (including any waste chemicals) must comply with the Auckland Regional Council Trade Waste Bylaw - 1991. To assist staff in making disposal decisions the following guidelines are available on the Facilities Management intranet website or as hard copy from Facilities Management; Guidelines on the Discharge of Effluent to the Sewer.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control Health Board (Section 4) Manual WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 7 of 22 Waste Types Definitions
General Waste Waste material, which is non-hazardous, includes office or paper waste, kitchen waste and any other household type waste. The majority of hospital waste is classified as general waste.
Clinical Waste Human material contained or spilled accidentally, which has the potential to cause a microbiological or pathological hazard to health. Includes the categories of sharps, human tissues, laboratory waste and any other category as specified by the organisation. (See Other Clinical waste).
Heavily Contaminated: Refers to items that are heavily soiled with blood or body fluids and would be dripping with blood or body fluids. It also refers to an item of waste that would generally be considered to be offensive, and is therefore unsuitable for landfill.
Sharps: objects or devices having sharp points or protuberances or cutting edges, capable of cutting or piercing the skin. e.g. Needles, scalpel blades, scissors, blood glucose lancets.
Human tissue waste: body tissue, organs, limbs, and any free- flowing liquid body fluid.
Laboratory waste: a specimen or culture discarded in the course of medical or dental practice or research, including genetically manipulated material and imported biological material.
Animal waste: animal material which has the potential to cause a microbiological or pathological hazard to health. Includes categories of laboratory and animal waste resulting from medical research.
Other Clinical waste: Waste that may be offensive in odour, such as any material or by-product of a process contaminated with infectious agents or body fluids.
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Related Wastes Chemical waste: Material generated from the use of chemicals in medical, laboratory, ancillary and disposal procedures.
Cytotoxic waste: Material which includes sharps and is, or may be contaminated with, a cytotoxic drug during certain laboratory procedures and during the preparation, transport or administration of cytotoxic therapy.
Pharmaceutical waste: Material that may arise from pharmaceutical products that have passed their recommended shelf life, discarded pharmaceuticals due to off-specification batches or contaminated packaging, drugs returned by patients, drugs that are no longer required by the organisation. (Excludes disposal of pharmaceutical drugs and their metabolic by-products excreted from patients undergoing therapy).
Radioactive waste: Material including sharps, contaminated with a radioisotope which arises from the medical or research use of radionuclides, e.g. during nuclear medicine, radioimmunoassay and microbiological procedures, and may be in solid, liquid or gaseous form.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control Health Board (Section 4) Manual WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 9 of 22 Types of Waste Containment
White Plastic Bags 50-micron thick plastic bag. May have General Waste printed on side of the bag. Suitable for non-penetrating general hospital waste. White plastic bags are disposed of at landfill.
Brown Paper Bags Dry general waste.
Yellow Plastic Bags 50 micron thick plastic bag with biohazard symbol displayed on bag. Suitable for waste that is heavily contaminated with body fluids but is not liquid. Yellow plastic bags are disposed of by the contractor at the plant site.
Fluid Bins Can be either 50L or 120L bins with biohazard symbol displayed. These bins are for liquid waste of blood or other body fluids that would leak out if in yellow plastic bag. The bins are lined with 170 micron yellow bags. The contractor at the plant site disposes of the contents of the bins.
Cytotoxic Bins & Bags Non-reusable purple, hard shell plastic containers or purple plastic bags labelled with the telophase symbol. Cytotoxix waste is transported off shore for incineration by the contractor in Australia.
Sharps Containers Yellow hard shell plastic containers containing the universal biohazard symbol. The contractor at the plant site disposes of the contents of the bins.
Radioactive Containers Non-reusable rigid container, stored and transported upright. International ionising radiation symbol in black.
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 10 of 22 Waste Management Waste Segregation & Recycling
Purpose To outline the procedure for segregation of waste.
To minimise/ prevent cross infection via blood or body fluid contaminated rubbish.
Responsibility This procedure applies to all Auckland District Health Board staff who generate waste (whether in clinical areas or not).
Segregation The process ensures the different waste categories are kept separate at their generation point, during handling, interim storage and transportation, prior to disposal.
Recycling Recycling of waste is to be encouraged.
Glass, plastic and cardboard is to be placed into appropriate containers for removal by an approved contractor.
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Procedure Follow the steps below to segregate waste. For further information refer to the waste type section.
Is it radio- active or cytoxic waste? Yes Is it a sharp? (e.g. needle) No Is it heavily soiled with blood or body fluid? Yes No No Is the blood and body fluid likely to leak? Yes Yes No Dispose of into a yellow biohazard rubbish bag (e.g. blood soaked swabs) Dispose of into white plastic/brown paper bag. Place into a fluids bin (e.g. full drainage bottle) Place into a sharps container Dispose of into appropriately labelled container as per Company Waste Management policy. ITEM
Note Normal household type glass should be disposed of into appropriately labelled glass containers.
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 12 of 22 Waste Management General Waste
Purpose To detail the policies for collection, segregation, labeling and disposal of various types of general waste.
Paper Waste Paper suitable for recycling is to be placed into the paper recycle bins.
Cardboard suitable for recycling is flattened and collected by the contractor.
Other paper and general office waste is disposed of into either white plastic or brown paper bags for collection and is disposed of by landfill.
Any patient or commercially sensitive papers must be either shredded or placed into the locked blue confidential bins for Rotoclaving by the Contractor. Shredded paper may be placed in white plastic or brown paper bags for disposal by landfill.
Confidential Document Bins Access into confidential document bins for the purpose of document retrieval must only be through the Waste contractor who will have a key to unlock bin. All confidential document bins must have a bin liner and padlock attached. No confidential documents are to be kept in open bins under work stations or desks.
Note: No keys are to be held by any department or ward unless authorized by commercial services of ADHB.
Recycling Co- mingle Bins Glass, plastic, aluminium and tin are recycled in green with yellow lid co-mingle bins.
Glass contaminated with hazardous substances must be disposed of according to the hazard type refer to the appropriate section in this document.
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Kitchen/ Food Waste May be placed into black plastic bags, then into designated wheelie bins, for landfill disposal. Food scraps may also be disposed of into a kitchen macerator and flushed to the sewer. Bins for collecting food waste must have lids.
Wastes from Clinical Treatment Areas Household type waste generated in the clinical area is suitable for disposal as general waste and should be placed into white plastic or brown paper bags and disposed of in sanitary landfill.
Examples are: Intravenous tubing (with plastic spike removed) and bags, oxygen masks and tubing. Metrisets, buotrols, three way taps, rubber top vials. All intravenous plastic cannulas, epidural catheters. Unused test tubes, empty syringes (no needles) from the needleless system. Empty 10 ml, 20 ml, 50 ml and 250 ml bottles (Radiology). Drainage collectors which have been emptied of contents e.g. haemovacs, colostomy equipment, urinary bags, and minivacs. Catheters e.g urinary, suction, rectal and naso-gastric. Disposable sheeting e.g burns sheeting, plastic sheeting; continence products, disposable nappies and sanitary pads. Disposable scopes e.g sigmoidoscopes, speculums. Used dressings, swabs, gauze etc and material from dressing packs. Specimen containers, used and emptied. Used tissues, emptied sputum mugs, emptied vomit bowls. Disposable gloves, masks, gowns and plastic aprons. Disposable airways, bacterial viral filters, oral/pharyngeal suction catheters and endotracheal tubes. Underwater seal drainage tubing. Tinfoil containers. Plaster of Paris casts. Glass if unsuitable for recycling. Broken glass, light bulbs, broken suction bottles (wrapped in newspaper).
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 14 of 22 Waste Management Clinical Waste
Purpose To detail the policies for collection, segregation, labeling and disposal of the various types of clinical waste.
Disposal of Clinical Waste There are several methods for processing/disposing of clinical waste, e.g. incineration, compaction. Any contractor appointed to collect and dispose of ADHB waste must operate a safe, effective operation that meets all relevant standards, codes, legislation, local authority regulations, and does not pose any hazard to the general public, to ADHB staff, patients, or visitors, or to the environment.
In addition, the Infection Control Service must approve any such disposal process. The Infection Control Service is responsible for monitoring and auditing the contractor to ensure such ongoing compliance.
Paper, plastic or other materials which are contaminated with body fluids or other biohazardous material that are not likely to leak out should be placed into yellow plastic bags for collection by the contractor for disposal. Bags must be securely closed before collection. Do not place liquid waste into bags - use the fluid bins as above. Yellow bags be at least 50 microns thick.
Sharps Must be disposed of into dedicated puncture resistant sharps containers which comply with AS/NZS4261: 1997 and which have been approved by Infection Control.
Sharps containers must be correctly assembled.
Sharps containers must not be overfilled and be closed properly to avoid spills or protrusion of sharps. Do not fill past the 2/3 mark or designated fill line.
Sharps containers are collected and disposed of by the contractor.
Do not place sharps into plastic or paper bags as this creates a hazard.
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Human Body Fluid/ Tissue Waste Any bag, tube or vessel containing a body fluid is to be placed into the dedicated yellow fluid bins. The bags are filled to 2/3 full then closed using a tie and the bins lid replaced tightly to secure the contents. The contractor collects the contents of these bins for disposal.
A yellow plastic rubbish bag is to be used to contain any waste that is heavily contaminated with body fluids which are not free-flowing liquids. This is filled 2/3 full and tied off.
Tissues fixed in a solution of 10% Formalin, prior to collection for disposal, are drained and placed in the fluid bins which are labelled Biohazard as supplied by the contractor. The bags are filled to 2/3 full then closed using a tie or tie-wire apparatus and the bins lid replaced tightly to secure the contents.
The Auckland City Mortuary staff organises the disposal of limbs by the School of Medicines contractor. The limbs are placed inside a 120 micron yellow plastic bag which is then placed in a multi-walled brown paper bag and sealed by taping. Sharp edges such as bone, are padded to prevent perforation of the packaging. A form, Mortuary Department Request from Main Building Operating Rooms (detailing method of disposal and patient identification) which has been completed and signed by the nurse in the operating room, is attached to the package.
Some human tissues including complete organs, foetal tissue and placentas, are transported by Funeral Director and disposed of at Mangere Crematorium, or collected by the patient or family/whanau members on request. A Mortuary Department request form shall be completed and signed in each instance. Where human tissue is kept by the ADHB, it shall be managed according to Body Parts Policy and disposed of in a manner in accordance with relevant Standards and Policies.
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Laboratory Waste Some laboratory waste may require pre-treatment before disposal, e.g. all waste from the TB laboratory is autoclaved before disposal.
All other laboratory waste is collected and segregated as per the sharps and other clinical wastes sections.
Some laboratory waste is classified also under Related wastes. Refer to that section for details (e.g. chemical, cytotoxic, pharmaceutical, radioactive).
Isolation Room Waste In general all isolation room waste is placed in white rubbish bags, unless waste is heavily soiled with blood and body fluid.
In rare cases of extremely infectious diseases, e.g. Ebola or Lassa fever, special precautions are required. In the unlikely event of such an occurrence at ADHB, contact Infection Control or Infectious Diseases for further guidance.
Animal Waste Is to be placed into yellow biohazard bags and collected by the contractor for disposal.
Bags must be securely closed before collection.
Do not place liquid waste into bags. If liquid waste is likely, a fluid bin will be required.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control Health Board (Section 4) Manual WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 17 of 22 Chemical Waste
Purpose To detail the policies for the collection, segregation, labeling and disposal of the various types of chemical waste.
Chemical Waste Compliance with all laws, regulations and by-laws is mandatory. Refer to Transport of Dangerous Goods on Land: 2005; Land Transport Rule 45001: 2005, Dangerous Goods: 2005.
Prior to the use of any hazardous chemical a plan should be in place for its disposal, including by-products. Managers of areas generating such waste are responsible for providing training in the safe handling, storage and disposal of the products, ensuring written procedures are documented, followed and updated records of reviews of procedures and training are maintained.
Different wastes should not be mixed and precise labeling is obligatory. Waste shall be placed in containers displaying the appropriate waste category colour code, international hazard symbol and, where specified, the hazardous substance class. (NZS 4304:2002).
In storing solvents, containers must have a minimum of 8mm air space left for expansion. Solvents must be collected in glass bottles, or empty 20 litre drums in which solvents provided by the supplier were purchased. An accurate inventory should be kept of types and quantities of chemicals held for disposal.
Spontaneously flammable materials, (e.g., solvents, oxidising materials, some acids when mixed with organic material, rags soaked in paint or oil) must be handled with great care and never deposited in the normal waste bins.
Legislative requirements for documentation must be met.
Particular care must be taken to maintain secure storage with no unauthorised access possible.
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Chemical Waste continued Storage must be in an appropriate area (e.g. flammables cupboard, dangerous goods store) away from incompatible chemicals. Appropriate emergency equipment according to current regulations must be provided.
Quarterly audits of Dangerous Goods Storage areas is to be arranged in accordance with NZS 5433:1999 Transport of Dangerous Goods on Land.
Depending on the substance, it is collected into hard shell containers by the contractor for incineration or landfill (depending on regulations and quantities); or, some substances may be flushed down the sink or sluice with appropriate volumes of water and pre- treatment where indicated.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control Health Board (Section 4) Manual WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 19 of 22 Cytotoxic Waste
Purpose To detail the policies for the collection, segregation, labeling and disposal of the various types of cytotoxic waste.
Cytotoxic Waste All procedures for the handling of cytotoxic waste must comply with the Guidelines for the Safe Handling of Cytotoxic Drugs and Related Wastes, 1997; Pharmacy: Spillage of Cytotoxic Drugs: June 2003, NZS4303:2002 Management of Healthcare Waste and NZS 5433:1999 Transport of Dangerous Goods on Land.
Cytotoxic waste shall only be collected and handled by personnel trained in handling such substances. Managers of areas generating such waste are responsible for providing training in the safe handling, storage, management of spills and disposal, and ensuring written procedures are documented and followed and updated records of reviews of procedures and training are maintained.
Containers for cytotoxic material shall be sealed and labeled prior to leaving the workroom or laboratory.
Cytotoxic waste mixed with other waste (e.g. blood and other body fluids) shall be treated as cytotoxic waste.
Low concentration cytotoxic waste from patients being treated with cytotoxic preparations should be flushed to the sewer system.
Sharps are collected into dedicated cytotoxic sharp containers. These are disposed of by the contractor.
Other cytotoxic waste generated is collected, securely closed, and collected by the contractor for incineration. Yellow bags with a telophase sticker attached are acceptable if purple bags are not available.
Cytotoxic waste is disposed of and incinerated off shore in Australia by the contractor
Do not place cytotoxic waste into white plastic or brown paper bags.
Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 20 of 22 Waste Management Pharmaceutical Waste
Purpose To detail the policies for the collection, segregation, labeling and disposal of the various types of pharmaceutical waste.
Pharmaceutical Waste All practices in relation to pharmaceutical waste must comply with policies outlined in ADHB Pharmacy Policy Manual.
Must be contained in appropriate hard shell containers, and the contents clearly identified.
Return to Pharmacy, who will sort and dispose of.
Disposal of Controlled Drugs shall be by two pharmacists in accordance with current guidelines, and an accurate record kept.
Pharmaceutical suppliers must provide either appropriate disposal information for their products, or agree to accept their products back when no longer required.
All trial medication not dispensed by Pharmacy staff must be collected and disposed of by the supplier or pharmaceutical firm.
May be collected for incineration by the contractor or flushed into the sewer, depending on the substance and relevant laws, by-laws and other regulations.
Expired or waste vaccines should be inactivated before disposal by heat or autoclaving, or alternatively be disposed of by high temperature incineration.
Where pharmaceutical products are utilised in areas other than pharmacies (e.g. laboratories), then the same policies above shall apply.
Auckland District ENVIRONMENTAL MANAGEMENT Infection Control Health Board (Section 4) Manual WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Waste Management Page: 21 of 22 Radioactive Waste
Purpose To detail the policies for the collection, segregation, labeling and disposal of the various types of radioactive waste.
Radioactive Waste The handling and disposal of radioactive waste must meet the requirements of Radiation Protection Act 1965 and Radiation Protection Regulations 1982, Biosecurity Act 1993, Toxic Substances Regulation 1983, the National Radiation Laboratory (NRL) and the Code of Safe Practice for the use of Unsealed Radioactive Materials, 1996. Staff responsible for areas generating radioactive waste shall be licensed by the National Radiation Laboratory. The licensee shall be a suitably qualified person licensed to use radioactive material or irradiating apparatus under the Radiation Protection Act 1965 and the Radiation Protection Regulations 1982. Licensees of areas generating such waste are responsible for providing training in the safe handling, storage and disposal, and ensuring that written procedures are documented and updated All radioactive waste containers shall be clearly identified with a radiation symbol. Waste is to be collected into suitable containers, (e.g. non- reusable rigid containers). Areas dedicated to store radioactive waste shall be secure at all times and display the black ionising radiation symbol. The licensee is responsible for determining when radioactive waste is at a level acceptable for disposal. When practicable, radioactive material should be securely stored, until the residual activity has been calculated to be reduced, to a level allowable for disposal. The waste is then disposed of as per other waste - i.e. biohazardous into yellow bags for Rotoclaving; non-hazardous liquid into sewer; non-hazardous solids into white plastic or brown paper bags and to the landfill. Any reference to radiation is to be removed prior to landfill disposal. If not practicable to store until safely decayed, consult the NRL for advice.
Continued on next page Infection Control ENVIRONMENTAL MANAGEMENT Auckland District Manual (Section 4) Health Board WASTE MANAGEMENT Section: Environmental Management Issued by: Infection Control Co-ordinator File: Waste Management Nov10.doc Authorised by: Chief Medical Officer Classification: IC01/ENV/004 Date Issued: Updated November 2010 Page: 22 of 22 Waste Management Radioactive Waste, Continued
Radioactive Waste, continued Radioactive sources must be packaged and couriered to the disposal or reuse agency. Legislation requires that radioactive waste, when transported on land, shall carry a Dangerous Goods declaration. (Refer to NZS 5433:1999). Where the radioactivity levels are below the limits specified in the NRL Code of Safe Practice, the waste may be disposed of as Clinical waste.
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