In-Depth Waste Stream Analysis

Waste Stream SpotlightHealthcare Waste Management

Meet Your Moderator:

Sasha Laferte

1. All lines are muted, use the chat panel for tech issues.

2. Q&A at the end, tweet questions using

#WasteStreams

3. Unanswered questions will be answered on Twitter

after the webinar.

4. Webinar recording and slides will be emailed to you

tomorrow morning.

Share With the Audience

Meet Your Presenter• Steven Todisco, HEM, CHMM, Six Sigma Greenbelt

• Triumvirate Environmental - Corporate Healthcare & Pharmaceutical Program Director

• 12 Years Experience• Healthcare Hazardous Waste Management• Pharmaceutical Waste Management• Incident Command, Emergency Response

• Cell Phone: 339-226-0524• Email: [email protected]• www.Triumvirate.com

Our Key Message

With the right methodology, education and resources, a hospital could

improve it’s waste management plan, where the annual savings could pay for

one out of every four years.

Overview

Solid, 60%

Hazardous 4%

Universal; 1%

Pharma; 1%

Medical, 30%

Recycling; 4%

Who Is This For?

Healthcare Waste

Generators

Simple & Safe

Compliance

Healthcare Directors

Cost Savings &

Sustainability

Healthcare Leadership

Citations & Public

Relations

On a 1 – 5 Scale: How confident are you with the compliance

with your waste programs?

What Will You Learn?

Who is regulating you & Regulator Focus

Waste Stream Specifics and Nuances

Where our opportunities are

Did you Know?

Federal

EPA

OSHA

Joint Commission

State

Your state agency (DEP,

DEC, etc.)

Dept. of Health

Health & Human

Services

Local

MWRA

Local Fire Department

Bureau of Narcotics

Enforcement (BNE)

Where is their focus?

No / Missing Col-lection

Pharmaceutical Waste Man-

agementIncreasing Re-cycling Totals /

Waste Reduction

Narcotic Collec-tion

Improper Drain Disposal

The Opportunity….• Hospitals with revenue of $1 billion or more report

spending (0.15%) of their total annual revenue managing disposal of waste.

• That equates to about $1.5 million in waste management spend for every billion in revenue.

• Top institutions track at 20-25% below that number

Hazardous Waste

Waste Stream Spotlight – Hazardous Waste

Waste Stream Spotlight – Universal Waste

Waste Stream Spotlight -Pharmaceutical Waste

Waste Stream Spotlight – Medical Waste

Laboratory Waste: • (Histology, Microbiology, Cytology, Chemistry,

Hematology, Pathology / Gross Pathology)• Solvents• Acids, • Methanol• Thin Prep, Sure Path• Clinical Analyzer• Hand Slide Staining, Automatic Slide Staining

Hazardous Waste RCRA – (40 CFR Part 260 – 282)

Facilities / Engineering Waste:• (Paint Shop, Carpentry Shop, Buildings & Grounds,

Mechanics Shop, Plumbing Shop, Electrical Shop, Boiler Plant)

• Oil Based Paints, Paint Thinners, Rags• Lead Solders• Oil, Oily Debris, Oil filters• Glycols, chiller fluids• Wastewater Treatment Chemicals• Spray Paints


Research Generated Waste:(Clinical Research & Non-Clinical Research)

• Halogenated & Non-Halogenated Solvents• Non Routine Waste

• Characteristic• Ignitable• Corrosive• Toxic • Reactive

• Listed• U-Listed Waste• P-Listed Waste


Bio-Medical Engineering:• Universal Waste, Non-Regulated

Material, Recyclables • Batteries• Electronic Scrap• Scrap Metal


Lab Pack in Progress:• Review your Waste

Shipments• Refine your process• Assess on a container by

container basis

90 / 180 Day Clock:• Maintain oldest dates• Ship in most appropriate size

containers• Use Generator Size to your

advantage

Lab Pack in Progress / 90 or 180 Day Clock

Universal Waste





• Batteries:• Lead Acid, Ni-Cad, Ni-MH,

Lithium, Mercury• Pesticides• Mercury Containing Equipment:

• Thermometers, Thermostats, Gauges, Switches, Sphygmomanometers

• Bulbs (Lamps):• Straight Bulbs, U-Tubes,

Circulars, HID

Universal Waste – (40 CFR 273.9)

• By the Pound or By the Drum?

• What containers have I been shipping in?

• Streamline Disposal or Recycling Vendors

• Maximizing Light Bulb Storage

Universal Waste – (40 CFR 273.9)

Pharmaceutical Waste





Fact Finding Mission• Generator Size &

Generator State• Formulary & Non-

Formulary Characterization• Reverse Distribution

Pharmaceutical Waste – (40 CFR 260 - 282)

Operational Components• Satellite Accumulation Area• Waste Stream Finalization• Container Selection


Education & Training• Nursing, Environmental

Services, Pharmacy• Bonus Education

• Pyxis, Omnicell, • Labeling & Signage• Color Coded systems


• DOT Shippable Containers or Palletizing

• Avoid Extra Supplies (Over pack containers)

• Education means generating the correct waste

• Automate the process

• Custom Pre-Printed Labels or Signage

• LQG versus SQG (1 bucket or more)

• Bring Nursing Education in the loop


Resource Conservation and Recovery Act (40 CFR 260 - 282)

Po

ten

tial

fo

r H

arm

Extent of Deviation from Requirement

Regulated Medical Waste





What’s in a name?

• Regulated Medical Waste (e.g., NY, RI)

• Infectious Waste (e.g., CO, NE, NV)

• Biomedical Waste (e.g., CT, FL, GA. ME, WA)


Treatment Standards

• Incineration

• Autoclave, Chemical

Treatment, Microwave,

Electrical

• Recycling


General Terms:

• Pathological waste: Tissues, organs, body parts, and body fluids removed during surgery and autopsy.

• Human blood and blood products: Waste blood, serum, plasma and blood products.

• Cultures and stocks of infectious agents (microbiological waste): Specimens from medical and pathology laboratories. Includes culture dishes and devices used to transfer, inoculate, and mix. Also includes discarded live and attenuated vaccines.


General Terms

• Contaminated sharps: Contaminated hypodermic needles, syringes, scalpel blades, Pasteur pipettes, and broken glass.

• Isolation waste: Generated by hospitalized patients isolated to protect others from communicable disease.

• Contaminated animal carcasses, body parts and bedding: From animals intentionally exposed to pathogens in research, biologicals production, or in vivo pharmaceuticals testing.


• Single vs. Multi Touch containers

• Storage Space

• Streamlining Waste shipments

• Reusable containers versus

Disposable

• Medical Waste / Sharps Recycling


SummaryHazardous Waste

Universal Waste

Pharmaceutical Waste


The Challenges…..1. Not having a plan… Inability to access correct or complete data relative to

their own total spend

2. No idea how much they actually spend

3. No idea where they waste management programs begin or end

4. No idea where their budgets for waste management reside in the hospital

5. Do not link waste management costs to key performance metrics

6. Struggle to resolve internal resource costs with vendor resource costs

7. Their service providers use irrelevant metrics to determine their costs

8. Service providers are typically motivated to increase waste management costs

Recap• With the right methodology,

education and resources, a hospital could improve it’s waste management plan, where the annual savings could pay for one out of every four years.

Action Plan

Gap Analysis

Develop a Plan

Data Tracking

QUESTIONS?

Thank You For Attending!

Cell Phone: (339)226-0524

Email: [email protected]

Website: www.triumvirate.com

Steven Todisco, HEM, CHMM, Six Sigma GreenbeltTriumvirate Environmental - Corporate Healthcare &

Pharmaceutical Program Director

Thank You For Attending!Check out other webinars here:www.triumvirate.com/training/events

You will receive:Copy of deckRecordingQ&ASurveySpecial Offer

eBook:http://info.triumvirate.com/waste-minimization-in-the-healthcare-industry

Date post:	27-Jun-2015
Category:	Healthcare
Upload:	triumvirate-environmental
View:	178 times
Download:	5 times