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 PGH metrics report

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• Nicotine patches and gums • Warfarin (coumadin) • Insulin • Outdated/unused BULK chemo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: norcalshg-subscribe@yahoogroups.com 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

Paul_Kelley@whhs.com 510-791-3493