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Waste Management at Medical Laboratories
1. How to handle
Laboratory waste?
Ravi Kumudesh
BSc/PG Dip(SMgt)/Dip(MLT)
Ministry Of Health, Sri Lanka
SLSMLS/RK
2. Introduction
Safe, healthy & productive workplace
environment
Responsible and effectively handling of
hazardous waste
Good lab etiquette
Municipal and government laws exist to
regulate and control hazardous waste disposal
SLSMLS/RK 2
3. Waste management
Manage waste responsible:
Classification/ Characterizing hazardous waste
Proper packaging
Proper storage of waste
Effective labeling
Waste collection protocol in place
SLSMLS/RK 3
4. Types of waste
Normal Municipal waste (general)
Recyclable waste
Broken Glass
Biological / Medical waste
Chemical waste
Sharps, Broken Glass
Radioactive material waste
Electronic and computer waste
SLSMLS/RK 4
5. Hazardous Waste
Any waste that directly or indirectly represents a
threat to human health or to the environment by
introducing one or more of the following risks:
Explosion or fire
Infections, pathogens, parasites or their vectors
Chemical instability, reactions or corrosion
Acute or chronic toxicity
Cancer, mutations or birth defects
Toxicity or damage to the ecosystems or natural
resources
Accumulation in the biological food chain, persistence
in the environment or multiple effects
SLSMLS/RK 5
7. Classification dangerous goods and substances
Class 1 Explosives
Class 2 Gases
Class 3 Flammable liquids
Class 4 Flammable solids
Class 5 Oxidizing substances and organic peroxides
Class 6 Toxic and infectious substances
Class 7 Radioactive Substances
Class 8 Corrosives
Class 9 Other miscellaneous substances
SLSMLS/RK 7
8. Segregate chemical waste
Proper segregation = good chemical hygiene + safe
workplace environment
Only put compatible chemicals in a container
Also do not store the following near each other
Acids and bases
Organics and acids
Powdered or reactive metals and combustible materials
Cyanide, sulfide or arsenic compounds and acids
Mercury or silver and ammonium containing compounds
Do not mix solids and liquids
Halogenated with non-halogenated chemicals
SLSMLS/RK 8
9. Chemical Waste Compatibility (1)
Incompatible chemical waste not be mixed or
store together
If it must be store in same area – separated
secondary containment
Container must be compatible with the waste:
Mineral acids - plastic
Bases -Plastic
Oxidizers - Glass
Organics (incl Acetic acid) - Glass
SLSMLS/RK 9
10. Chemical Waste Compatibility (2)
Take special care
Nitric acid:
Reacts with organics-heat & gas
Be sure container is rinse thoroughly
Perchloric acid, Organic Peroxides:
Highly reactive with organics and organic material
(wood). May react with metals
Hydrofluoric acid:
Dissolves glass containers
SLSMLS/RK 10
11. Packaging of chemical waste (1)
Place hazardous waste in sealable containers
Enviroserv supply different plastic and metal
containers
Sized from 25L to 200L, plastic or metal.
Containers must be kept closed.
Do not leave a hazardous waste container with a
funnel in it.
Glass bottles with waste must be packed with
vermiculite into bigger containers.
SLSMLS/RK 11
12. Packaging of chemical waste (2)
The container should not react with the waste
being stored (e.g. NO hydrofluoric acid in glass)
Similar wastes may be mixed if they are
compatible
Wastes from incompatible hazard classes should
not be mixed (e.g. organic solvents with oxiders)
Be aware that certain metals also cause disposal
problems when mixed with flammable liquid or
other organic liquids.
SLSMLS/RK 12
13. Labeling
Must be labeled as HAZARDOUS WASTE
Should be accurate, legible and fully explained
Contain name of the department, lab group
name, contact person details, content and
concentration, hazard class, date
Use Enviroserv /Sanumed self adhesive labels
or your own.
Waste vs. used
No old labels
SLSMLS/RK 13
14. Waste classification by Enviroserv
Specific codes for different departments (BOTZOO)
Code Type Disposal Method
3A Flammables ABW
3B Toxic compounds E
3C Polyethelene Glycols TA
3D Contaminated Broken Glass TC
3E Contaminated tips, tubes TC
3F Mineral acids ITP with Lime
3G Concentrated organic acids TWC
SLSMLS/RK 14
15. Storage
Select the correct container (glass / polyethylene) for
storage
Use original containers if possible
Use appropriate sized container
Do not make containers too heavy to lift by the
contractors
Containers must be tightly sealed and not leak
Containers correctly labeled
Container compatible with chemical being stored
-separate containers for each type of waste
Do not store longer than 90 days
SLSMLS/RK 15
16. Collection Procedures
Pack all waste in drums provided by contractors
Ensure glass bottles are prevented from breaking by
adding vermiculite
All drums must be properly classified and labelled as
HAZARDOUS WASTE
When drums are full, fill in a pick-up form and
forward to USBD (Piet van Deventer, email
pjvd@sun.ac.za)
USBD will arrange for contractors (Enviroserv) to
pick up the drums at your department
SLSMLS/RK 16
18. Special waste (2)
Silica gel
Not grossly contaminated – normal lab trash
Heavy contaminated- disposed as hazardous waste
Batteries
Classified as universal waste rather than hazardous
waste
Contain mercury, cadmium, lead, silver, lead-acid
Alkaline (no Hg) - not to be put in the normal trash.
South Africa Recycle program?
SLSMLS/RK 18
19. Unidentified Chemical waste
Should be considered unknown hazardous waste.
Unknown waste cannot be legally transported or disposed.
To dispose them safely and properly it need to be characterised
by Enviroserv which is a costly affair.
Find out as much as possible about how the waste was
generated.
Please DO NOT
Pour unknown chemicals down the drain
Mix unknown chemicals with any other chemicals
Bring unknown chemicals to a regular waste pick up
Abandon unknown chemicals in the work area.
SLSMLS/RK 19
20. BIOLOGICAL WASTE
Definition: Waste generated from biologically-
cultured stocks and plates, molecular material,
blood, animal and plant tissues etc.
All sharps e.g. glass implements, needles,
syringes, blades, glass Pasteur pipettes
Separate biological waste from chemical
hazardous waste
Treat to eliminate biohazard by sterilization or
incineration
Label correct, use biohazard tape
SLSMLS/RK 20
21. Biological waste cont.
Animal Bedding waste
Bagged – not be mixed with other waste
Labelled as animal bedding waste
Are to be autoclaved before being placed in medical
waste boxes – disposed in the medical waste stream
Animal carcasses
Are kept frozen
Get an order number from Elmarie King –USBD
(ek2@sun.ac.za)
Department took the carcasses themselves to the
Western Province Veterinary lab , Stb for incineration
SLSMLS/RK 21
22. Containers (1) –Biological
Biohazard/medical waste
boxes
Disposal of non-sharp bio
hazardous waste
Cardboard box lined with
a red 45 micron plastic bag
Two sizes 50 and 142 litre-
max 15kg
Seal bag with cable tie,
seal box with biohaz .tape
Sanumed destruct it by
high temp. incineration
SLSMLS/RK 22
23. Containers (2) –Biological
Biohazard Sharp
containers
Disposal sharp bio-
hazardous waste
100% puncture proof
Available in 4, 7.6,
10, 15 and 25 l
Destruction by high
temp
SLSMLS/RK 23
24. Containers (3) –Biological
Specimen bins
For safe human and
animal tissue
disposal.
Ideal for wet waste
Available in 2.5, 5
and 10 l bin
Destruction by high
temp
SLSMLS/RK 24
25. Points to remember
No bio-hazardous waste shall be stored for longer
than 24 hours without being decontaminated
Decontaminated bio-hazardous waste stored up to
30 days
No storage public areas
Store under refrigeration if necessary to prevent
odors
Sharps containers treated as regular bio-hazardous
waste
SLSMLS/RK 25
26. Bio-hazardous waste Pick-up
Procedures
Seal red bags when ¾ full with cable ties provided
by contractor
Seal Biohazard/Medical waste boxes with
biohazard tape
Complete chemical/biological waste pick-up
request form
Forward electronically to USBD
USBD will arrange for contractor (Sanumed) to
pick up waste and replace containers as needed
SLSMLS/RK 26
27. Ways to minimize waste
Good housekeeping
Document Procedures
Maintain Chemical inventory
Centralize purchasing
Spill Preparedness
Neutralize corrosives
Minimize use of solvents
Use alternative products
SLSMLS/RK 27
Good Day ladies and gentleman/ Goeie dag dames en here This presentation will be dealt with how to handle laboratory waste, Hoe om laboratoriumafval te hanteer.
Everyone wants to work in a safe, healthy and productive workplace environment and it also everyone’s responsibility to ensure that it is so. “word gehandhaaf”. One of the key elements in a laboratory set up is the responsible and effectively handling of hazardous waste. Die onus val op u om te sorg dat die korrekte riglyne vir die hantering van gevaarlike afval gevolg word. Good lab etiquette includes proper handling of waste. Municipal and government laws exist to regulate and control hazardous waste disposal
To manage waste responsible you need to do the following: First –characterization of your waste You must know what type of waste do you have, What type of danger or hazard does it cause Does it react with other agents Second –Packaging Is the waste properly package – if not ,it can lead to spills and explosions. Third- Strorage Proper storage of the waste. Fourth- Labeling -is the labeling effective Fifth- Is there a proper procedure/ protocol in place in collecting the waste and remove it.
First you need to know that there are different type of waste that labs can generate such as Non-hazardous waste,-normal Municipal waste-paper,drink bottles of which can be recycle Broken Glass can be recycle but if it is contaminated it is handle as chemical waste. Hazardous waste which include dangerous Chemicals, biological waste ,sharps , radioactive and electronics/ computers I will only talk about chemical, biological and sharp waste
What is hazardous waste ?. Hazardous waste is any waste that directly or indirectly represents a threat to human health or to the environment by introducing one or more of the following risks: Explosion or fire Infections, pathogens, parasites or their vectors Chemical instability, reactions or corrosion Acute or chronic toxicity Cancer, mutations or birth defects Toxicity or damage to the ecosystems or natural resources Accumulation in the biological food chain, persistence in the environment or multiple effects
The next few slides will be how to handle chemical waste.
The South African Beaura of standards code 0028 is a system which classify chemicals in different class of hazard. You must be aware of which class the reagents you work with, belongs to.
When you know what class type you worked with, you must segregate your waste properly. Proper segregation of Lab waste is essential to good chemical hygiene and a safe workplace environment.. Therefore proper segregation of wastes involves making sure that wastes within a bottle are compatible but it also means that you NEVER store the following types of waste near each other Acids and bases Organics and acids Powdered or reactive metals and combustible materials Cyanide, sulfide or arsenic compounds and acids Mercury or silver and ammonium containing compounds Do not mix solids and liquids Halogenated with non-halogenated chemicals
As mentioned before incompatible chemical waste must not be mixed or store together If it must be store in same area, the waste must be separated with a second container. Container must be compatible with the waste for instance: Mineral acids - plastic Bases -Plastic Oxidizers - Glass Organics (including Acetic acid) - Glass
Take special care when you worked with Nitric acid – it can reacts with organics which will cause heat and gas Make sure that the container you use is rinsed thoroughly Another danger is Perchloric acid and organic peroxides It is highly reactive with organics and organic material such as wood , it may also react with metals. And hydrofluoric acid dissolves glass containers.
Place hazardous waste in sealable containers Enviroserv supply different plastic and metal containers Sized from 25L to 200L in plastic or metal. Containers must be kept closed at all times. Do not leave a hazardous waste container with a funnel in it. Glass bottles with waste must be packed with vermiculite into bigger containers Example of improper storage: Storage of waste in a fume hood where reactions are being carried out. Always remove waste bottles from hoods where reactions are being performed. Using metal cans for waste Storing flammable waste containers on a bench or floor. Storing waste bottles in or near a sink or floor drain. Only small amount of waste is allowed in the lab. Extra waste has be in a ventilated store room, preferably far from the labs, on the ground floor.
The container should not react with the waste being stored (e.g. NO hydrofluoric acid in glass) Similar wastes may be mixed if they are compatible Wastes from incompatible hazard classes should not be mixed (e.g. organic solvents with oxiders) Be aware that certain metals also cause disposal problems when mixed with flammable liquid or other organic liquids .
It is very important to label every thing you used and more important for waste. Waste must be labeled as Hazardous waste The labels must be accurate, legible and full explained Smaller waste bottles must contain your name, content, concentration and the date. Storage waste containers must contain name of the department, contact person, content, type of hazard, date. Enviroserv supply self adhesive labels that can be put on the bigger waste containers. If something isn’t really waste, don’t put the word waste on the bottle but label it as “used”. Do not leave old labels on the bottles- prevent confusion.
Enviroserv has also a waste classification system for each department/ building. This is an example for the JC Smuts . The number 6 is allocated to the department and the letter describe what hazard type the waste is. These codes must be put on the labels of the containers that Enviroserv picks up. The abbreviation I , E TC means the method of destruction by Envirnoserv.
Select the correct container for storage Use original containers if possible Container must be compatible with chemical being stored Use appropriate sized container Do not make containers too heavy to lift by the contractors All containers must be tightly sealed and not leak All containers must be correctly labeled Use separate containers for each type of waste Avoid combining chemicals Do not store longer than 90 days Always remove waste bottles from hoods where reaction are being performed Store flammable waste containers in a cabinet, preferably an –explosion resistant solvent cabinet Do not store waste bottles in or near a sink or floor drain.
Pack all waste in drums provided by the contractors Ensure glass bottles are prevented from breaking by adding vermiculite All drums must be properly classified and labelled as HAZARDOUS WASTE When drums are full, fill in a pick-up form to forward to USBD (Piet van Deventer, email pjvd@sun.ac.za) USBD will arrange for contractors (Enviroserv) to pick up the drums at your department
I just want to mention some disposal methods of some reagents that most of you used everyday. Ethidium bromide_ Especially used in the molecular labs, When the concentration of Etbr is less than 0.1% - it can go into the trash? –on a website, for gels with a content of more than 0.1% Etbr, it goes in the biohazard box for incineration. Etbr solution can be deactivated chemically or by charcoal filtration -the recommended method. Mercury Spilled droplets from say broken thermometers are pooled and with a pipette put in paper-puncture resistant container. Gloves & paper used to clean up the waste is put together in a plastic bag and –label as “mercury spill debris”.
Silica gel Not grossly contaminated – normal lab trash Heavy contaminated- disposed as hazardous waste Batteries Classified as universal waste rather than hazardous waste Contain mercury, cadmium, lead, silver, lead-acid Alkaline (no Hg) - not to be put in the normal trash. South Africa Recycle program?
Chemicals that cannot be identified should be considered unknown hazardous waste. Unknown waste cannot be legally transported or disposed. To dispose them safely and properly it need to be characterised by Enviroserv which is a costly affair. Find out as much as possible about how the waste was generated. Please DO NOT Pour unknown chemicals down the drain Mix unknown chemicals with any other chemicals Bring unknown chemicals to a regular waste pick up Abandon unknown chemicals in the work area.
Definition: Waste generated from biologically-cultured stocks and plates, molecular material, blood, animal and plant tissues etc. All sharps e.g. glass implements, needles, syringes, blades, glass Pasteur pipettes Separate biological waste from chemical hazardous waste Treat to eliminate biohazard by sterilization or incineration Label correct, use biohazard tape
Animal Bedding waste Bagged – not be mixed with other waste Labelled as animal bedding waste Are to be autoclaved before being placed in medical waste boxes – disposed in the medical waste stream Animal carcasses Are kept frozen Get an order number from Elmarie King –USBD (ek2@sun.ac.za) Department took the carcasses themselves to the Western Province Veterinary lab , Stb for incineration
Sanumed supplies a range of containers, specific for the type of biohazard waste. This is cardboard boxes lined with a 45 mikron plastic bag –this is suitable for the disposal of non-sharp biohazardous waste such as gloves, tubes, culture plates. The bags are filled to 3/4 and then sealed with a cable tie and the box sealed with biohazard tape. The waste boxes are destroy by high temperature incineration
This containers are for all the biohazard sharps. They are all 100% puncture proof, Available in 4, 7.6, 10, 15 and 25 litre Destroy by high temp. incineration
Specimen bins are safe for human and animal tissue disposal. Ideal for wet waste Available as a 2.5, 5 and 10 litre bins Destruction by high temp
No bio-hazardous waste shall be stored for longer than 24 hours without being decontaminated Decontaminated bio-hazardous waste may be stored up to 30 days if the material is red bagged and in a labeled closed container No containers of bio-hazardous waste to be stored in public areas Store under refrigeration if necessary to prevent odors Sharps containers treated as regular bio-hazardous waste
Seal red bags when ¾ full with cable ties provided by contractor Seal Biohazard/Medical waste boxes with biohazard tape Complete chemical/biological waste pick-up request form Forward electronically to USBD USBD will arrange for contractor (Sanumed) to pick up waste and to replace the necessary containers.
Good housekeeping enables the efficient use of material and time, minimizes accidents, reduce the need for repeating experiments Include waste disposal procedures in your documentation of experimental procedures . It makes it easier to see what waste is generated when looking for waste minimization and pollution prevention opportunities. Knowledge of the kinds and amount of reagents in storage is necessary for efficient use of these resources – chemical inventory Centralize purchasing if possible to avoid duplicate or excessive purchases Spills are occasional events, but cause significant sources of waste from labs. In labs where spill preparedness is addressed, spills are less likely to occur and waste is minimized. Neutralize corrosives for acids and bases that do not have other hazardous constituents Minimize the use of solvents for cleaning or drying glassware- use chromic acid alternatives detergents Use alternative products which are not harmful.