Are you looking for ways to better manage, maintain and streamline your waste management program? Waste streams within the healthcare industry can be misunderstood, underrepresented and sometimes even missed altogether. This presentation offers some tips and tricks for building a Sustainable, Compliant, Cost-Effective, Safe and Simple waste management program.
Improper management of highly hazardous chemicals, including toxic, reactive or flammable liquids, can cause accidental releases and emergency responses. OSHA’s Process Safety Management of Highly Hazardous Chemicals standard (29 CFR 1910.119) regulates the management of highly hazardous chemicals. Violations can carry fines of up to $126,000. Do you have a PSM program in place?
Nfpa Process Safety Management and osha 6 8 2013John Newquist
Nfpa Process Safety Management and osha 6 8 2013 is a presentation that I gave at the National Fire Protection Association Conference in Chicago in June 2013
A real-world introduction to PSM’s 14 Elements360factors
A number of recent incidents in various parts of the world have highlighted the increasing importance of effective Process Safety Management (PSM). This webinar presents a high-level overview of OSHA’s PSM requirements as well as real-world examples of how companies handle compliance.
Objectives
• Describe some of the major catastrophes which led to the formulation of PSM regulations.
• Introduce the 14 Elements of PSM.
• Present examples of various implementation approaches.
Process Safety Management (PSM) is a concern in any of the industries who store, handle and process hazardous chemicals & gases. The risks related to process safety are often managed in an isolated way.
This presentation will help organisations to manage process safety risks in a more structured fashion.
Improper management of highly hazardous chemicals, including toxic, reactive or flammable liquids, can cause accidental releases and emergency responses. OSHA’s Process Safety Management of Highly Hazardous Chemicals standard (29 CFR 1910.119) regulates the management of highly hazardous chemicals. Violations can carry fines of up to $126,000. Do you have a PSM program in place?
Nfpa Process Safety Management and osha 6 8 2013John Newquist
Nfpa Process Safety Management and osha 6 8 2013 is a presentation that I gave at the National Fire Protection Association Conference in Chicago in June 2013
A real-world introduction to PSM’s 14 Elements360factors
A number of recent incidents in various parts of the world have highlighted the increasing importance of effective Process Safety Management (PSM). This webinar presents a high-level overview of OSHA’s PSM requirements as well as real-world examples of how companies handle compliance.
Objectives
• Describe some of the major catastrophes which led to the formulation of PSM regulations.
• Introduce the 14 Elements of PSM.
• Present examples of various implementation approaches.
Process Safety Management (PSM) is a concern in any of the industries who store, handle and process hazardous chemicals & gases. The risks related to process safety are often managed in an isolated way.
This presentation will help organisations to manage process safety risks in a more structured fashion.
Learning from experience involves monitoring, and acting on,
internal and external sources of information. Despite a company’s best efforts, operations do not always proceed as planned, so organizations must be ready to turn their mistakes – and those of others – into opportunities to improve process safety efforts.
Safety in your company is a top priority, have you completed a process hazard analysis recently? When you complete a thorough PHA it improves safety, benefits your employees, streamlines the process and boosts your bottom line. In this slideshow, you can learn more about what a Process Hazard Analysis is, how it is completed properly and what to do with that information.
The Problem
Unexpected releases of toxic, reactive, or flammable liquids and gases in processes involving highly hazardous chemicals have been reported for many years. Incidents continue to occur in various industries that use highly hazardous chemicals which may be toxic, reactive, flammable, or explosive, or may exhibit a combination of these properties. Regardless of the industry that uses these highly hazardous chemicals, there is a potential for an accidental release any time they are not properly controlled. This, in turn, creates the possibility of disaster.
Comprehensive Compliance for Environmental, Safety, Quality Requirements in C...Nimonik
Nimonik has 7 step process to ensure thorough and comprehensive regulatory compliance for environmental, occupational health and safety and quality requirements for your organization. By following these steps, you will reduce your operational risk and optimize your processes to become a proactive compliance company. This presentation also covers compliance risks such as accidents and penalties, challenges that organizations face along with a case study of Lac Megantic Oil Train Car disaster in July 2013 that killed 47 people and spilled 6 million litres of oil.
A hazard is a situation that poses a level of threat to life, health, property, or environment. Most hazards are dormant or potential, with only a theoretical risk of harm; however, once a hazard becomes "active", it can create an emergency. Hazard and possibility interact together to create risk.
Identification of hazard risks is the first step in performing a risk assessment.
An overview on Safety Audit | ConsultivoConsultivo
This overview on Safety Audit covers the key concepts of safety audit, audit feature, why it is required, the right approach and the requirements and standards for Safety Audit.
You may check here http://www.consultivo.in/audit/ for more information.
Pharmaceutical Company Facility PresentationPalash Das
This presentation is dedicated to all pharmaceutical organization. this can be use as a standard template for presenting your organization during audit. The concept is designed based on the sterile pharmaceutical facility.
Enform oil and gas safety: Process safey vs. personal safety Enform
Enform's mission is to get everyone home safely at the end of the day - every day. Both personal and process safety play a role in making this happen. This presentation breaks down what's involved with each and how they work together.
For many higher education institutions, hazardous waste is disposed of as soon as it's generated and waste streams are typically comingled. Unfortunately, this approach toward waste management could cause you to lose money and result in your goals falling flat. It’s time to rethink your approach and adopt a more cost-effective and efficient strategy to managing your hazardous chemical waste.
This presentation focuses on tactics for hazardous waste disposal and opportunities to save time and money. It delves into the regulations and how you can take advantage of storage options. Our speaker also addresses waste minimization and ways to reduce and and segregate your waste streams to meet sustainability goals. Learn about a few case studies that back these strategies up.
Learning from experience involves monitoring, and acting on,
internal and external sources of information. Despite a company’s best efforts, operations do not always proceed as planned, so organizations must be ready to turn their mistakes – and those of others – into opportunities to improve process safety efforts.
Safety in your company is a top priority, have you completed a process hazard analysis recently? When you complete a thorough PHA it improves safety, benefits your employees, streamlines the process and boosts your bottom line. In this slideshow, you can learn more about what a Process Hazard Analysis is, how it is completed properly and what to do with that information.
The Problem
Unexpected releases of toxic, reactive, or flammable liquids and gases in processes involving highly hazardous chemicals have been reported for many years. Incidents continue to occur in various industries that use highly hazardous chemicals which may be toxic, reactive, flammable, or explosive, or may exhibit a combination of these properties. Regardless of the industry that uses these highly hazardous chemicals, there is a potential for an accidental release any time they are not properly controlled. This, in turn, creates the possibility of disaster.
Comprehensive Compliance for Environmental, Safety, Quality Requirements in C...Nimonik
Nimonik has 7 step process to ensure thorough and comprehensive regulatory compliance for environmental, occupational health and safety and quality requirements for your organization. By following these steps, you will reduce your operational risk and optimize your processes to become a proactive compliance company. This presentation also covers compliance risks such as accidents and penalties, challenges that organizations face along with a case study of Lac Megantic Oil Train Car disaster in July 2013 that killed 47 people and spilled 6 million litres of oil.
A hazard is a situation that poses a level of threat to life, health, property, or environment. Most hazards are dormant or potential, with only a theoretical risk of harm; however, once a hazard becomes "active", it can create an emergency. Hazard and possibility interact together to create risk.
Identification of hazard risks is the first step in performing a risk assessment.
An overview on Safety Audit | ConsultivoConsultivo
This overview on Safety Audit covers the key concepts of safety audit, audit feature, why it is required, the right approach and the requirements and standards for Safety Audit.
You may check here http://www.consultivo.in/audit/ for more information.
Pharmaceutical Company Facility PresentationPalash Das
This presentation is dedicated to all pharmaceutical organization. this can be use as a standard template for presenting your organization during audit. The concept is designed based on the sterile pharmaceutical facility.
Enform oil and gas safety: Process safey vs. personal safety Enform
Enform's mission is to get everyone home safely at the end of the day - every day. Both personal and process safety play a role in making this happen. This presentation breaks down what's involved with each and how they work together.
For many higher education institutions, hazardous waste is disposed of as soon as it's generated and waste streams are typically comingled. Unfortunately, this approach toward waste management could cause you to lose money and result in your goals falling flat. It’s time to rethink your approach and adopt a more cost-effective and efficient strategy to managing your hazardous chemical waste.
This presentation focuses on tactics for hazardous waste disposal and opportunities to save time and money. It delves into the regulations and how you can take advantage of storage options. Our speaker also addresses waste minimization and ways to reduce and and segregate your waste streams to meet sustainability goals. Learn about a few case studies that back these strategies up.
Webinar presentation regarding waste stream analysis and best management practices. This presentations covers tactical topics including how to thoroughly and expediently analyze your own waste streams. It includes real life tactics for cost-efficient waste stream management.
How closely does Environmental, Health, and Safety (EH&S) monitor chemicals with the potential to form peroxides within the laboratories of your company? How well aware are your researchers of which chemicals these are and how to handle and dispose of them? Proper management of potential peroxide-forming solvents is vital to the safety of your researchers and facility staff, the compliance of your institution, the maintenance of your laboratory peroxide-forming chemical equipment and research materials, and the cost of your waste disposal. Take a look to find out everything you need to know about the hazards and handling of advanced peroxide forming chemicals.
Despite having a full team in place, do you feel you're still not in control of your hazardous waste programs? Do you completely understand how your organization manages waste and the impacts associated with it? Do you fall short on meeting department goals? Are you tracking the right metrics that will increase your organization’s sustainability? There are several key elements to managing a high-level and elite program with less added cost than you might assume. Reducing cost, improving compliance and sustainability - while maximizing safety - are some of the key components to include in all programs.
This webinar provided an overview of how to effectively manage peroxide formers, beginning with training and identification. Our expert shared real-world examples of institutions that have struggled with and rectified their peroxide former problems.
This presentation provides insight into how to manage peroxide formers in a streamlined, cost effective way. You will learn how to create and implement a peroxide former management plan and see how other institutions have rectified their peroxide former problems through multiple case studies and real-world scenarios.
If you are looking to start or expand your hospital recycling program, approval from your executive leadership team is required and presenting a business case may be your best chance for success. This guide will help you prepare the business case.
The purpose of a business case is to present a concise summary of an opportunity and a proposed plan. It typically has four parts: (1) an overview of the opportunity, (2) a description of the proposal, (3) the anticipated and/or desired outcomes, and (4) the request for approval and support.
MEDTECH 2013: Morning Plenary, Roger Kitterman, Managing Partner of Innovatio...MedTechAssociation
Roger Kitterman, Managing Partner of Innovation Fund, Partners Healthcare, presents at MEDTECH 2013 on October 8, 2013 on Trends in Early Stage Medical Technologies: A Venture Perspective.
An introduction to Lean within veterinary practice presented to Joint Venture Partners of the Vets4Pets group. Apologies for formatting errors during file conversion.
How to Prepare for and Respond to a Confirmed COVID-19 Case at Your Lab or Ma...Triumvirate Environmental
As essential businesses continue to operate, it’s crucial to consider how to handle a confirmed COVID-19 case in the workplace. Despite safety precautions to avoid the spread, one of your employees may get sick – do you know what to do? The COVID-19 pandemic has drastically altered how we work and operate. Take a proactive approach to safely keep your business operational in the event of a confirmed COVID-19 case by developing sound disinfection policies and procedures.
ISO auditing leads to improved company EHS culture, consistency, and team focus. When organizations conform to these ISO standards and obtain third-party ISO certification, it authenticates that they utilize standardized management systems to continuously improve Occupational Health and Safety and Environmental performance.
Does your organization need an industrial hygiene program? Are you looking to create a program but don’t know where to start? Industrial hygiene allows you to anticipate, evaluate and control environmental factors that impact people’s health. Critical to environmental health and safety, an industrial hygiene program is important not only for regulatory compliance but also to maintain your public relations and reputation.
The deadlines for Tier II Reports, Biennial Reports, and OSHA 300 Logs are all fast approaching. Are you prepared to file all your necessary reports in time? It is important to take the time to carefully review your facility to determine your requirements for these regulatory reports.
Cannabis growers, cultivators, and distributors face unique compliance challenges when navigating federal and state regulations, managing hazardous and non-hazardous waste streams, and ensuring your facility runs safely and compliantly. This webinar will help early-stage and fast-growing cannabis companies understand the state and federal regulatory environment, obtain permits and licenses, and build environmental, health, and safety (EH&S) programs. Whether your cannabis organization is new to the compliance world or has some safety programs in place, this webinar will provide guidance on how to reach operational excellence.
The Key Elements of Building an OSHA-Compliant Workplace from the Ground UpTriumvirate Environmental
OSHA violations are expensive and time consuming to resolve. It is significantly cheaper and easier to create an OSHA-compliant workplace from the start. Ensuring OSHA compliance requires a complete understanding of the OSHA requirements and a complete assessment of your current workplace. In this webinar, our expert will walk you through the key steps to creating an OSHA-compliant workplace.
In September, OSHA released its latest “Top 10” list of most frequently cited workplace violations. Hear our expert analyze the most common OSHA violations and the overall state of EHS regulatory compliance in 2019.
2019 Healthcare Accreditation Regulatory Updates: How Do the New Regulations ...Triumvirate Environmental
Recently there have been regulatory updates that affect healthcare facilities including standards that apply to hospital accreditation. The Joint Commission applies standards that pertain to federal Medicare and Medicaid reimbursement. Has your facility adapted to comply with the current and updated standards? Hear our expert provide a comprehensive look at the “Environment of Care” and see how to better adapt your facility to ensure the health and safety of hospital staff, patients, and visitors.
Oil spills present real public health and environmental concerns. In response to these concerns, the EPA created rules around SPCC. The EPA’s SPCC rules are meant to prevent oil discharge from entering navigable waters and/or adjoining shorelines.
There have been many recent changes to the DEA and EPA regulations regarding pharmaceutical waste management. Is your organization compliant with the current rules? Here is a comprehensive look at the disposal and onsite waste management regulations for controlled substances.
Measuring the Success of Your EHS Program: Are You Tracking These Key Perform...Triumvirate Environmental
You have taken the first step and implemented an EHS program in your workplace, but how do you know if the program is working? Do you fall short on meeting department and corporate goals? Do you know which metrics you should be tracking to ensure the success of your EHS program?
There are over 90 biotechnology and pharmaceutical laboratories located within the Cambridge city limits. With such a high concentration of labs, the city has stringent regulations to contain exposure risks and ensure that the community is safe. In this session, the Department of Public Health will discuss lab safety in the city. Join us to gain a more comprehensive understanding of Massachusetts and Cambridge regulations to ensure you are running a safe and compliant lab.
Why Audit? What Is the Difference Between Regulatory Auditing and ISO 14001 o...Triumvirate Environmental
We hear about the importance of conducting audits of your facilities. They allow us to be prepared for when the regulators show up. However, have you ever considered obtaining an ISO certification? The two standards that focus solely on EH&S are the ISO 14001 Environmental Management Standard or the ISO 45001 Occupations Health and Safety Standard. This session will cover the importance of auditing, what the ISO standards entail, and how they may actually help you with compliance and to show your end users that you care about your employees' health and safety and the environment.
Managing Medical or Biological Waste in Massachusetts - Guidance for GeneratorsTriumvirate Environmental
Medical or Biological Waste, a.k.a., Regulated Medical Waste, is regulated by the Massachusetts Department of Public Health. DPH has adopted management requirements codified under 105 CMR 480 that affect those who generate such wastes. Individuals impacted by these rules would be employees who are responsible for the medical/bio waste management program and those who manage the waste onsite (e.g., internal transport, storage, onsite treatment, and other handling).
Recently the National Safety Council collaborated with three Campbell Institute members to understand the role fatigue plays in their operations at selected locations. Research participants took part in a two-part survey consisting of an operational needs assessment and an employee survey.
Does your organization run internal audits regularly? Prepare for a regulator to come knocking at your door by catching areas of non-compliance before the inspector can. Internal audits allow you to identify gaps in your existing EHS programs and improve processes before an official inspection, so you can be confident in your audit-readiness.
Despite well-defined requirements, procedures, and targets, many organizations still struggle with delivering well-defined, exceptional EHS compliance programs. A strong external partnership can reposition your EHS compliance program and drive strong operational and financial outcomes. But once you decide to establish an EHS partnership, how do you ensure you are getting the most out of it?
Chemical inventory management is often a confusing and labor-intensive exercise. This webinar sheds light on how to build, operationalize, and improve a chemical inventory program. We will dissect the many nuances of a chemical inventory, and offer innovative, service-based solutions to help you successfully manage your chemical inventory program.
OSHA Compliance: Ensuring Laboratory & Manufacturing Safety at Your WorksiteTriumvirate Environmental
Are you prepared for your next OSHA audit? Ensuring OSHA compliance requires a complete understanding of the OSHA requirements and a complete assessment of your current workplace. In this session, Rick will walk you through the key steps to building a compliant EHS program at your worksite and the key performance indicators needed to measure EHS progress.
Does your facility have a fully compliant environmental program? Are you prepared for your next EPA audit? In this session, you will receive a comprehensive overview of the EPA and the components needed to create a compliant environmental program for your workplace. We will cover environmental compliance in both laboratory and manufacturing settings.
KEY Points of Leicester travel clinic In London doc.docxNX Healthcare
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
Feeding plate for a newborn with Cleft Palate.pptxSatvikaPrasad
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in CardiologyR3 Stem Cell
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Under Pressure : Kenneth Kruk's StrategyKenneth Kruk
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
DECODING THE RISKS - ALCOHOL, TOBACCO & DRUGS.pdfDr Rachana Gujar
Introduction: Substance use education is crucial due to its prevalence and societal impact.
Alcohol Use: Immediate and long-term risks include impaired judgment, health issues, and social consequences.
Tobacco Use: Immediate effects include increased heart rate, while long-term risks encompass cancer and heart disease.
Drug Use: Risks vary depending on the drug type, including health and psychological implications.
Prevention Strategies: Education, healthy coping mechanisms, community support, and policies are vital in preventing substance use.
Harm Reduction Strategies: Safe use practices, medication-assisted treatment, and naloxone availability aim to reduce harm.
Seeking Help for Addiction: Recognizing signs, available treatments, support systems, and resources are essential for recovery.
Personal Stories: Real stories of recovery emphasize hope and resilience.
Interactive Q&A: Engage the audience and encourage discussion.
Conclusion: Recap key points and emphasize the importance of awareness, prevention, and seeking help.
Resources: Provide contact information and links for further support.
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
3. During this Webinar
All lines will be muted – please communicate via
the questions tab in your webinar panel.
There will be live, interactive polling.
There will be a Q&A session at the end of the
presentation – submit your question(s) anytime
throughout the webinar.
Stick around for an exclusive offer at the end of
the webinar.
4. Meet Your Presenter
Steve Todisco,
HEM, CHMM, Six
Sigma Green Belt
Corporate Director of Healthcare
Triumvirate Environmental
Stodisco@triumvirate.com
6. Who Is This For?
Individuals looking for simpler solutions to unique issues
Those looking for a safer way to manage their programs
Employees looking to incorporate change to build cost-effective
solutions
Folks directly responsible for compliance
Healthcare institutions looking to increase sustainability
7. What Will You Learn?
• Focus on 3 RCRA Categories:
Hazardous Waste
Hazardous Pharmaceutical Waste
Universal Waste
• Using regulations to your advantage to
reduce costs & save time
• What does waste min actually mean for
departments?
• Work with teams upstream to manage
waste in a more cost-effective and
compliant manner
• Why the lifecycle of waste is valuable
8. Agenda
What is SuCCeSS in Healthcare?
Hazardous Waste, Pharmaceutical Waste and
Universal Waste
Cost and Time Savings Opportunities
The Lifecycle of Waste
Summary/Q&A
17. Su – C – CE – S - S
• Sustainability & Simplicity are primary targets of Cost Effective Behavior
• Cost Effective behavior requires Sustainability, due diligence, KPIs
• Compliance is a function of safety and education
• Safety elements push compliance
• Simplicity is how to make most things work
18. Agenda
What is SuCCeSS in Healthcare?
Hazardous Waste, Pharmaceutical Waste and
Universal Waste
Cost and Time Savings Opportunities
The Lifecycle of Waste
Summary/Q&A
19. Does your institution measure
waste generation by
department or the whole
institution?
Poll Question
20. The World of Solid Waste
RCRA Hazardous
Waste
Solid Waste
Universal Waste
RCRA
Pharmaceutical
Waste
24. Medications Regulated by the Same RCRA Rules that
Govern Traditional Hazardous Waste (Examples)
Warfarin Nicotine Melphalan
Mitomycin Barium Silver Nitrate
Thimerisol Vaccines Chloral Hydrate Physostigmine
25. Agenda
What is SuCCeSS in Healthcare?
Hazardous Waste, Pharmaceutical Waste and
Universal Waste
Cost and Time Savings Opportunities
The Lifecycle of Waste
Summary/Q&A
26. • Co-mingling opportunities
• Bulking opportunities
• Using less harmful non-RCRA chemicals
• Purchasing modifications
• Correct sizing of waste containers
While in satellite accumulation
While in central accumulation
• Right sizing your central accumulation area
• Pack in progress / maximizing waste out
• Shifting disposal costs to labor costs
• Chemical re-use programs
• Accurate characterizations
• Managing the time clock
• Managing upstream
Types of Opportunities
27. Co-mingle Similar Waste Streams
• Determine volumes of similar wastes
• Determine the disposal methods of similar wastes
• Determine the EPA waste codes of similar waste streams
• Consolidate or co-mingle similar waste streams into the appropriate size
container:
Use the most appropriate size container for consolidation
Do not mix wastes that will be treated in different manners
Do not add acutely toxic wastes to co-mingled waste streams
28. Bulking
• Think like a liquid
• Think like a specific department
• Take over internal waste transportation
from individual labs
Histology
Microbiology
Hematology
Cytology
• Plan with your generator status
• Think recycling
29. Discuss Chemical Substitution
Opportunity for substitution?
• Is there a chemical that is less harmful to the environment and oneself?
• Chemical disposal is diverted to a less costly waste stream/disposal
option, e.g. sink disposal or solid trash
Examples of substitutions:
• Alcohol thermometers instead of mercury thermometers
• Sybr safe gel stain instead of ethidium bromide
Other considerations:
• Historic knowledge to recreate the research requires specific chemicals
• Timeframe of project may inhibit such a substitution
• Funding may not approve if there is a substitution
30. Modify Your Purchasing Habits
• Focus attention on your chemical inventories
• Review current purchasing volumes / frequencies
• Interdepartmental purchasing
• Reduce stock chemical storage
Increase the space in your lab (clinical, non-clinical, research)
• Does census alter purchasing habits?
• Just-in-time delivery or frequency-based buying
In many estimations healthcare “wastes” between 15-30% of stock material
31. Right Sizing Collection Containers
• Begin with the end in mind
• Understand your limiting factors
• What container should you collect waste in?
• Satellite accumulation vs. Main or Central Accumulation
• Answer the “how much for how long” question
• How will you get it from point A to B?
32.
33. What is Lab Pack as You Go?
• Works with your generator status, not against it:
Based on your 90/180 day clock, date of oldest
container
Uses it to your advantage
• Avoids large cleanouts & maintain compliance on a
routine basis:
Less containers for inspection
Less regulatory concern
• Forces routine processes to happen
• Works hand in hand with trading disposal costs /
labor costs
35. A Tougher Challenge
• Chemical re-use
Embracing detailed chemical inventories
Making them work for you
• More applicable research settings
• Focus on virgin / unused items
• Develop a marketplace
• Interdepartmental communication
• Re-use instead of waste
Pay, use versus pay, use, pay to dispose, pay to store, pay to manage
36. Accurate Waste Characterizations
• Work to truly understand what is in your waste container
No, it’s not just waste solvents or Xylene and Alcohol
• Accurate profiling can change disposal costs
• Accurate profiling increases opportunities for consolidating / bulking
• Pharmaceutical waste management
• Get upstream as far as you can
• MSDS’s & SDS’s only get you so far
Generator knowledge
37. • Learning not to ship everything
• Work with your oldest dates
• Daily tracking for when items “become due”
• Example – Acids and Bases
Not usually an opportunity to “bulk”
Usually items to “lab pack”
How many are generated over time?
Managing the
Clock
38. Swim Upstream
• Perform a Tracer
• One Step at a Time
• Waste Generating Process
• Chemical Storage
• Ordering
• Need
• Root Cause
39. Agenda
What is SuCCeSS in Healthcare?
Hazardous Waste, Pharmaceutical Waste and
Universal Waste
Cost and Time Savings Opportunities
The Lifecycle of Waste
Summary/Q&A
40. The Lifecycle of the Waste Generation Process
Purchasing
Waste
Process
Generation
Satellite
Accumulation
Main / Central
Accumulation
Off-Site
Disposal
• Why do you buy what you buy?
• How is the waste generated?
• How is it stored?
• Can it be better managed in the MAA?
• How does it leave your site?
41. Know How the Waste is Generated
• Determine if the waste container is the appropriate size for the process
• Determine if the waste bottle is made from one process
• Use your understanding of waste code applicability/definitions to make
hazardous waste determinations
• For machine generated waste, are there multiple lines going into the same waste
container? Can any of those be separated?
• Understand the timeline of the process/research
42. Educate Generators on Proper Waste
Collection Techniques
• Are the chemicals compatible in the
waste container? Do they present a
new hazard?
• Can some of the chemicals be
disposed of using different treatment
techniques for cost savings?
• Understanding local wastewater
discharge regulations
43. Agenda
What is SuCCeSS in Healthcare?
Hazardous Waste, Pharmaceutical Waste and
Universal Waste
Cost and Time Savings Opportunities
The Lifecycle of Waste
Summary/Q&A
44. Summary
Todays Focus
Healthcare – Hazardous, Universal and
Pharmaceutical
SuCCeSS
Sustainability, Compliance, Cost Effective
Behavior, Safety and Simplicity
Utilizing Regulations
Working Upstream / Understanding Lifecycles
What does Waste Min mean for the Individual?
46. Thank You For
Attending!
Request a Free Waste Assessment:
http://info.triumvirate.com/waste-assessment-web
Call Us!
1-888-834-9697
www.triumvirate.comSteve Todisco:
stodisco@triumvirate.com
Corporate Healthcare Director, HEM,
CHMM, Six Sigma Green Belt
Contact: