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Waste Handling

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Policy No: <strong>2005</strong><br />
Effective Date: <strong>08/25/06</strong><br />
Revised Date: <strong>10/10/14Draft 5-20-19</strong><br />Reviewed Date: <strong>10/10/14</strong><br />
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<big>'''Waste Handling Policy'''</big>
==Basis==
The University of Nebraska Medical Center (UNMC) is required to manage waste in a manner designed to protect patients, employees, students, contractors, visitors and volunteers, as well as the environment.
==Policy==
It UNMC’s first priority is the policy of The University of Nebraska Medical Center (UNMC) to manage minimize waste in whenever possible and has set a manner designed [https://livegreennebraska.com/updated-2030-sustainability-goals/ Zero Waste Goal]. The second priority is to protect patients, employees, students, contractors, visitors and volunteers, recycle as well much waste as possible to divert it from the environmentlandfill. Waste handling is accomplished which cannot be reused or recycled must be disposed of in in a cost -effective manner , in accordance with this policy and all applicable local, state and federal regulations .==Guidelines==Please follow the recycling and lawsdisposal guidelines below. ===Recyclable Waste which cannot ===Recyclable waste is any material collected on campus that can be reused or recycled will be disposed of in accordance with this policy. The most common recycled material is listed below.==Biohazard Waste==Paper and Cardboard====Biohazard waste (infectious waste) It is defined as material policy of biological origin capable of producing an infectious disease UNMC and Nebraska Medicine that '''ALL PAPER''' must be placed in humans or animals and includes at a minimum bloodblue desk-side container, body fluidslarge blue bin, discarded sharps and inoculated culture medialocked grey or beige bin, or locked cart. All paper is shredded to ensure HIPAA/FERPA/confidentiality compliance. Even if that paper does not need to be shredded (i.e. newspaper) it is still placed in one of those containers.<br /> Virtually all paper products on campus can be recycled: copy paper, envelopes (including plastic windows), scratch paper, glossy paper, construction paper, clean food packaging, newspaper, receipts, post-its, notebook paper, etc. Facial tissues, napkins, paper towels, etc. '''cannot''' be recycled and should be placed in the trash.<br />Biohazard waste is composed of two broad categories If you have large quantities to include sharps and nonsharpsrecycle, please contact Environmental Services (EVS) (402-559-4073) so they can provide you with a larger bin, making it easier for you and safer for your EVS colleague.<br /> All corrugated cardboard (boxes used for shipping) and standard cardboard (sometimes referred to as paperboard: facial tissue/cereal/frozen meal boxes) can be further subdivided by typerecycled on campus. See Please break all boxes down flat and place them between your paper recycling bin and the definitions outlined wall or at the designated location for your building. You do not need to remove labels or tape. Cardboard that has come in [https:direct contact with food can be recycled as long as it is not dirty//infosoiled.unmc.eduDo not place any grade of cardboard in the blue/safety/safety-office/lab-safety/biohazard-waste/index.html Biohazardous Waste Information] for further detailspaper recycling container.<br /><br />Biohazard waste is handled by Environmental Services The recycling program at UNMC must comply with the federal requirement, in accordance with the Health Insurance Portability and Accountability Act of 1996 (EVSHIPAA) and , that all personal health information (PHI) be protected from the time it is disposed created to the time it is destroyed. Recyclable paper containing confidential information is safeguarded from the time of generation through a licensed biohazard waste contractordestruction. Final disposition For guidelines on the proper destruction of biohazardous waste is confidential materials in accordance with all applicable localthe hospital, see IM.14, state and federal regulations UNMC Policy No. 6056, Retention and applies a process which renders the biohazard Destruction/Disposal of Private and Confidential Information. All paper waste non-infectious. For further questions, please contact UNMC Safety Officeincluding medical and personal information is considered confidential waste.<br /><br />Biohazard wasteEVS is responsible to secure, except transport, and store confidential materials from internal customer departments. All paper in the blue containers marked specifically for sharpsrecycling is considered confidential in the recycling process. Once picked up, shall this confidential waste is to be contained secured in disposable plastic bags or locked containers that are tear-resistant, leak-proof, provided by the vendor and secured to prevent leakage or expulsion of solid or liquid waste during storage, handling or transportlocked containers should not be tampered with by unauthorized personnel.#Biohazard waste EVS will be transported in covered the keepers of the keys for unlocking these containers designated for biohazardous waste.#Bags will meet current tear and impact resistance requirements, will conform have access to current maximum size the contents of the containers through keys signed in and weight restrictions, and will be labeled as biohazardous (reference requirements out daily in 49 CFR 173compliance with the Environmental Services Key Control Policy.134====Plastic and Metal====Recyclable material can include rigid plastic, 49 CFR 173.197tin, 49 CFR 173aluminum.24These items should be placed in the green recycling bins. EVS will empty the bins, 49 CFR 173collect the waste and prepare it for disposal by the recycling vendor.24a)See [https://livegreennebraska. The top of the inner bag must com/recycling/ LiveGreen Recycling] for additional information.<br /> Large metal items can be closed by twisting it closed recycled through Facilities Management and tying in a single knotPlanning and/or [http://info. It unmc.edu/procurement/general-supply/ General Supply/Furniture Stores].====Surplus Material===='''Surplus''' is preferred any item that you or your department no longer needs. Common surplus equipment includes:# Computers# Printers and cartridges# Electronic Equipment# Furniture# Chairs# Appliances# EquipmentThese materials may be reused within the infectious waste bags organization, sold or properly disposed of. Disposition of all surplus equipment shall be placed directly into rigid reusable containers supplied by the waste contractor at responsibility of the site Manager of originGeneral Supply/Furniture Stores (402-559-5899) and must be coordinated with the appropriate director or department head.#Prior to transport off campusSurplus equipment valued over $5, all biohazardous waste will 000 and entered in the UNMC Fixed Asset Inventory System must be placed handled in an approved leak-proof container accordance with UNMC Policy No. 3000, [[General Accounting]].====Technotrash====Electronic trash, such as disposable or reusable pailsCD/DVD, disposable or reusable sharps containersbarcode lab label printer ribbons, cartons, boxes, drumshard drives, and copiers are disposed of using an appropriate channel that can handle the chemical hazards of the item and taking into account the presence or portable binsabsence of personal health information (PHI). These containers will be clearly marked and labeled Items containing PHI are disposed of in accordance with DOT UNMC Policy No. 6056, [[Retention and OSHA regulatory requirementsDestruction/Disposal of Private and Confidential Information]]. All containers will be closed <br /> For additional information on other recyclable material, see [https://livegreennebraska.com/recycling/ LiveGreen Recycling].====Alkaline Batteries====These are the typical non-rechargeable batteries that most people use. They are not EPA regulated and completely sealedcan be recycled through the UNMC Alkaline Battery Recycling Program. See [https://info.unmclivegreennebraska.educom/safetyrecycling/safety-officebatteries/labLiveGreen Alkaline Battery (single use) Recycling] for additional information.===Non-safety/biohazardRecyclable Waste===Non-recyclable waste/indexis any waste, generated at UNMC that cannot be recycled.html ====Biohazardous Waste Information] for details on meeting DOT ====Biohazardous waste will be managed and disposed of in accordance with DOT, EPA, OSHA requirements, and State of Nebraska Regulations.#Suction canisters containing blood Biohazardous waste (infectious waste or other body fluids must be carefully emptied medical waste) is waste contaminated with biological material that is infectious or contents may be sealed potentially infectious to humans, animals, or plants. Materials contaminated with recombinant and placed in rigid reusable synthetic nucleic acids, as well as genetically modified organisms are also considered biohazardous. Please contact EVS at (402-559-4073) for biohazardous waste containers with absorbent material. Personnel Disposable sharps containers must wear appropriate protective equipment to minimize exposure to potential pathogens if contents are emptied. The contents may be solidified and discarded using approved methods if emptying purchased by the contents department.=====General Biohazardous Waste Categories=====*Microbiological waste includes but is not practicallimited to cultures and disposable culture materials, stocks of infectious agents and associated biologicals, discarded live and attenuated vaccines. The empty suction canisters must *Human blood and blood products (dripable or dried blood that can be handled dislodged during handling). *Human tissues, body fluids or other potentially infectious materials including but not limited to unfixed human cell lines, tissues, pathology specimens, and discarded as biohazard wasteused specimen containers. #Equipment *Contaminated animal waste including carcasses, blood and linen contaminated body fluid, body parts, and excrement/bedding from animals infected with biohazard material a pathogen. *Synthetic or biological agents recombinant nucleic acid materials. '''All biohazardous waste must be handled rendered non-infectious prior to final disposal per State law [http://deq.ne.gov/RuleAndR.nsf/pages/PDF/%24FILE/T132_5.17.16.pdf (NDEQ Title 132)].''' =====Liquid Biohazardous Waste=====Decontaminate liquid biohazardous waste (such as human blood, aspirated culture media, infectious human or animal body fluids, and decontaminated in accordance liquid bacterial cultures) by steam sterilization (i.e. autoclave) or treatment with an appropriate chemical disinfectant (such as freshly-prepared bleach) for the guidelines established in the Bloodborne Pathogen Exposure Control Plan recommended contact time (See UNMC Policy No20 minutes for 1:10 final dilution with bleach). 2004After decontamination, liquids may be poured down the drain to the sanitary sewer while flushing with cold water. See [[Bloodborne Pathogens Exposure]sehttps://www.unmc.edu/ehs/FactSheets/SanitarySewerDisposal.pdf Sewer Disposal Fact Sheet])for guidance. Equipment and linen are not thrown away as Please note: solutions containing biological toxins must be decontaminated in a biohazardmanner that also inactivates the toxin. Items are cleaned first and personnel will refer questions to managers or leads Contact Environmental Health & Safety Department (EHS) at 402-559-6356 prior to determine drain disposal if an item must be discarded due using disinfectants other than bleach.=====Solid Biohazardous Waste=====Solid biohazardous waste is composed of two broad categories to contaminationinclude sharps and non-sharps. #Infectious ======Sharps======*Biohazardous sharpswaste includes but is not limited to needles, medical syringes, scalpels, glass microscope slides, cover-slips, glass blood vials, Pasteur pipettes, plastic sharps(serological pipettes and pipette tips), broken razor blades, and contaminated broken glass and . '''''Uncontaminated medical/research sharps (such as needles, syringes, scalpels, serological pipettes , pipette tips, etc.), although not contaminated with , may be perceived as infectious material when presented for disposal and must be handled as biohazardous sharps waste.'''''*Biohazardous sharps must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant sharps containers. Sharps containers must be approved by Safety Operations and/or the UNMC Safety Office. These containers must be sealed shut closed when they are 3/4 full and placed with the biohazard waste for pick up and disposal. Sharps containers should be bagged and sealed as outlined above if they contain liquids in the form of blood, body fluids or medications. Disposable sharps containers four (4) gallons or smaller are sealed closed and placed in the biohazard waste tub for disposal. Larger disposable sharps containers which will not fit into biohazard tubs for shipping must be in a shippable container, an approved by DOT container. Contact EHS for shipment additional information. *The use of reusable sharps containers is acceptable with no other packaging requiredthe approval from EHS. Reusable sharps containers regardless of size are sealed closed and then transported by the vendor to a facility which handles emptying and disinfecting the containers , as well as decontamination of the sharps for disposal. #The use *Pipettes and pipette tips readily puncture biohazard waste bags and must be disposed of re-usable sharps containers is acceptable in a rigid container (biohazard bag lined cardboard box). Lining pipette disposal box with plastic keeps residual liquids from soaking the approval of box and seeping onto the UNMC Safety Office (UNMC)floor/counter. Containers will Once pipette disposal boxes are full, they must be handled taped shut and processed in a manner consistent with acceptable regulatory guidelinesplaced into biohazard waste bin. #======Non-EPA regulated chemotherapy waste Sharps======*Solid (See [https://info.unmc.edu/safety/safetynon-office/labsharps) biohazardous waste including contaminated disposable PPE, culture materials, samples, specimens, shall be placed into tear-safety/biohazardresistant, leak-waste/index.html Biohazardous Waste Information] for a list of EPA regulated chemotherapy agents)proof, pathological and secured red biohazard bags to prevent leakage or other expulsion of solid or liquid waste requiring incineration (human during storage, handling or animal remains or excised tissue) are marked clearly transport. Bags will meet current tear and impact resistance requirements, will conform to current maximum size and weight restrictions, and will be labeled with the "incineration only" stickers provided by the universal biohazard waste contractorsymbol (reference requirements in 49 CFR 173.134, 49 CFR 173.197, 49 CFR 173.24, 49 CFR 173.24a). The stickers are available from top of the biohazard waste contractorinner bag must be closed by twisting and tying in a single knot. Information on obtaining the incineration stickers can The infectious waste bags should be obtained from Environmental Services placed directly into rigid reusable containers supplied by the waste contractor at 402-559-4073the site of waste generation.#=====Special Circumstances in Handling Biohazard Biohazardous Waste=====#*Placentas for disposal will be labeled for Before generating any biohazardous waste that requires incineration, contact EHS.#*Tissue dissected from surgical pathology or autopsy specimens are disposed by incineration. See #8 abovePrion and prion-like wastes require special treatment before disposal, contact EHS for additional information.#*BiosafetyBSL-3 and ABSL-Level 3 containment laboratories shall have must decontaminate all waste generated in such labs either decontaminated wastes using agent-appropriate methods prior to removal from the lab or wrapped and placed into a sealed container prior to removal from lab for decontamination on site. #*Any materials/substances coming out of a laboratory with a larger volume of concentrated infectious agents, such as an HIV/HBV production facility, must be decontaminated on -site before leaving the facility. #*Biocontainment unit biohazard waste will be handled in accordance with acceptable guidelines. Known Wastes generated from diagnostic sample analysis containing a known or suspected Risk Group 4 waste ([https://info.unmc.edu/safety/safetyorganism must be decontaminated using agent-office/lab-safety/biohazard-waste/index.html Biohazardous Waste Information]) is autoclaved on site appropriate methods before leaving the facilityand then subsequently incinerated. #Only trained *Suction canisters containing blood, other body fluids, or other infectious materials must be carefully emptied, or contents may be sealed and certified individuals shall sign Regulated Medical Waste (placed in rigid reusable biohazardous) transport shipping paperswaste containers with absorbent material. These individuals Personnel must wear appropriate protective equipment to minimize exposure to potential pathogens if contents are signing for emptied. The contents may be solidified and discarded using approved methods if emptying the organization contents is not practical. The empty suction canisters must be handled and discarded as biohazardous waste. *Non-disposable or reusable items such as equipment, glassware, or linens that are not held financially responsible contaminated with biohazardous material must be handled and decontaminated in accordance with the guidelines established in UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]. Items are decontaminated as appropriate for any penalties the specific biohazardous material and personnel will refer questions to managers or fines that may leads to determine if an item must be imposed by regulatory agencies discarded due to contamination.   Biohazardous waste that is decontaminated on-site via steam sterilization (i.e., OSHA, DOT, etcautoclave) so long as they are acting in before disposal must undergo a reasonable manner, consistent with their training process that includes quality assurance testing to verify that the decontamination process is adequate. Please see the IBC Autoclave Operation and UNMC Safety policyfor additional information. ==Chemical and Hazardous Waste==Chemical and Hazardous Waste is any  Biohazardous waste that has been mixed with a radioactive material or a regulated chemical material (mixed waste) requires additional guidelines for disposal and includes both hazardous and non-hazardous chemicals. Chemicals and chemical materials like lead acid batteries and aerosol cans Please contact EHS prior to generating these types of waste.  Extracted Teeth at the College of Dentistry are handled as follows:1. Virgin teeth are placed into a sharps container and disposed of in accordance as biohazardous waste.2. Teeth with the Chemical Safety Manual gold restoration are placed into a sharps container and eventually sent to a gold recovery company.3. Teeth with amalgam restoration are removed from placed into a sharps container and eventually picked up and handled as hazardous waste by UNL Environmental Health and Safety due to the campus mercury content.4. Extracted teeth stored at the College of Dentistry for use by students in pre-clinic laboratory are stored in dilute hypochlorite solution (generally a licensed contractor1:10 dilution). Contact This leaches the UNMC mercury from the restorations and the solution is picked up by UNL Environmental Health & and Safety Department when the teeth are disposed of at 402-559-6356 for disposal guidelinesthe end of the year.      
==Radioactive Waste==
Radioactive waste is any material with detectable radioactivity above background levels. These materials are handled in accordance with Radioactive Materials and Waste policies and procedures. Contact the UNMC Radiation Safety Office at 402-559-6356 for disposal guidelines.
==Recyclable Waste==
#Recyclable waste includes mixed paper, cardboard, plastic, tin, scrap metal, aluminum. and blue wrap. Questions concerning recycling can be addressed by calling 402-559-4100.
#Recyclable material containing confidential information is safeguarded from the time of generation through destruction. For guidelines on the proper destruction of confidential materials in the hospital, see IM.14, and UNMC Policy No. 6056, [http://wiki.unmc.edu/index.php?title=Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]. All paper waste, including medical and personal information is considered confidential waste.
#The recycling program at UNMC must comply with the federal requirement, in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), that all personal health information (PHI) be protected from the time it is created to the time it is destroyed.
#Environmental Services is responsible for the securing, transporting, and storage of confidential materials from internal customer departments. All paper in the blue containers marked specifically for recycling is considered confidential in the recycling process. This confidential waste is to be secured in locked containers provided by the vendor and locked containers should not be tampered with by unauthorized personnel. EVS will be the keepers of the keys for unlocking these containers and will have access to the contents of the containers through keys signed in and out daily in compliance with the Environmental Services Key Control Policy.
#EVS picks up recyclables from departments as needed, on a schedule agreed between the department and EVS. Recyclables are removed from campus Monday thru Friday.
==General Waste==
General waste is anything which does not fit into other waste categories and is transported and disposed via a contracted service using normal waste handling methods.
#Broken uncontaminated glass is placed in rigid containers and labeled as to the contents.
#Compressed gas cylinders are returned to the vendor when empty. Contact UNMC Safety at 402-559-7315 to arrange disposal of single use disposable cylinders.
#Asbestos must be disposed in accordance with all applicable state, federal and local guidelines. Contact Facilities Management to arrange for disposal of items containing asbestos. A Construction Risk Assessment shall be required for asbestos removal in hospital areas.
#General Waste Disposal
#*It is the responsibility of Environmental Services to empty all trash and recycling receptacles as scheduled based on customers’ needs. Timing of trash removal is generally on a predetermined schedule, but can be upon request, based on customer needs.
#*In order to avoid mistakenly disposing of items of value, anything which is to be considered ‘trash’ and taken to a dumpster, must be:
#**Placed directly in a trash can.
#**Verbally indicated by the customer, to Environmental Services management or staff, that the item(s) is trash and may be disposed.
#*The following will not be disposed of by Environmental Services:
#**Items placed next to or near a trash can without contacting EVS office.
#**Items marked with a sign as “Trash”, unless request has been submitted to the ES office.
#**EVS employees should abstain from discarding items perceived as trash. Items should be in a waste receptacle or designated as trash by your leader, manager or at the direction of office.
#*General trash compactors are emptied three times per week. Other dumpsters on campus are collected on a schedule based on the location and container size.
==Universal Waste==
Universal wastes are any of the following hazardous wastes subject to the State of Nebraska universal waste requirements. Questions concerning disposal of universal waste can be addressed by calling 402-559-6356.
#Batteries - Nickel cadmium (rechargeable), button (calculator, watch) or lithium batteries
#Mercury containing lamps - light emitting bulbs containing mercury, including fluorescent, high pressure sodium, mercury vapor and metal halide lamps
#Mercury containing items (thermostats, switches, manometers, sphygmomanometers, etc)
#Electronic items (circuit boards, computer monitors)
#Pesticides
==Extracted Teeth==
Extracted teeth at the College of Dentistry are handled as follows:
#Virgin teeth are placed into a sharps container and disposed of as biohazardous waste.
#Teeth with gold restoration are placed into a sharps container and eventually sent to a gold recovery company.
#Teeth with amalgam restoration are placed into a sharps container and eventually picked up and handled as hazardous waste by UNL Environmental Health and Safety due to the mercury content.
#Extracted teeth stored at the College of Dentistry for use by students in pre-clinic laboratory are stored in dilute hypochlorite solution (generally a 1:10 dilution). This leaches the mercury from the restorations and the solution is picked up by UNL Environmental Health and Safety when the teeth are disposed of at the end of the year.
==Technotrash==
Electronic trash is disposed using an appropriate channel that can handle the chemical hazards of the item and taking into account the presence or absence of personal health information (PHI). Items containing PHI are disposed in accordance with hospital policy IM14 and UNMC Policy No. 6056, [http://wiki.unmc.edu/index.php?title=Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information](Examples: CD/DVD, barcode lab label printer ribbons, hard drives, copiers, etc.).
==Additional Information==
*UNMC Policy No. 6056, [http://wiki.unmc.edu/index.php?title=Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]
*UNMC Policy No. 2005, [https://info.unmc.edu/safety/safety-office/lab-safety/biohazard-waste/index.html Biohazardous Waste Information]
*[https://livegreennebraska.com/recycling/ LiveGreen Recycling].
*The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan<br />
This policy maintained by [mailto:dpanowic@unmc.edu dkp].

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