There are thousands of health care facilities in the United States. I imagine there are mock surveys and actual surveys everyday somewhere. And during each one, many regulations and requirements are checked for compliance. An increasing focus is being paid to regulated medical waste or RMW.

Most health care facility professionals understand the need to be familiar with the regulatory complexities of managing waste. In Environmental Services we deal with a lot of waste, including RMW.

There are many regulations and standards, including the Joint Commission’s Leadership (LD), Environment of Care (EC) and Emergency Management (EM) standards, as well as the federal Department of Transportation, Environmental Protection Agency and many state and local rules and regulations.

Quite a few of the standards related to regulated medical waste can be found in these standards:

• LD.04.01.01
• EC.01.01.01 (EP 5)
• EC.02.02.01 (EP 11, 12)
• EC.04.01.01 (EP.01, 8, 15)
• EM.02.02.05 (EP 4)

An organization can be fined thousands of dollars per day per violation by local, state and federal authorities if it is found noncompliant with waste regulations. Many of these fines vary by state. It is very important to be familiar and understand your own state’s current and emerging regulations to avoid these costly fines and remain a compliant leader within the health care industry and their community

When an agency inspector comes to inspect your hazardous waste storage area, he looks for things like waste manifests, reports, labels, and plans. Why? Because it is easy to find violations in these areas – either you have filled them out properly or you have not. It is straightforward.

The video below is from an inspector at the California Department of Toxic Substances (DTSC). Listen to what the DTSC inspector has to say about what he looks for in your hazardous waste labels.

Here is a short video from California’s DTSC on the training requirements for hazardous waste generators:

One of the four characteristics of a hazardous waste is “reactivity”. The other three are ignitability, toxicity and corrosivity and these three characteristics are pretty easy to define by measuring the flash point, concentration and pH respectively. Reactivity is a bit harder (less objective) to determine.

The California Department of Toxic Substances Control (DTSC) has a short video clip on how to determine reactivity. In general, if something is going to go “boom”, it is likely to be reactive. Or if the MSDS states that a material is reactive with water or unstable, the waste that is derived from that material is likely to be a reactive waste. Enjoy the video.