Chemical Disinfection. Chemical disinfection of RMW is generally
accomplished by a technique which uses shredding and a sodium hypochlorite
solution to chemically alter and destroy microorganisms. Shredding occurs
within the unit, therefore precluding the need for a separate shredding or
grinding device. Chemical disinfection is not suitable for treatment of large
pathological wastes, such as body parts and animal waste. This technology
will typically reduce waste volume by 80 percent.
Liquid RMW Disposal. Discharge to the sanitary sewer is a common
practice for disposal for liquid RMW, such as blood and suction fluids. This
practice should specifically be reviewed for code acceptability at the time
the medical facility is expected to be operational.
New RMW Treatment Technology. Any "new" treatment technologies
considered for utilization in facilities shall be acceptable by the regulating
authority, have scientific evidence of efficacy, and shall have been
successfully in use in similar applications for a minimum of two years.
SPECIAL REQUIREMENTS FOR HAZARDOUS WASTE. All HW must be
identified, stored, and disposed of in accordance with reference
Holding (Accumulation) Quantities. The volume of HW which a
facility may hold is determined by the "Generator Status" of the facility, as
defined by the EPA. More stringent State or Local regulations may apply.
See Appendix 18.2 for additional information regarding Federal/State
Large Quantity Generators. Large Quantity Generators produce over
1,000 kg (2,200 lb) of HW per month, or five and a half (5.5) 55 gallon drums.
Additionally, if more than 1.1 kg/month (2.5 lb/month) of any "acutely
hazardous waste" is generated, the facility is classified under this category.
HW storage can not be longer than 90 days from the accumulation start date
(normally when the container is full), without a permit. A Large Quantity
Generator can have multiple satellite accumulation points at the work place
for one (1) container, up to the maximum size of a 55 gallon drum.
Small Quantity Generators. Small Quantity Generators produce from
100 - 1000 kg (220 - 2,200 lb) per month. HW storage can not be longer than
180 days from the accumulation start date (normally when the container is
full), without a permit. If the disposal facility is located more than 322 km
(200 mi) away, HW can be accumulated for 270 days.
Conditionally Exempt Small Quantity Generators. Conditionally
Exempt Small Quantity Generators produce less than 100 kg (220 lb) of
HW Container Requirements. HW must be placed into compatible
containers which are sealed at all times except when additional amounts of HW
are being introduced. HW containers shall be properly labeled. Stacking of
HW containers is allowed only if adequate means are provided to prevent spills
or damage to the containers: appropriate secondary containment capability is