MIL-HDBK-1191
18.1.2.4
Hazardous Waste (HW). HW is defined by the Resource Conservation
and Recovery Act (RCRA), Subpart C (and categories not de-listed at Subpart
D), contained at 42 USC 6973, 40 CFR 261-265 (reference 18b), and constitutes
wastes having ignitable, corrosive, reactive, or toxic characteristics.
18.2
GENERAL DESIGN REQUIREMENTS. The proper design of a medical
facility waste management and handling system requires consideration of the
operational and mission characteristics of the facilities, the existing waste
disposal practices of the facility or base/post, the governmental regulations
affecting the design, and the costs and application of system handling and
disposal technologies. It is the designer's responsibility to identify the
characteristics and volumes of facility-generated wastes and to design the
facilities necessary for collection, holding, segregation, and ultimate
disposal of the wastes. The waste management system shall be designed to help
maintain aseptic environments in the hospital, and to minimize or eliminate
physical and infection hazards to patients, hospital staff, and the general
public, at the lowest reasonable cost to the government.
18.2.1
Waste Management Study (WMS). A WMS shall be executed for each
facility design. The study shall constitute the design project documentation
of all considerations and conclusions of the waste system design. In addition
to a narrative description of the proposed waste management methodology, the
study shall include the following:
(a)
Determination of the waste stream components and soiled linen
types.
(b)
Estimation of waste and soiled linen volumes.
(c)
Concepts for segregation, holding at the generating departments
and central bulk holding.
(d)
Space and utility requirements for departmental holding rooms.
(e)
Concepts for the collection and transportation of the waste and
soiled materials through the facility.
(f)
Soiled dock arrangement, layout, and equipment.
(g)
Waste Management Center (WMC) space, layout, equipment, and
support utility requirements.
(h)
Concepts for the disposal of each waste category.
(i)
Life Cycle Costing (LCC) Studies for RMW processing equipment.
(j)
Aspects of RMW processing; operation and maintenance, safety,
infection control.
18.3
WASTE MANAGEMENT SYSTEM FACILITY SPACE REQUIREMENTS.
18.3.1
Departmental Solid Waste Holding. Each category of waste, and
soiled materials, shall be held separately from clean materials and segregated
to prevent cross-contamination. The design shall determine the space
requirements for holding areas at the generating department level. Space
requirements for holding rooms shall take into account the necessary space for
personnel and cart circulation, the categories and volumes of wastes and
soiled materials generated on the individual departmental basis, and the
schedule of removal.
18.3.1.2
RM Segregation. RM shall be segregated at the generating source.
Appropriate space for RM holding containers in patient rooms, clinical unit
nursing stations, offices, ancillary areas and support departments is
required.
18.3.1.3
Collection Schedule. Design of the waste and soiled linen systems
shall be based upon the completion of all collection tasks within one (1)
working shift of eight (8) hours for offices, clinics and ancillary areas,
18-2
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