How to dispose of chemo
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Rosie's answer
Published by SALUSTo safely dispose of chemotherapy drugs and materials contaminated with them, you should follow a written program that includes measures for identifying, storing, preparing, handling, using, transporting, and disposing of cytotoxic drugs and contaminated materials [1]. This program should also detail emergency steps for spills or leaks and worker exposure [1]. The program must include methods for maintaining and disposing of equipment contaminated with cytotoxic drugs [1].
Waste materials that could endanger worker health or safety should be segregated, contained in clearly labeled, secure packages or containers, and then cleaned, decontaminated, or disposed of in a manner that protects worker health and safety [2]. Workers who handle, collect, transport, clean, decontaminate, or dispose of waste must be trained in safe work practices and provided with appropriate personal protective equipment [2].
Waste, scrap, debris, and other materials contaminated with chromium (VI) should be collected and disposed of in sealed, impermeable bags or closed, impermeable containers [3]. These bags or containers must be labeled according to hazard communication standards [3].
For laboratory waste, consult your organization's environmental health and safety (EHS) office to determine appropriate disposal methods, such as incineration, treatment, or land disposal [4]. Chemical waste should be accumulated near the point of generation, stored in compatible containers, clearly labeled, and kept sealed when not in use [4]. Incompatible waste types should be kept separate [4].
Sources used for this answer
[1] Rules for the Administration of the Oregon Safe Employment Act (General Occupational Safety and Health, Division 2, OSHA Oregon)
Page 2532
Open source documentSource excerpt
Oregon Occupational Safety and Health Division Division 2 - (i) The employer shall ensure that surfaces contaminated with chromium (VI) are cleaned by HEPA-filter vacuuming or other methods that minimize the likelihood of exposure to chromium (VI). - (ii) Dry shoveling, dry sweeping, and dry brushing may be used only where HEPA-filtered vacuuming or other methods that minimize the likelihood of exposure to chromium (VI) have been tried and found not to be effective. - (iii) The employer shall not allow compressed air to be used to remove chromium (VI) from any surface unless: - (A) The compressed air is used in conjunction with a ventilation system designed to capture the dust cloud created by the compressed air; or - (B) No alternative method is feasible. - (iv) The employer shall ensure that cleaning equipment is handled in a manner that minimizes the reentry of chromium (VI) into the workplace. - (3) Disposal. The employer shall ensure that: - (i) Waste, scrap, debris, and any other materials contaminated with chromium (VI) and consigned for disposal are collected and disposed of in sealed, impermeable bags or other closed, impermeable containers. - (ii) Bags or containers of waste, scrap, debris, and any other materials contaminated with chromium (VI) that are consigned for disposal are labeled in accordance with the requirements of the Hazard Communication Standard, 29 CFR 1910.1200. - (k) Medical surveillance. - (1) General. - (i) The employer shall make medical surveillance available at no cost to the employee, and at a reasonable time and place, for all employees: - (A) Who are or may be occupationally exposed to chromium (VI) at or above the action level for 30 or more days a year; - (B) Experiencing signs or symptoms of the adverse health effects associated with chromium (VI) exposure; or - (C) Exposed in an emergency. - (ii) The employer shall assure that all medical examinations and procedures required by this section are performed by or under the supe…
[2] Occupational Health and Safety Regulations, 2020 (Sask. Reg. 10/2020)
Page 240
Open source documentSource excerpt
S-15.1 REG 10 ## OCCUPATIONAL HEALTH AND SAFETY, 2020 ## Waste - 31-6 (1) If exposure to waste is likely to endanger the health or safety of a worker, an employer shall develop and implement a process that ensures that the waste: - (a) is segregated at the place where the waste is located or produced; - (b) is contained in a secure, clearly labelled package or container that holds the contents safely until it is cleaned, decontaminated or disposed of; and - (c) is cleaned, decontaminated or disposed of in a manner that will not endanger the health or safety of any worker. - (2) An employer shall ensure that: - (a) a worker or self-employed person who generates, collects, transports, cleans, decontaminates or disposes of waste or launders contaminated laundry is trained in safe work practices and procedures, and is provided with personal protective equipment, that are appropriate to the risks associated with the worker's work; and - (b) a worker or self-employed person described in clause (a) uses the safe work practices and procedures and the personal protective equipment mentioned in that clause. 31 Dec 2020 c S-15.1 Reg 10 s31-6. ## Equipment contaminated with waste - 31-7 An employer shall ensure that, if reasonably practicable, any equipment that has been contaminated with waste is inspected and decontaminated before it is repaired or shipped for repair. 31 Dec 2020 c S-15.1 Reg 10 s31-7. ## Waste needles, etc. - 31-8 (1) An employer shall provide readily accessible containers for waste needles, syringes, blades, clinical glass and any other clinical items that are capable of causing a cut or puncture and shall ensure that workers and self-employed persons use those containers. - (2) The containers required by subsection (1) must: - (a) have a fill line; - (b) be clearly identified as containing hazardous waste; and - (c) be sturdy enough to resist puncture under normal conditions of use and handling until the containers a…
[3] Occupational Health and Safety Regulations, 2020 (Sask. Reg. 10/2020)
Page 239
Open source documentSource excerpt
## OCCUPATIONAL HEALTH AND SAFETY, 2020 S-15.1 REG 10 - (2) An employer shall take all practicable steps to minimize the exposure of workers to cytotoxic drugs or to materials or equipment contaminated with cytotoxic drugs. - (3) If workers prepare parenteral cytotoxic drugs on a frequent and continuing basis, an employer shall provide and maintain an approved biological safety cabinet in accordance with subsection (4) and ensure that workers use the cabinet safely. - (4) A biological safety cabinet must be: - (a) inspected and certified by a competent person at least annually and when the biological safety cabinet is moved; and - (b) used and maintained according to an approved procedure or the manufacturer's recommendations. - (5) If workers are required to prepare, administer, handle or use cytotoxic drugs or are likely to be exposed to cytotoxic drugs, an employer, in consultation with the committee, shall develop a written program to protect the health and safety of workers who may be exposed to cytotoxic drugs or to materials or equipment contaminated with cytotoxic drugs. - (6) A program developed pursuant to subsection (5) must include: - (a) the measures to be taken to identify, store, prepare, administer, handle, use, transport and dispose of cytotoxic drugs and materials contaminated with cytotoxic drugs; - (b) the emergency steps to be followed in the event of: - (i) a spill or leak of a cytotoxic drug; or - (ii) worker exposure to cytotoxic drugs by a puncture of the skin, absorption through the skin, contact with an eye, inhalation of drug dust or ingestion of a contaminated substance; - (c) the methods to be followed in maintaining and disposing of equipment contaminated with cytotoxic drugs; - (d) the use to be made of engineering controls, work practices, hygiene practices and facilities, approved respiratory protective devices, approved eye or face protectors and other personal protective equipment and decontamination …
[4] Rules for the Administration of the Oregon Safe Employment Act (General Occupational Safety and Health, Division 2, OSHA Oregon)
Page 3598
Open source documentSource excerpt
Oregon Administrative Rules Oregon Occupational Safety and Health Division ## NATIONAL RESEARCH COUNCIL RECOMMENDATIONS CONCERNING CHEMICAL HYGIENE IN LABORATORIES - (d) Dispose of waste properly. Sink disposal may not be appropriate. Proper waste disposal methods include incineration, treatment, and land disposal. The organization's environmental health and safety (EHS) office should be consulted in determining which methods are appropriate for different types of waste. ## Collection and Storage of Waste: - (a) Chemical waste should be accumulated at or near the point of generation, under the control of laboratory workers. - (b) Each waste type should be stored in a compatible container pending transfer or disposal. Waste containers should be clearly labeled and kept sealed when not in use. - (c) Incompatible waste types should be kept separate to ensure that heat generation, gas evolution, or another reaction does not occur. - (d) Waste containers should be segregated by how they will be managed. Waste containers should be stored in a designated location that does not interfere with normal laboratory operations. Ventilated storage and secondary containment may be appropriate for certain waste types. - (e) Waste containers should be clearly labeled and kept sealed when not in use. Labels should include the accumulation start date and hazard warnings as appropriate. - (f) Non-explosive electrical systems, grounding and bonding between floors and containers, and non-sparking conductive floors and containers should be used in the central waste accumulation area to minimize fire and explosion hazards. Fire suppression systems, specialized ventilation systems, and dikes should be installed in the central waste accumulation area. Waste management workers should be trained in proper waste handling procedures as well as contingency planning and emergency response. Trained laboratory workers most familiar with the waste should be actively involved in waste management de…
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