UN 3291 Clinical and Related Wastes Services Specification

Transcription

1 SSS013 UN 3291 Clinical and Related Wastes Services Specification 1. Scope This specification describes the acceptable waste materials and packaging requirements for Daniels Health services for a subset of the waste materials that in the various State ant Territory Environmental Regulations fall under the category of Clinical and related wastes or medical wastes. The waste materials covered by this specification are those Clinical and related wastes that can and should be transported as solid Dangerous Goods of Class 6.2 under the UN UN 3291 and hence have a low probability of containing infectious substances (see Appendix A for information concerning infectious substances). Solid in this case means waste containing sufficient absorbent material to absorb the entire amount of liquid present and the packaging is capable of retaining liquids There are three distinct waste streams that make up UN3291 wastes, Clinical, Anatomical and Cytotoxic wastes. These three streams are shown in the following table of Clinical and related wastes together with the other wastes that make up the Clinical and related wastes category. The services described in this specification to not cover services for those certain circumstances where waste is both a UN3291 Dangerous Good and contains live GMO and/or is nominated by the Australian Quarantine Inspection Service as Quarantine waste. This specification should be read in conjunction with the General Waste Services Specification SSS001 which applies to all wastes streams. SSS013 UN3291 Clinical Waste Services Specification R2 1/11 Sep 2015

2 NEPM Waste NEPM Waste - Vic. Only Clinical and Related Wastes R100 R130 R120 R110 (Pathogenic Substances) Common Name Clinical Waste Anatomical Waste Cytotoxic Waste Category A Infectious Substances Waste GMO Cytotoxic Drugs Pharmaceutical Wastes Waste Description Non hazardous materials from clinical settings and biomedical research, other than recognizable body parts, that have a low probability of containing Category A Infectious Substances. Non hazardous materials from clinical settings and biomedical research including recognizable body parts, that may be contaminated with chemicals (other than Cytotoxic drugs) that can be treated by incineration, and have a low probability of containing Category A Infectious Substances. Non hazardous materials from clinical settings and biomedical research that may be contaminated with Cytotoxic drugs and have a low probability of containing Category A Infectious Substances. Waste from clinical activity or biomedical research that contains or is suspected of containing Category A Infectious Substances. Waste containing live GMO from human or animal research that does not contain infectious substances Cytotoxic drugs Discarded consumer packaged pharmaceuticals Treatment Method Autoclave, Incinerate, or Chemical with shredding Incinerate only Incinerate only Incinerate by choice Autoclave or Incinerate depending on client requirement Incinerate only Incinerate only Associated Dangerous Goods UN Numbers Could Also Be: GMO or Quarantine UN 3291 UN 2814 UN 2811 UN 3245 UN 2900 UN 2810 GMO or Quarantine GMO or Quarantine Quarantine Not usually Dangerous Goods Occasionally UN 3249 or Class 3, 6.1, 8, 9 of various UN s. SSS013 UN3291 Clinical Waste Services Specification R2 2/11 Sep 2015

3 2. Waste Details Common Name Clinical Waste Anatomical Waste Cytotoxic Waste Waste R100 R100 R100 Composition PHARM PHARM PHARM DG Class Packaging Group II II II UN Proper Shipping Name Clinical Waste Clinical Waste Clinical Waste Treatment Method Autoclave, hypochlorite or incineration Incineration Incineration Waste Description Solid waste resulting from medical, nursing, dental, skin penetration or other related clinical activity or biomedical research being waste that has the potential to cause injury, infection or offence, e.g. human tissue, visibly bloodstained or bulk body fluids stained materials or equipment which has a low probability of containing Infectious Substances and does not contain other hazardous components. Specific s Excluded General s Excluded Chemicals or chemical contamination Recognizable body parts, experimental animals or any Clinical waste that must be incinerated according to Regulations in the jurisdiction in which the service is provided. Large metal items such as artificial hip joints or large surgical instruments Infections Substances of Category A Laboratory cultures and biological products containing Category B Infectious Substances Human remains fetuses/products of conception, corpses Pharmaceuticals other than traces in used packaging Mercury, amalgam, batteries Dangerous Goods other than UN 3291 Sharps # not contained in yellow AS4031 compliant containers [AS 4261 compliant S Series reusable Sharps services excluded] Solid waste resulting from medical, nursing, dental, skin penetration or other related clinical activity or biomedical research being waste that has the potential to cause injury, infection or offence, e.g. human tissue, visibly blood-stained or bulk body fluids stained materials or equipment, recognizable body parts, which has a low probability of containing Infectious Substances and does not contain other hazardous components other than contamination by non-cytotoxic non-dangerous Goods chemicals amenable to incineration. Cytotoxic substances Infections Substances of Category A or Category B Human remains fetuses/products of conception, corpses Pharmaceuticals other than traces in used packaging Mercury, amalgam, batteries Dangerous Goods other than UN 3291 Sharps # not contained in yellow AS4031 compliant containers [AS 4261 compliant S Series reusable Sharps services Solid waste resulting from medical, nursing, dental, skin penetration or other related clinical activity or biomedical research being waste that has the potential to cause injury, infection or offence, e.g. human tissue, visibly blood-stained or bulk body fluids stained materials or equipment which has a low probability of containing Infectious Substances and does not contain other hazardous components other than contamination by Cytotoxic substances. Infections Substances of Category A or Category B Human remains fetuses/products of conception, corpses Pharmaceuticals other than traces in used packaging or cytotoxic residues on materials and equipment Mercury, amalgam, batteries Dangerous Goods other than UN 3291 Sharps # not contained in purple AS4031 compliant containers SSS013 UN3291 Clinical Waste Services Specification R2 3/11 Sep 2015

4 # Sharps means anything: that has sharp points or edges capable of cutting, piercing or penetrating the skin (such as needles, syringes with needles or surgical instruments) that is designed for the purpose of cutting, piercing or penetrating the skin that has the potential to cause injury or infection. 3. Service s & Packaging Details In order to support safe and compliant handling, storage, transport and treatment of waste, all bins, collectors, and containers used for packaging UN3291 waste must not be presented for collection overfilled. The lids of containers must be properly and securely engaged and any lock or latch on the container closed off so as to fully secure the lid. Daniels Health can only take delivery of properly closed off containers. a. Services Utilizing Daniels Health Owned Pool Bins/Collectors These Services involve the delivery of Daniels Health owned pool bins or collectors for temporary use by the client solely for the purposes of depositing wastes for subsequent collection by Daniels Health. The delivery of the bins containers or collectors have a Service description that starts with Delivery of. The subsequent collection of the bin has a Service description beginning with Pick-up. Where Delivery of Service s are listed in the tables below, the requirements relating to waste materials and presentation container for collection all to the associated Pick-up Service in particular. i. Reusable Sharps Collectors to AS 4261 Service DS14AP DS14 DS22AP DS22 DS32AP DS32 DL64 Service Short Description Delivery of S14 Access Plus Sharpsmart Delivery of S14 Sharpsmart Delivery of S22 Access Plus Sharpsmart Delivery of S22 Sharpsmart Delivery of S32 Access Plus Sharpsmart Delivery of S32 Sharpsmart Delivery of L64 Laparoscopicsmart (Green Lid) Outer Container Type Daniels Sharpsmart collector without tray, see separate brochure for details. Daniels Sharpsmart collector with tray, see separate brochure for details. Daniels Sharpsmart collector without tray, see separate brochure for details. Daniels Sharpsmart collector with tray, see separate brochure for details. Daniels Sharpsmart collector without tray, see separate brochure for details. Daniels Sharpsmart collector with tray, see separate brochure for details. Daniels Sharpsmart collector for laparoscopic items and stainless steel Sharps Body Lid Waste Yellow Grey Clinical Yellow Yellow Clinical Yellow Grey Clinical Yellow Yellow Clinical Yellow Grey Clinical Yellow Yellow Clinical Yellow Green Clinical ii. Packaging Instruction P621 Compliant Collectors The following Services are for soft waste only i.e. not for loose Sharps, however, AS 4031 compliant disposable UN3219 Clinical Sharps containers may be deposited in them. Service DC64 DCY64 Service Short Description Delivery of C64 Clinismart Delivery of CY64 Cytosmart Outer Container Type Purpose designed reusable Daniels Clinismart collector, nominal capacity 55l (see separate brochure). Purpose designed reusable Daniels Cytosmart collector, nominal capacity 55l (see separate brochure). Body Lid Waste Yellow Ivory Clinical Purple Purple Cytotoxic iii. Packaging Instruction P62A Compliant Bins SSS013 UN3291 Clinical Waste Services Specification R2 4/11 Sep 2015

5 These bins can only be transported in vehicles whose bodies meet specific requirements, see Appendix B. Vehicles carrying more than 200kg or 200l of material need to be licensed to transport these wastes in most jurisdictions. Bins of nominal capacity 120l to 1,100l were procured as complying with the version of AS 4123 that applied at the time of manufacture of the bin. They are common stock standard mobile garbage bins designed with curbside municipal waste collection in mind, they are not a healthcare specific collector. Sizes of capacity 50 to 240l are delivered with a 25 micron plastic bin liner. Waste in all bin sizes should be contained in tied off plastic bags, no loose waste. Note that Additional requirements may apply to the use of plastic bags in conjunction with mobile garbage bins in a particular State or may apply to a particular category of users. These requirements may include those outlined in the Australian/New Zealand Standard 3816:1998 Management of Clinical and Related Wastes and/or State based health department policy documents. These Services are for soft waste only i.e. not for loose Sharps, however, AS 4031 compliant disposable UN3219 Clinical Sharps containers may be deposited in them. Service Service Short Description Body Lid Waste PCL50 Pick-up of 50L Clinical Waste Bin Yellow Yellow Clinical PCL120 Pick-up of 120L Clinical Waste Bin Yellow Yellow Clinical PCL240 Pick-up of 240L Clinical Waste Bin Yellow Yellow Clinical PCL660 Pick-up of 660L Clinical Waste Bin Yellow Yellow Clinical PCL1000 Pick-up of 1000L Clinical Waste Bin Yellow Yellow Clinical PCL1100 Pick-up of 1100L Clinical Waste Bin Yellow Yellow Clinical PAN120 Pick-up of 120L Anatomical Waste Bin Yellow Orange Anatomical PAN240 Pick-up of 240L Anatomical Waste Bin Yellow Orange Anatomical PAN660 Pick-up of 660L Anatomical Waste Bin Yellow Orange Anatomical PCY120 Pick-up of 120L Cytotoxic Waste Bin Purple Purple Cytotoxic PCY240 Pick-up of 240L Cytotoxic Waste Bin Purple Purple Cytotoxic b. Services Utilizing Single Use or Disposable Containers Containers are not supplied with these Services, but can be purchased separately. Sharps must only be placed in containers satisfying Australian Standard AS Pails and drums for soft waste can only be transported in vehicle bodies designed specifically for and dedicated to clinical waste transport as approved by the relevant EPA. The pail or drum must satisfy Packaging Instruction P62A, see Appendix B Service Service Short Description Body PCL20 Pick-up of 20L Clinical Waste Solid Lid Pail Yellow PCL20H Pick-up of 20L Clinical Waste Hatch Lid Pail Yellow PSH Pick-up of Disposable Sharps Container Yellow Lid Usually Black not Orange Usually Black not Orange Various but not Orange Waste Clinical Clinical Clinical SSS013 UN3291 Clinical Waste Services Specification R2 5/11 Sep 2015

6 PAN20 Pick-up of 20L Anatomical Waste Pail Yellow Orange Anatomical PCY20 Pick-up of 20L Cytotoxic Waste Pail Purple Usually White Cytotoxic PSHCY Pick-up of Disposable Cytotoxic Sharps Container Purple Various Cytotoxic c. Services Utilizing Customer Owned & Delivered Containers Reusable bins are provided by the client and must be correctly colour coded according to the table below. Bins must be labelled as UN3291 material, identify the waste stream and be clearly marked as to bin ownership. These Services are for soft waste only i.e. not for loose Sharps, however, AS 4031 compliant disposable UN3219 Clinical Sharps containers may be deposited in them. Bins must be in sound order and condition. Bins of nominal capacity 120l to 1,100l must comply with the version of AS 4123 that applied at the time of manufacture of the bin. The lids of containers must be properly and securely engaged Waste in all bin sizes should be contained in tied off plastic bags of suitable strength given their size and contents. Bags containing 100 to 200l of waste must have a thickness of at least 25 micron. Service Service Short Description Body Lid Waste CCL50 Client Delivered of 50L Clinical Waste Bin Yellow Yellow Clinical CCL120 Client Delivered of 120L Clinical Waste Bin Yellow Yellow Clinical CCL240 Client Delivered of 240L Clinical Waste Bin Yellow Yellow Clinical CCL660 Client Delivered of 660L Clinical Waste Bin Yellow Yellow Clinical CCL1000 Client Delivered of 1000L Clinical Waste Bin Yellow Yellow Clinical CCL1100 Client Delivered of 1100L Clinical Waste Bin Yellow Yellow Clinical CAN120 Client Delivered of 120L Anatomical Waste Bin Yellow Orange Anatomical CAN240 Client Delivered of 240L Anatomical Waste Bin Yellow Orange Anatomical CAN660 Client Delivered of 660L Anatomical Waste Bin Yellow Orange Anatomical CCY120 Client Delivered of 120L Cytotoxic Waste Bin Purple Purple Cytotoxic CCY240 Client Delivered of 240L Cytotoxic Waste Bin Purple Purple Cytotoxic SSS013 UN3291 Clinical Waste Services Specification R2 6/11 Sep 2015

7 Appendix A Infectious Substances The Australian for the Transport of Dangerous Goods by Road and Rail 7th Edition, referenced in Dangerous Goods Regulations in all States: SSS013 UN3291 Clinical Waste Services Specification R2 7/11 Sep 2015

8 SSS013 UN3291 Clinical Waste Services Specification R2 8/11 Sep 2015

9 Updated information on infectious diseases is available from the various State Health systems, for example the following link to NSW Health s page SSS013 UN3291 Clinical Waste Services Specification R2 9/11 Sep 2015

10 Appendix B Packaging Instruction P62A The Australian for the Transport of Dangerous Goods by Road and Rail Edition 7.3, referenced in Dangerous Goods Regulations in all States contains two Packaging Instructions for UN 3291 Clinical Waste, a more onerous P621 and the less onerous P62A which can be utilized packages are transported in truck bodies/shipping containers (transport units) that meet specific requirements SSS013 UN3291 Clinical Waste Services Specification R2 10/11 Sep 2015

11 Referenced Documents 1. Australian for the Transport of Dangerous Goods by Road & Rail 2011 (7 th Edition). 2. Australian Standards, AS: Management of Clinical and Related Wastes 3. Australian Standards, AS: Non-reusable Containers for the Collection of Sharp Medical Items used in Healthcare Areas 4. Australian Standards, AS/NZS: Re-usable Containers for the Collection of Sharp Items in Human and Animal Medical Applications 5. Australian Standards, AS: Mobile Waste Containers SSS013 UN3291 Clinical Waste Services Specification R2 11/11 Sep 2015