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									Minnesota Pollution Control Agency                                                                                             Waste/Hazardous Waste #3.34a, Sept. 2005


Table of Common Wastes in the Health Care Industry
The information in this table has been compiled by representatives of the Minnesota Pollution Control Agency, the Metropolitan Counties Solid Waste Management
Coordination Board, Metropolitan Council Environmental Services, the Minnesota Technical Assistance Program and health care environmental staff from Park
Nicollet, HealthEast and HealthPartners. The table is not all-inclusive - your facility will have other wastes not listed in this table. The guidance is offered to help
you identify the waste type and disposal method. However, you, as the generator of the waste, are responsible for identifying all of the wastes you generate, evaluating
each to determine waste type, and correctly managing and disposing of each waste. For more information, also see the fact sheet entitled Managing Waste from
Health Care Providers available at:
http://www.pca.state.mn.us/publications/w-hw3-34.pdf                                                                                                                              August 2005
Waste Type:                                                                              Disposal Method:                                            RW = Radioactive Waste
                        D       = Dual Waste (Hazardous Waste + Infectious Waste)                     D      = Dual Waste (Hazardous Waste + Infectious Waste)
                        HW      = Hazardous Waste                                                     HW = Hazardous waste                             SC = Sharps Container
                        HW-R = HW w/ Reduced Requirements                                             ID = Industrial Waste                            SW = Sewered Waste (Approval Required)
                        ISW    = Industrial Solid Waste                                               IW = Infectious Waste/Red Bag/Sharps             YB = Yellow Bag (no liquids)-incinerate
                        I       = Infectious/Red Bag/Sharps                                           LS = Laundry Service                             IDI = Industrial waste- Incinerate
                        NT     = Normal Trash                                                         NT = Normal Trash
                        P      = Non-hazardous Pharmaceutical Waste                                   RD = Reverse Distribution (for product returns only)
                        NonHW = Other Non-hazardous Waste                                             RO = Recycled Off-Site
                        E      = Unknown, must evaluate                                               E     = Unknown, will depend on evaluation
                        R      = Radioactive Waste                                                    RS = Reclaimed On-Site
Department              Waste                                    Waste      Potential Disposal Comments                                                          Links and Resources
                                                                 Type       HW Code Method

                                                                                           NT, ID,    Must be totally empty of contents                MPCA Factsheet - Managing Waste
All departments         Aerosol containers, empty                 ISW           N/A         RO        and propellant.                                  Aerosols
                                                                            D, F, U, P                                                                 MPCA Factsheet - Managing Waste
All departments         Aerosol containers, not empty              HW        Codes           HW                                                        Aerosols

                                                                                                                                                       MN TAP factsheet - Disinfection in Health
All departments         Antibacterial soaps                         E               E         E       Evaluate for MN Lethal                           Care
                                                                 ISW,                     NT, ID, Some types are HW. Collect and                       MPCA Factsheet - Managing Dry Cell
All departments         Batteries                                HW-R        D Codes      RO, HW recycle.                                              Batteries



                                                                                                                                                       MnTAP Factsheet - Suction Canister
                                                                                                                                                       Waste Reduction
                            Blood and body fluids, items
                             saturated or dripping with                                                Solids treat as IW. Liquids may be
                             blood/body fluids, suction                                                sewered with approval from sewer Hospitals for a Healthy Environment -
    All departments                  canisters                        I         N/A       IW, SW                    authority.            Regulated Medical Waste Reduction




Table of Common Wastes in the Health Care Industry                                                                                                                                               Page 1
Minnesota Pollution Control Agency                                                                 Waste/Hazardous Waste #3.34a, Sept. 2005


                    Disinfectants, concentrated                                  Dispose of unused cleaner as HW.   MnTAP Factsheet - Disinfection Best
All departments     (Quat based)                      HW      MN01       HW      Do not sewer.                      Management Practices
                                                                                 If used at manufacture's
                                                                                 recommended dilution rate, may
                    Disinfectants, diluted to <10%                               sewer with approval from sewer     MnTAP Factsheet - Disinfection Best
All departments     (Quat based)                     NonHW     N/A       SW      authority.                         Management Practices
                                                                                                                    MPCA Factsheet - Managing Waste
                                                                              Recycle or HW. If recycled, do not    Electronic Equipment
All departments     Electronics & computers          HW-R    D Codes   HW, RO need to use HW manifest.              H2E Factsheet - Electronics
                    Mercury-containing equipment
                    (thermometers,                                            Recycle as Universal Waste, or
                    sphygmomanometers, switches,                              HW. If recycled as Universal          H2E tools - Managing Mercury in your
                    barometers, esophageal                                    Waste, do not need to use HW          Facility
All departments     dilators, etc)                   HW-R     D009     HW, RO manifest.                             MnTAP Mercury Factsheet


                                                                              Recycle as Universal Waste, or
                                                                              HW. If recycled as Universal Waste, MPCA Factsheet - See Specific Waste:
All departments     Fluorescent bulbs, spent         HW-R     D009     HW, RO do not need to use HW manifest.     Fluorescent Lamps


                    Hand cleaners, antibacterial              D001,                                                  MPCA Factsheet - Characteristic Wastes
All departments     and/or w/alcohol (unused)         HW      MN01       HW      Ignitable, may be MN Lethal.       MN TAP factsheet - Disinfection
                                                                                 Place in sharps container
All departments     Sharps & needles                   I       N/A       SC      (infectious).                      H2E tools - Infectious Waste Management

                                                                                 Evaluate to determine the waste    MPCA Factsheet - Evaluate Waste;
All departments     Wastes, suspect or unknown        E        E          E      type and disposal method.          Determine Generator Size


                                                                                                                    MN Dental Association- Amalgam
                    Amalgam, mercury (& vacuum                                                                      Recovery Program
Dental              line waste)                      HW-R     D009     HW, RO Collect and recycle.                  MnTAP Managing Dental Clinic Wastes
                                                                                                                    MN Dental Association- Amalgam
                                                                                                                    Recovery Program
Dental              Dental trap filters               HW      D009     HW, RO Collect and recycle amalgam.          MnTAP Managing Dental Clinic Wastes

                                                                              HW if high pH. Used developer
                                                                              solutions may be sewered to public MPCA Factsheet - Sewering Liquid
Dental              Developer, unused                 HW      D002     HW, SW sewer without permission.          Wastes




Table of Common Wastes in the Health Care Industry                                                                                                         Page 2
Minnesota Pollution Control Agency                                                              Waste/Hazardous Waste #3.34a, Sept. 2005


                                                                              Contains chromium. May be           MPCA Factsheet - Characteristic Wastes
                    Equipment cleaner, chromium             D007,             corrosive. Look for non-hazardous   MnTAP Managing Wastes from Dental
Dental              based                            HW     D002      HW      substitutes.                        Clinics
                                                                           Evaluate for corrosivity. Neutralize
                    Equipment cleaner, non-         HW,                    and sewer with permission. Look for MPCA Factsheet - Sewering Liquid
Dental              chromium based                 NonHW    D002    SW, HW non-hazardous substitutes.           Wastes
                    Lead foil / bite wings/ lead                                                                  MN Dental Association - Amalgam
Dental              aprons                           HW-R   D008    HW, RO Collect and recycle.                   Recovery Program


Dental              Methyl acrylate                  HW     D001      HW      Ignitable.                          MPCA Factsheet - Characteristic Wastes

Dental              Pharmaceuticals                                           See Pharmacy                        H2E Tools - Pharmaceutical Wastes
                                                                                                                  MnTAP Managing Wastes from Dental
Dental              X-ray film/negatives             HW-R   D011    HW, RO Collect and recycle.                   Clinics

                                                                            Put through silver-recovery           MPCA Factsheet- Managing Photographic
                                                                            treatment unit; then sewer if         Wastes
                    X-ray fixer and fixer-                          HW, RO, approved by sewer authority. If not   MPCA Factsheet - Sewering Liquid
Dental              contaminated rinsate             HW-R   D011    RS, SW treated, dispose of as HW.             Wastes


                                                                           Corrosive. Check the pH. HW if
                                                                           pH<2. May be able to adjust pH and MPCA Factsheet - Sewering Liquid
Dialysis            Acid, acetic solutions           HW     D002    HW, SW sewer with approval.               Wastes
                                                                                                                  MPCA Factsheet - Evaluate Waste
                                                                                                                  MNTAP Factsheet - Disinfectants Best
Dialysis            Disinfectants and sterilants      E      E         E                                          Management

                                                                           Greater than 21% Formalin is HW.
                                                                           Formalin Less than 21%, while not
                                                                           HW is still toxic. Disposal to the
                                                                           sewer is discouraged in favor of
                                                                           substitution, recycling or
                                                                           management. If sewered must have
                    Formalin (21% formaldehyde                             approval, consider treatment       MnTAP Factsheet - Formalin Recovery in
Dialysis            content)                         HW     MN01    HW, RS options.                           Health Care

                                                                           If concentrated, treat as HW. When
                                                                           used at the manufacturer's         Sustainable Hospitals - 10 Reasons to
                                                                           recommended dilution rate, may be Eliminate Glutaraldehyde
                    Glutaraldehyde, concentrated                           sewered with approval from sewer
Dialysis            (Cidex)                          HW     MN01    HW, RO authority.


Table of Common Wastes in the Health Care Industry                                                                                                    Page 3
Minnesota Pollution Control Agency                                                               Waste/Hazardous Waste #3.34a, Sept. 2005
                                                                             If concentrated, treat as HW. When
                                                                             used at the manufacturer's
                                                                             recommended dilution rate, may be
                    Glutaraldehyde, concentrated                             sewered with approval from sewer Sustainable Hospitals - Glutaraldehyde
Dialysis            (Cidex)                          HW     MN01      HW, RO authority.                         Controls in Hospitals


Dialysis            Hemoccult developer, unused      HW      D001       HW     Ignitable. Oxidizer.                  MPCA Factsheet - Characteristic Wastes

                                                                               Flush with water and sewer with       MPCA Factsheet - Sewering Liquid
Dialysis            Hydrogen peroxide, <6%         NonHW      NA        SW     approval from sewer authority.        Wastes


Dialysis            Hydrogen peroxide, >6%           HW      D001       HW     Oxidizer. Reactive.                   MPCA Factsheet - Characteristic Wastes

Dialysis            Pharmaceuticals                                            See Pharmacy                          H2E Tools - Pharmaceutical Wastes

                                                                             Evaluate for Ignitable, Corrosive.
                    Renalin (hydrogen peroxide              D001,            Sewer with approval from sewer
Dialysis            based cold sterilants)           HW     D002      HW, SW authority.                              MPCA Factsheet - Characteristic Wastes
                                                                                                                     MNTAP Factsheet - Disinfectants Best
                                                                                                                     Management
Dialysis            Septisol foam, unused            HW      U243       HW     Pesticide.                            MPCA Factsheet - Evaluate Waste


                                                                             Evaluate for Corrosive, Toxic, MN
ES/ Housekeeping/                                   HW,     D002,            Lethal. Sewer with approval from
Maintenance         Boiler chemicals               nonHW    D007      HW, SW sewer authority.                        MPCA Factsheet - Characteristic Wastes
ES/ Housekeeping/   Brake cleaner (chlorinated               F001,                                                   MPCA Factsheet - F List of Hazardous
Maintenance         solvents)                        HW      F002
                                                             D001,      HW     F listed waste.                       Waste
ES/ Housekeeping/                                           D002, F            May be ignitable, corrosive, or a F
Maintenance         Degreasers                       HW     Codes       HW     listed waste.                         MPCA Factsheet - Evaluate Waste


ES/ Housekeeping/   Disinfectants, concentrated             MN01,              Evaluate for ignitable or MN Lethal. MnTAP Factsheet - Disinfection Best
Maintenance         forms                            HW     D001        HW     Alcohol based may be ignitable.      Management Practices
ES/ Housekeeping/                                           U112,              If unused, U listed waste. If used,   MPCA Fact Sheet- U List of Hazardous
Maintenance         Ethylene oxide                   HW     U115        HW     evaluate for MN Lethal.               Waste
ES/ Housekeeping/                                           D001,
Maintenance         Gasoline                         HW     D018        HW     Ignitable.                            MPCA Factsheet - Characteristic Wastes
ES/ Housekeeping/
Maintenance         Mercury-containing equipment     HW-R    D009     HW, RO Recycle as Universal waste              MnTAP Mercury Factsheet
ES/ Housekeeping/                                                              Do not place liquid paint in the      MPCA Factsheet - Evaluate Paint and Ink
Maintenance         Paint, latex                     ISW      NA      RO, ID   trash.                                Waste
ES/ Housekeeping/                                                              May be ignitable. Do not evaporate    MPCA Factsheet - Evaluate Paint and Ink
Maintenance         Paint, solvent-based             HW      D001       HW     waste.                                Waste



Table of Common Wastes in the Health Care Industry                                                                                                        Page 4
Minnesota Pollution Control Agency                                                                           Waste/Hazardous Waste #3.34a, Sept. 2005


                                                                                          May be ignitable (D001) and/or
                                                                                          contain metals – lead, (D008)
                                                                    D001,                 cadmium (D006), selenium (D011),
ES/ Housekeeping/                                                   F003,                 barium (D005). If so, probably   MPCA Factsheet - Evaluate Paint and Ink
Maintenance            Paint, specialty                     HW      F005          HW      characteristic HW.               Waste

                                                                                                                               MPCA Factsheet - Characteristic Wastes
ES/ Housekeeping/                                                   MN01,                 Toxic (see TCLP contaminants) or     Healthcase Without Harm - Pesticides
Maintenance            Pesticides                           HW     D Codes        HW      MN Lethal.                           Factsheet
ES/ Housekeeping/                                                    F002,      HW, RS, Contain CFCs which must be             MPCA Factsheet - F List of Hazardous
Maintenance            Refrigerants (freon, etc)            HW       D002         RO    captured and recycled.                 Waste
                       Solvents (acetone, spot
                       remover, toluene, xylene,
                       carbon tet, chloroform, alcohols,
ES/ Housekeeping/      MEK, lacquer thinner,                                                                                   MPCA Factsheet - F List of Hazardous
Maintenance            methylene chloride)                  HW     F Codes        HW      F listed waste.                      Waste
ES/ Housekeeping/
Maintenance            Solvents, mineral spirits            HW       D001         HW      Ignitable.                           MPCA Factsheet - Characteristic Wastes
ES/ Housekeeping/                                                  D, F, U, P             Generally takes on properties of     MPCA Factsheet - Managing Towels,
Maintenance            Towels, wipes, sorbents              HW-R    Codes       HW, LS    waste it absorbs.                    Wipes, and Sorbants
ES/ Housekeeping/                                                                                                              MPCA Factsheet - Managing Used Oil and
Maintenance            Used oil                             HW-R     M100       HW, RO Collect and recycle.                    Related Wastes


                                                                    D002,
Laboratory/Pathology   Acid, chromic                        HW      D007          HW      Corrosive. Contains chromium.        MPCA Factsheet - Characteristic Wastes
                                                                                          Evaluate for reactive and corrosive.
                                                                                          Do not store beyond expiration
                                                                    D002,                 date. Call Bomb Squad if
Laboratory/Pathology   Acid, picric >0.01%                  HW      D003          HW      crystallized- explosive.             MPCA Factsheet - Characteristic Wastes
                       Acids (acetic, formic,                                          Corrosive. Check the pH; HW if pH
                       hydrochloric, nitric, oxalic,                                   <2. May be able to adjust pH and
                       phosphoric, sulfuric,                                           sewer with approval if no other   MPCA Factsheet - Sewering Liquid
Laboratory/Pathology   trichloroacetic)                     HW       D002       HW, SW contaminants.                     Wastes


                                                                                        Any liquid with >24% alcohol is
                                                                                HW, RS, ignitable. May sewer small amounts MPCA Factsheet - Sewering Liquid
Laboratory/Pathology   Alcohol (methyl, ethyl, isopropyl)   HW       D001        SW     with approval from sewer authority. Wastes




Table of Common Wastes in the Health Care Industry                                                                                                                 Page 5
Minnesota Pollution Control Agency                                                                       Waste/Hazardous Waste #3.34a, Sept. 2005

                                                                                                                          MPCA Factsheet - U List of Hazardous
Laboratory/Pathology   Benzadine dichloride               HW     U021         HW                                          Waste
                                                                                                                          MnTAP Factsheet - Disinfection Best
Laboratory/Pathology   Disinfectant, concentrate          HW     MN01         HW      Evaluate for MN Lethality.          Management Practices

Laboratory/Pathology   Ethidium dibromide                 HW     MN01         HW      Consider substitute or eliminate.   WA Lab Waste Management



                                                                                   Greater than 21% Formalin is HW.
                                                                                   Formalin Less than 21%, while not
                                                                                   HW is still toxic. Disposal to the
                                                                                   sewer is discouraged in favor of
                                                                                   substitution, recycling or
                                                                                   management. If sewered, consider
                       Formalin (21% formaldehyde                                  treatment options. Sewer with        MnTAP Factsheet - Formalin Recovery in
Laboratory/Pathology   content)                           HW     MN01       HW, RS authority from sewer authority only. Health Care
                                                                                   If concentrated, treat as HW.
                                                                                   When used at the manufacturer's        Sustainable Hospitals - 10 Reasons to
                                                                                   recommended dilution rate, may be      eliminate Glutaraldehyde
                       Glutaraldehyde, concentrated                                sewered with approval from sewer       Sustainable Hospitals - Glutaraldehyde
Laboratory/Pathology   (Cidex)                            HW     MN01       HW, RO authority.                             Controls in Hospitals
                       Hydrogen peroxide (>6%;
Laboratory/Pathology   reagents containing >10%)          HW     D001         HW      Oxidizer.                           MPCA Factsheet - Characteristic Wastes

Laboratory/Pathology   Iodine, crystals                   HW     D001         HW      Oxidizer.                           MPCA Factsheet - Characteristic Wastes


                       Reagents containing mercury
                       (thimerosal, mercuric nitrate,                                                                     MnTAP Mercury Factsheet - Mercury in
Laboratory/Pathology   mercuric oxide, methenamine)       HW     D009         HW      Characteristic for mercury.         Health Care Lab Reagents
                       Reagents/stains containing                                     Characteristic for metal: arsenic
                       metals (arsenic, barium sulfate,                               (D004), barium (D005), chromium
                       chromium trioxide, lead                                        (D007), lead (D008), mercury
                       compounds, mercury, selenium,           D, F, U, P             (D009), silver (D010) or selenium
Laboratory/Pathology   silver nitrate)                    HW    Codes         HW      (D011).




Table of Common Wastes in the Health Care Industry                                                                                                              Page 6
Minnesota Pollution Control Agency                                                                         Waste/Hazardous Waste #3.34a, Sept. 2005



                       Solvents (acetone, xylene,
                       alcohols, methanol,
                       “Americlear”, benzene, butanol,
                       cyclohexane, ethyl acetate,
                       toluene, carbon tetrachloride,               D001,              Ignitable or F listed HW. If unused,
Laboratory/Pathology   methylene chloride)                 HW      F Codes     HW      P or U listed HW.
                                                                                       Evaluate for ignitability and metals.
                       Stains (containing heavy metals,                                Capture all recoverable amounts.
                       benzadine dichloride, iodine                                    Sewer rinses with approval from
Laboratory/Pathology   crystals, uranyl nitrate)           HW      D Codes     HW      sewer authority.                        MPCA Factsheet - Characteristic Wastes


Laboratory/Pathology   Poisonous compounds                 HW       MN01       HW      Evaluate for MN Lethality.              MPCA Factsheet - Characteristic Wastes
                                                                                       Radioactive and corrosive. Dispose
Laboratory/Pathology   Uranyl nitrate                      HW       D002       HW      of as "mixed" waste.               MPCA Factsheet - Characteristic Wastes


                                                                                       The Nuclear Regulatory
                                                                                       Commission sets rules for
Nuclear Medicine       Radioactive injectables             RW        N/A       RW      radioactive waste management.



                                                                                    Ignitable. May sewer small amounts MPCA Factsheet - Sewering Liquid
Nursing                Alcohol, isopropyl                  HW       D001     HW, SW with approval from sewer authority. Wastes
                                                                                       "Bulk Chemo Waste" = Liquid waste       MPCA Factsheet - Regulatory Consensus
                                                                                       and overtly contaminated items          on Health Care Issues
                       Antineoplastic, chemotherapy                                    must be handled as HW. May not
                       drugs & associated                                              be sewered or managed with yellow       MPCA Factsheet - Managing
Nursing                contaminated items IV bags,
                       Empty vials, syringes,              HW       MN01       HW      bag waste.                              Antineoplastic (Chemotherapy) Waste
                       etc that held antineoplastic/                                                                           MPCA Factsheet - Regulatory Consensus
                       chemotherapy drugs;                                             "Trace Chemo Waste" = Completely on Health Care Issues
                       uncontaminated soft goods                                       empty containers and
                       used with the drugs such as                                     uncontaminated soft goods may be MPCA Factsheet - Managing
Nursing                gowns, wipes, gloves, etc.         ISW, I     NA         YB     yellow bagged for incineration.  Antineoplastic (Chemotherapy) Waste
                                                                                     Overtly contaminated item so must
                       Antineoplastic, chemotherapy                                  be handled as HW, but also
                       drugs + blood soaked gauze           D                   D    infectious due to blood, so it's a
Nursing                from blown needle                  (HW+I)    MN01     (HW+IW) dual waste.




Table of Common Wastes in the Health Care Industry                                                                                                                Page 7
Minnesota Pollution Control Agency                                                                       Waste/Hazardous Waste #3.34a, Sept. 2005

                    Fluzone flu vaccine excess in          D
Nursing             syringe                              (HW+I)   D009      D     Mercury preservative

Nursing             Fluzone flu vaccine liquid in vial    HW      D009     HW     Mercury preservative



                                                                                Greater than 21% Formalin is HW.
                                                                                Formalin Less than 21%, while not
                                                                                HW is still toxic. Disposal to the
                                                                                sewer is discouraged in favor of
                                                                                substitution, recycling or
                                                                                management. If sewered, consider
                    Formalin (21% formaldehyde                                  treatment options. Sewer with       MnTAP Factsheet - Formalin Recovery in
Nursing             content)                              HW      MN01   HW, RS approval from sewer authority only. Health Care
                                                                                If concentrated, treat as HW.
                                                                                When used at the manufacturer's       Sustainable Hospitals - 10 Reasons to
                                                                                recommended dilution rate, may be     eliminate Glutaraldehyde
                    Glutaraldehyde, concentrated                                sewered with approval from sewer      Sustainable Hospitals - Glutaraldehyde
Nursing             (Cidex)                               HW      MN01   HW, RO authority.                            Controls in Hospitals

Nursing             Hemoccult developer, unused           HW      D001     HW     Ignitable. Oxidizer.                MPCA Factsheet - Characteristic Wastes

                    IV bag of epinephrine in saline-                              P-listed waste, P-listed empty      MPCA Factsheet - P List of Acute
Nursing             leftover fluid or empty bag           HW      P042     HW     container                           Hazardous Waste

                                                                                  If concentrated, treat as HW.
                                                                                  When used at the manufacturer's
                                                                                  recommended dilution rate, may be
                    Orthopthalaldehyde (Cidex                                     sewered with approval from sewer MnTAP Factsheet - Disinfection Best
Nursing             OPA)                                  HW      MN01     HW     authority.                        Management Practices

Nursing             Pharmaceuticals                                               See Pharmacy

                                                                                                                      MPCA Factsheet - Regulatory Consensus
                                                                                  "Bulk Chemo Waste" = Liquid waste
                                                                                                                      on Health Care Issues
                    Antineoplastic, chemotherapy                                  and overtly contaminated items
                    drugs & associated                                            must be handled as HW. May not      MPCA Factsheet - Managing
Oncology            contaminated items                    HW      MN01     HW     be sewered.                         Antineoplastic (Chemotherapy) Waste
                    Empty vials, syringes, IV bags,
                    etc that held antineoplastic/                                                                     MPCA Factsheet - Regulatory Consensus
                                                                                                                      on Health Care Issues
                    chemotherapy drugs;                                           "Trace Chemo Waste" = Completely
                    uncontaminated soft goods                                     empty containers and
                    used with the drugs such as                                   uncontaminated soft goods may be
Oncology            gowns, wipes, gloves, etc.           ISW, I   NA       YB     yellow bagged for incineration.
Table of Common Wastes in the Health Care Industry                                                                                                         Page 8
                  Empty vials, Agency
Minnesota Pollution Control syringes, IV bags,                                                     Waste/Hazardous Waste #3.34a, Sept. 2005
                    etc that held antineoplastic/
                    chemotherapy drugs;                                         "Trace Chemo Waste" = Completely
                    uncontaminated soft goods                                   empty containers and
                    used with the drugs such as                                 uncontaminated soft goods may be MPCA - Managing Antineoplastic
Oncology            gowns, wipes, gloves, etc.        ISW, I   NA        YB     yellow bagged for incineration.  (Chemotherapy) Waste
                                                                              Overtly contaminated item so must
                    Antineoplastic, chemotherapy                              be handled as HW, but also
                    drugs + blood soaked gauze          D                D    infectious due to blood, so it's a
Oncology            from blown needle                 (HW+I)   MN01   (HW+IW) dual waste.
                                                                                                                       MnTAP Factsheet - JCAHO Standards &
Oncology            Pharmaceuticals                                             See Pharmacy                           Pharmacueticals


                                                                                "Bulk Chemo Waste" = Liquid waste      MPCA Factsheet - Regulatory Consensus
                                                                                                                       on Health Care Issues
                    Antineoplastic, chemotherapy                                and overtly contaminated items
                    drugs & associated                                          must be handled as HW. May not         MPCA Factsheet - Managing
Pharmacy            contaminated items                 HW      MN01     HW      be sewered.                            Antineoplastic (Chemotherapy) Waste
                    Empty vials, syringes, IV bags,                                                                    MPCA Factsheet - Regulatory Consensus
                    etc that held antineoplastic/                                                                      on Health Care Issues
                    chemotherapy drugs;                                         "Trace Chemo Waste" = Completely       MPCA Factsheet - Managing Empty
                    uncontaminated soft goods                                   empty containers and                   Containers
                    used with the drugs such as                                 uncontaminated soft goods may be       MPCA Factsheet - Managing
Pharmacy            gowns, wipes, gloves, etc.        ISW, I   NA        YB     yellow bagged for incineration.        Antineoplastic (Chemotherapy) Waste
Pharmacy            Amyl Nitrate                       HW      D001     HW      Ignitable.
                                                                                Follow DEA approved procedures
                                                                                for disposal of controlled
                                                                                substances. Notify sewer authority MPCA Factsheet - Regulatory Consensus
Pharmacy            Barbituates                        HW      MN01     HW      if disposal to sewer.              for Health Care Issues
                                                                                                                       MPCA Factsheet - U List of Hazardous
Pharmacy            Chloral hydrate, unused            HW      U034     HW      Do not sewer.                          Waste
Pharmacy            Colloidon                          HW      D001     HW      Ignitable.
                                                                                                                       MPCA Factsheet - U List of Hazardous
Pharmacy            Cyclophosphamide, unused           HW      U058     HW                                             Waste
                                                                                                                       MPCA Factsheet - U List of Hazardous
Pharmacy            Diethylstilbesteroll, unused       HW      U089     HW                                             Waste

                                                                                HW for lethality following alternate
                                                                                method of MHA members. If not          MPCA Factsheet - Alternate Method to
                                                                                following alternate method,            Evaluate Waste Pharaceuticals for
Pharmacy            Endocrine Disruptors               HW      MN01     HW      evaluate.                              Lethality
                                                                                                                       MPCA Factsheet - P List of Acute
Pharmacy            Epinephrine, unused                HW      P042     HW                                             Hazardous Waste




Table of Common Wastes in the Health Care Industry                                                                                                        Page 9
Minnesota Pollution Control Agency                                                                     Waste/Hazardous Waste #3.34a, Sept. 2005

                    Epinephrine, empty container                                                                         MPCA Factsheet - P List of Acute
Pharmacy            (vial, ampule, IV bag)              HW       P042      HW                                            Hazardous Waste
                    Epinephrine, fully used delivery                                                                     MPCA Factsheet - Regulatory Consensus
Pharmacy            device (syringe, pen)                 I      NA         IW                                           on Health Care Issues
                    Epinephrine, partially used                                    Exempt from P-list. Evaluate          MPCA Factsheet - Regulatory Consensus
Pharmacy            delivery device (syringe, pen)       E        E         E      residual liquid for characteristics   on Health Care Issues
Pharmacy            Erythromycin Topical Solution       HW       D001      HW      Ignitable.
Pharmacy            Fluzone flu vaccine in vial         HW       D009      HW      Mercury preservative
Pharmacy            Lindane                             HW       D013      HW                                            Consider alternatives to Lindane
                                                                                                                         MPCA Factsheet - P List of Acute
Pharmacy            Nicotine, unused                    HW       P075      HW      Nicotine patches, gum, etc.           Hazardous Waste
                                                                                   Medical-grade nitrogylcerin is
                                                                                   exempt from the P-list. Evaluate for
Pharmacy            Nitroglycerin                        E        E         E      characteristics.                     MPCA Factsheet - Characteristic Wastes
                                                                                                                           MPCA Factsheet - U List of Hazardous
Pharmacy            Paraldehyde, unused                 HW       U182      HW                                              Waste
                                                                                                                           MPCA Factsheet - Regulatory Consensus
                                                                                                                           on Health Care Issues
                                                                                                                           MPCA Factsheet - Evaluating
                                                                                   Outdated or unused drug remains a Pharmaceutical Waste
                    PRODUCT:                                                       "product" if it has the potential to be MPCA Factsheet - Alternate Method to
                    Pharmaceuticals, outdated or                                   reused. Return product to vendor,       Evaluate Waste Pharaceuticals for
Pharmacy            unused that could be reused        product   NA         RD     use reverse distributor.                Lethality
                                                                                                                         MnTAP Resources - Pharmaceutical
                                                                                                                         Management
                                                                                                                         MPCA Factsheet - Evaluating
                                                              P and U                                                    Pharmaceutical Waste
                    Pharmaceuticals, outdated,                 Codes                                                     MPCA Factsheet - Alternate Method to
                    used or unused that are                  MN01, etc, HW, IDI,                                         Evaluate Waste Pharaceuticals for
Pharmacy            inherently waste-like              HW, P    NA       SW      Evaluate each waste type.               Lethality
                                                                                                                         MPCA Factsheet - P List of Acute
Pharmacy            Physostigmine, unused               HW       P204      HW                                            Hazardous Waste
                                                                                   Used, so no longer P-list. Evaluate
Pharmacy            Physostigmine, used                  E        E         E      for characteristics.                MPCA Factsheet - Characteristic Wastes
                                                                                                                         MPCA Factsheet - U List of Hazardous
Pharmacy            Saccharin, unused                   HW       U202      HW                                            Waste
                                                                                   Used, so no longer U-list. Evaluate
Pharmacy            Saccharin, used                      E        E         E      for characteristics.                MPCA Factsheet - Characteristic Wastes
                                                                                                                         MPCA Factsheet - U List of Hazardous
Pharmacy            Selenium sulfide, unused            HW       U205      HW                                            Waste




Table of Common Wastes in the Health Care Industry                                                                                                          Page 10
Minnesota Pollution Control Agency                                                               Waste/Hazardous Waste #3.34a, Sept. 2005

                                                                              Used, so no longer U-list. Evaluate
Pharmacy            Selenium sulfide, used           HW     D010      HW      for characteristics.                MPCA Factsheet - Characteristic Wastes
                                                                                                                   MPCA Factsheet - P List of Acute
Pharmacy            Warfarin, >0.3%, unused          HW     P001      HW                                           Hazardous Waste
                                                                                                                   MPCA Factsheet - U List of Hazardous
Pharmacy            Warfarin, <0.3%, unused          HW     U248      HW                                           Waste
                                                                              Used, so no longer listed. Evaluate
Pharmacy            Warfarin, used                    E      E         E      for characteristics.                MPCA Factsheet - Characteristic Wastes



                                                                           Ignitable. May sewer small amounts
Radiology           Alcohol, isopropyl               HW     D001    HW, SW with approval from sewer authority. MPCA Factsheet - Characteristic Wastes
                                                                           May be HW for barium toxicity-      MPCA Factsheet - Regulatory Consensus
Radiology           Barium Sulfate Oral Contrast     HW     D005    HW, SW evaluate                            on Health Care Issues
                                                            D007,
Radiology           Cleaners, chromic acid           HW     D002      HW      Characteristic for chromium.         MPCA Factsheet - Characteristic Wastes

                                                                           HW if high pH. Use it up or find
                                                                           someone that can.
                                                                           Used developer solutions may be
                                                                           sewered to public sewer without         MPCA Factsheet - Characteristic Wastes
Radiology           Developer, unused                HW     D002    HW, SW permission.                             MnTAP Materials Exchange


                                                                            Put through silver-recovery
                                                                            treatment unit; then sewer if
                                                                            approved by sewer authority. If not
                                                                    HW, RO, treated, dispose of as HW. Ensure
Radiology           Fixer, spent                     HW-R   D011    RS, SW treatment to less than 5 ppm silver.    MPCA Factsheet - Characteristic Wastes
                                                                            Collect and recycle. If recycled,
                                                                            don't count for outstate HW license.
Radiology           Lead aprons                      HW-R   D008    HW, RO Keep recycling receipts.                MPCA Factsheet - Metal Recyclers
                                                                            Collect and recycle. If recycled,
                                                                            don't count for outstate HW license.   MPCA Factsheet - Managing Xray &
Radiology           X-ray film/negatives             HW-R   D011    HW, RO Keep recycling reciepts.                Photographic Wastes

                                                                           If concentrated, treat as HW.
                                                                           When used at the manufacturer's         Sustainable Hospitals - 10 Reasons to
                                                                           recommended dilution rate, may be       eliminate Glutaraldehyde
                    Glutaraldehyde, concentrated                           sewered with approval from sewer        Sustainable Hospitals - Glutaraldehyde
Radiology           (Cidex)                          HW     MN01    HW, RO authority.                              Controls in Hospitals




Table of Common Wastes in the Health Care Industry                                                                                                    Page 11
Minnesota Pollution Control Agency                                                                   Waste/Hazardous Waste #3.34a, Sept. 2005


                                                                               If concentrated, treat as HW.
                                                                               When used at the manufacturer's
                                                                               recommended dilution rate, may be
                     Orthopthalaldehyde (Cidex                                 sewered with approval from sewer MnTAP Factsheet - Disinfection Best
Radiology            OPA)                             HW     MN01      HW      authority.                        Management Practices


Radiology            Toner                            HW     D010      HW      Characteristic for selenium.          MPCA Factsheet - Characteristic Wastes



                                                                            Ignitable. May sewer small amounts
Sterile processing   Alcohol, isopropyl               HW     D001    HW, SW with approval from sewer authority. MPCA Factsheet - Characteristic Wastes
                                                                                                                     MPCA Factsheet - Evaluate Waste;
Sterile processing   Cleaners                          E      E         E      Evaluate for ignitable and corrosive. Determine Generator Size
                                                                                                                     MnTAP Factsheet - Disinfection Best
                                                                                                                     Management Practices
Sterile processing   Disinfectants and Sterilants      E      E         E      Evaluate.                             MPCA Factsheet - Evaluate Waste
                                                                                                                     MPCA Factsheet - U List of Hazardous
Sterile processing   Ethylene oxide                   HW     U115      HW      U listed waste.                       Waste
                     Germicidal soap and
Sterile processing   detergents, unused                E      E         E      Evaluate for MN Lethal.               MPCA Factsheet - Evaluate Waste
                                                                            If concentrated, treat as HW.
                                                                            When used at the manufacturer's          Sustainable Hospitals - 10 Reasons to
                                                                            recommended dilution rate, may be        eliminate Glutaraldehyde
                     Glutaraldehyde, concentrated                           sewered with approval from sewer         Sustainable Hospitals - Glutaraldehyde
Sterile processing   (Cidex)                          HW     MN01    HW, RO authority.                               Controls in Hospitals
                     Hydrogen peroxide (cold                                Flush with water and sewer with          MPCA Factsheet - Sewering Liquid
Sterile processing   sterilant) <6%                  NonHW    NA      SW    approval from sewer authority.           Wastes
                     Hydrogen peroxide (cold
Sterile processing   sterilant) >6%                   HW     D001      HW      Oxidizer, Reactive.                   MPCA Factsheet - Characteristic Wastes
                                                                                                                     MPCA Factsheet - Managing Used Oil and
Sterile processing   Lubricating oil                 HW-R    M100    HW, RO Recycle as used oil.                     Related Wastes
                                                             F003,             Ignitable liquid D001, F003. If used
                     Nail polish remover (acetone,           D001,             on wipes, ignitable if wet. If unused, MPCA Factsheet - Managing Towels,
Sterile processing   ethyl acetate)                   HW     U069      HW      U-listed waste.                        Wipes, and Sorbants

                                                                               If concentrated, treat as HW.
                                                                               When used at the manufacturer's
                                                                               recommended dilution rate, may be
                     Orthopthalaldehyde (Cidex                                 sewered with approval from sewer MnTAP Factsheet - Disinfection Best
Sterile processing   OPA)                             HW     MN01      HW      authority.                        Management Practices



Table of Common Wastes in the Health Care Industry                                                                                                      Page 12
Minnesota Pollution Control Agency                                                                 Waste/Hazardous Waste #3.34a, Sept. 2005

                                                                                                                     MnTAP Factsheet - Disinfection Best
                                                                                                                     Management Practices
                     Peracetic acid (Steris),
Sterile processing   concentrate                        HW   D002      HW      Corrosive                             MPCA Factsheet - Characteristic Wastes
                                                             F002,
                     Spot remover (carbon                    U211,             F listed waste. If unused, U listed
Sterile processing   tetrachloride)                     HW   D001      HW      waste



Sterile processing   Stericants, other                  E      E        E      Evaluate for hazardous waste
                                                             D001,
Sterile processing   Surgistain, unused                 HW   D002      HW      Ignitable. Corrosive.                 MPCA Factsheet - Characteristic Wastes


Sterile processing   Surgistain, used-diluted           E     E         E      Evaluate diluted solutions.


                                                                            Corrosive. Check the pH; HW if
Surgery & Surgical                                                          pH<2. May be able to adjust pH and MPCA Factsheet - See Specific Wastes:
Services             Acid, Acetic                       HW   D002    HW, SW sewer with approval.               Sewering Liquid Wastes # 4.49


Surgery & Surgical                                                          Ignitable. May sewer small amounts MPCA Factsheet - See Specific Wastes:
Services             Alcohol (isopropyl, ethanol)       HW   D001    HW, SW with approval from sewer authority. Sewering Liquid Wastes # 4.49
Surgery & Surgical
Services             Colloidion                         HW   D001      HW      Ignitable.                            MPCA Factsheet - Characteristic Wastes
                                                                                                                     MnTAP Factsheet - Disinfection Best
                                                                                                                     Management Practices
Surgery & Surgical   Germicidal soap and                                                                             MPCA Factsheet - Evaluate Waste;
Services             detergents, unused                 E     E         E      Evaluate for MN Lethal.               Determine Generator Size
                     Skin Disinfectants, unused or
Surgery & Surgical   concentrate (iodophor, phenol,                                                                  MPCA Factsheet - Evaluate Waste;
Services             others)                            E     E         E      Evaluate for MN Lethal.               Determine Generator Size
Surgery & Surgical                                           D001,
Services             Ethyl ether                        HW   F003      HW      Ignitable and F Listed waste.         MPCA Factsheet - Characteristic Wastes

Surgery & Surgical   IV bag of epinephrine in saline-                          P-listed waste, P-listed empty        MPCA Factsheet - P List of Acute
Services             leftover fluid or empty bag        HW   P042      HW      container                             Hazardous Waste




Table of Common Wastes in the Health Care Industry                                                                                                      Page 13
Minnesota Pollution Control Agency                                                            Waste/Hazardous Waste #3.34a, Sept. 2005



                                                                         Greater than 21% Formalin is HW.
                                                                         Formalin Less than 21%, while not
                                                                         HW is still toxic. Disposal to the
                                                                         sewer is discouraged in favor of
                                                                         substitution, recycling or
                                                                         management. If sewered, consider
Surgery & Surgical   Formalin (21% formaldehyde                          treatment options. Sewer with       MnTAP Factsheet - Formalin Recovery in
Services             content)                        HW   MN01    HW, RS approval from sewer authority only. Health Care
Surgery & Surgical
Services             Methyl acrylate                 HW   D001      HW     Ignitable.                          MPCA Factsheet - Characteristic Wastes
                                                          F003,            Ignitable liquid D001, F003. If used
Surgery & Surgical                                        D001,            on wipes, ignitable if wet.          MPCA Factsheet - Managing Towels &
Services             Nail polish remover (acetone)   HW   U069      HW     U-listed waste if unused.            Wipes

                                                                           If concentrated, treat as HW.
                                                                           When used at the manufacturer's
                                                                           recommended dilution rate, may be
Surgery & Surgical   Orthopthalaldehyde (Cidex                             sewered with approval from sewer MnTAP Factsheet - Disinfection Best
Services             OPA)                            HW   MN01      HW     authority.                        Management Practices
Surgery & Surgical                                                                                             MPCA Factsheet Pharmaceutical
Services             Pharmaceuticals                                       See Pharmacy                        Management
Surgery & Surgical
Services             Sterilants                      E     E         E     Evaluate.                           MPCA Factsheet - Characteristic Wastes
                                                                                                               MnTAP Factsheet - Disinfection Best
                                                                                                               Management Practices
Surgery & Surgical
Services             Surgical scrub, unused          HW   MN01      HW     MN Lethal.                          MPCA Factsheet - Characteristic Wastes
Surgery & Surgical                                        D001,
Services             Surgistain                      HW   D002      HW     Ignitable. Corrosive.               MPCA Factsheet - Characteristic Wastes
Surgery & Surgical                                                         Evaluate for listing and/or MN
Services             Waste anesthetic gases          E     E         E     Lethal                              MPCA Factsheet - Evaluate Waste


w-hw3-34a




Table of Common Wastes in the Health Care Industry                                                                                               Page 14

								
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