Microsoft Word - waste_stream_disposal_quick_reference_sheet.docx

Waste Stream Disposal –Quick Sheet

Non‐hazardous

Hazardous

Controlled Substances

CHEMO

Additional Waste

Disposal Location

BLUE Bins for Non‐

hazardous waste

Black Bins for Hazardous

Waste

Storage and Waste Hauling

Containers for Controlled

Substances Only

Yellow Chemo Bin

Red Sharps Bins

Red Biohazardous Waste Bag

Regular Trash Bin

Drain

Instructions

For expired and non‐

recyclable non‐

hazardous/non‐

controlled drugs that

cannot be returned for

credit

DO NOT PLACE chemo

nor characteristic

and/or P‐/U‐list drugs.

PLACE in the BLUE until

you are told what to do

For characteristic and/or

P‐list/U‐list drugs

Packaging that held a P‐

listed drug must be put in

the black bins.

Place any P‐listed

packaging and waste in a

zip‐lock bag and dispose

in BLACK Bin

Place any alerted Black

Container waste and

partial sharp (syringes

with or without needles,

ampules)

For Controlled Substances

Slots for solid (e.g. pills),

liquid (e.g. oral liquid,

injection) or patch waste.

Document appropriate

waste & REMOVE all

OUTER packaging to expel

contents directly into

designated slot

For TRACE (Empty)

Chemotherapy Waste

with biohazardous/

infectious waste symbol

Empty syringes, vials,

ampoules, IV bags and

trace contaminated PPE

Excluding empty

Arsenic Trioxide

containers “P‐Listed”

Dispose of as

“Incinerate Only”

Regulated Medical

Waste

For sharps (i.e. needles,

broken glass vials/

ampules)

(that did not contain

chemotherapy nor

characteristic and/or P‐

/U‐listed drug)

Used on NURSING UNITS for

bio‐hazardous items and used

IV bags and sets.

(These are NOT for Regular

Trash & NOT for Sharps)

If medication container is

empty & it did not contain

chemotherapy nor

characteristic and/or P‐/U‐

listed drug, then dispose of

in regular trash

For IV bags with no

medications, including

sugars, salts, and

electrolytes, these can be

discarded down the sink.

(Unused empty bags may

be disposed in regular

trash)

Examples

 Pills or tablets (e.g.

amoxicillin,

aspirin)

 IV with medication

left

 Creams and

ointments capped

 Expired pre‐packed

medications

 Warfarin

 Nicotine

 Epinephrine

 Nitroglycerin

 Physostigmine

 FentanNYL patches

 HYDROcodone

 Morphine

 OxyCODONE

Some controlled substances

will be incompatible to

place in these containers,

there will be a message on

the Pyxis indicating that

you call a Pharmacist for

waste management

 Trace PPE

 Empty Chemo IV

Bags

 Empty Chemo Vials

Anything that is not

considered EMPTY is

disposed in BLACK

Container

 Needles

 Broken glass vials/

ampules

(that did not contain

chemotherapy nor

characteristic and/or P‐

/U‐listed drug)

 Blood and blood product

in plastic containers

 Body fluids

 Blood‐saturated

materials

 Blood transfusion tubing

and bags

Chest tubes

 Empty IV bags

 Medication wrappers



Uncontaminated

gloves

 Empty drug vials (that

did not contain

chemotherapy nor

characteristic and/or

P‐/U‐listed drug)

IV solutions or IVPB

containing any of following

 Potassium chloride

 Potassium phosphate

 Sodium phosphate

 Calcium

 Sodium bicarbonate

 Dextrose

Sodium Chloride

Sharp

s

NO

YES with medication

NO

YES

Empty sharp in YELLOW

Partial sharp in BLACK

Empty Sharps ONLY

NO

NO

N/A

Controll

ed

NO

NO

YES – Follow institutional

policy

NO

N/A – Follow

institutional policy

NO

NO

N/A