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Reduce Hazardous Chemicals and Waste—Meeting JCAHO Standards with Pollution Prevention

Pollution prevention (P2) activities make great performance improvement initiatives. They can help you achieve JCAHO standards included in the Comprehensive Accreditation Manual for Hospitals (CAMH) and meet rules, regulations and Hospitals for a Healthy Environment (H2E) goals. They also promote the health of the public-keeping in line with the basic premise of health care.

Hazardous chemicals may cause or significantly contribute to increased mortality, or an increase in serious incapacitating illness.

To the extent possible eliminate hazardous chemicals and waste in the organization such as disinfectants, ethylene oxide, formalin, mercury, oil-based paints and paint thinner, pesticides and sterilants.

Use H2E’s Chemical Minimization Plan to help reduce hazardous chemicals and waste in the organization.

For non-hazardous alternatives the following Web resources are available:

Batteries
Batteries contain heavy metals such as cadmium, lead, mercury and nickel. Reduce or eliminate the use of batteries. Use rechargeable items such as IV pumps and pagers, or use rechargeable batteries.

Recycle spent batteries where possible.

Electronics, Computers, Brown Goods
Many electronic items, such as computers, contain heavy metals like cadmium, lead and mercury in their circuit boards, casing and monitors.

Purchase products with the end in mind. Develop programs for updating old equipment and develop purchasing policies that provide for the take back of equipment.

Recycle old equipment with a reputable vendor.

 

 



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Achieve JCAHO CAMH Standards Meet Rules, Regulations and Goals
EC.1, EC.1.2: The organization plans for a safe environment and implements its plan.
  Reducing hazardous chemicals and waste provides for a safe environment by lowering the risk of spills and risk to employees, patients and visitors associated with hazardous chemicals and waste management.

EC.2, EC.2.2: The organization plans for employee safety and implements its plan.
  Reducing hazardous chemical use improves employee safety by lowering the risk of spills and risk to employees associated with hazardous chemicals and waste.

EC.2.8: Personnel have appropriate knowledge and skills regarding the proper management and disposal of hazardous materials.
  All personnel that handle potentially hazardous chemicals and waste should be trained to appropriately identify, segregate and manage them.

EC.4: The organization improves conditions in the environment.
  Reducing hazardous chemicals and waste improves conditions in the environment by lowering the risk of spills, risk of employee, patient and visitor exposure, and reducing pollution in the community.

PI.2: Improved and new processes are well designed and consider patient safety.
  Reducing hazardous chemicals and waste improves patient safety by reducing the risk of patient exposure.

GO.2: Performance improvement is financially sound.
  Reducing hazardous chemicals and waste reduces costs associated with employee, patient and visitor exposure, and waste management, storage, disposal and liability.

PI.1.2: Performance improvement is consistent with the organization’s mission as it relates to community health.
  Reducing hazardous chemicals and waste improves community health by reducing pollution to the air, water and land.
Clean Air Act, public law 101-549
Title V permits may be required for ethylene oxide

Clean Water Act, National Pollution Discharge Elimination System (NPDES), 40 Code of Federal Regulations (CFR) 122 and 403
Hospital wastewater, 40 CFR 460
Local wastewater permits. Restrict discharge of certain chemicals, heavy metals and high biological loads to sanitary sewer.

Federal Insecticide, Fungicide and Rodenticide Act (FIFRA). Basis for disposal, distribution, regulation, sale and use of pesticides—including algicides, disinfectants, germicides, sterilants and swimming pool compounds—in the U.S.

P2 Act of 1990, U.S. Code (USC) Title 43 the Public Health and Welfare Chapter 133. Established P2 as a national policy and developed a hierarchy of waste management.

Resource Conservation and Recovery Act (RCRA), 40 CFR 261-263

Requirements for hazardous waste management
Waste minimization sec 3002(b)

H2E goal: Reduce volume and toxicity of all types of waste 30 percent by 2005 and 50 percent by 2010.

Universal Waste Rule. Reduced regulatory requirements for batteries and mercury-containing equipment if they are recycled.

 

Pollution prevention activities that make great performance improvement initiatives:

mercury | solid waste | infectious waste | chemicals and waste | hazardous waste spills and exposure | ignitable chemicals | pest management | pharmaceutical management | patient safety | environmentally preferable purchasing

JCAHO introduction page

 

 
 
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