Waste Management Issues for Hospitals/HealthcareFacilities

Agenda

Hospitals and Healthcare Facilities Varying Waste Stream

Types Needs and Solutions - Technology and Service Based Liability Management Summary Questions

Typical Waste Streams

• Non-Hazardous Waste• Laboratory Chemicals• DEA Controlled Substances• Catalysts and Reagents• Polychlorinated Biphenyls - Ballasts• Low-Level Radioactive Waste• Returned Goods/Off-Spec/Out-Of-Date Products• Cylinders• Recyclables – Lamps, Batteries, Computer Equipment• Mercury• Medical Waste

NEEDS and SOLUTIONSTechnology and Service Based

Hazardous, Non-Hazardous, Medical, Low Level Rad

NEED: Provide cost effective solution for the management of NH debris/out of spec materials and pharmaceutical products.

• Waste-To-Energy Incinerators• Waste-To-Energy Plant

Operations-Including-- waste delivery, unloading, separation, feeding, combustion, energy recovery, residue management, and pollution controls

• Assured destruction of Non-Regulated Waste

NEED: Find alternatives for the management of organic waste streams which include deregulation(Beneficial Reuse Program),

reduction in HW status and cost savings.

• FUELS BLENDING/RECLAIM/RECYCLE• High temperature industrial furnaces and cement kilns• Reduction of overall waste management costs• Recycling and Resale Options – Bulk Tankers/Drums• Waste Types

• Solvents• Solids• Glycols/Water• Resale Solvents to include:

• Alcohols• Ketones• Chlorinated Solvents

NEED: Find a cradle to grave liability protection solution that can handle RCRA material, reactives and specialty chemicals in a

compliant manner.

• INCINERATION• RCRA, TSCA, CERCLA and Non-Hazardous Capabilities• Rotary kilns and fixed hearth incineration technology• Cradle to grave liability protection• MACT Compliant/September 2003• Waste Types

• Cylinders• Laboratory Chemicals• Drum Waste Streams• Reactives

NEED: Identification of a cost effective, service orientated solution based alternative for medical waste disposal.

• INCINERATION/AUTOCLAVE• Your choice of disposal technology• LTL and Full Truck load options• Red Bag, Sharps, Chemo• On-site management to ensure proper segregation.

NEED: Identify options for the proper management of mixed rad waste to include: cost effective processing solutions, liability

protection and on-site assistance.

• Low Level Rad Management Disposal and Services• Swipe Testing/Decon work• Identification and Classification of Wastes• Technology/Facilities – Incineration, solidification, landfill• Packaging Assistance and Regulatory Paperwork Completion• Radioactive Compounds such as:

• Uranium acetate• Thorioum nitrate• Dry active waste• Sealed sources• Scintillation vials and fluids

NEED: The proper management of recyclable materials to ensure “green solutions”, compliant universal waste management and

reduction in HW generation.

• RECYCLING OPTIONS• Waste Mercury Reduction Efforts.• Mercury Recycling• Computer/electronic precious metals recovery.• Batteries recycle• Power distribution equipment decon and recycle.• Lamps recycling• Acids, caustics and metal-bearing sludges

• metal recovery programs for resale.

NEED: To focus on core site competencies, reduce liability associated with hazardous materials management activities and

compliance with generator status.

• ON-SITE SERVICE• Enables customer to focus on core business.• Manage HW storage areas.• Manage satellite accumulation inspections• Ensure proper training.• Minimization of waste generated• Highly trained environmental professionals• Single source access to all capabilities and services• Administration:

• customized site waste management program• Report completion.

NEED: To proactively identify potentially reactive/explosive compounds.

• Specialized reactive sweeps to identify potential problems/hazards and management solutions.

• Reduction of remote openings and special permitting.• High Hazard Chemical Management

• Cylinders• Monomers• Temperature sensitive compounds• Oxidizers• Azides• Multi-nitrated compounds• Extreme toxins• Shock sensitive• Peroxide forming compounds• Water and air sensitive materials• Multiple hazard

Risk Management

Facility ReviewsLiability Management

Part B Permit/Application Waste Analysis Plan to include state and local restrictions. Closure Plan Past Management Practices Air, Stormwater, Groundwater Management/Monitoring. Tracking Financial Stability/Assurance Insurance Community Relations Fire and Safety Performance

Liability Management

• Environmental Compliance

• Financially Sound

• Superfund Indemnification• Audited Third Party Sites• Regulatory Support• Low OSHA Incident Rate

• Profitable Company

Questions?