Planning

• Before hospital wastes can be properly managed, a waste management plan (WMP) must be developed. This plan should define the selection and responsibilities of a hospital waste management officer and a waste management team. The WMP should be developed by the waste management team under the leadership of the waste management officer. The WMP should identify the current conditions, waste generation rates, waste segregation, on-site handling, transportation and storage. Waste treatment and disposal options on-site and off-site should be identified and evaluated. Waste-minimization practices, reclamation, reuse and recycling possibilities should be included in the plan as well.
  
  

Plan Implementation

• The head of the hospital is responsible for introducing and initiating the WMP to hospital staff. Interim measures to be used as the final waste management plan is implemented should be identified. The waste management officer, in coordination with the infection control officer, should develop and present training to key hospital staff members, including medical staff. Necessary equipment for treatment, storage and disposal should be identified and obtained at the outset of plan implementation.
  
  

Classify Hospital Waste

• The types and quantities of wastes generated should be identified along with recommended methods of management. Waste should be identified and segregated as hazardous, infectious, sharps, non-hazardous, radiological or universal wastes (fluorescent bulbs and batteries). Each class of waste should be properly packaged, marked and labeled. After wastes have been identified, they can then be treated, stored or disposed on-site or transported off-site for treatment, storage or disposal.
  
  

Recycling and Reclamation

• Reduce waste production rates by identifying and separating wastes that can be recycled or reclaimed. Identify companies that will take their products back for reclamation. Companies will reclaim printer cartridges, Tyvek and film plates, among other products. Recycle aluminum, paper, glass and plastic. Use composting methods for organic wastes such as food and plants.
  
  

Program Evaluation

• The waste management team must review the waste management plan annually and at any time that a component of the plan is not working. Periodic auditing and evaluation of waste management methods should be performed to assure adherence to plan requirements. Evaluate plans in relation to applicable laws, regulations and standards. Guidance of the Joint Commission and the Joint Commission International also must be considered when developing and maintaining a waste management plan.