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All posts by Steven Anthony


The recent Supreme Court nomination of Judge Brett Kavanaugh, has kindled the age old national debate of pro choice or pro life. Do we reserve the right for women to abort a pregnancy be it that it’s their own body or do we give the right for an unborn baby to live? There are many organizations which advocate each side but all agree that when a mother’s life is in danger, her body is given precedence.

Our company supports groups like Indiana Right To Life, who protect right to life, especially those of unborn children. The same rule would apply to patients who are terminally ill and unconscious who are incapable of making the decision to continue or end life. Organizations like the NRLC, protect our most vulnerable citizens, whether they are at the beginning of life or the end of life.  

Unfortunately not all Americans have this view and our country is split right down the middle. President Barack Obama made it the law to prevent states from defunding Planned Parenthood. This included states like Indiana who supported pro life and had some of the strictest abortion laws in the county. President Donald Trump ran his campaign advocating for the rights of unborn fetuses and later removed this law, defunding Planned Parenthood.

MedAssure is a solid medical waste provider and under no circumstances will it handle waste from facilities that are tagged as abortion clinics. Our company relies on the source of the medical waste to clearly identify what type of waste is being handled. As a general rule we stay away from facilities associated with Planned Parenthood. There are other medical waste companies that will treat these facilities but not MedAssure.

Roe v. Wade is the center of the debate but there is one person by the name Melissa Ohden who actually survived an abortion.

August 29, 1977 was a hot summer day in Kansas City and a mother was scheduled to go ahead with a saline infusion abortion. (This type of abortion consists of the doctor inserting a long needle into the sac of amniotic fluid surrounding the baby. The unborn fetus is then poisoned by swallowing the salty solution and is burned to death. Then the fetal remains are removed and disposed with a medical waste company that can legally accept fetal tissue.) After the abortion was complete the mother went to recover and the fetus was deposited into a special medical waste bin. Later that day a nurse heard crying from a pile of medical waste. She look inside and saw a crying fetus and quickly transported the baby to the NICU. This baby was Melissa Ohden and had survived a saline infusion abortion. She only learnt of the story many years later.

Melissa biggest challenged was forgiving her mother and grandmother for wanting to abort her. She struggled with alcohol and drug abuse but ended up using her story as a new drive to protect the lives of unborn children. Today she speaks on capitol hill making the claim for pro-life. Her book is available on Amazon and highly recommended.


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We have heard and read a lot about medical waste in the healthcare industry. Nursing homes, hospitals and doctor’s offices are some of the main venues of medical waste disposal. Even in public bathrooms you will see a special case for needle disposal for diabetics and hopefully not for drug users. Unfortunately, Parks Department workers in NYC are picking up an average of 5000 needles a week in the Bronx.

The classification of health care waste includes all the waste products from research centers, nursing homes, hospitals and labs. About eighty percent of medical waste is considered “ non hazardous”. The rest of the 20% may pose radioactive or chemical peril to human health and the environment. In the past, details of safe and unsafe medical waste disposal has been publicized , but disposed electrical health care equipment has an individual category called e waste. Many specialized medical devices such as electrocardiograms, microscopes , sphygmomanometers ( an instrument used for measuring blood pressure. It includes an inflatable rubber cuff that connects to a column of mercury), spectrophotometers ( used in laboratories for the study of chemical substances. Spectrophotometry is often used in measurements of enzyme activities, determinations of protein concentrations). In certain instances these mechanisms come into contact with various biological and chemical substances that could be harmful to humans especially children.

According to Science Direct the subjugation of children within the e waste recycling industry is frightening. Kid’s bodies have less of an ability to detoxify dangerous substances. They are still growing so their intake of food , water and air in proportion to their weight and height is much higher compared then that of adults. If we take into consideration the lifestyle of children it is clear that they spend much more time outside where hazardous exposures can be close by. Tots are commonly apt to crawl on the ground and put non food items in their mouths. Adolescents are ignorant and innocent about the dangers of exposure to e waste. Their curiosity causes them to touch harmful articles which adults would know to keep away from. Finally, since children are just starting their life span , there is a threat of living for the duration of their lives with injuries or even handicaps due to exposure to these toxic substances.

Let’s look at a typical household with a family. How many electronic devices have you gotten rid of in the last few years? It could be old TVs or laptops, out of date printers etc. The fastest growing source of waste today is electronics. Even though many U.S electronics industries claim to dispose and recycle their e waste products properly, a new investigation claims that they are not being recycled properly in the United States.

Jim Puckett of Earth Fix, has a watchdog group called Basel Action Network. Puckett wanted to know where the recycled e waste goes to in America. There is a hazardous waste dumping treaty called the Basel Convention which Puckett’s organization monitors. Last year his forces put GPS tracking devices inside 200 old computers, TV’s and printers. Individuals from Puckett’s staff dropped off these tracked items off at donation centers and take back programs around America ( sometimes called green centers). Fortunately most of the tagged items remained here in our country. However, about a third of the electronic items were shipped out of the country and at least some ended up in dangerous foreign junkyards. Puckett tracked several of these objects using an app on his IPad that led him to track them in a remote city in Hong Kong. He was able to view workers smashing old printers without using any protective coverings such as face masks. They were wearing aprons only, which became dusted with black toner ink. This toner ink is known to cause respiratory problems and even possibly worse ailments. He noticed broken fluorescent bulbs which were used to light up flat screen monitors. When broken these lights will emit dangerous mercury vapor.

Science Direct reported that e waste is increasing rapidly and multiplied by objectionable donation of electronic equipment from super power countries, like America to third world countries. e waste is now a global problem and approximately 75% to 80% is shipped to countries in Africa and Asia for disposal and recycling. The Basel Convention has launched PACE ( Partnership for Action on Computing Equipment). PACE provides requirements as what components are suitable for donations of functioning computer machinery. These principles will be able to eliminate mislabeled donatable components from being exported when they are in reality e waste.

What makes e waste so biohazardous?

Plastics are burned purposely at low temperatures to recover precious metals. Then the metals from electronic chips and other salvageable metal items are saved. This burning releases heavy metals such as cadmium, mercury and lead into the atmosphere. The vapors released by this low temperature burning often contain polyhalogenated dioxins and furans ( compounds which can compromise the immune system). Toxic products such as the release of lead saturated fumes are direct results from the burning of circuit boards to recover rare and precious metals.

The release of dangerous chemicals into the environment is hazardous because it can lead to contamination of food and harm the natural environment in underdeveloped countries including, Vietnam, Malaysia, India, Kenya , Sri Lanka, Singapore, Thailand and Pakistan.

How can we protect American consumers, foreign citizens and especially our children from e waste hazards?

1) All countries whether developed or third world countries should have the same acceptable standards for e waste management.

2) Research programs should be continued and increased on the potential risks of e waste recycling because we will not be able to completely obliterate all these harmful effects.

3) We must educate all citizens, young and old and especially our children about the risks of touching and inhaling e waste.

4) There must be access to information technology for countries such as Africa. This is crucial for their economic and social development. The UNMD ( United Nations Millennium Development ) has set goals for e waste education for developing countries.

What are some ways to alleviate and discourage the unsafe methods of medical e waste disposal?

1) Some companies will offer free take back services. Nokia and Lenovo in China are on the forefront of free take back services.

2) The Minamata Convention is a worldwide effort to discontinue the use of mercury in health care by the year 2020. Thermometers and sphygmomanometers are being replaced by newer and safer health care apparatuses. However old school physicians still like the classical mercury sphygmomanometers which is way they still remain on the market.  Health care facilities will have to make sure about the exact life span of medical equipment prior to purchase and how to dispose when they expire. Minamata Convention is able to trace mercury substances from the beginning of its production till its disposal.

3) There is a movement to prohibit the export of second hand electronics to Africa. This will have a major impact on the ability of developing countries of reaching the goals of the United Nations Millennium Development. Even though technically the problem is not with the equipment it is with the lack of e waste regulation.

There is also a new company called, East African Compliant Recycling. It is a full scale e waste recycling plant that will be launched in Nairobi, Kenya. This plant will be the model that will eventually be used throughout Africa. Not only will it prevent unsafe e waste disposal for the environment and the people, but it will create jobs and recover valuable materials that can be sold and reused.

4) It is also crucial for America to learn from Japan. This country has been in the forefront of e waste management. Already in the 1990’s, Japan was the first country to enact e waste laws. The Japanese model has been admired by Russia as well. Japan recycles more than 2 million tons of e waste each year. As opposed to America with only 679,000 tons annually. In 2000, Japan introduced, the Manifest System. This procedure begins tracking e waste from the time it leaves the facility where it was produced initially until it reaches the final e waste facility. No other country has this cradle to grave system yet.

According to the Department of Japanese Studies, Japan is the most environmentally aware country in the world. Chris McMoran stated that the reason that Japan is on the cutting edge of this e waste management is due largely to its tragic history with industrial waste as well as pollution during the decades immediately post war.

Reusable metals in Japan are being recycled in very practical ways. Instead of spending money importing these rare metals why not retrieve them and send them back to a factory in Japan to be used productively again? The bottom line is money talks. Even though Japan is being praised for being at the forefront of the worldwide “green” campaign, it is more the profit motive than the love of nature that is the catalyst.

It is compulsory to recycle items such as automobiles, computers and other electronic equipment in Japan. It impels recycling by imposing strict laws on both the consumers themselves and the manufacturers or electronic components.

As noted, not only is e waste recycling a green conscious effort, it is also motivated by profits. The revenue is expected to bring in one trillion yen by the year 2020.

5) We must help developing countries improve the working conditions for all e waste workers so that they will properly protected. A one hundred percent elimination of child labor in this industry paramount.

How can respectful consumers help in solving the problem of e waste?

▪Instead of automatically buying a new PC, the EPA proposes that you first consider upgrading software or hardware on your present computer.

▪Search for charity organizations in your vicinity that may want your old electronics.

▪There are local electronic donations centers in most towns. Examples are Staples and Apple.

▪Become an e waste expert. Organize collections of old electronics in your neighborhoods and then bring the e waste to the recycling center personally.

Each state has there own e waste policies. You can go to Directory of Representatives and type in your zip code to encourage your state representatives to take a stand on e waste. ( As of now there is presently no mandatory federal recycling legislation.)

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On January 2, 2018 news broke that a major security flaw resided in a chip used in most if not all computer processors. This included every device that was made since 1995 which uses Intel CPU. In addition, there are many elements of the exposure which have still yet to be reveled to the public. What we do know is that there are two which have become public knowledge via by the Google Project Zero security research team, Meltdown and Spectra. Meltdown could be combated with a Windows KB4056892 update which should be a quick fix. Spectre, will be much harder to shield against, with most industry analysts agreeing that a chip restructure will be required. This means that the PC or device which your reading this article on is most probably defenseless against Spectra.

With all the vulnerability how do we protect our healthcare organizations EHR’s and patient data base?

First thing would be to make sure you know what to do in case of a data breach or exposure and sign up for a breach reporting and privacy compliance service. This way you can be in line with the law when your patient’s data is compromised. Each state has a different requirement and the fines vary according to the jurisdiction where your organization resides.

Once the healthcare facilities are prepared, it should begin thinking about moving to the cloud. The cloud is a computing module in which data is stored on remote servers. Though the cloud your data will now longer be localized to one network but rather be independently secured on remote servers throughout the world. True, there are vulnerabilities on any level, but the chances of exposure are reduced by 99%. When organizations systems are all linked to one network and there is a data breach, everything is exposed. When using cloud storage, threats to the processors becomes irrelevant because that’s not where the data exists.

What happens if some one gains access to the cloud?

That’s bad, it’s like someone having access to your online banking. It’s for this reason that MedAssure suggests its medical waste clients getting a third party which are referred to as managed security service provider (MSSPs) and cloud access security brokers (CASBs). Its their job to keep transaction logs to identify suspicious behaviors. Through hiring a reputable company, they will be the 24/7 security guard of you cloud storage software.

Imperativeness of Maintaining HIPAA compliance

Healthcare organizations need to become educated quickly on the data protection requirements by HIPAA. Make sure you have access to the material or get affiliated with a compliance program that clarifies the HIPAA requirements for patient heath information protection. Being on the wrong side of HIPAA compliance can mean hefty fines of up to $475,000.

On January 8, 2018 toy maker, VTech reached a settlement of $650,000 child privacy rule violations. The company failed to gain parental consent before collecting and using information of hundreds of thousands of children. The law which impacted VTech was the Children’s Online Privacy Protection Act of 1998 (COPPA). HIPAA requirements work on the same dynamics in that if the subject’s personal info is exposed it’s the responsibility of the beholder to had made sure it was secured. Failing to comply will result in fines that could paralyze an organizations financial infrastructure. Even if the court rules in your favor, the expense of legal fees and other headaches could ruin operations.

In conclusion, we here at MedAssure are not here to scare you and not telling you what to do. We want you to understand that when you play host to PHI it’s a dangerous asset. It must be seen that in the upcoming months there is a plan in place to know how to respond and more importantly how to protect. We hope you get data safe and secure your systems properly for your facility to run safely and efficiently. The cloud may or may not be for you, but ask an acquittance or professional to best position your self if a data breach were to occur.



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banner-for-blog-postOn October 25, 2017 the UAB Medicine Clinic personal health information (PHI) was exposed during a data breach. The total amount of patients impacted by this threat was close to 700. Information which was stolen included last names, birth date, gender, diagnosis, date and time of the examination, numbers and images associated with test results, and the referring physician. Its reported that sensitive information which includes social security number or forms of payments was not exposed.

More recently a complaint filed by the attorney general’s office of MA, stated that Multi-State Billing located in NH did not comply with law that required it to take reasonable steps to safeguard the personal information from unauthorized access or use. Again, an AG from Massachusetts was able to file a claim for not securing its customers personal information.

The Personal Health Information Protection Act is a detailed piece of legislation which  addresses complicated issues concerning the collection, use and disclosure of personal health information by health information holders.

In 2017 alone, there have already been over $45 million in fines assessed due to data breaches. It is for this reason that MedAssure is beginning to offer a breach reporting and privacy compliance service. This will educate your organization on whats steps to implement to become more data safe. In case of a data breach we supply you with vital info on where and how to report when your PHI is compromised.

Here are three steps to take to avoid a data breach

Safeguard Data. If your office contains sensitive information which is vital for the organization password protect the files. Only the exclusive members should have the passwords to access those documents.

Get a Paper Shredder. Get in tuned to shredding documents instead of placing the straight in the garbage. Unfortunately, the classic way of getting hold of personal information still exist.

Educate/Train Employees. When employee is hired make sure that they understand that being data safe is regular protocol for the facility. It is highly valuable to signup for the MedAssure CSR Readiness Program and use it as needed.

Secure Computers and Networks. Your networks should be secured and locked at all times. Don’t ever give out your WiFi password or leave access to your network room. Make sure to take off the sticker off your router which has the pass code. If you want to offer WiFi in your waiting room setup a separate network.

With all that has gone on with data breached as an administrator you have to anticipate that your PHI will be compromised. Last week it was reported that Uber hid a data breach affecting 57 million users and drivers for nearly a year. It can happen to organizations both big and small. All we are the corporations which get affected but data is compromised daily on all levels.

If your company is interested in the MedAssure CSR Readiness Program you can fill out a form here or reach our to one of our account managers at 877.963.3277 Ext – 260. We guarantee that you will be more at ease when you get educated and understand the threats and how to stay protected.

Get data safe today for only $49.99 a month

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With already 50+ inches of water on the ground Hurricane Harvey is bound to be one of the worst weather disasters in United States history. Seventy people have died, 6,000 have been rescued, and over 30,000 are packed into convention centers which are maxed to capacity. Unfortunately, the damage is far from over. Rain is scheduled in the forecast through  early September with no where to go. Levees and dams in eastern Texas are struggling to contain massive amounts of water and local residents have been instructed to evacuate.

Assuming your neighborhood has not been evacuated it is best to stay indoors avoiding the deep waters. If your unsure, its best to go to one of the many shelters that are dispersed from south east to central Texas. Though the claim from the media that these shelters have been maxed out, over 90% are still ready and able to handle more occupants.  Over there you will be given the basic essentials such as food, clothing, and shelter.


What are the health risks that come with historic storm Harvey?

With major flooding health officials are warning about an increased risk of illnesses and exposure to hazards such as medical waste.  When local residents sink their feet into knee deep waters it is unknown of what they are exposing the body to. Besides for the major risk of drowning there are risks to bacterial diseases, carbon monoxide poisoning, mosquito-borne illnesses, viral infections and other hazards.

  • Bacterial Disease: For many of the city’s residents, contact with floodwater is unavoidable, putting them at risk for diarrhea-causing bacterial infections. With many in shelters the close contact could be extremely harmful especially with the young and old
  • Carbon Monoxide Poisoning:  Any room in a building can harbour a CO emitting appliance in flooding; wood burners and rarely used chimney flues may become particularly problematic. When entering a home in a flood be sure to be equipped with a battery powered carbon monoxide detector.
  • Mosquito-Borne Illnesses: Settling waters are breeding spots for mosquito which makes it easy to lay eggs and hatch larva.  The CDC defines mosquito diseases that are spread to people include: Zika virus, West Nile virus, Chikungunya virus, dengue, and malaria.
  • Viral Infections: The WHO gives the risk of two disease types: One includes, water-borne diseases, such as typhoid fever, cholera, leptospirosis and hepatitis A. The others are classified as Vector-borne diseases, such as malaria, dengue and dengue haemorrhagic fever, yellow fever, and West Nile Fever.
  • Other Hazards: There is always the classic hazards which come with a flood such as flash & river flooding, burn scars/debris flows,dry wash, and dam breaks/levee failure. In addition, when a medical facility is flooded there are risks for coming in contact with medical waste which lacks proper disposal. If one sees floating medical waste he should alert local authorities which will handle the material. Remember, never touch any used syringe, or material that has come in contact with bodily fluids.

With the fourth largest city in the United States under water, Houston needs your financial support. With your donation you can make the difference and expedite getting a family back in a safe home. MedAssure Service’s provides you with a direct link so you could give to the people of Texas.

       Let the Lone Star State Be Alone No More!                            

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Back In  May of 2013, Walmart plead guilty to criminal charges of dumping hazardous waste in California across 16 of its counties. This resulted in Walmart having to pay 82 million in fines for the illegal dumping of fertilizer and other hazardous wastes. The occurrence of the actual actions took place between the years 2003 through 2005. Apparently workers were not educated on how to identify potential hazardous waste. Ultimately the whistle blew and Walmart got smacked with a hefty fine because of waste disposal negligence.

On July 28, 2017 in Elmira, NY, the Chemung County Transfer Station was undergoing an inspection by the DEC. Reports of human remains and other medical waste that were dump there prompted the sudden closure and two day inspection by the DEC. Medical waste disposal going through a standard waste transfer station is dangerous and could pose a health risk to anyone whom come in contact with it.

In a best case scenario, if what occurred at the Chemung County Transfer Station is proven to be a one time occurrence there is still going to an investigation looming over the counties head. This means that OSHA will be on call at local hospitals and medical facilities making sure that medical waste is properly being disposed.

The Multi Million Dollar Question: So Why Do Hazardous Waste Crimes Happen?

First  of all lets not underestimate the level of severity for the fact that its called a crime. Improperly disposal of this waste type is no less than operating a motor vehicle while under the influence of alcohol. The CDC estimates that 5.6 million workers in the health care industry and related occupations are at risk of occupational exposure to bloodborne pathogens, including human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and others. Exposure to hazardous elements can be devastating on a much greater level than a DWI accident. One danger is contained while the other could lead to outbreak or results in numerous injuries for months and possibly years.

In most cases the reason why hazardous wastes are disposed is because of low level employees lack of knowledge on how to differentiate between safe and lethal elements. It should be protocal that anyone who potentially will interact with these items should carry a certification of being OSHA compliant. The reason as to why the fines are so great is show the severity of the violation. This will create an awareness in the community to get in line with the law or your at risk for an inspection. As the saying goes “negligence is bliss”.

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26243038 - work safety issues and concepts word cloud illustration. word collage concept.

Do Facilities Know The Importance of Being OSHA Compliant 

First: Lets discuss what is OSHA?

OSHA is the Occupational Safety Health Administration. It assures safe and healthful working conditions by setting and
enforcing standards and by providing training, outreach, education and assistance. This organization is the government watch dog to affirm that all facilities are safe and suitable for workers of all types. This includes nursing homes, hospitals, correction facilities, construction sites and other work place environments.

Second: So what happens if an event occurs in my facility?

Well, it depends on the type of the event and the public attention it receives. Last month after an accident at The Ohio State Fair, Cal/OSHA prompted the closing down of all Fire Ball rides across the United States. It wasn’t until August 1, 2017 that Cal/OSHA approved the re-opening of the Fire Ball.

But that’s not what you should be worried about. Opening and closing of rides is one thing but being slapped with a fine of $324,000 could be catastrophic to your practice. On November 22, 2017, OSHA fined the USPS Brooklyn Postal Service $324,059 for improperly handling workers’ exposure to bloodborne pathogens and hazardous materials. “Exposure to bloodborne pathogen hazards can result in serious or life-threatening illnesses,” Nadira Janack, director at OSHA’s Brooklyn area office. There is no safety zone when not being in compliance in the Occupational Safety Health Administration.

Third: What’s the chances that OSHA is going to inspect a small physicians office? 

Take a look at the pie chart and figure out how many employees are in your facility. It appears that the smaller your physician practice the higher the chance for getting an OSHA inspection. Government officials understand the dynamics of bigger organizations and know that they keep tabs on compliance. However local doctor offices maybe flanked or  unaware of what the law is and don’t always anticipate an inspection. Especially during a busy flu season who is committed to making sure all electronic data is secured. HIPAA violations are on the rise and you may want to reach out to your local IT guy to make sure your systems secured.

Size of Facility Chance of Inspection
1 – 9 32%
10 – 19 27%
20 – 29 27%
50 – 99 3%
100 – 249 3%
249+ 8%

MedAssure is not just about getting a medical waste pickup. It offers a complete OSHA Compliance Suite which is all online. Therefore your employees can learn on their schedule not taking up time when on call. In addition, your facility will be confident and ready when an inspection arises. Get OSHA Compliant Today.

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Medical waste handling processes vary from state to state, but it’s important to know how to differentiate between different categories of medical waste in order to be able to properly segregate and dispose of them.  In general, anything that has come into contact with blood or body fluids (such as soiled dressings, sponges, drapes, lavage tubes, drainage sets, under-pads, and surgical gloves) falls under the category of infectious medical waste. As for the specifics, medical waste categories can, for the most part, be broken down into the following seven types.

1) Cultures and Stocks

What it is:

Infectious agents and associated biologicals, including cultures from medical and pathological laboratories; cultures and stocks of infectious agents from research and industrial laboratories; waste from the production of biologicals; discarded live and attenuated vaccines; and culture dishes and devices used to transfer, inoculate, and mix cultures.

What’s done with it:

Cultures and stocks can be packaged for disposal by an outside contractor.  Although states do not require it, many hospitals implement a policy of autoclaving this type of medical waste in the laboratory itself, out of fear that these highly-infectious specimens are more liable to cause infections to their handlers in the event of inadvertent exposure.

2) Human Blood and Blood Products

What it is:

Waste blood, serum, plasma and blood products.

What’s done with it:

This material can be packaged for disposal by an outside contractor.  Although states do not require it, many hospitals implement a policy of autoclaving this type of medical waste depending on where it is generated, out of fear that these highly-infectious materials are more liable to cause infections to their handlers in the event of inadvertent exposure.

3) Pathological Waste

What it is:

Pathological waste includes tissues, organs, body parts, and body fluids removed during surgery and autopsy.  From a microbiological standpoint, this type of material is not really different from cultures and stocks; but from a waste management standpoint, the States may require other management conditions.

What’s done with it:

Pathological wastes are always packaged separately for disposal, and typically incinerated. Some medical waste disposal companies have received approval for a ‘greener’ solution which entails sanitizing pathological waste through microwaves, after which the treated waste may be disposed of as ordinary solid waste in a waste-to-energy plant or landfill.

4) Sharps

What it is:

Sharps include hypodermic needles, syringes, scalpel blades, Pasteur pipettes, broken glass or other contaminated items that could potentially create a puncture wound or cut.

What’s done with it:

Sharps are collected separately, in puncture-proof containers.  Some medical waste disposal companies provide disposable sharps containers; others treat and return the facility’s reusable containers.

5) Chemotherapeutic Waste

What it is:

Chemotherapeutic wastes are drugs or agents utilized in chemotherapy and considered hazardous waste by USEPA-RCRA.  These are generally categorized by the EPA as P or U-listed wastes.

What’s done with it:

Due to its highly toxic nature, chemotherapy waste gets segregated in its own containers, with different labeling and colors so that it doesn’t get mixed up with the general medical waste.  This type of waste must be packaged in DOT approved containers, and removed by a hazardous waste disposal company (as opposed to a standard medical waste disposal company), after which it is generally incinerated.

6) Trace Chemotherapy Waste

What it is:

Trace chemotherapy waste includes items that have been used in administering chemotherapy (such as needles, syringes, etc.), and have come into contact with chemotherapy agents.

What’s done with it:

These items may be classified as regulated medical waste or as hazardous medical waste, depending on the type of chemical with which they have come into contact.  If the chemotherapy agent was a U-listed waste and the container meets the EPA’s empty container rule, the EPA considers trace chemotherapy articles to be regulated medical waste; however, if the chemotherapy agent was a P-listed waste, the item would have to be segregated as regulated hazardous waste (RCRA waste) and disposed of as such.

7) Isolation Waste

What it is:

Medical waste that has come into contact with a highly contagious or dangerous infectious disease – such as tuberculosis or ebola, which receives a Level 4 biomedical waste safety designation for handling as a DOT Div. 6.2 Category A Infectious substance

What’s done with it:

Different facilities maintain differing policies when it comes to the segregation and storage of isolation waste; but in general, the goal is to keep it separate so as to avoid the risk of infection.  For instance, some facilities may mandate autoclaving on hospital premises, or separate packaging and containers.

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If you’re in the medical services field, whether research or patient administration, you probably deal with a lot of regulated medical waste (RMW), which must be disposed of properly according to both state and federal laws.

It’s an important part of running a medical business, since you don’t want to risk contaminating others with

However, waste management isn’t easy to handle yourself. Your specialty should be in running the business or administering to your patients, not carting off the waste. Thankfully, medical waste management programs can help.

These programs have been created to meet the needs of health institutions and can handle any aspect of medical waste services, from proper disposal to adhering to compliance regulations. Here are some of the ways that an RMW management service can help you.

Know the Ins and Outs of RMW

A quality RMW management company is extremely knowledgeable about handling and disposing of RMW in the safest manner possible. An RMW will collect anything that qualifies as bio-hazardous waste or RMW, including:

  • Pathological Waste: tissues, organs, body parts, and bodily fluids
  • Human Blood and Blood Products: blood, serum, plasma
  • Infectious Agents (Microbiological Waste): culture dishes, discarded vaccines (live and attenuated), and any devices used to transfer, inoculate, and mix specimens
  • Contaminated Sharps: hypodermic needles, syringes, scalpel blades, Pasteur pipettes, and broken glass
  • Isolation Waste: waste from patients in quarantine

Your RMW management service will dispose of each of these waste products according to state and federal law; 90 percent of the time that means the waste will be incinerated at a secure facility.

If a state does not allow incineration based on MWI standards, the waste will be disposed of through microwave technology, steam sterilization, electro pyrolysis, or chemical mechanical systems. Your RMW management service will know exactly how your waste should be disposed of and make it happen for you.

Pick Up Services

Most RMW services will have their own fleet of delivery trucks to pick up your medical waste.

They can provide you with designated bins for solid bio hazardous waste (contaminated non-sharps), liquid bio hazardous waste (blood products, fluids), bio hazardous sharps (needles, scalpels), and pathological waste (organs, tissues). Each waste has its own processing to go through after being disposed, so the bins make it easier on everyone involved.

They can provide you with designated bins for solid bio hazardous waste (contaminated non-sharps), liquid bio hazardous waste (blood products, fluids), bio hazardous sharps (needles, scalpels), and pathological waste (organs, tissues). Each waste has its own processing to go through after being disposed, so the bins make it easier on everyone involved.

After the waste has left your hands and is set out for pickup, you won’t have to think about it again. The professionals at RMW management facilities will use the utmost care when handling the waste and

The professionals at RMW management facilities will use the utmost care when handling the waste and transferring it to the disposal site. Also, assuming the matter was disposed of correctly, once the waste has left your property and entered the hands of the RMW specialists, you are released from liability.

Improve Your Processes

If you’re spending more time worrying about taking care of your medical waste than attending to your business or services, that’s an inefficient use of your time. An RMW company can help you improve your processes and save you valuable resources.

Once you sign on with an RMW servicer, they will give you guidelines and standards to follow when disposing of your waste. That way, you can ensure that you’re adhering to all regulations and won’t have any legal problems or safety hazards on your hands.

A waste management service is especially beneficial when it comes to surgical procedures. You’re probably interested in making the operating room more sustainable and functional, right? There are several steps you can take to maintain a green operating room, and a waste management company can help.

These include educating the staff on waste management, conducting waste audits, removing waste immediately following surgeries, and offering reusable waste containers.

They will also work with your schedule to pick up your waste and arrange a time that’s convenient for you. Overall, you can spend your time helping patients and clients instead of focusing on the technical aspects of the job.

Reduce Your Waste Management Costs

Though it seems like you’d be able to save money by disposing of your medical waste yourself, that’s not always true. You could fall victim to unnecessary fees and services at disposal facilities, not to mention an increased labor cost for those assigned to take care of the disposal.

A good RMW service will help you cut through the red tape at disposal facilities and find you the best deals for their services. If you find the right company, they can actually help you to save money on your disposal processes.

As you choose a company that’s right for you, look for a service that will calculate a fair rate specifically for your company.

Too many companies will charge you a flat rate for their services, even if your waste disposal is irregular. You need a company that will charge you based on how much you’ll use the service. Also, avoid companies that will charge you a one-size-fits-all compliance fee.

With this in mind, recognize that you can find a quality service that works with you, without being forced to pay costly and unnecessary fees.


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surgical wasteLaissez Faire can be a good idea and all, but there are certain industries that absolutely need government regulation.

Namely, the hospital waste treatment industry.

Here’s why:

A Large Portion of Hospital Wastes Are Dangerous.
There are four different types of medical waste. There’s general waste, infectious medical waste, radioactive waste, and hazardous waste.

General waste refers to the type of garbage and trash you might normally find in a household, and makes up about 80% of the waste generated by healthcare activities. However, 20% of all medical waste is still a lot.

Health care facilities generate about 2 million tons of medical and surgical wastes each year, which breaks down to about 5,500 tons of waste generated each day. That’s 1,100 tons — 2,200,000 pounds — of hospital and surgical wastes that’s considered to be dangerous, the majority of which (15%) is infectious and anatomic waste.

Hazardous Medical Waste Can Pose a Huge Threat to People’s Health.
If hospital and surgical wastes are mishandled, people could get hurt, sick, or infected. Each year, about 16 billion injections are administered across the world, but not all are properly disposed of. According to estimates by the World Health Organization (WHO), some 260,000 new HIV infections were directly related to the mismanagement of needles and syringes.

Mishandling Medical Waste Can Negatively Impact the Environment.
If not handled correctly, hospital and surgical wastes could wind up severely damaging the environment. One of the most common medical waste disposal methods is incineration. Though it works quite well, it can actually pollute the environment if not done correctly.

During the Ebola crisis, Liberia was warned not to use old incinerators to destroy all of the hospital and surgical waste produced by the pandemic by WHO, as it could release chemicals into the air and pollute the West African country’s environment. However, the overwhelming amount of medical waste produced by Ebola forced the nation to use them.

Hospital and surgical wastes need to be handled correctly.

If not, people could get hurt.

If you have any questions about how medical waste is managed, feel free to share in the comments.

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