Current through August 26, 2024
(1) SOURCE
SEPARATION.
(a) No person may mix trace
chemotherapy waste in the same bag or waste receptacle with infectious waste or
with non-hazardous solid waste, unless mixing the wastes is necessary to
protect the health or safety of patients, employees or other persons.
(b) If infectious waste or non-hazardous
solid waste is mixed with trace chemotherapy waste, the mixture shall be
managed according to subs. (2) and (3).
(c) If trace chemotherapy waste is mixed with
other chemotherapy waste, the mixture shall be managed according to chs. NR 660
to 670.
(2) CONTAINMENT.
No person may transport trace chemotherapy waste from the property where the
waste was generated unless the person puts the waste in a container which
protects waste handlers and other persons from exposure to the trace
chemotherapy waste and all of the following requirements are met:
(a) Hard trace chemotherapy waste, including
but not limited to syringes, drug dispensing devices and broken or empty
chemotherapy drug vials, shall be contained in rigid, puncture-resistant
labeled plastic containers designed to prevent the loss of the contents and
labeled with the visible words "Trace chemotherapy waste" and "Incinerate
only".
(b) Soft chemotherapy waste,
including but not limited to gloves, disposable gowns, towels, empty
intravenous solution bags and empty tubing, may be contained in containers
meeting the requirements of par. (a) or in a bag meeting the requirements of s.
NR 526.07 (2) (a) and (b).
Note: "Empty" has the meaning in s. NR 661.0007.
(3)
TREATMENT. Trace chemotherapy waste shall be treated by incineration or other
method approved by the department. An incinerator used to treat trace
chemotherapy waste may be one of the following:
(a) An incinerator regulated by the
department under s. NR 502.09 or 502.13 or regulated by another state as an
incinerator that burns medical waste.
(b) An incinerator regulated by the
department under chs. NR 664 and 665 or regulated by another state as an
incinerator that burns hazardous waste.
The NIOSH "Hazardous Drug Alert" lists hazardous drugs,
including chemotherapy drugs, by name and gives guidance on containment,
labeling, handling, storage and
disposal.
