Medical Waste Management Plan
The current Medical Waste Management Act is available from the California Department of Public Health Medical Waste Program page.
Medical waste is waste from clinical or research settings that is contaminated or potentially contaminated by human source materials, non-human primate source materials, or human infectious agents (for a more comprehensive definition of medical waste, please visit the California Department of Public Health website).
Medical waste must be treated to inactivate biohazardous agents by an approved method before it is released. Liquid waste can be mixed with bleach (10% final concentration) for 30 minutes, before drain disposal. Solid waste must be treated in a California Department of Public Health-approved autoclave. Medical waste generators use services provided by Stericycle to dispose of medical waste. Medical waste generators must have a medical waste management plan that outlines appropriate disposal procedures. The below medical waste management plan (MWMP) is a campuswide plan created in compliance with the Medical Waste Management Act requirements.
UC Davis Medical Waste Management Plan
EH&S SafetyNet #26 "Effective Use of Autoclaves"
Setting-up a medical waste accumulation site
Contact the Biological Safety Office (email@example.com) early in the planning of a medical waste accumulation site.
The California Medical Waste Management Act requires that medical waste accumulation sites be secured by locks on entry doors, gates or on waste container lids to prevent unauthorized entry. The Medical Waste Management Act also requires signs (in English and Spanish) that state the hazard in that area be posted to warn unauthorized persons to keep out. You can visit the California Medical Waste Management Act or use the template above for the exact wording required in the Medical Waste Management Act.
Options for medical waste pickup service include:
- Stericycle. The University has a contract with Stericycle for medical waste and animal carcass disposal. Ask your department's business office for assistance in setting up an account with Stericycle. Please ask your business office to contact C.J. Caudle, (firstname.lastname@example.org) of Materiel Management, to be added onto the campus agreement with Stericycle.
- EH&S Hazardous Waste (for sharps waste). Request a sharps waste pickup.
Tips regarding medical waste
Containers for solid medical waste:
- Use red bags that are labeled with the words "Biohazardous Waste" or the universal biohazard symbol and the word "Biohazard".
- Red bags must not contain chemotherapy waste. (See the Medical Waste Management Act for guidance on disposal of chemotherapy waste).
- Pathology waste (animal carcasses and gross tissues) should not be mixed with regular laboratory-generated medical waste.
- Sharps must not be placed directly into medical waste bags (they should be placed in appropriate sharps containers).
- Secondary containers must be leak-proof, have rigid walls, and have a securable lid. A five-gallon paint bucket with a securable lid makes a good secondary container for small to medium size medical waste bags. 32-gallon trash cans with tight-fitting lids are often appropriate for large medical waste bags.
- Secondary containers must be labeled with the biohazard symbol and the word "Biohazard" on the lid and on the sides, so that the label is visible from any lateral view. For the biohazard symbol labels on the side, usually three equally spaced labels is adequate for a round container and four for a square container (one on each face).
- Secondary containers must be sealed and transported to a medical waste accumulation site when full (or held in the laboratory where the waste was generated if applicable) or within seven days of start of accumulation, whichever comes first.
- The secondary waste receptacle lid must always be secured; except when opened to receive medical waste, so that contents will not spill if the container is tipped or knocked over.
- Secondary containers must be kept clean and in good repair.
- Room must be locked and accessible only to those who have a legitimate business need (e.g. medical waste generators, medical waste haulers, accumulation site manager).
- Must be properly sheltered if outdoors.
- Should be used only for medical waste accumulation (exception accumulation sites within laboratories).
- Postings must include a biohazard label and the site manager's contact information should be current and legible.
- Post the "caution" statement (both in English and Spanish) provided by the CA Medical Waste Management Act (can be found on the UC Davis Medical Waste Management Plan template).
- The accumulation site must have a biological spill cleanup kit which contains the appropriate PPE and unexpired components. Spill cleanup instruction must also be available (refer to EH&S SafetyNet #127 "Biological and Biohazardous Spill Response").
- The area must be neat and tidy.
- All waste in the accumulation receptacle must be in medical waste bags or medical waste sharps containers (as appropriate); no uncontained waste allowed in the receptacles.
- There must be no evidence of liquids in the bags or receptacles.
- When transporting medical waste to an accumulation site, be sure to seal the bag with a knot or zip tie so that its contents will not spill out, and transport the red bag in a leak-proof, lidded, labeled secondary container. If there is an entry log for the accumulation site, please add an entry for your waste.
- Accumulation site managers and custodians must retain records of medical waste treatment for two years.
FAQ: Why can't I autoclave my own medical waste and dispose it to the landfill?
Answer: The Medical Waste Management Act allows medical waste inactivation by laboratory staff but only in autoclaves that have been inspected and approved by the California Department of Public Health. CDPH autoclave approval requires careful record-keeping, maintenance programs, and frequent sterilization equipment validations with biological indicators.