Section § 118275

Explanation

This law outlines how different types of medical waste must be stored and labeled at the place where they're created. It ensures safety and compliance with various regulations.

Medical waste should be kept separate from regular trash. Biohazardous waste must be in labeled biohazard bags. Sharps (like needles) should be in FDA-approved containers with proper labeling. Trace chemotherapy waste must also be segregated and labeled for safety. Pathology waste needs specific labeling to ensure proper treatment.

Pharmaceutical waste has to be managed according to a facility's plan and follow DEA guidelines for controlled substances. Some pharmaceutical waste requires incineration, indicated by labels like “HIGH HEAT” or “INCINERATION ONLY.”

There's an option to combine sharps and pharmaceutical waste if treated to become nonhazardous. When preparing waste for offsite treatment, proper labeling as mentioned in the law is required, but there's no need to date the containers from when waste accumulation began.

(a)CA Health & Safety Code § 118275(a) To containerize or store medical waste, at the point of generation and while collected in that room, a person shall do all of the following:
(1)CA Health & Safety Code § 118275(a)(1) Medical waste, as defined in Section 117690, shall be contained separately from other waste at the point of origin in the producing facility. Sharps containers may be placed in biohazard bags or in containers with biohazard bags.
(2)CA Health & Safety Code § 118275(a)(2) Biohazardous waste, as defined in paragraph (1) of subdivision (b) of Section 117690, shall be placed in a biohazard bag and labeled in compliance with Section 117630.
(3)CA Health & Safety Code § 118275(a)(3) Sharps waste, as defined in paragraph (4) of subdivision (b) of Section 117690, including sharps and pharmaceutical waste containerized pursuant to paragraph (7), shall be contained in a United States Food and Drug Administration (USFDA) approved sharps container that meets USFDA labeling requirements and is handled pursuant to Section 118285.
(4)CA Health & Safety Code § 118275(a)(4) Trace chemotherapy waste, as defined in paragraph (5) of subdivision (b) of Section 117690, shall be segregated for storage, and, when placed in a secondary container, that container shall be labeled with the words “Chemotherapy Waste,” “CHEMO,” or other label approved by the department on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the biohazardous waste pursuant to Section 118222. Sharps waste that is contaminated through contact with, or having previously contained, chemotherapeutic agents, shall be placed in sharps containers labeled in accordance with the industry standard with the words “Chemotherapy Waste,” “CHEMO,” or other label approved by the department, and shall be segregated to ensure treatment of the sharps waste pursuant to Section 118222.
(5)CA Health & Safety Code § 118275(a)(5) Pathology waste, as defined in paragraph (2) of subdivision (b) of Section 117690, shall be segregated for storage and, when placed in a secondary container, that container shall be labeled with the words “Pathology Waste,” “PATH,” or other label approved by the department on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the waste pursuant to Section 118222.
(6)CA Health & Safety Code § 118275(a)(6) Pharmaceutical waste, as defined in paragraph (3) of subdivision (b) of Section 117690, shall be segregated for storage in accordance with the facility’s medical waste management plan. When this waste is prepared for shipment offsite for treatment, it shall be properly containerized for shipment in compliance with United States Department of Transportation and the United States Drug Enforcement Administration (DEA) requirements.
(A)CA Health & Safety Code § 118275(a)(6)(A) Pharmaceutical wastes classified by the DEA as “controlled substances” shall be disposed of in compliance with DEA requirements.
(B)CA Health & Safety Code § 118275(a)(6)(B) Nonradioactive pharmaceutical wastes that are not subject to the federal Resource Conservation and Recovery Act of 1976 (Public Law 94-580), as amended, and that are regulated as medical waste are placed in a container or secondary container labeled with the words “HIGH HEAT” or “INCINERATION ONLY,” or with another label approved by the department, on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the biohazardous waste pursuant to Section 118222.
(7)CA Health & Safety Code § 118275(a)(7) A person may consolidate into a common container, which may be reusable, sharps waste, as defined in paragraph (4) of subdivision (b) of Section 117690, and pharmaceutical wastes, as defined in paragraph (3) of subdivision (b) of Section 117690, provided that both of the following apply:
(A)CA Health & Safety Code § 118275(a)(7)(A) The consolidated waste is treated by incineration or alternative treatment technologies approved to treat that waste pursuant to paragraph (1) or (3) of subdivision (a) of Section 118215 prior to disposal. That alternative treatment shall render the waste unrecoverable and nonhazardous.
(B)CA Health & Safety Code § 118275(a)(7)(B) The container meets the requirements of Section 118285. The container shall be labeled with the biohazardous waste symbol and the words “HIGH HEAT” or “INCINERATION ONLY,” or with another label approved by the department, on the lid and sides, so as to be visible from any lateral direction, to ensure treatment of the waste pursuant to this subdivision.
(b)CA Health & Safety Code § 118275(b) To containerize medical waste being held for shipment offsite for treatment, the waste shall be labeled, as outlined in subdivision (a), on the lid and sides of the container.
(c)CA Health & Safety Code § 118275(c) When medical waste is containerized pursuant to subdivisions (a) and (b) there is no requirement to label the containers with the date that the waste started to accumulate.

Section § 118280

Explanation

This law talks about how to handle and store biohazardous waste safely and in compliance with regulations. First, biohazard bags should be tightly tied to prevent leaks, and when transporting these offsite, they must meet certain transport requirements. Medical waste must be handled directly at the point of generation and moved to specific storage areas without a secondary container.

Biohazardous waste should be kept in a sturdy, well-labeled container that prevents leaks and meets transport regulations. Waste cannot be disposed of before it has been treated. Those generating over 20 pounds of waste a month must store it properly and may not do so for more than seven days above freezing without special approval. Less waste allows for 30-day storage.

All stored waste at freezing temperatures can remain stored for 90 days, but odors can require faster removal. Pharmaceutical waste has specific rules, differing from general biohazardous waste, with a 90-day onsite storage limit unless otherwise approved.

To containerize biohazard bags, a person shall do all of the following:
(a)CA Health & Safety Code § 118280(a) The bags shall be tied to prevent leakage or expulsion of contents during all future storage and handling. When containers are prepared for transport offsite from the facility, they shall be prepared in compliance with United States Department of Transportation requirements.
(b)Copy CA Health & Safety Code § 118280(b)
(1)Copy CA Health & Safety Code § 118280(b)(1) Medical waste may be placed into a biohazard bag not to exceed three pounds or one gallon and tied, as required in subdivision (a), in a patient room and shall be immediately transported upon completion of the procedure directly from the point of generation and placed into a biohazard container stored in a soiled utility room or other biohazardous waste storage area without having first been placed into a secondary container in the patient room.
(2)CA Health & Safety Code § 118280(b)(2) Medical waste may be placed into a biohazard bag hung on a hamper stand in a surgery suite and the bag removed from the hamper stand after completion of the procedure, taken out of the surgery suite, and placed into a biohazard container stored in a soiled utility room or other biohazard waste storage area.
(c)CA Health & Safety Code § 118280(c) Biohazardous waste, except as provided in subdivision (b), shall be bagged in accordance with subdivision (b) of Section 118275 and placed for storage, handling, or transport in a rigid container that may be disposable, reusable, or recyclable. Containers shall be leak resistant, have tight-fitting covers, and be kept clean and in good repair. Containers may be recycled with the approval of the enforcement agency. Containers may be of any color and shall be labeled with the words “Biohazardous Waste” or with the international biohazard symbol and the word “BIOHAZARD” on the lid and sides so as to be visible from any lateral direction. Containers shall comply with United States Department of Transportation requirements when prepared for transport offsite from the facility.
(d)CA Health & Safety Code § 118280(d) Biohazardous waste shall not be removed from the biohazard bag until treatment as prescribed in Chapter 8 (commencing with Section 118215) is completed, except to eliminate a safety hazard, or by the enforcement officer in performance of an investigation pursuant to Section 117820. Biohazardous waste shall not be disposed of before being treated as prescribed in Chapter 8 (commencing with Section 118215).
(e)Copy CA Health & Safety Code § 118280(e)
(1)Copy CA Health & Safety Code § 118280(e)(1) Except as provided in paragraph (5), a person generating biohazardous waste shall comply with the following requirements:
(A)CA Health & Safety Code § 118280(e)(1)(A) If the person generates 20 or more pounds of biohazardous waste per month, the person shall not contain or store that waste above 0° Centigrade (32° Fahrenheit) at an onsite location for more than seven days without obtaining prior written approval of the enforcement agency.
(B)CA Health & Safety Code § 118280(e)(1)(B) If a person generates less than 20 pounds of biohazardous waste per month, the person shall not contain or store that waste above 0° Centigrade (32° Fahrenheit) at an onsite location for more than 30 days.
(2)CA Health & Safety Code § 118280(e)(2) A person may store biohazardous waste at or below 0° Centigrade (32° Fahrenheit) at an onsite location for not more than 90 days without obtaining prior written approval of the enforcement agency.
(3)CA Health & Safety Code § 118280(e)(3) A person may store biohazardous waste at a permitted transfer station at or below 0° Centigrade (32° Fahrenheit) for not more than 30 days without obtaining prior written approval of the enforcement agency.
(4)CA Health & Safety Code § 118280(e)(4) A person shall not store biohazardous waste above 0° Centigrade (32° Fahrenheit) at a location or facility that is offsite from the generator for more than seven days before treatment.
(5)CA Health & Safety Code § 118280(e)(5) Notwithstanding paragraphs (1) to (4), inclusive, if the odor from biohazardous or sharps waste stored at a facility poses a nuisance, the enforcement agency may require more frequent removal.
(f)CA Health & Safety Code § 118280(f) Waste that meets the definition of pharmaceutical waste in paragraph (3) of subdivision (b) of Section 117690 shall not be subject to the limitations on storage time prescribed in subdivision (e). A person may store that pharmaceutical waste at an onsite location for not longer than 90 days when the container is ready for disposal, unless prior written approval from the enforcement agency is obtained. The container shall be emptied at least once per year, unless prior written approval from the enforcement agency is obtained. A person may store that pharmaceutical waste at a permitted transfer station for not longer than 30 days without obtaining prior written approval from the enforcement agency. A person shall not store pharmaceutical waste at a location or facility that is offsite from the generator for more than 30 days before treatment.
(g)CA Health & Safety Code § 118280(g) The containment and storage time for wastes consolidated in a common container pursuant to paragraph (7) of subdivision (a) of Section 118275 shall not exceed the storage time for any category of waste set forth in this section.

Section § 118285

Explanation

This law is about how to properly handle and dispose of sharps waste, which includes items like needles and lancets. It requires that all sharps waste must be placed in a designated sharps container. When the container is full, it must be securely closed or taped shut to prevent any contents from spilling. Also, you cannot store full sharps containers for more than 30 days without permission from the authorities. These containers must be clearly labeled as 'sharps waste' or marked with a biohazard symbol and the word 'BIOHAZARD.'

To containerize sharps waste, a person shall do all of the following:
(a)CA Health & Safety Code § 118285(a) Place all sharps waste into a sharps container.
(b)CA Health & Safety Code § 118285(b) Tape closed or tightly lid full sharps containers ready for disposal to preclude loss of contents.
(c)CA Health & Safety Code § 118285(c) Store sharps containers ready for disposal for not more than thirty days without the written approval of the enforcement agency.
(d)CA Health & Safety Code § 118285(d) Label sharps containers with the words “sharps waste” or with the international biohazard symbol and the word “BIOHAZARD.”

Section § 118286

Explanation

In California, you cannot knowingly throw away home-generated sharps waste, like needles, in regular trash cans, recycling bins, or containers for construction debris. Instead, you must use designated sharps containers or other approved containers.

These waste items should be taken to specific places like household hazardous waste facilities, designated sharps collection points, certain medical facilities, or mailed back using approved containers.

(a)CA Health & Safety Code § 118286(a) A person shall not knowingly place home-generated sharps waste in any of the following containers:
(1)CA Health & Safety Code § 118286(a)(1) Any container used for the collection of solid waste, recyclable materials, or greenwaste.
(2)CA Health & Safety Code § 118286(a)(2) Any container used for the commercial collection of solid waste or recyclable materials from business establishments.
(3)CA Health & Safety Code § 118286(a)(3) Any roll-off container used for the collection of solid waste, construction, and demolition debris, greenwaste, or other recyclable materials.
(b)CA Health & Safety Code § 118286(b) Home-generated sharps waste shall be transported only in a sharps container, or other containers approved by the enforcement agency, and shall only be managed at any of the following:
(1)CA Health & Safety Code § 118286(b)(1) A household hazardous waste facility pursuant to Section 25218.13.
(2)CA Health & Safety Code § 118286(b)(2) A “home-generated sharps consolidation point” as defined in subdivision (b) of Section 117904.
(3)CA Health & Safety Code § 118286(b)(3) A medical waste generator’s facility pursuant to Section 118147.
(4)CA Health & Safety Code § 118286(b)(4) A facility through the use of a medical waste mail-back container approved by the United States Postal Service.

Section § 118290

Explanation

If you generate a small amount of medical waste and have packaged it correctly as specified by the rules, you can store it in a shared facility that has the right permits.

Any small quantity generator who has properly containerized the medical waste according to the requirements of this article may store the waste in a permitted common storage facility.

Section § 118295

Explanation

If you're using rigid containers to hold medical waste, you need to wash and disinfect them every time you empty them, unless you used liners or bags that were removed with the waste. Keep these containers clean and sanitary. To decontaminate them, you have options: wash away visible dirt and then either expose them to hot water at 82°C (180°F) for at least 15 seconds, or dunk or rinse them in a chemical sanitizer for at least three minutes. The chemicals you can use include a hypochlorite solution (like bleach), phenolic solution, iodoform, or a quaternary ammonium solution, each with specific concentrations to ensure proper disinfection.

A person shall thoroughly wash and decontaminate reusable rigid containers for medical waste by a method approved by the enforcement agency each time they are emptied, unless the surfaces of the containers have been completely protected from contamination by disposable liners, bags, or other devices removed with the waste. These containers shall be maintained in a clean and sanitary manner. Approved methods of decontamination include, but are not limited to, agitation to remove visible soil combined with one of the following procedures:
(a)CA Health & Safety Code § 118295(a)  Exposure to hot water of at least 82° Centigrade (180° Fahrenheit) for a minimum of 15 seconds.
(b)CA Health & Safety Code § 118295(b)  Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes:
(1)CA Health & Safety Code § 118295(b)(1)  Hypochlorite solution (500 ppm available chlorine).
(2)CA Health & Safety Code § 118295(b)(2)  Phenolic solution (500 ppm active agent).
(3)CA Health & Safety Code § 118295(b)(3)  Iodoform solution (100 ppm available iodine).
(4)CA Health & Safety Code § 118295(b)(4)  Quaternary ammonium solution (400 ppm active agent).

Section § 118300

Explanation

If a medical or hazardous waste leak or spill occurs, it must be cleaned up using specific procedures set by the department responsible for health and safety.

Any leak or spill of a medical waste by a medical waste generator, hazardous waste hauler, or treatment facility shall be decontaminated by procedures adopted by the department.

Section § 118305

Explanation

This law states that pails, drums, dumpsters, or bins that are used for medical waste cannot be used for storing regular trash or any other purpose unless they have been properly cleaned as outlined in another section and have all medical waste labels removed.

A person shall not use reusable pails, drums, dumpsters, or bins used for medical waste for the containment of solid waste, or for other purposes, except after being decontaminated by the procedures specified in Section 118295 and removal of all medical waste labels.

Section § 118307

Explanation

This law requires that any medical waste stored temporarily before being moved to its main storage area must be kept in a secure place that is either locked or closely watched. These storage areas need to be clearly marked with a biohazard symbol or specific signs visible from five feet away. However, this rule doesn’t apply to the places where medical waste is initially created.

Medical waste that is stored in an area prior to transfer to the designated accumulation area, as defined in Section 118310, shall be stored in an area that is either locked or under direct supervision or surveillance. Intermediate storage areas shall be marked with the international biohazard symbol or the signage described in Section 118310. These warning signs shall be readily legible from a distance of five feet. This section does not apply to the rooms in which medical waste is generated.

Section § 118310

Explanation

This section outlines the requirements for storing medical waste containers securely before they are transported or treated. The storage area must be locked to prevent unauthorized access and have clear warning signs in English and Spanish or another suitable language. These signs should say 'Caution—Biohazardous Waste Storage Area—Unauthorized Persons Keep Out' and be visible from 25 feet away. The storage area must also be protected from animals and weather, and it should not attract or feed insects or rodents.

A designated accumulation area used for the storage of medical waste containers prior to transportation or treatment shall be secured so as to deny access to unauthorized persons and shall be marked with warning signs on, or adjacent to, the exterior of entry doors, gates, or lids. The storage area may be secured by use of locks on entry doors, gates, or receptacle lids.
The wording of warning signs shall be in English, “CAUTION—BIOHAZARDOUS WASTE STORAGE AREA—UNAUTHORIZED PERSONS KEEP OUT,” and in Spanish, “CUIDADO—ZONA DE RESIDUOS—BIOLOGICOS PELIGROSOS—PROHIBIDA LA ENTRADA A PERSONAS NO AUTORIZADAS,” or in another language, in addition to English, determined to be appropriate by the infection control staff or enforcement agency. A warning sign concerning infectious waste, as that term was defined by Section 25117.5 as it read on December 31, 1990, that sign having been installed before April 1, 1991, meets the requirements of this section, until the sign is changed and as long as the sign is not moved. Warning signs shall be readily legible during daylight from a distance of at least 25 feet.
Any enclosure or designated accumulation area shall provide medical waste protection from animals and natural elements and shall not provide a breeding place or a food source for insects or rodents.

Section § 118315

Explanation

This law says that you cannot use a trash chute to dispose of medical waste.

A person shall not use a trash chute to transfer medical waste.

Section § 118320

Explanation

This law section explains when compactors or grinders can be used for handling medical waste. Generally, they can't be used until the waste is treated and safe. However, they can be used if they are part of an approved treatment method that meets specific safety criteria. These criteria ensure no harmful liquids or pathogens are released during compaction and that personnel are not at risk. The equipment must not interfere with any treatment method and is only approved for use with compatible treatments. Lastly, medical waste in bags or containers should generally not be compacted or placed in portable compactors, unless they meet the approved criteria.

(a)CA Health & Safety Code § 118320(a)  Except as provided in subdivision (b), compactors or grinders shall not be used to process medical waste until after the waste has been treated pursuant to Chapter 8 (commencing with Section 118215) and rendered solid waste.
(b)Copy CA Health & Safety Code § 118320(b)
(1)Copy CA Health & Safety Code § 118320(b)(1)  Grinding or compacting may be used when it is an integral part of an alternative treatment method approved by the department.
(2)CA Health & Safety Code § 118320(b)(2)  A compactor may be used to compact medical waste if the type of medical waste compactor proposed to be used is evaluated by the department, and approved by the department prior to its use pursuant to the following criteria:
(A)CA Health & Safety Code § 118320(b)(2)(A)  The compactor operates without the release of liquids or pathogenic microorganisms from the medical waste during placement of the medical waste into, or removal of the medical waste from, the compactor units, and during the compaction process.
(B)CA Health & Safety Code § 118320(b)(2)(B)  The compacted medical waste will not release liquids or pathogens during any subsequent handling and no residual waste will be left in the compactor unit after the process is completed.
(C)CA Health & Safety Code § 118320(b)(2)(C)  Compactor operations and maintenance personnel will not be at any substantial increased risk of exposure to pathogens.
(D)CA Health & Safety Code § 118320(b)(2)(D)  The compactor has been demonstrated not to have any adverse effects on any treatment method. If only specific treatment methods are compatible with the compaction process, the department shall condition its approval of the compactor for use only in conjunction with treatment methods, with regard to which no adverse effects have been demonstrated.
(c)CA Health & Safety Code § 118320(c)  Medical waste in bags or other containers shall not be subject to compaction by any compacting device and shall not be placed for storage or transport in a portable or mobile trash compactor, except as allowed pursuant to subdivision (b).