Compliance Assistance & Pollution Prevention in New England
Healthcare: Compliance
Use this site to find information to help you understand and comply with environmental requirements. Keep in mind that this site and its associated links may not list all regulatory requirements that might apply to your healthcare facility. State and local governments may also have additional or stricter regulations than the federal government. For more information contact your state/local agencies.
In addition, many of the links below (e.g., Colleges & Universities, Other/General Information) take you to non-healthcare sites. While the information on these sites may not be specific to healthcare facilities, it may provide useful background and general compliance information.
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Information Specific to Healthcare
Profile
of the Healthcare Industry, February 2005 (PDF) (155 pp, 1.4 MB)
Designed to give readers an understanding of the major environmental
issues associated with the industry. Includes industry background
and trends, pollutant releases, pollution prevention, compliance
history, voluntary initiatives, and other information.
Healthcare Environmental
Resource Center (HERC)
Find pollution prevention and compliance assistance information for the healthcare sector.
- Common Violations and Problems Found at Hospitals
EPA Region II has conducted inspections resulting in enforcement actions with penalties. - P2 healthcare Industry
- The "Green Team" Promoting Green Construction & Operations
Several Green MOU healthcare examples!
Pharmaceutical Waste
Managing
Pharmaceutical Waste: A 10-Step Blueprint for Health Care Facilities
In the United States, Revised August 2008 (PDF) (93 pp, 489 K)
Updated in August 2008, this Guide will help you develop and implement a comprehensive pharmaceutical hazardous waste management program that combines regulatory compliance and best management practices with waste minimization.
Guidance Document: Best Management Practices for Unused Pharmaceuticals at Health Care Facilities DRAFT 8/26/2010 (PDF) (43 pp, 329 K)
EPA 's Pharmaceuticals and Personal Care Products in the Water
Draft Best Management Practices for Unused Pharmaceuticals at Healthcare Facilities (2010) and the interim study on the subject of pharmaceuticals and personal care products (PPCPs) and our Nation's waters. Pharmaceuticals refer to prescription and over-the-counter therapeutic drugs and veterinary drugs. Personal care products refer to products used for personal and cosmetic reasons such as soaps, fragrances, and cosmetics.
Hazardous Waste Pharmaceutical Wiki
This is an informational website hosted by the US Environmental Protection Agency (EPA or Agency) to foster engagement and collaboration among members of the healthcare community and stakeholders. The views expressed on this site do not reflect Agency policy or action or the official views of EPA or the federal government.
Pharmaceutical Waste Reduction, University of Wisconsin Extension Solid and Hazardous Waste Education Center and the Wisconsin Department of Natural Resources
The site offers a searchable database for drugs for which there are documented studies of waste reduction strategies that work. The site describes other strategies facilities might try and offers a process for determining which strategies to try first, based on the facilities’ own priorities. The website was designed to be a collaborative effort. Healthcare facilities and researchers are invited to expand the tool by sharing proven waste reduction ideas via an online form.
Pharmaceutical Waste, Practice Greenhealth page
Albany Medical Center
- Summary (PDF) (3 pp. 500 K)
- Final report (PDF) (61 pp. 3.1 MB)
Regulatory Interpretations – Healthcare
These links provide information to help hospitals comply with some basic environmental regulatory requirements, but do not include all regulatory interpretations that might be applicable to a facility.
- Containers that Once Held P-listed Pharmaceuticals: RCRA Online # 14827, 11/4/11 (PDF) (6 pp, 1.1 MB)
- Scope of Hazardous Waste Listing PO42 (Epinephrine), October 15, 2007, See RCRA Online #14778 (PDF) (8 pp, 1.2 MB, about PDF)
- Epinephrine fact sheet, Healthcare Environmental Resource Center (PDF) (3 pp, 55 K)
This fact sheet provides developed by HERC contains information to assist healthcare facilities with hazardous waste determinations regarding epinephrine wastes (PO42). - Epinephrine Syringe Interpretation RCRA Online #14788, 4/14/08 (PDF) (1 pg, 470 K)
- EPA Requirements for Sterilizing Medical Equipment to Protect Hospital and Healthcare Facility Workers, February 2010
- Scope of Hazardous Waste Listing P046 (PHENTERMINE), February 17, 2012, RCRA Online #14831
- Medicinal Nitroglycerin RCRA Online #14654 (PDF) (2 pp, 19 K)
- Mixed Waste Rule
- Regulation of Unused Dermal Nicotine Patches, 8/23/10, See RCRA Online #14817
- Region 1 healthcare RCRA healthcare policy letters
- Policy Letter to Acadia Hospital: Management of P-listed Pharmaceutical Waste (nicotine, nitroglycerine and epinephrine) in a Hospital, 12/30/08 (PDF) (5 pp, 388 K)
- Policy Letter to Mabbett & Associates: Satellite Accumulation in Hospitals Inquiry, letter dated 2/24/11 (PDF) (4 pp, 1.2 MB)
- Policy Letter to Holyoke Medical Center: Hazardous waste status of used and unused pharmaceuticals (i.e., nicotine gum/patches and wrappers; and warfarin wrappers, letter dated 7/22/11 (PDF) (3 pp, 824 K)
- Policy Letter to VISN 1: Management of empty Coumadin (warfarin) stock bottles at various VA facilities throughout New England, letter dated 10/19/11 (PDF) (5 pp, 1.5 MB)
- Policy Letter to The Miriam Hospital: Inquiry regarding satellite accumulation in hospital patient rooms, letter dated 2/1/12 (PDF) (8 pp, 2.2 MB)
Colleges & Universities
Other/General Information
Audits - Discover, Disclose and Correct Violations
EPA Boiler Compliance at Area Sources
Compliance Assistance & Pollution Prevention in New England
Enforcement Alert: Mismanagement of Lab Waste Creates Risk of Serious Injury, November 2004
Lead Renovation, Repair and Painting
EPA Region 1 Reciprocating Internal Combustion Engines (RICE) website
Spill Prevention, Control and Countermeasure (SPCC) Rule
Stormwater Pollution Prevention Plans for Construction Activities