Trace or Bulk Chemotherapy Waste - Which one are you generating?
Neither The Environmental Protection Agency (EPA) nor most states specifically define trace chemotherapy (often shortened to “chemo”). EPA has recently recognized trace chemo waste as empty IV bags, tubings, vials, gowns, gloves and other items that are contaminated with residual chemo pharmaceuticals. To add to the overall confusion, EPA lists only nine chemo agents, but we must consider that the regulations were written years ago and have not been updated since the approval of numerous new drugs now on the market. What is Trace Chemotherapy Waste? All chemo paraphernalia should be managed as trace chemo waste if there is any risk exposure to chemo contamination. Trace chemo waste includes: RCRA empty vials, syringes, IV bags, tubing, gowns, gloves, wipes other paraphernalia associated with routine handling, preparation, and administration of chemo wipes and other materials used during routine cleaning and decontamination of a biological safety cabinet or glove box ...