Missouri Code of State Regulations › Title 10 - DEPARTMENT OF NATURAL RESOURCES › Division 80 - Solid Waste Management › Chapter 7 - Infectious Waste Management › Section 10 CSR 80-7.010 - Infectious Waste Management

Current through Register Vol. 49, No. 14, July 15, 2024
PURPOSE: This rule pertains to the management and
				  treatment of infectious waste.
PUBLISHER'S NOTE: The publication of the full text of
				  the material that the adopting agency has incorporated by reference in this
				  rule would be unduly cumbersome or expensive. Therefore, the full text of that
				  material will be made available to any interested person at both the Office of
				  the Secretary of State and the office of the adopting agency, pursuant to
				  section 536.031.4, RSMo. Such material will be provided at the cost established
				  by state law.
(1)
				Applicability.
(A) Definition. Infectious
				waste means waste capable of producing an infectious disease because it
				contains pathogens of sufficient virulence and quantity so that exposure to the
				waste by a susceptible human host could result in an infectious disease. These
				wastes include isolation wastes, cultures and stocks of etiologic agents, blood
				and blood products, pathological wastes, other contaminated wastes from surgery
				and autopsy, contaminated laboratory wastes, sharps, dialysis unit wastes,
				discarded biological materials known or suspected to be infectious; provided,
				however, that infectious waste does not mean waste treated to department
				specifications.
1. For the purposes of this
				chapter, a generator means any single office (doctor's office, dentist's
				office, and the like) or facility (hospital, nursing home, mortuary, and the
				like), whose act or process first causes an infectious waste. For purposes of
				tracking and fees, a transfer station permitted as an infectious waste
				processing facility becomes the generator when the infectious waste is
				transported for further processing.
2. Small quantity generators, i.e., persons
				generating one hundred kilograms (100 kg) or less per month of infectious
				waste, shall refer to
				19
				CSR 20-20.010 for the Department of Health definition
				of those categories of waste to be managed as an infectious waste.
3. Except as provided in paragraph (1)(A)2.
				of this rule, infectious waste shall include the following wastes from specific
				and non-specific sources:
A. Isolation wastes.
				Wastes generated by patients who have communicable diseases which are capable
				of being transmitted to others via those wastes;
B. Contaminated surgical, dialysis and
				laboratory wastes. Wastes generated by surgery, dialysis and laboratory
				departments in the process of caring for patients who have communicable
				diseases which are capable of being transmitted to others via those
				wastes;
C. Cultures and stocks of
				infectious agents and associated biologicals. Cultures and stocks of infectious
				agents shall be designated as infectious waste when discarded because of the
				high concentrations of pathogenic organisms typically present in these
				materials. Included in this category are all cultures and stocks of infectious
				organisms as well as culture dishes and devices used to transfer, inoculate and
				mix cultures;
D. Blood and blood
				products. All discarded human blood and blood products, including serum, plasma
				and other components known or suspected to be contaminated with a transmissible
				infectious agent; except that the term "blood products" does not include
				patient care waste such as bandages or disposable gowns that are lightly soiled
				with blood or other body fluids, unless such wastes are soiled to the extent
				that the generator of the wastes determines that they should be managed as
				infectious wastes;
E. Pathology
				wastes. These wastes include tissues, organs, body parts and body fluids that
				are removed during surgery and autopsy. All such wastes shall be considered
				infectious waste. Also included are animal carcasses, body parts and bedding
				from animals contaminated with infectious agents capable of being transmitted
				to a human host. Nothing in this section shall supersede the disposal
				requirements for dead animals as set forth in Chapter 269, RSMo; and
F. Sharps. Discarded sharps, including
				hypodermic needles, syringes and scalpel blades. Broken glass or other sharp
				items that have come in contact with material considered infectious by
				definition are also included.