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TITLE 25HEALTH SERVICES
PART 1DEPARTMENT OF STATE HEALTH SERVICES
CHAPTER 1MISCELLANEOUS PROVISIONS
SUBCHAPTER KDEFINITION, TREATMENT, AND DISPOSITION OF SPECIAL WASTE FROM HEALTH CARE-RELATED FACILITIES
RULE §1.136Approved Methods of Treatment and Disposition

      (vii) an approved alternate treatment process followed by deposition in a sanitary landfill.

    (D) Discarded disposable culture dishes shall be subjected to one of the following methods of treatment and disposal.

      (i) All discarded, unused disposable culture dishes shall be disposed of in accordance with 30 TAC Chapters 326 and 330.

      (ii) Discarded, used disposable culture dishes shall be subjected to the following methods of treatment and disposal:

        (I) steam disinfection followed by deposition in a sanitary landfill;

        (II) incineration followed by deposition of the residue in a sanitary landfill;

        (III) thermal inactivation followed by deposition in a sanitary landfill;

        (IV) chemical disinfection followed by deposition in a sanitary landfill;

        (V) moist heat disinfection followed by deposition in a sanitary landfill;

        (VI) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (VII) an approved alternate treatment process followed by deposition in a sanitary landfill.

    (E) Discarded disposable devices used to transfer, inoculate or mix cultures shall be subjected to one of the following methods of treatment and disposal:

      (i) steam disinfection followed by deposition in a sanitary landfill;

      (ii) incineration followed by deposition of the residue in a sanitary landfill;

      (iii) thermal inactivation followed by deposition in a sanitary landfill;

      (iv) chemical disinfection followed by deposition in a sanitary landfill;

      (v) moist heat disinfection followed by deposition in a sanitary landfill;

      (vi) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

      (vii) an approved alternate treatment process followed by deposition in a sanitary landfill.

  (4) Pathological waste. Pathological waste shall be subjected to one of the following methods of treatment and disposal.

    (A) Human materials removed during surgery, labor and delivery, autopsy, embalming, or biopsy shall be subjected to one of the following methods of treatment and disposal:

      (i) body parts, other than embryonic and fetal tissue remains:

        (I) interment;

        (II) incineration followed by deposition of the residue in a sanitary landfill;

        (III) steam disinfection followed by interment;

        (IV) moist heat disinfection, provided that the grinding/shredding renders the item as unrecognizable, followed by deposition in a sanitary landfill;

        (V) chlorine disinfection/maceration, provided that the grinding/shredding renders the item as unrecognizable, followed by deposition in a sanitary landfill; or

        (VI) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill;

      (ii) tissues, other than embryonic and fetal tissue remains:

        (I) incineration followed by deposition of the residue in a sanitary landfill;

        (II) grinding and discharging to a sanitary sewer system;

        (III) interment;

        (IV) steam disinfection followed by interment;

        (V) moist heat disinfection followed by deposition in a sanitary landfill;

        (VI) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (VII) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill;

      (iii) organs, other than embryonic and fetal tissue remains:

        (I) incineration followed by deposition of the residue in a sanitary landfill;

        (II) grinding and discharging to a sanitary sewer system;

        (III) interment;

        (IV) steam disinfection followed by interment;

        (V) moist heat disinfection followed by deposition in a sanitary landfill;

        (VI) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (VII) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill;

      (iv) bulk human blood and bulk human body fluids removed during surgery, labor and delivery, autopsy, embalming, or biopsy:

        (I) discharging into a sanitary sewer system;

        (II) steam disinfection followed by deposition in a sanitary landfill;

        (III) incineration followed by deposition of the residue in a sanitary landfill;

        (IV) thermal inactivation followed by deposition in a sanitary landfill;

        (V) thermal inactivation followed by grinding and discharging into a sanitary sewer system;

        (VI) chemical disinfection followed by deposition in a sanitary landfill;

        (VII) chemical disinfection followed by grinding and discharging into a sanitary sewer system;

        (VIII) moist heat disinfection followed by deposition in a sanitary landfill;

        (IX) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (X) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill.

    (B) The products of spontaneous or induced human abortion other than embryonic and fetal tissue remains, shall be subjected to one of the following methods of treatment and disposal:

      (i) blood and body fluids:

        (I) discharging into a sanitary sewer system;

        (II) steam disinfection followed by deposition in a sanitary landfill;

        (III) incineration followed by deposition of the residue in a sanitary landfill;

        (IV) thermal inactivation followed by deposition in a sanitary landfill;

        (V) thermal inactivation followed by grinding and discharging into a sanitary sewer system;

        (VI) chemical disinfection followed by deposition in a sanitary landfill;

        (VII) chemical disinfection followed by grinding and discharging into a sanitary sewer system;

        (VIII) moist heat disinfection followed by deposition in a sanitary landfill;

        (IX) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (X) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill;

      (ii) any other tissues, including placenta, umbilical cord and gestational sac:

        (I) grinding and discharging to a sanitary sewer system;

        (II) incineration followed by deposition of the residue in a sanitary landfill;

        (III) steam disinfection followed by interment;

        (IV) interment;

        (V) moist heat disinfection followed by deposition in a sanitary landfill;

        (VI) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

        (VII) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill.

    (C) Discarded laboratory specimens of blood and/or tissues shall be subjected to one of the following methods of treatment and disposal:

      (i) grinding and discharging into a sanitary sewer system;

      (ii) steam disinfection followed by deposition in a sanitary landfill;

      (iii) steam disinfection followed by grinding and discharging into a sanitary sewer system;

      (iv) incineration followed by deposition of the residue in a sanitary landfill;

      (v) moist heat disinfection followed by deposition in a sanitary landfill;

      (vi) chlorine disinfection/maceration followed by deposition in a sanitary landfill; or

      (vii) an approved alternate treatment process, provided that the process renders the item as unrecognizable, followed by deposition in a sanitary landfill.

    (D) Anatomical remains shall be disposed of in a manner specified by §479.4 of this title (relating to Final Disposition of the Body and Disposition of Remains).

  (5) Sharps.

    (A) All discarded unused sharps shall be disposed of in accordance with 30 TAC Chapters 326 and 330.

Cont'd...

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