From: Jeffrey Lewin <jclewin**At_Symbol_Here**MTU.EDU>
Subject: Re: [DCHAS-L] Medical Waste
Date: February 23, 2012 4:33:51 PM EST
Reply-To: DCHAS-L <DCHAS-L**At_Symbol_Here**MED.CORNELL.EDU>
Message-ID: <390C703D90CE97409F79127132E33D342025B2A3D4**At_Symbol_Here**>

I just looked at the instructions from our hauler and found instructions to tie them. Then I did a google search to see what others required. My first hit, John Hopkins, uses tape.

But then I found this:

California Medical Waste Management Program

"Indicate in the medical waste management plan that red biohazard bags (when full) are to be tied. See Section 1118280(a) of the MWMA." You've referenced that section below.

I'm guessing you are not going to get around that, at least from this inspector.

Jeff Lewin
Biological Sciences
Michigan Technological University

----- Original Message -----
From: "Steve Arvedson"
Sent: Thursday, February 23, 2012 2:26:18 PM GMT -05:00 US/Canada Eastern
Subject: Re: [DCHAS-L] Medical Waste

What about plastic cable ("zip") ties? You could fold the bag over like you're doing, and secure it by wrapping the fold with one or more cable ties.


From: DCHAS-L Discussion List [mailto:dchas-l**At_Symbol_Here**MED.CORNELL.EDU] On Behalf Of Eric Clark
Sent: Thursday, February 23, 2012 11:12 AM
Subject: [DCHAS-L] Medical Waste


We had a medical waste inspection and nearly got by unscathed. Seems the MW inspector wants us to put a granny knot in the top of the red MW bags. The problem with a granny knot is that we lose a third of the bag volume, and liquid leaks out unless you pull it tight with the strength of Hercules. We're a high throughput operation and as a MW LQG we take out lots of MW bags all day long.

California Medical Waste Act says in Section 118280 (a) - Containment and Storage: "The bags shall be tied to prevent leakage or expulsion of contents during all future storage, handling, or transport."

We gather the top, tightly twist, fold over, and secure with multiple wrappings of autoclave tape. The MW inspector insists on a knot. And we really don't want to do a hearing on this.

Anybody have another suggestion? Maybe something you've tried, like autoclave bag clips? Clamps?

Maybe it's time to invent and market niche device.


Eric Clark, MS, CCHO, CHMM

Safety & Compliance Officer

Los Angeles County Public Health Lab

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