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P2 for Hospital Sterilizers: Browse by Keyword
Table of Contents
Background and Overview
Operations
Reasons for Change
P2 Opportunities
Glossary of Terms
Where to Go for P2 Help
Acknowledgements
Complete List of Links

Keywords:
Accidents - Prevention / Administrative agencies / Air monitoring / Air pollution / Air pollution control / Air quality / Air quality control / Air quality management / Alternative technologies / Bacteria / Bactericides / Best management practices / Biological monitoring / Body fluids / Cancer / Carcinogens / Case studies / Chemical processes / Chemical recovery / Chemical spills / Chemical storage / Chemical tracking / Chemical treatment / Chemicals / Clean Air Act / Cleaning / Cleaning compounds / Dental wastes / Design / Detoxification / Disinfection and disinfectants / Economic analysis / Economic aspects / Economic impact / Emergency management / Emission control / Emissions / Employee safety / Enforcement / Environmental aspects / Environmental health / Environmental policy / Environmental protection / Environmentally safe products / Equipment safety / Ethylene oxide / Facility management / Federal government / Flammability / Fugitive emissions / Global warming / Government agencies / Government information / Hazardous substances / Hazardous waste / Hazardous waste disposal / Hazardous waste generators / Hazardous waste management / Health / Health effects / Health facilities / Hospitals / Hydrogen peroxide / Hygiene / Indoor air pollution / Infectious agents / Laboratories / Laboratory wastes / Leak detection and repair / Legislative bodies / Local government / Materials handling / Mechanical cleaning / Mechanical equipment / Medical emergencies / Medical instruments and apparatus / Medical laboratories / Medical technology / Methodology / Microbial contamination / Monitoring / Mortality / Municipal water supply / Neurotoxic agents / New products / Occupational diseases / Occupational medicine / Occupational safety and health / Odors / Parts cleaning / Pasturization / Permits / Peroxides / Planning / Plastic containers / Point source pollution / Poisoning / Pollutants / Recycled products / Recycling (Waste, etc.) / Risk management / Safety measures / Sterilization / Technological innovations / Toxic chemicals / United States. Environmental Protection Agency / United States. Food and Drug Administration / United States. Occupational Safety and Health Administration / Vendors and purchasers / Ventilation / Waste gases / Waste management / Waste storage / Waste treatment / Wastewater / Wastewater discharge / Zero effluent


Alphabetical Listing of Reference Documents by Title
NOTE: [PDF] links require Acrobat Reader from Adobe.

Best Management Practices for Hospital Waste [PDF]
Abstract: Report: Comprehensive 392 page document handling all types of hospital waste. Includes section on air quality and sterilizer alternatives and vendors, WA state permitting information and complete list of air toxics found in hospitals.
Source: Washington Department of Ecology
URL: http://www.ecy.wa.gov/pubs/0504013.pdf

CAA SECTION 112 NESHAP: Ethylene Oxide Commercial Sterilization and Fumigation Operations
Abstract: APPENDIX 112H of the Clean Air Act that governs EtO for large sources.
Source: EPA
URL: http://www.epa.gov/EPA-AIR/1999/December/Day-03/a31354.htm

Ethylene Oxide Emissions 1999 [PDF]
Abstract: This chart shows the sources of EtO emissions in 1999.
Source: EPA
URL: http://www.epa.gov/ttn/atw/nata1999/99pdfs/ethoxide.pdf

Ethylene Oxide Fact Sheet [PDF]
Abstract: Fact sheet written to give employers the information they need in order to manage staff exposure to EtO.
Source: OSHA
URL: http://www.osha.gov/OshDoc/data_General_Facts/ethylene-oxide
-factsheet.pdf

Evaluation of the Carcinogenicity of Ethylene Oxide (External Review Draft)
Abstract: This draft assessment document characterizes the potential for a carcinogenic health hazard from human inhalation exposure to EtO.
Source: EPA's National Center for Environmental Assessment
URL: http://cfpub.epa.gov/ncea/cfm/recordisplay.cfm?deid=157664

Fact sheet and information papers about Ethylene Oxide (EtO) Sterilizers [PDF]
Abstract: Fact Sheet: Background of regulations concerning EtO. Presents alternatives that can be used. *Note that hospital exemption is no longer valid.*
Source: Hazardous and Medical Waste Programs, Aberdeen Proving Ground, MD
URL: http://www.drozek.us/documents%20on%20Web%20site/Teaching/ar
ticles%20and%20topics/surgery%20misc/EOS/EtOSterilizers.pdf

Final Regulation Order: Ethylene Oxide Airborne Toxic Control Measure (ATCM)
Abstract: Final rule promulgated in 1999 by CARB shows an example of a state law regulating EtO sources over 25 lbs/year.
Source: California Air Resources Board
URL: http://www.arb.ca.gov/toxics/atcm/etoatcm.htm

Hospital eTool: Central Supply Module
Abstract: Virtual tour of hospital hazards. Covers the health effects of ethylene oxide gas exposure and options for reducing use.
Source: OSHA
URL: http://www.osha.gov/SLTC/etools/hospital/central/central.htm
l#ExposuretoEthyleneOxideGas

Mortality study of ethylene oxide workers in chemical manufacturing: a 10-year update
Abstract: Mortality study on men assigned to units at a Union Carbide plant in Connecticut producing ethylene oxide by the chlorohydrin or direct oxidation processes from 1940 to 1988. (Full text of article requires online subscription.)
Source: National Center for Biotechnology Information
URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&d
b=PubMed&list_uids=8398856&dopt=Citation

Proposed Air Toxic Standards for Hospital Sterilizers
Abstract: The Clean Air Act Amendments of 1990 require EPA to regulate sources of 187 listed toxic air pollutants. The Clean Air Act also requires EPA to identify industrial or “source” categories that emit one or more of these pollutants.
Source: EPA
URL: http://epa.gov/ttncaaa1/t3/fact_sheets/hosp_strlzr_fs_110106
.html

Rule and Implementation Information for Commercial Sterilizers
Abstract: Website with list of documents regarding the history and status of the EPA rules for commercial sterilizers. Includes Rule Information, Technical Information and Implementation Information.
Source: EPA
URL: http://www.epa.gov/ttn/uatw/eo/eopg.html

Sterilants and Disinfectants in Healthcare Facilities
Abstract: Website dedicated to those who want to go beyond mere compliance. Describes properties of sterilants and disinfectants, risks, compliance requirements, alternatives and disposal methods as well as listing additional resources.
Source: Hospitals for a Healthy Environment: Sharing Successes
URL: http://www.hercenter.org/hazmat/steril.cfm

 


The Topic Hub™ is a product of the Pollution Prevention Resource Exchange (P2Rx)

The P2 for Hospital Sterilizers Topic Hub™ was developed by:

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Contact email: office@pprc.org

Hub Last Updated: 6/4/2013