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The Big Three- Get to know how regulated medical waste is treated

Part 1: Incineration


If you are on this site, then you probably have to deal with medical waste all the time. But have you ever wondered what happens to the waste you produce once it leaves your facility?


Over the next few blog entries we are going to discuss the three most common forms of treatment for regulated medical waste. In this post we will start off by diving into the process of incineration.


Incineration is still today the most widely used process for treating regulated medical waste. The process involves burning the waste produced at very high temperatures. There are three main types of incinerators. They are controlled air, excess air, and rotary kiln. As controlled air incinerators make up more than 95% of the incinerators used, let’s look a little deeper into how they work.


The first step in this process is to feed the waste into the lower combustion chamber. Combustion air then enters the lower chamber from beneath the incinerator hearth. The temperatures in this chamber can reach 1,400°F-1,800°F, which sterilizes and dries the waste. In the second step, excess air is added to the gases formed in the lower chamber to complete combustion. The temperatures in the second chamber are significantly higher than those in the lower chamber, ranging from 1,800°F to 2,000°F. Once the waste is processed through both combustion chambers, the ash and waste feed are ready to be removed, which can be done manually or automatically. (U.S. Environmental Protection Agency) See below picture for a detailed diagram.


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The process of incineration, like anything else, has a long list of pros and cons. With incineration, some advantages we see are around an 80-90% decrease in the volume of the waste once treated. This is important to note because, with limited landfill space, the ash produced will take up considerably less space than that which has been left untreated. We also see that the heat generated from these incinerators can be used to generate steam that has the potential to power a turbine to generate electricity. Incineration is also an adequate treatment process for all infectious waste. (The Pros and Cons of Medical Waste Incinerators)


We do however have to consider the negative effects that incineratiors may pose. Due to the high volume of plastic in medical waste, the concern of toxic emissions being produced is a topic that often arises. Though we have seen advances intechnology that have reduced the amount of emissions produced by medical waste incinerators, many people are still opposed to this method of treatment due to the pollution risks involved. (The Pros and Cons of Medical Waste Incinerators)


Alternatives to incineration are available. Stay tuned for our next section delving into the autoclave treatment processes of medical waste.

Your Medical Waste Disposal Provider: Friend or Foe?

Sometimes when you have been with a company for years or even decades, you assume that you are being treated as the loyal customer you are. You may assume that your pricing and quality of service will stay relatively close to the same. This however, is not always the case with some of the big national Medical Waste Companies.


One company proves this more than any other. With more than one million customers worldwide, Stericycle holds the majority interest for medical waste disposal. That being said, just because they are the biggest, does that automatically mean that they are the best that is out there?


Before making any decisions about who to do business with, a savvy person should always do their research. So let’s do just that.


Over the last three years alone, Stericycle has been involved in 18 class action lawsuits in various states. In a recent article by Hartford Business out of Connecticut (Pilon, CT docs join lawsuit frenzy against medical-waste giant), we see that the company is undergoing yet another claim against them for having customer service agreements that are “deceptive or misleading”. But what does that actually mean?


Stericycle’s contracts have a clause that says they can incrementally raise prices to account for rising operational costs or legal changes. In the article by Hartford Business as well as an article published by the National Dental Association (Soderlund, ADANews Stericycle contracts: Read the fine print), we see, however, that Stericycle applies on average an 18% automated increases to its customers.The lawsuit in Connecticut claims that these increases are “a systematic practice and policy that Stericycle regularly employs to generate revenues”.


With customers like the ones quoted in the article by the ADA, who noticed a nearly 250% increase in their bill since they began service with Stericycle, it makes you wonder if the claims in these lawsuits may not be true.


Knowing the information that you now know, have you taken the time to see how you are truly being treated by your provider? There is a better option. If you would like to know more about our pricing, services, agreements, or have any other questions please contact a representative at (877) 670-6522 or by email at Feel free to also check out the articles quoted through the links below.


Hartford Business: CT docs join lawsuit frenzy against medical-wastegiant

AmericanDental Association: Stericycle contracts: Read the fine print

* The views and opinions expressed in this article are those of the authors and do not directly represent the views of managemed as a company.

The Importance of OSHA Training

What is OSHA Training and why do I need it you might ask. Well, we are here to help answer all of your questions and provide economical solutions.


The US Department of labor states that, “Employers have the responsibility to provide a safe workplace. Employers MUST provide their workers with a workplace that does not have serious hazards and must follow all OSHA safety and health standards. Employers must find and correct safety and health problems. Employers must provide safety training in a language and vocabulary workers can understand. OSHA further requires that employers must first try to eliminate or reduce hazards by making feasible changes in working conditions rather than relying on personal protective equipment such as masks, gloves, or earplugs. Switching to safer chemicals, enclosing processes to trap harmful fumes, or using ventilation systems to clean the air are examples of effective ways to eliminate or reduce risks.” "UNITED STATES DEPARTMENT OF LABOR." OSHA Frequently Asked Questions. Web. 08 Apr. 2016.


            This, put simply, means that as an employer, you have the responsibility to make sure all of your employees are working in a safe environment and are trained to handle any possible situation that may arise. Whether that has to do with bloodborne pathogens, needle safety, how to properly dispose of medical waste, or even just workplace accidents. With our OSHA training you have access to mandated training programs for employees, federal regulation information, infectious information, safety plans, audits, and much more.

For more information on OSHA compliance visit:  

Medical Waste Removal, Medical Waste Transport, Medical Waste Disposal, Sharps Disposal, Pharmaceutical Disposal, RX Disposal, Biohazard Bags, Biohazard Boxes, DOH Biomedical Waste Plans

We Are Not All The Same

Not all medical waste pickup companies are the same. But, do you know the difference?

When you are choosing any sort of product or service you want to get the best bang for your buck. The real trick is knowing which company is going to best suit your needs while still keeping in your budget.

With Managemed we have based our company on the basic principles of what goes around comes around. Our first priority is our customers. From the way we handle new and existing clients, to the safe and professional way we take care of all of your medical waste needs. That however, cannot be said for all of our competitors. When one company monopolizes the market, a lot of times they don’t feel they need to perform to the standards that they once did. Whether that is raising rates unexpectedly, locking you into lengthy contracts, or tacking on hidden fees to your bill, no one likes finding out what you signed up for today, isn’t what you’re getting tomorrow.

With our fair and competitive prices, above and beyond quality control, and the extent of knowledge and compassion from our customer service team, we hope that Managemed can change your outlook on your biohazard and medical waste removal needs in the future.

Sharps Safety

The Occupational Safety and Health Administration (OSHA) defines a sharp as “any object that can penetrate a worker’s skin, such as needles, scalpels, broken glass, capillary tubes, and the exposed ends of dental wires.”1 Extra precaution must be used when any of these items have been contaminated by blood or other potentially infectious materials, as defined in the OSHA Bloodborne Pathogens standard (29CFR 1910.1030).

                Contaminated sharps must be disposed of in an approved sharps container.  These containers must be puncture-resistant.  They are color-coded red or labeled to notify everyone that the contents are biohazardous. Containers must be large enough to accommodate the contaminated items, but not over filled to prevent injury.  All sharps containers must have a closable lid to prevent the materials from spilling out during handling, storage, and transport.  

                There are currently two types of sharps containers used by most facilities; singleuse and reusable.  Single use sharps containers are designed to be disposed of as a unit.  Once the container is filled, the lid is secured and the entire container picked up by a licensed and insured medical waste disposal company.  Single use containers are treated in their entirety. Reusable containers are transported to the disposal facility.  The facility uses mechanical means to open and empty the filled containers.  The reusable container is then disinfected and inspected for structural integrity before being sent back to the facilityfor reuse. 

                For more information regarding Sharps Safety and the Bloodborne Pathogen visit: