FAQ: EPA Final Rule on Hazardous Waste Pharmaceuticals

Effective August 21, 2019, healthcare facilities and other businesses that generate pharmaceutical hazardous waste are required to manage those products according to the provisions of the Environmental Protection Agency’s (EPA) Management Standards for Hazardous Waste Pharmaceuticals (HWP) and Amendment to the P075 Listing for Nicotine Final Rule.
More: success.ada.org

Management Standards for Hazardous Waste Pharmaceuticals and Amendment to the P075 Listing for Nicotine - www.epa.gov

 

Nevada

Nevada Division of Environmental Protection - ndep.nv.gov

Dental Effluent Guidelines - Sample Compliance Report

www.epa.gov

EPA ONE-TIME COMPLIANCE REPORT FOR DENTAL DISCHARGERS to Comply with 40 CFR 441.50

Effluent Limitations Guidelines and Standards for the Dental Office Category

The Dental Effluent Guidelines Rule found in 40 CFR Part 441 applies to dental dischargers as defined in §441.10 and §441.20(e). Dental dischargers in business prior to the effective date of the Rule (July 14, 2017) have a deadline of July 14, 2020 to meet compliance with the Rule and submit a one-time compliance report. Dental dischargers beginning business on or after July 14, 2017 must comply with the Rule and submit a compliance report within 90 days following startup.

Sample Report: EPA_R9_dental-certification_sample-form__Nevada

Seven Things to Know about the EPA's Amalgam Rule

After years of working with the ADA and addressing dentists' concerns, the Environmental Protection Agency (EPA) released a final rule on Dec. 15 requiring dental practices nationwide to install amalgam separators. Here are seven things you need to know about the rule:

1. The ADA believes this new rule, which is a federal standard, is preferable to a patchwork of rules and regulations across various states and localities.

2. The new rule meets the nine principles established by the ADA House of Delegates as a condition for ADA support for a national rule.

3. The ADA has developed a number of resources to aid member dentists with questions they may have regarding compliance. These resources are available at ADA.org/RecycleAmalgam.

4. Most dentists will not be required to comply with the rule until three years from now, at the end of 2019. Dentists who already have separators are “grandfathered in” for 10 years. Offices that open after the effective date will need to be in compliance upon opening.

5. The rule closely follows ADA's own best management practices (BMPs) and incorporates three of those BMPs:

• Requires use of separators;
• Prohibits flushing waste amalgam (including waste from traps or filters) down the drain; and
• Prohibits the use of bleach or chlorine-containing cleaners that may lead to the dissolution of mercury from amalgam when cleaning chair-side traps and vacuum lines.

6. A number of dentists are exempt from the rule, including:

• Dentists who practice in oral pathology, oral and maxillofacial radiology, oral and maxillofacial surgery, orthodontics, periodontics, and prosthodontics;
• Dentists who do not place amalgam and only remove amalgam in unplanned or emergency situations (estimated at less than 5 percent of removals); and
• Dentists who operate mobile dental units.

7. Since 2013, ADA's Business Resources has partnered with HealthFirst, a vendor that offers ADA member dentists special pricing on an amalgam separator device that will meet the federal regulatory requirements. Learn about the due diligence that was performed before extending this endorsement.

To learn more about the rule and explore ADA resources for member dentists, visit ADA.org/RecycleAmalgam.

Nevada operates an OSHA-approved State Plan covering most private sector workers and all state and local government workers.

Contact:
Nevada Occupational Safety and Health Administration
3360 West Sahara Avenue, Suite 200
Las Vegas, NV 89102
Tel: (702) 486-9020
Fax: (702) 990-0358
https://www.osha.gov/dcsp/osp/stateprogs/nevada.html

Order OSHA Posters:https://www.osha.gov/pls/publications/publication.html 

Pursuant to NAC 631.260, the licensed dentist must provide a certified statement to the Board that his personnel received adequate training in radiographic procedures.

Pursuant to NAC 631.220, dental assistant’s duties are defined under the employ, authorization and supervision of the licensed dentist.  This scope of practice defines the duties you may perform.  If you are asked to perform a duty not set forth in NAC 631.220, you may contact the Board office to ensure compliance with this regulation.

​Read more at: Nevada State Board of Dental Examiners
http://dental.nv.gov/Licensure/Dental_Assistants/

E-Prescribing 2021

Electronic Prescribing Mandate for Controlled Substances and Exemption Form
https://bop.nv.gov/

Frequently Asked Questions

FAQ's

Downloadable sample forms, Downloadable Poster and Brochures, AB 474 Information 

dpbh.nv.gov

NDA Rx Faqs

Member Access