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Understanding the "Cradle to Grave" Medical Waste Management Cycle

Did you know you are responsible for your medical waste from the time it's generated, to the time it's picked up and transported, to the final disposal? In order to follow local, state, and federal regulations, your medical waste must be managed with proper care to keep everyone around you safe. Additionally, you must have well-documented transactions of your waste being transported for treatment by a permitted hauler and final disposal by an authorized facility. The rules and regulations are important in keeping you compliant and environmentally responsible.

Understanding your responsibilities and the role of your medical waste management partner will streamline your internal processes that help protect employees, patients, and others who are handling the special waste from potentially dangerous exposures or injuries.



BWS Cradle to Grave Medical Waste Management Cycle graphic

How You Safely Manage Regulated Waste at Your Facility

Segregating Your Waste

First start by segregating the waste generated at your facility by waste type. Many regulated waste types require special designated containers most often identifiable by their color-coding system or symbols. Keeping the different waste types separate makes it simple for employees and staff to know which receptacles, bins, or containers are designated for potentially dangerous or infectious waste.

Packaging & Labelling Your Regulated Waste

Did you know one of the most common needlestick injuries caused within the workplace is because of improper packaging? It's important to train your staff on safe handling and packaging of medical waste. Most medical waste containers have packaging instructions printed directly on them. There are DOT requirements such as maximum weight limits to follow in order to keep you compliant and avoid additional fees.

Storing Your Regulated Waste

Now that you've packaged up your medical waste following packaging instructions, designate a safe storage area for it until it's picked up by your medical waste management partner. The packaged waste should be free from protruding items, leaks, or openings. Storage guidelines and time limits may vary from state to state. Always check your local regulations regarding medical waste storage for safety and compliance purposes.

What BWS "Cradle to Grave" Service Includes:

Now you're ready for pick up! This is where the role of your medical waste management partner comes in. Partnering with BWS, here's what the "Cradle to Grave" service includes:

Medical Waste Pick Up

Whether you are on a routine pick up schedule or "on-call", the next step after your waste is packaged and being stored properly, is the waste getting picked up. At BWS you can check the Client Portal for your next scheduled pick up. We also accept on-call pick up requests. There are many pick up frequency options to fit the needs of any size client. Pick up frequencies can be adjusted at any time without any penalty or fee.

Medical Waste Transport

Your medical waste management partner should have a government issued special waste hauler permit. This give you the confidence knowing your medical waste is being transported responsibly by a specialized company with well-trained staff, like BWS, that knows the in's and outs of medical waste transport DOT regulations.

Medical Waste Treatment & Disposal

After your medical waste has been safely transported, it arrives to our treatment and processing facility in Baltimore, MD. Here too, your partner will have a government issued permit for medical waste treatment that adheres to all local, state, and federal environmental protections. BWS treats the medical waste on-site using autoclave technology which sterilizes the waste so it's no longer infectious. Then it's ready for final, safe disposal at our Waste-to-Energy partner where the treated waste is incinerated, converting it into energy.


As mentioned previously, it's important that you have all required documentation that can clearly demonstrates your responsible actions for disposing of medical waste generated at your facility. BWS provides all documentation of your medical waste disposal and can be retrieved online through our Client Portal. Disposal manifests are generally available on the Client Portal within days of your recent pick up so accessing your documentation is timely and without any major delays that can be caused by 3rd party handling. We safely store and retain customer manifests for the required retention period to ensure compliance.

Picking Your Compliance Partner

Here at Biomedical Waste Services, Inc. (BWS) we have over 45 years of experience collecting, transporting, and disposing of regulated medical waste and managing workplace compliance solutions for a variety of industries in the mid-Atlantic area, including Maryland, Virginia, Washington D.C., Delaware, Pennsylvania, and West Virginia. We've partnered with many healthcare facilities and other industry organizations to safely manage their medical waste keeping their workplaces safe and compliant to avoid large fines. Being one of the only specialized waste haulers and permitted treatment facilities in Maryland, our services help you manage the complete "Cradle to Grave" Medical Waste Management Cycle. Call or contact us today to partner with a reliable team that does it all.

NOTE: The steps outlined in this article are suggestions or recommendations and NOT intended to replace local, state, or federal agency guidelines. Always follow standard guidelines set forth by the CDC, OSHA, and other trusted agencies.


BWS Cradle to Grave Medical Waste Management Cycle Resource Guide

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Our Dedication to Providing the Highest Quality Regulated Waste Services
is Shown in What Our Clients Say About Our Work

We provide an outstanding value and service to our regulated waste customers and pride ourselves on our 100% customer satisfaction with 99% customer retention ratio.

“Our office has been utilizing the services of Biomedical Waste Services, Inc. (BWS) for well over a decade. Their caring, dedicated, and professional team have made it an absolute pleasure to do business with. They are always prompt and courteous in providing whatever service we ask of them. We highly recommend them for your practice!!”

Paul R Miller, D.D.S. and Team

“Our experience with BWS has been uniformly positive. Their services are prompt, professional, and reliable. Their prices are fair and upfront, with no hidden or recurring charges. We highly recommend them as a vendor.”

ZytoGen Patient Services

“My review from 2019: Still using BWS and still think they're great! My review from 2016: We've been doing business with BWS for a few years now, and their service and pricing are great. We previously used a company who provides the same service in our area but overcharged us for years. I would definitely recommend BWS to anyone in the market for waste disposal at a great price with excellent service.”

“I have fantastic very dependable experience using BWS. I have used them weekly for the last 17 years in my dental practice. There always on the day that they're supposed to be, there's never been an issue with any of the invoices.”

Akbar Masood, D.D.S.

“BWS has been handling our biohazardous waste disposal for three years. They have always been helpful and dependable. I recommend them to all who need biohazardous waste disposal services.”

Chris Donaldson

“Been working with BWS for 10+ years. Fantastic service, always on time and polite.”

Dharani Jasthi

“Prompt, professional, and awesome business. We have worked with them for years and couldn't be happier.”

Tomicka Jackson-George, D.M.D.

“I've used BWS for several years now. Their service is great and their fees are very reasonable, making BWS a great value in hazardous waste removal.”

Louis Sachs, D.D.S.

“Professional and always on time! Great service!”

Kate Blair English

“Great option for healthcare waste management. BWS is an independent owned professional organization that is built on integrity and trust. There is no other company in the region that I'd recommend more. Most others say the right things the folks at BWS do the right thing. I'll continue to recommend them.”

Dave Ryan

We are a medical practice in a new location and needed hazardous waste removal services. We have been so pleased with the level of service and professionalism on both the admin and field work end of BWS services, and their pricing is fair and flexible. We would highly recommend them to any medical practice in need of these services.

Kerry Owens, Avalon Plastic Surgery

Every staff member that I have interacted with has been very friendly. They are quick to respond to emails and do a great job.

Jamie Fleming, National Spine & Pain Centers

Excellent company. Received notification that I was on schedule, showed up as promised, and very professional service from office to driver. Excellent service!!!

Keith Roberts, Biomatrix Specialty Pharmacy

Great service! They are always responsive and ready to help. 100% recommended.

Mireia Pedragosa Marin, Synergy Research

They were responsive and quickly start services. They were also great at answering all my questions and updating on when services would start.

Rebecca Crouse, Randolph Macon Academy

We used BWS for sharps disposal at a doctor's office. I saw their bright truck in the parking lot at work which lead me to call for a quote. They responded to my inquiry quickly and thoroughly, answering all my questions. They gave me pricing that was very reasonable, and lower than many companies I checked. They were a pleasure to communicate with via phone and email, no phone tag! The truck arrived the day and time we planned. The driver was very personable and easy to communicate with. The people I interacted with seem to understand the value of customer service. I would highly recommend them. They will take care of you.

Melissa C, Patriot Chiropractic

Excellent, professional service and very reasonable price on medical waste removal. Danielle was fantastic to work with - thanks Danielle!

Dr. Rosario Ignacio

Reliable and affordable

Dr. Thomas Lutz, Odenton Family Dentistry

I've used BWS for several years now. Their service is great and their fees are very reasonable, making BWS a great value in hazardous waste removal. Over the 20+ years that I have used them the scope of their services has increased as well as making documentation of their service easier to use!

Dr. Louis Sachs, DDS

I ran a dental charity for many years, organizing huge clinics to treat those in need. BWS donated their waste disposal services for every clinic for many years, and they continue to do so to this day. This is always a huge job, and they are always reliable, dedicated, and fun to work with. They know what it means to give back.

Eric B.

Great service & professional reps

Brenda Shah

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