A large amount of waste may be generated when caring for suspected or confirmed cases of HCID. It is therefore important to seek advice from and alert the local waste management team at the earliest opportunity to enable the initiation of local waste protocols for HCID.

All components of the HCID assessment PPE and buddy PPE ensemble should be single-use disposable, except for wellington boots. Boots should be quarantined in a designated container until the HCID result is known and action taken as outlined in table 5. Wellington boots must only be re-used if the case is HCID negative.   Guidance for the decontamination of wellington boots is available should the patient subsequently test HCID negative. 

Note: In NHSScotland, sporicidal wipes are not commonly used and a chlorine based solution of 1000ppm should be used to decontaminate the boots where there is no visible soiling and patient case is confirmed HCID negative.

Table 5 - PPE Waste Disposal and Wellington Boot Management

HCID case	PPE Waste Disposal	Wellington Boot Management
Confirmed	PPE waste including reusable PPE should be held in a secure location and disposed of as Category A waste as per SHTN 03-01.	Wellington boots should be held securely along with other PPE waste in a secure location and disposed of as Category A waste.
Suspected	If results are positive treat PPE waste as for a confirmed case, see above. If results are negative the waste can be disposed of as clinical waste.	If results are positive treat Wellington boots as for a confirmed case, see above. If results are negative wellington boots can be decontaminated. See guidance above.