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Lodi Outpatient Surgical Center/Endoscopy Center of Lodi Title: Hazardous Materials and Regulated Medical Waste Management Plan POLICY: HM 300 Page 2 of 6 State: EFFECTIVE: CMS: 416.42, 416.44 a 3 , 416.49(b)(2) 416.51 REVISED: TJC: EC.02.01.01.01 AAAHC: 7-I,J 8-M ® Staff knowledge and skills, ■ Level of staff participation, ■ Monitoring and inspection activities, ® Emergency and incident reporting, and ■ Inspection, preventive maintenance, and testing of equipment; and j. Emergency procedures that describe the specific precautions, procedures, and protective equipment used during hazardous materials and waste spills or exposures. The Center has adopted processes for the selection, storage, use, and disposal of hazardous wastes from generation through final deposit. Written criteria exist in the form of policies and procedures. This criteria is consistent with applicable law and regulation to identify, evaluate, and inventory hazardous materials and waste used or generated in the facility. These procedures include the management of chemical waste and Regulated Medical Waste, including sharps. The center provides secure, environmentally controlled hazardous materials and waste storage spaces as well as personal protective equipment (PPE) for those personnel who must work or come into contact with hazardous materials and waste. The reporting and investigation of all hazardous materials or waste spills will be performed through the center's incident reporting system. The appropriate persons and the appropriate Committee will act on each incident. Center staff will familiarize themselves with the basic components and operation of the Hazard Materials and Regulated Medical Waste Management program. This will be accomplished through the center's established general orientation program. This program addresses precautions for selecting, storing, using, and disposing of hazardous materials and wastes. The education program also addresses emergency procedures and health hazards related to chemicals in the workplace, as well reporting incidents that involve spills or exposure. Incident reporting is accomplished through the center's incident reporting program. Performance standards exist in the form of policies and procedures and standard work practices. These things include staff knowledge and skill necessary for managing hazardous materials and wastes, staff participation in hazard materials and waste activities, monitoring, inspection and corrective action, routine procedures for incident reporting, and the inspection, preventive maintenance, and testing of applicable equipment.