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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 4 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 TYPES OF MEDICAL WASTE GENERATED: BLOOD OR BODILY FLUIDS — Liquid blood elements or other regulated bodily fluids, or articles contaminated with blood or bodily fluids. SHARPS — Syringes, needles, blades, broken glass. CHEMO -THERAPEUTIC WASTE — Trace amounts of chemotherapeutic waste. PATHOLOGY WASTE — Recognizable human anatomical parts, human surgery specimens or tissues. Lodi Outpatient Surgical Center is a large quantity generator. The estimated amount of medical waste is less than 100lbs per month. Lodi Outpatient Surgical Center does not treat any medical waste on site. ALL WASTE IS REMOVED BY A REGISTERED MEDICAL WASTE HAULER AND TREATED AT AN APPROVED OFF-SITE TREATMENT FACILITY. Medical Waste Segregation, Containment, Labeling, and Collection Procedures: Medical waste is contained separately from other wastes at the point of generation. In non -patient care areas, solid waste is not to be disposed of in medical waste containment devices. When cleaning patient care areas, Environmental Services will place all medical wastes into RED biohazard bags labeled with the words, "Biohazard Waste." These bags are to be impervious to moisture and have sufficient strength to preclude ripping, tearing, or bursting under normal use and handling. The biohazard bag used must be constructed of material that will pass the 165 gram dropped dart impact resistance test as required by Standard D 170985 of the A.S.T.M. Documentation from the manufacturer of compliance with these minimum construction standards will be kept on file in the Administrator's Office. All waste placed in a red bag is considered to be medical waste. The bags will be tied when being prepared for transport to prevent spillage in the event the bag is dumped upside down. All sharps will be placed in a sharps container labeled with the words "SHARPS WASTE" or with the international biohazard symbol and the word "Biohazard." Sharps containers will be rigid puncture proof containers that when sealed are leak resistant and not able to be reopened without great difficulty. Sharps containers shall be considered "full" when they reach 2/3 capacity or the manufacturer's full line. Lids on filled sharps' containers must be snapped closed, taped, or otherwise sealed to prevent loss of contents prior to disposal.