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0 <br /> • <br /> LODI MEMORIAL HOSPITAL D-8420-10 <br /> FACILITIES MANAGEMENT REVISED: JUNE, 2011 <br /> ENVIRONMENT OF CARE PAGE I OF 1 <br /> MEDICAL WASTE MANAGEMENT <br /> MEDICAL WASTE MANAGEMENT PLAN <br /> I. POLICY <br /> A. For the management of medical waste generated by Lodi Memorial Hospital,and all facilities operated <br /> by the Hospital,and complies with the California Medical Waste Management Act,Department of <br /> Health Services,Health and Safety Code Sections 117600-118360. The information provided on the <br /> Medical Waste Management Plan(MWMP)is complete and accurate. <br /> B. Lodi Memorial Hospital accepts no medical waste from any other facility and is registered as a Large <br /> Quantity Generator. <br /> II. PURPOSE <br /> To identify processes involved in the Medical Waste Management Plan and to comply with the California <br /> Medical Waste Management Act,Department of Health Services,Health and Safety Code Sections 117600- <br /> 118360. <br /> III. PROCEDURE <br /> A. Medical waste is removed from the facilities by a registered medical hauler and treated at an approved <br /> off-site treatment facility. The following is a representation of estimated total pounds of medical <br /> waste removed during a monthly period from each facility: <br /> • West Facility........................................274 pounds/month <br /> • Main Facility......................................8,850 " <br /> • Conrad Building ..................................2,400 " <br /> • All Clinic Facilities .................................115 " <br /> 1. Lodi Memorial Hospital does not generate Pathology Waste. All human anatomical parts, <br /> surgery specimens and tissue are transferred from the hospital by Smith-Kline Laboratories for <br /> analysis by Delta Pathology Associates, 2291 W. March Lane, Ste#179, Stockton, CA <br /> 95207. <br /> a. After final processing,the specimens become waste and are the responsibility of Delta <br /> Pathology Associates. <br /> B. LIMITED QUANTITY HAULING EXEMPTION <br /> Staff in approved patient care areas such as Home Health Agency, Laboratory Services,Clinic <br /> Services, etc.,that provide extended health care services outside the confines of the hospital facility, <br /> are authorized to provide limited hauling of small quantities of medical waste back to a designated <br /> facility for disposal. <br /> 1. The current list of authorized personnel is on file with copies of authorization provided to the <br /> individual staff member. Procedures for final disposal of this medical waste fall into the same <br /> categories as those in place within the facility itself. <br /> a. Tracking documents remain on file for a period of not less than three years. <br /> REVISED: 11/04,4/07,5/10 <br /> REVIEWED: <br /> L:\LMH\P&P\EOC\D-MEDICAL WASTED-8420-10.doc <br />