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MEDICAL WAST&SPECTION REPORT Date: a bo/iq San Joaquin County Environmental Health Department Program 1868 E. Hazelton Ave.,Stockton,CA 95205 Record: pQ r-►60005 (209)468-3420 Program <!F,o. •'� www.siogv.org/ehd Element: -15.2 Observations and Corrective Actions: 23. Biohazard bag does not meet the standard set forth in HSC 117630. - Ensure that the biohazard bag is a red disposable film bag that is impervious to moisture and tear-resistant. HSC 117630— There were two different types of trace chemotherapy bags in the Outpatient Pharmacy.The Medegen chemotherapy bags were labeled as meeting the US DOT standards. The Covidien ChemoPlus CT2100 (20 gallon bag)did not indicate whether they met US DOT standards (see attachment, PHOTO 2). Provide evidence that the Covidien ChemoPlus bags meet the required standards. 24. Trace chemotherapy waste is not segregated for storage. The secondary container is not labeled appropriately. -Trace chemotherapy waste shall be segregated for storage, and the secondary container shall be labeled with the words "Chemotherapy Waste" or"CHEMO" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(4)— The chemotherapy waste containers were not properly labeled in the Emergency Room—Soiled Utility Closet(A1436) (see attachment, PHOTO 6), in ICU—Room B2555 (see attachment, PHOTO 11),the Soiled Utility Room (63555) of Med. Surgical Specialty (see attachment, PHOTO 12).The chemotherapy waste container in the Inpatient Pharmacy (A1478)was not properly labeled, did not have a lid and was not lined (see attachment, PHOTO 8). Ensure all chemo waste containers have a tight fitting lid and a liner. Properly label the chemotherapy waste containers with the words "Chemotherapy Waste" or CHEMO on all 4 sides and on the lid. Remove all other labels from the containers. Provide photographic evidence to the EHD. 24. Biohazardous waste is not placed in a biohazard bag that is conspicuously labeled. - Biohazardous waste shall be placed in a biohazard bag conspicuously labeled with words"Biohazardous Waste" or "BIOHAZARD". HSC 118275(a)(2)—Gloves were discarded in the biohazardous waste container in Soiled Utility Room 129 (Sheriff's Jail)without an approved biohazard bag (see attachment, PHOTO 20). A sharps waste container was discarded in the biohazardous waste container in the Ambulance Sali-port(Sheriff's Jail)without an approved biohazard bag (see attachment, PHOTO 21). Ensure that all waste disposed of in biohazardous waste containers is in an approved biohazard bag. Submit evidence of in-service training on the segregation and handling of biohazardous waste to the EHD. 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly-fitting lid, clean, in good repair and appropriately labeled. - Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight-fitting cover, and be kept clean and in good repair. Container shall be labeled with the words"Biohazardous Waste" or"BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c)—The biohazard containers located in the Cast Room (1314) (see attachment, PHOTO 3), Special Procedures (B34) (see attachment, PHOTO 4), outside of the Dialysis Clinic (see attachment 15) and the Dialysis Clinic (see attachment, PHOTO 16)were not labeled appropriately. The yellow biohazard transport container in the Soiled Utility Room (H2764) in 2D Med Surg did not have labels on all 4 sides (see attachment, PHOTO 10). Label biohazard containers on all 4 sides and the lid with the words "Biohazardous Waste" or"BIOHAZARD." Provide photographic evidence to the EHD. Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 4 EH-11/17