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Dignity Heal <br />St. Joseph's Medical Center <br />site is the responsibility of all Environmental Services personnel at SJMC who are <br />properly trained to access the site. <br />Medical waste at each accumulation site is picked up by Stericycle. If the barrels from the <br />storage sites are full, not picked up by the vendor, or there are other issues in the storage <br />sites, the Environmental Services personnel must contact the medical waste accumulation <br />site manager to make the necessary arrangements for immediate pick up. <br />If biohazard bags or sharps containers are compromised, the laboratory is expected to <br />clean up the spilled materials. SJMC Environmental Services Manager can be contacted <br />for assistance, but the personnel generating biohazard waste are trained to respond to <br />such emergencies. <br />Exceptions <br />The SJMC campus medical waste accumulation sites are not designed for the disposal of <br />the items listed below. The following types of waste are not currently handled, generated, <br />or stored at medical waste accumulation sites. <br />• Human surgical specimens -- Human surgery specimens or tissues removed at <br />surgery or autopsy suspected of contamination with infectious agents known to be <br />contagious to humans. <br />• Fixed human tissues -- Human surgery or autopsy tissues which have been fixed <br />in formalin or another fixative. <br />• Bulk Chemotherapy Waste — Medical waste which still contains scrapable or <br />pourable amounts of chemotherapeutics, or had contact with chemotherapeutic <br />agents, including tubing, bags, bottles, and vials containing trace amounts. Bulk <br />chemotherapy is hazardous waste, and must be disposed in a black pharmaceutical <br />waste container. <br />• Radioactive Waste -- Medical waste contaminated with radioactive waste shall be <br />disposed of through Radiation Safety. <br />Documentation <br />Tracking documents for each accumulation site is kept by the responsible parties who <br />will reconcile and verify the accuracy against the vendor's invoice to ensure the waste <br />was treated at the terminal site, and will be kept for a minimum of two years. <br />Emergency Action Plan <br />In the event that service to SJMC by the medical waste transporter and treatment facility <br />is disrupted, SJMC will make a good faith effort to dispose of medical waste within seven <br />days. SJMC should take the following steps: <br />• Determine if regular service from the contracted transporter and treatment facility <br />can be resumed promptly, or whether alternative procedures for storage and <br />treatment will be required. <br />