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g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br /> (DEA) as "controlled substances"? 0 Yes ❑No <br /> If yes, describe how the "controlled substances" are disposed: Expired"controlled substances" <br /> are kept in the Pharmacy in a locked bin and are picked up every three months by our reverse <br /> distributor. The reverse distributor picks up and inventories both controlled and non-controlled <br /> substances; - everythiniz is documented. The reverse distributor then forwards onto us a record <br /> of destruction complete with an itemized list of products destroyed. <br /> i. All medical waste generators are required to keep accurate records regarding containment, <br /> storage, hauling,treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two (2)years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: M Yes ❑ No <br /> j. Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br /> all medical waste, including pharmaceutical waste, at your facility: <br /> All Housekeeping employees and the facility's Safety Officer receive, ever t�years, the <br /> Regulated Medical Waste Preparation Training for Transport—U.S. DOT Medical Waste <br /> Collection and Transportation. New Housekeeping employees can perform BioHazard Waste job <br /> functions during the initial 90 days of employment as Ion as s they are supervised by a properly <br /> trained HazMat employeeupon completion of HazMat training. <br /> Employee training also includes compliance with 29 CFR 1910.1030 OSHA Bloodborne <br /> Pathogens when handling Regulated Medical Waste to include the practice of"universal <br /> precautions", wearing appropriate Personal Protective Equipment(PPE) and to wash hands after <br /> handling medical waste to reduce exposure. <br /> k. Describe your medical waste emergency action plan, including procedures for handling spills, <br /> exposures, equipment failures, etc. (attach information as necessary): <br /> Sutter Tracy Medical Waste Spill Response Procedure: <br /> a.Spills from sharps containers should be cleaned up promptly using appropriate Personal Protective <br /> Equipment(PPE). <br /> 1) Do not pick up needles or other sharps with hands.Use tongs, a broom and dust mop,etc.,to <br /> sweep up contents and place in an approved puncture-proof container. <br /> 2) Remaining blood or other body fluids will be wiped up immediately with approved cleaning <br /> solution.Always wash hands after cleanup. <br /> b.Spills occurring during transportation throughout the complex or in the storage areas: <br /> 1) Contact immediately the housekeeping supervisor for direction for the cleanup,repackaging and <br /> disposal of the spill. <br /> 2) Proper Personal Protective Equipment shall be used at all times and spilled contents picked up <br /> promptly. Contents will be placed into approved appropriate bag or container for disposal. <br /> EHD 45-03 8 <br /> 2015 <br />