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Medical Waste Management Plan Kaiser Permanente —Manteca Medical Center 1/01/17-12/31/17 Trace Chemotherapy wastes—waste that is contaminated through contact with,or having previously contained,chemotherapeutic agents,including,but not limited to, gloves,disposable gowns,towels,and intravenous solution bags and attached tubing that are empty. A container is considered trace chemotherapy waste if: Shall be segregated for storage,and,when placed in a secondary container, 1.All the chemotherapy drug has been removed using practices commonly employed that container shall be labeled with the words'Chemotherapy Waste", to remove materials from that type of container, "CHEWIO",or other label approved by the department on the lid and sides,so as 2.No more than 3%by weight of the total capacity of the container remains in the to be visible from any lateral direction. container Examples of trace chemotherapy waste are: Contaminated gowns,gloves,masks,cleaning clothes,and barriers Empty:IV tubing,IV bags/bottles,syringes,dru vial Non-RCRA Pharmaceutical wastes—waste pharmaceuticals which are not federally A person may consolidate into a common container,which may be reusable, hazardous(non-RCRA),radioactive or classed as municipal solid waste(trash). sharps waste,as defined in Section 117755,and pharmaceutical wastes,as *Pharmaceutical waste classified by the federal Drug Enforcement Agency(DEA)as defined in Section 117747.The container shall be labeled with the biohazardous 'controlled substances'are disposed in compliance with DEA requirements. waste symbol and the words'HIGH HEAT ONLY,'"INCINERATION;or other label approved by the department on the lid and on the sides,so as to be visible from any lateral direction. (b) Storage area description with storage methods utilized,including duration and temperature,if applicable. ➢ Interim Storage Area: • Medical waste that is stored in an area prior to transfer to the designated accumulation area,as defined in Section 118310. • Shall be stored in an area that is either locked or under direction supervision or surveillance. • Intermediate storage areas shall be marked with the international biohazard symbol or the signage described in Section 118310. • These warning signs shall be readily legible from a distance of five feet. • This section does not apply to the rooms in which medical waste is generated. ➢ Designated(Mahn Waste)Accumulation Area: • The facility maintains a secured area for storage of medical waste pending disposal. • The storage area is marked with warnings that read in English and Spanish "Caution biohazardous Waste Storage Area—Unauthorized Persons Keep Out". • These signs are legible from a distance of at least 25 feet. (c) Onsite treatment facility description,including type of treatment utilized maximum capacity,time and temperature necessary,alternate contingency plan in case of equipment failure. • Currently do not conduct onsite treatment of medical waste. Stericycle is contracted for removal of medical waste. • The following waste are generated t our facility and are removed accordingly by: Red B iohazardous Steric cle Sharps needles,syHinges,blades etc. Steric cle Pharmaceutical waste Steric cle Pathological and surgical waste Steric cle Trace Chemotherapy waste Steric cle