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lemedical WasteManagement Plan* <br /> Kaiser Permanente —Manteca Medical Center <br /> 1/01/2020-12/31/2020 <br /> • Only for our Emergency Department(ED/ER), Intensive Care Unit(ICU)and <br /> Operating Room(OR)departments: These departments will not have waste <br /> containers for solid trash collection located within their patient room areas.They will <br /> only have red bag collection available in the patient rooms. <br /> • The Environmental Services(EV )staff will collect these red bag waste after <br /> each patient has been discharged/relocated from these rooms. <br /> • Solid waste containers will be available in other areas throughout these <br /> departments. <br /> • This facility utilizes reusable/recyclable pharmaceutical sharps containers through <br /> our waste hauler-Stericycle Reusable Sharps Program. <br /> • Waste will be labeled on all sides and top to be visible from any lateral direction. <br /> • Reusable rigid carts/containers are used to transport medical waste from the <br /> department to the accumulation area. <br /> • All containers shall be maintained in a clean and sanitary manner. <br /> • Transport carts/containers are lined with plastic liners and when liners are removed <br /> they are placed in a biohazardous bag. <br /> • Carts will be cleaned according to Environmental Services(EVS)/Infection Control <br /> cleaning procedures for medical waste carts. <br /> • A person shall thoroughly wash and decontaminate reusable rigid carts <br /> containers for medical waste by a method approved by the enforcement agency <br /> each time they are emptied,unless the surfaces of the containers have been <br /> completely protected from contamination by disposable liners,bags,or other <br /> devices removed with the waste. <br /> • Approved methods of decontamination include,but are not limited to,agitation <br /> to remove visible soil combined with one of the following procedures: <br /> • Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit) <br /> for a minimum of 15 seconds. <br /> (b)Exposure to chemical sanitizer by rinsing with,or immersion in,one of the <br /> following for a minimum of three minutes: <br /> (1)Hypochlorite solution(500 ppm available chlorine). <br /> (2)Phenolic solution(500 ppm active agent). <br /> (3)Iodoform solution(100 ppm available iodine). <br /> (4)Quaternary ammonium solution(400 ppm active agent). <br /> (5)Pure Chlorine(500 ppm), Dilution of 5m1 in 100 ml of water. <br /> (6)Oxycide(Peroxyacetic Acid Hydrogen Peroxide)Concentrate <br /> The following materials are classified as medical waste: Container Requirements , abefing--l�meedu I res: <br /> Sharps Waste-a device that has acute rigid comers,edges,or protuberances capable <br /> of cutting or piercing,including,but not limited to,hypodermic needles,hypodermic Shall be contained in a United States Food and Drug Administration(USFDA) <br /> needles with syringes,blades,needles with attached tubing,acupuncture needles,root approved sharps container that meets USFDA labeling requirements and is <br /> canal files,broken glass items used in health care such as Pasteur pipettes and blood handled pursuant to Section 118285.'Sharps Waste",or the Biohazard symbol <br /> vials contaminated with biohazardous waste,and any item capable of cutting or and the word"BIOHAZARD" <br /> piercing from trauma scene waste. <br /> Pathological Waste-Human body parts,with the exception of teeth,removed at Shall be segregated for storage and,when placed in a secondary container,that <br /> surgery and surgery specimens or tissues removed at surgery or autopsy that are container shall be labeled with the words"Pathology Waste",'PATH',or other <br /> suspected by the health care professional of being contaminated with infectious agents label approved by the department on the lid and on the sides,so as to be visible <br /> known to be contagious to humans or having been fixed in formaldehyde or another from any lateral direction. <br /> fixative. <br />