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APPENDIX F: OSHA - Continued <br />c. Hazardous Waste Bags/Tags: <br />The IC Program shall have addressed the labeling <br />procedures to be followed in the facility. To confirm <br />procedures are followed, employee interviews and the <br />walkaround will be conducted. <br />1. Bags or other receptacles containing articles <br />contaminated with potentially infectious material, <br />including contaminated disposable items, must be <br />tagged of otherwise identified. The tag shall have <br />the signal word "BOI" or the biological hazard <br />symbol. The tag shall indicate that the bag could <br />contain infectious wastes and give additional <br />instructions; e.g., if the outside of the bag is <br />contaminated with body fluids, a second outer bag <br />should be used. <br />2. If tags are not used, other equally effective means <br />of identification shall be used (e.g., red bagging) <br />3. Employees shall be informed of the meaning of tags. <br />With respect to tagged material, they shall also be <br />instructed to use double bagging where puncture or <br />outside contamination is likely. <br />F. Hepatitis B Vaccination: <br />The facility's IC policy regarding hepatitis B vaccinations <br />shall address all circumstances warranting such vaccinations <br />and shall identify employees at substantial risk of directly <br />contacting body fluids. All such employees shall be offered <br />hepatitis B vaccinations free of charge in amounts and at <br />times prescribed by standard medical practices. <br />G. Linen: <br />The IC program shall have identified all laundry operations <br />involving substantial risk of direct exposure to body fluids. <br />Linen shall be handled as little as possible and with minimum <br />agitation to prevent contamination of the person handling the <br />linen. All linens soiled with body fluids shall be bagged at <br />the location where it was used; it shall not be sorted or <br />rinsed in resident care areas. Soiled linen shall be placed <br />and transported in bags that prevent leakage. <br />-221- <br />