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Page 7b Attachment (cont) <br /> Records Management <br /> Tracking documents and manifest pertaining to the generation and disposal of medical waste are <br /> maintained by the Staff Development Department. <br /> All documentstrecords are maintained for at least three years. <br /> k. Describe your medical waste emergency action plan, including procedures far handling spills, exposures, <br /> equipment-failures, etc. (attach information as necessary) <br /> Emergency Action Plan: <br /> Medical waste is stored only in secured labeled areas. In the event that service by the medical to <br /> transporter and or treatment contractor is interrupted for any reason,the following actions would be <br /> implemented: <br /> I. Determine when regular service from regular transport and treatment contractor can be resumed. <br /> Inquire if contractor has alternative transportation,storage and disposal plan that can be <br /> implemented. <br /> 2. Notify the California Department of Public Health,Medical Waste Management Division and <br /> the San Joaquin County Environmental Health Department of service interruption and what <br /> actions will be taken. <br /> If the contractor cannot provide services within a reasonable time,then the following actions will be <br /> implemented: <br /> 1. Attempt to secure services of an alternate contractor who may be able to transport and dispose of <br /> waste until regular service is restored. (ref. CDP H Medical Waste Management Division list of <br /> Approved Facilities) <br /> www.cdDh.ca/izov/certlic/medicalwasig/Pa es/Trans erTreatrraent.aspx <br /> Procedures for Handling Spills <br /> Any leak or spill of a medical waste is decontaminated by the following procedures adopted by Vienna. <br /> Only staff members who are trained and competent regarding the proper procedures,that have the <br /> appropriate spill clean-up equipment and personal protective equipment are allowed to clean blood or <br /> other potentially infectious materials. The Director of Staff Development and Department heads are <br /> responsible for ensuring that staff members have been trained regarding spill response procedures for <br /> materials to which they may be exposed. <br /> Procedure: <br /> 1. All spills are contained immediately and cleaned up by trained employees or others properly <br /> trained and equipped to work with potentially concentrated infectious materials. <br /> 2. Alert people in immediate area of spill to keep away and not to touch the material or walk near it. <br /> 3. If trained,disposable protective gloves, gowns, face masks, and eye covering as appropriate must be <br /> worn during all cleaning of blood/body fluids and during decontamination procedure. <br /> 4. Cover spill with paper towel or other absorbent material. Wipe up the spill and dispose properly. <br /> S. Spills are cleaned utilizing a solution of 20 Neutral Disinfectant Cleaner. Blood/body fluids must be <br /> thoroughly cleaned from surfaces/objects before application of disinfectant. Then thoroughly wet <br /> surface with a use-solution of'/;a ounce of the concentrate per gallon of water. The use-solution can <br /> be applied with a coarse spray device by spraying 6-8 inches from the surface. <br /> 6. Let solution remain on surface for a minimum of 10 minutes. Rinse or allow to dry, HIV-1 is <br /> inactivated after a contact time of four minutes at 77 degree Fahrenheit. HBV and HCV are <br /> inactivated after a 10 minutes contact time and the same for all other viruses,fungi and bacteria <br /> listed. The amount of solution mixed will not exceed the amount to be used at any one time. <br /> 7. Document actions, if necessary, <br />