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• i DEUEL VOCATIONAL INSTITUTION No. 157 - OPERATIONAL PROCEDURE - Medical Waste Management Plan Page 4 of 6 4. Provide a completed medical waste tracking document at the time of each pick-up, pursuant to HSC, Chapter 6, Section 118040. The document shall be properly executed, signed and dated by the Supervising Registered Nurse II or designee and the waste hauler at each of the institution locations. Only the Supervising Registered Nurse 11 or Correctional Health Services Administrator I or designee shall review and sign the original manifest (for billing authorization) prior to shipment of medical waste. Within fifteen (15) calendar- days after medical waste pick up, a copy of the manifest with the disposal site information section completed shall be furnished to Cynthia Fedrick, Correctional Health Services Administrator I, or designee. Invoices will be processed upon receipt by the Correctional Health Services Administrator I or designee to include, a copy of the treatment, storage and disposal (TSD) facility manifest, establishing acceptance of the waste at the disposal site, and the Certificate of Disposal from the ultimate disposal facility. Contractor shall provide an official scale, approved by the State Department of Food and Agriculture Measurement Standards Division, to weigh medical waste. Contractor is responsible for weighing all medical waste at the institution prior to transport. Contractor shall report the total pounds picked up to the institution liaison prior to transport. Rev. 06/07 H. Pharmaceutical Waste: 1. Partially used/residual prescription or over the counter medication, such as tablets, capsules, vials with residual (pourable) liquids, powders, eye drops, creams/lotions, partial tablets and suppositories. 2. Residual or wasted narcotics, other controlled substances and/or dangerous drugs. 3. Used patches. 4. Syringes, tubex, carpujects (without sharps), with residual medication. 5. IV bags and tubing with residual medication. Unopened/unused or expired medications are returned to the Pharmacy in a timely manner. Pharmaceutical waste is disposed of in white containers, labeled "Incineration Only". Pharmaceutical waste containers will be secured in areas that are not accessible to the inmate. Medical waste and sharps are never disposed of in the pharmaceutical waste container. Each container must be clearly labeled with the current date (when put into service) and the expiration date. When the waste container becomes 114 full; the following will occur: The designated medical staff (RN/LVN) assigned to the area will contact the pharmacy to arrange for pick-up and for proper handling. The Pharmacist in Charge (PIC) or his designee will contact the pharmaceutical contract provider Guaranteed Returns at 1-800-473-2138 to arrange for a pick- up. When needed a representative of Guaranteed Returns will assist with the preparation package and shipping.