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ENDOSCOPY CENTER OF LODI <br /> Title: Hazardous Materials and Regulated POLICY: EOC 300 <br /> Medical Waste Management Plan Page 2 of 6 <br /> State: EFFECTIVE: 4/19/2012 <br /> CMS: 416.42, 416.44 a 3 , 416.49(b)(2) 416.51 REVISED: <br /> TJC: EC.02.01.01.01 <br /> AAAHC: 7-I,J 8-M <br /> 3. Ongoing monitoring of performance regarding actual or potential risks related to <br /> one or more of the following: <br /> a. Staff knowledge and skills, <br /> b. Level of staff participation, <br /> c. Monitoring and inspection activities, <br /> d. Emergency and incident reporting, and <br /> e. Inspection, preventive maintenance, and testing of equipment; and <br /> f. Emergency procedures that describe the specific precautions, procedures, <br /> and protective equipment used during hazardous materials and waste <br /> spills or exposures. <br /> THE HAZARDOUS MATERIALS AND WASTE MANAGEMENT PLAN: <br /> The center has adopted processes for the selection, storage, use, and disposal of <br /> hazardous wastes from generation through final deposit. <br /> Written criteria exist in the form of policies and procedures. This criteria is consistent <br /> with applicable law and regulation to identify, evaluate, and inventory hazardous <br /> materials and waste used or generated in the facility. <br /> These procedures include the management of chemical waste and regulated medical <br /> waste, including sharps. <br /> The center provides secure, environmentally controlled hazardous materials and waste <br /> storage spaces as well as personal protective equipment (PPE) for those personnel <br /> who must work or come into contact with hazardous materials and waste. <br /> The reporting and investigation of all hazardous materials or waste spills will be <br /> performed through the center's incident reporting system. The appropriate persons and <br /> the appropriate committee will act on each incident. <br /> Center staff will familiarize themselves with the basic components and operation of the <br /> Hazard Materials and Regulated Medical Waste Management program. <br /> This will be accomplished through the center's established general orientation program. <br /> This program addresses precautions for selecting, storing, using, and disposing of <br /> hazardous materials and wastes. <br /> The education program also addresses emergency procedures and health hazards <br /> related to chemicals in the workplace, as well reporting incidents that involve spills or <br /> exposure. <br /> Incident reporting is accomplished through the center's incident reporting program. <br /> Regent Surgical Health-1/1/12 <br />