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i Medical Waste Management Plan Kaiser Permanente — Stockton Medical Offices 1/01/2025-12/31/2025 • This facility utilizes reusable/recyclable pharmaceutical sharps containers through our waste hauler-Stericycle Reusable Sharps Program. • Waste will be labeled on all sides and top to be visible from any lateral direction. • Reusable rigid containers are used to transport medical waste from the department to the accumulation area. • All containers shall be maintained in a clean and sanitary manner. • Containers are lined with plastic liners and when liners are removed they are placed in bio-hazard bag. • Carts will be cleaned according to Environmental Services (EVS)/Infection Control cleaning procedures for medical waste carts. • A person shall thoroughly wash and decontaminate reusable rigid containers for medical waste by a method approved by the enforcement agency each time they are emptied, unless the surfaces of the containers have been completely protected from contamination by disposable liners, bags, or other devices removed with the waste. • Approved methods of decontamination include, but are not limited to, agitation to remove visible soil combined with one of the following procedures: (a)Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit)for a minimum of 15 seconds. (b) Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes: (1) Hypochlorite solution (500 ppm available chlorine). (2) Phenolic solution(500 ppm active agent). (3) Iodoform solution (100 ppm available iodine). (4) Quaternary ammonium solution (400 ppm active agent). (5) Pure Chlorine(500 ppm), Dilution of 5ml in 100 ml of water. The following materials are classified as medical waste: Container Requirements and Labeling Procedures: Sharps Waste-a device that has acute rigid comers,edges,or protuberances capable of cutting or piercing,including,but not limited to,hypodermic needles,hypodermic Shall be contained in a United States Food and Drug Administration(USFDA) needles with syringes,blades,needles with attached tubing,acupuncture needles,root approved sharps container that meets USFDA labeling requirements and is 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 vials contaminated with biohazardous waste,and any item capable of cutting or and the word"BIOHAZARD" piercing from trauma scene waste. Biohazardous Waste-Regulated medical waste,clinical waste,or biomedical waste that is a waste or reusable material derived from the medical treatment of a human, which includes diagnosis and immunization;or from biomedical research,which Includes the production and testing of biological products. Shall be placed In a biohazard bag conspicuously labeled with the words Regulated medical waste or clinical waste or biomedical waste suspected of containing "Blohazardous Waste"or with the international biohazard symbol and the word a highly communicable disease. "BIOHAZARD." Laboratory waste such as human specimen cultures;cultures and stocks of infectious Containers may be of any color and shall be labeled with the words agents from research;wastes from the production of bacteria,viruses,spores, "Biohazardous Waste'or with the international blohazard symbol and the word discarded live and attenuated vaccines used In human health care or research, "BIOHAZARD"on the lid and on the sides so as to be visible from any lateral including Brucellosis and Contagious Ecthyma,as defined by the department;culture direction. dishes,devices used to transfer,inoculate,and mix cultures;and wastes identified by Section 173.134 of Title 49 of the Code of Federal Regulations as Category B"once wasted"for laboratory wastes. Stockton Tommydon MOB Page 2 of 6