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Plan - Medical Waste Manager=nt Program Page 5 of 10 <br />4P is <br />Director of Pharmacy <br />A. Medical Waste Segregation, Containment, Labeling, & Collection Procedures: <br />1. Medical Waste: <br />Medical waste (non -chemotherapeutic waste, non -pathology waste, non -pharmaceutical <br />waste) is contained separately from other wastes at the point of generation. In non- <br />patient care areas, non-medical solid waste is not to be disposed of in medical waste <br />containment devices. When cleaning patient care areas, Environmental Services will <br />place all medical wastes into RED biohazard bags labeled with the word "Biohazard." <br />These bags are to be impervious to moisture and have strength sufficient to preclude <br />ripping, tearing or bursting under normal use and handling. The biohazard bag used must <br />be constructed of material that will pass the 165 gram dropped dart impact resistance <br />test as required by Standard D 1709-91 of the A.S.T.M. Documentation from the <br />manufacturer of compliance with these minimum construction standards will be kept on <br />file in the Environmental Services Department. All waste placed in a red bag will be <br />considered medical waste. The bags will be tied to prevent spillage in the event the bag <br />is dumped upside down. All sharps will be placed in a sharps container labeled with the <br />words "SHARPS WASTE" or with the international biohazard symbol and the word <br />"Biohazard." Sharps containers will be rigid puncture resistant containers that when <br />sealed are leak resistant and not able to be reopened without great difficulty. Sharps <br />containers shall be considered "full" when they reach 2/3 capacity or the manufacturer's <br />full line. Lids on filled sharps containers must be snapped closed, taped, or otherwise <br />sealed to prevent loss of contents prior to disposal. Medical waste will be stored and <br />transported in rigid containers to the Biohazardous Waste Storage Area located near the <br />shipping / receiving area. The containers will be labeled with the words "Biohazardous <br />Waste" or the word "Biohazard," and the international biohazard symbol. This storage <br />area will be locked at all times. Access will be limited to Environmental Services and <br />Plant Operations & Maintenance Department personnel. Waste consisting of medical and <br />nonmedical waste will be handled as medical waste except as follows: <br />a. Medical waste mixed with hazardous waste will be treated as hazardous waste. <br />b. Medical waste mixed with radioactive waste will be treated as radioactive waste. <br />c. Medical waste mixed with hazardous and radioactive waste will be treated as <br />radioactive waste. <br />2. Chemotherapeutic Waste: <br />All trace contaminated (e.g., empty vials, ampules, IV bottles/bags, tubings and sharps) <br />will be deposited in a specially marked, yellow collection container labeled with the words <br />"Chemotherapy Waste" or "Chemo." When the container is full, without compacting, the <br />locking lid is to be secured to prevent loss of contents prior to disposal. Gowns, gloves, <br />and other trace contaminated non -sharps objects may also be deposited in the container. <br />The container will be transferred to a specially marked, secondary container for storage <br />http://dhalts0llpolicy/policy.nsf/2b0l45f9f8l 80bc287257276006425641bbd8f2e555d6304... 4/14/2011 <br />