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Lodi Memorial Hospital 8420-EC3-Section C1 Facilities Management Page C-3 Environment of Care; Hazardous Materials and Wastes Management Revised: July, 2006 MEDICAL WASTE MANAGEMENT PLAN Chemotherapeutic Waste All trace contaminated (e.g., empty vials, ampoules, IV bottles/bags, tubing and sharps) will be deposited in specially marked, yellow collection container labeled with the words "Chemotherapy Waste" or "Chemo". When the container is full, without compacting, the locking lid is to be secured to prevent loss of contents prior to disposal. Gowns, gloves, and other trace contaminated non -sharps objects may also be deposited in the container. A contracted medical waste hauler for transport picks up the containers to an approved incineration facility when routine medical waste is hauled away for treatment. Pharmaceutical Waste Lodi Memorial Hospital generates pharmaceutical waste that is managed by pharmacy services until placed into locked storage area outside the hospital building. No access is permitted into the pharmaceutical waste collection/storage area other than pharmacy services and by the Safety Officer. C. MEDICAL WASTE STORAGE METHODS All medical waste will be collected and stored in the locked Biohazardous Waste Storage Area until transported by the medical waste hauler. All biohazardous waste is stored, handled or transported in containers that are leak resistant, have tight fitting covers and are kept clean and in good repair. Biohazard bags and filled sharps containers shall not be stored for more than 7 days at a temperature above 32 degrees Fahrenheit. This 7 -day period begins when any waste is placed into the locked storage area. • Lodi Memorial Hospital; WEST FACILITY ............ Exterior of building on north side, area is covered, fenced, and locked at all times. • Lodi Memorial Hospital; MAIN FACILITY ............. Exterior of building on north side, area is covered, fenced, and locked at all times. • Lodi Memorial Hospital; CONRAD BUILDING ..... Exterior of building on south side, area is covered, fenced, and locked at all times. The storage area shall be marked with warning signs saying in English, "CAUTION - BIOHAZARDUS WASTE STORAGE AREA - UNAUTHORIZED PERSONS KEEP OUT', and in Spanish, "CUIDADO - ZONA DE RESIDUOS BIOLOGICOS PELIGROSOS - PROHIBIDA LA ENTRADA A PERSONAS NO AUTORIZADAS". D. SPILL CONTAINMENT AND CLEANUP In the event a leak or spill occurs, Environmental Services must be contacted immediately to confine the spill and to clean the area. Surfaces are decontaminated with a quaternary ammonium solution with a minimum of 400 ppm active agent. The solution is applied to the entire surface and allowed to remain in contact for a minimum of 10 minutes to complete the disinfecting process. Interior storage rooms, counters, and surfaces that may have come in contact with medical waste contamination must be disinfected. Portable tubs and rigid containers are removed from the building and taken to the north supply delivery/loading area at either facility for disinfecting. Materials used or collected, including excess solution is absorbed into disposable paper toweling and discarded directly into medical waste containers even though it is now rendered non -hazardous. All exterior areas where decontamination is performed must be washed down with water prior to leaving the area. This clean rinse water is allowed to run into the storm drain. Reports of all spills, exposures or injuries resulting from the handling of medical waste is documented through the hospital Occurrence Reporting system.