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Lodi Memorial Hospital 8420-EC3-Section C2 Facilities Management 0 0 Page C-2 of 10 Environment of Care; Hazardous Materials and Wastes Management Revised: July, 2006 MEDICAL WASTE MANAGEMENT GUIDELINES B. COLLECTION PROCESSES - Routine Biohazardous Waste Environmental Service Technicians are trained in the appropriate measures for collection of medical waste prior to being scheduled to perform such duties. Documentation of the training and orientation is kept on file in the Environmental Services office. Training information includes but is not limited to the following instructions. Always use the correct Personal Protective Equipment (PPE) during collection or handling of medical waste. This includes the use of fluid proof gloves, cover coat and face shield when there may be a risk of splashing into the face area such as during the cleanup of a spill. 2. Medical waste is segregated from other types of waste by containment in disposable biohazardous bags that are a minimum of 1.5 mil in thickness, moisture proof, and meet A.S.T.M. standards for breakage and tears. The bags are red in color, printed to identify contents and must not be used anything except medical waste. 3. Needles and sharps are collected in disposable, rigid, puncture -proof containers and placed into lined reusable plastic tubs for transporting to storage area and stored. The reusable collection tubs are kept in the soiled utility rooms in the areas where medical waste is generated until collected for transporting to exterior storage areas by Environmental Service Technicians trained in the appropriate handling of medical waste. 4. Chemotherapeutic waste is placed in the appropriate shipping containers and located in the secured exterior storage area until time of pickup by the authorized hauler. 5. Medical waste will be placed into the approved biohazardous bags inside a sturdy, reusable plastic container or collection tub. Proper collection tubs for medical waste are always labeled with the words "BIOHAZARDOUS WASTE" or with the international biohazard symbol and the word "BIOHAZARD", and are covered securely with lids. Labels are placed on the top and sides of collection tubs so that it can be easily read. a. Tubs are lined with a red biohazardous bag before waste is placed into tubs. b. The collection tub is use for transporting medical waste to the storage area and must have the lid remain tightly secured while stored and waiting for offsite disposal. C. The collection tub is portable and must not be allowed to become so full that the lid cannot be closed securely. d. Never use the medical waste collection tubs or carts for a purpose other than collecting and transporting biohazardous waste bags. Never use the containers for storage or collection of other materials or items. 6. Medical waste is not allowed to accumulate for more than seven (7) days before offsite disposal. C. 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 171