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r <br />Dignity Health.. <br />St. Joseph's Medical Cerner <br />Page 4 of 11 <br />c. Then place the bag in a disposable, bulk chemotherapy container labeled <br />"Hazardous Chemical Waste" and "Incineration only". <br />d. Nitrogen Mustard will be inactivated with Sodium Thiosulfate prior to disposal. <br />e. Record amount discarded on Hazardous Waste List. (Hazardous Chemical <br />Waste must be manifested = the hazardous wastes are recorded on a multi - <br />copy -shipping document and can be tracked from the point -or -generation to <br />their final destination.) <br />f. Retain a copy of the list in the pharmacy for 3 years. <br />g. Call Materials Management and request special bulk chemotherapy waste <br />pick- up when container is 75% full. Provide Materials Management <br />personnel with the list of chemotherapeutic agents in the container. Materials <br />Management staff will deliver it to the Hazardous Waste Storage area to be <br />disposed of by a licensed hazardous waste company. <br />h. See Materials Management policy and procedure for disposal outside of the <br />facility. <br />3. RCRA (Federal) hazardous waste pharmaceuticals must be placed in a black <br />container marked "RCRA Hazardous Waste." A completed yellow hazardous <br />waste label must be attached. Call EVS and request that the waste be taken to <br />the Hazardous Waste Storage area. RCRA waste is separated into two <br />separate bins: aerosol and non -aerosol RCRA waste. Label each bin with the <br />date started and the date to be removed, 11 months from start date. <br />(See Attachment A for RCRA Pharmaceutical Waste Alphabetical List) <br />4. Non-RCRA pharmaceutical waste that cannot be disposed of in the sewage <br />system or solid wastage system in California (also know as California "only" <br />hazardous waste) must be placed in a Pharmaceutical Waste container and be <br />labeled "Incineration Only" on the lid and sides of the container. Request EVS to <br />take the waste to the Medical Waste Storage area. <br />V. Education and Training <br />A. Staff training on appropriate handling of pharmaceutical waste will be done during <br />orientation of new clinical staff. <br />B. Compliance with appropriate waste procedures will be audited weekly during <br />environmental rounds. A schematic diagram of Waste Handling will be available to <br />staff to assist them in differentiating appropriate waste stream management. (See <br />Attachment C.) <br />