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L)4n,� rtospuat Ue artmeni in-Jervlce JI n In JIle el1� M`N —� <br /> C.I.I.-i. <br /> Manteca <br /> Te,,,� All fahs must' bE:Jilled in — PLEASEGRINT <br /> GLASS TITLE <br /> Hazardous Waste Management — <br /> DATE May 1 st — 1 Ot". <br /> :IRCLE ONE Mandatory Non-mandatory <br /> START TIME <br /> TOTAL HOURS <br /> C.E.U. APPROVED HOURS <br /> LOCATION Unit Rounding <br /> INSTRUCTORS Department Directors, Clinical Managers, Shift Managers <br /> TARGET AUDIENCE All clinical staff <br /> TEACHING METHODS: Lecture Self study Discussion Demonstration Video <br /> Circle all that apply RespuCce Binder <br /> DEPARTMENTS ICU, S, SS, Perinatal, OR, ED <br /> LEARNING OBJECTIVES t. VQnNO identification of hazardous waste <br /> 2. Proper identification of waste disposal containers <br /> (clearly state) 3. Verbalize understanding of laws and regulations pertaining to waste disposal <br /> 4. Discussion of improper changing of containers and cost related to inappropriate use <br /> REASON: Circle all that Individual staff needs Patient population/Age specific <br /> app/ Equipment Technolo New/Revised Policy Procedure <br /> PARTICIPANT Post tesf Return demo Competency Re-monitor <br /> EVALUATION METHOD QI Change in clinical practice OTHER <br /> PRINT NAME :(First & Last) DEPT EMP Contract/ ADMIN <br /> n-Em <br /> F1__ Q (MA, <br /> 141, <br /> ( s a c�A _ <br /> 3 a � IMs <br /> 4 n^ <br /> 5 <br /> 7 N)N mv) J <br /> g <br /> io <br /> 11 <br /> � <br /> •12 <br /> HAln Service Sign-In sheets.do t <br />