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degrees Fahrenheit for at least 1/2 hour in order to achieve sterilization of the entire load. <br />Also identified and recorded are the types of medical waste treated. Thermometers used <br />shall be checked for calibration every 6 months as identified in plant engineering policies <br />and procedures. Calibration records shall be maintained in the facility file for a period of <br />three years. All biohazardous red bags used at SJGH come from the manufacturer come <br />with heat sensitive tapes on the bags. These heat sensitive tapes serve to indicate that all <br />biohazardous bags or sharp containers processed on site indicate the attainment of <br />adequate sterilization condition. In the case that heat sensitive strips have not changed <br />color and/or the thermometer indicates proper sterilization has not taken place, <br />Engineering is notified to check calibration and sterilization process is repeated. Testing - <br />The Medical Waste Management Plan calls for a biological indicator test twice a month in <br />which a bacillus stearothermophilus indicator is placed in the center of the load processed <br />under standard operating condition to confirm the attainment of adequate sterilization <br />conditions. SJGH uses Kechemspor II and twice a month in which the tube is sent to the <br />laboratory for reading and written results are received the Engineering Department within <br />7 days and records are kept for a period not less than 3 years. <br />INCINERATION <br />—:SJGH does not incinerate nor operate a medical waste incinerator. All anatomical and <br />- pathological tissues are contracted for cremation at Lodi Memorial Cemetery. <br />INFORMATION CERTIFICATION <br />SJGH believes that the information contained in this medical waste management plan and <br />the associated medical waste management plan policies and procedures manual are a true <br />representation of the medical waste handling methods utilized at our facility. <br />MEDICAL WASTE MANAGEMENT PLAN POLICY & PROCEDURE MANUAL <br />INDEX ATTACHED <br />