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Medical Waste Management Plan
<br /> Kaiser Permanente — Manteca Medical Office
<br /> 1/01/202 5-12/31/2025
<br /> ■ Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit)
<br /> for a minimum of 15 seconds.
<br /> (b) Exposure to chemical sanitizer by rinsing with, or immersion in, one of the
<br /> following for a minimum of three minutes:
<br /> (1) Hypochlorite solution (500 ppm available chlorine).
<br /> (2) Phenolic solution (500 ppm active agent).
<br /> (3) Iodoform solution (100 ppm available iodine).
<br /> (4) Quaternary ammonium solution (400 ppm active agent).
<br /> (5) Pure Chlorine (500 ppm), Dilution of 5m1 in 100 ml of water.
<br /> (6) Oxycide (Peroxyacetic Acid / Hydrogen Peroxide) Concentrate
<br /> The following materials are classified as medical waste: Container Requirements and Labeling
<br /> Procedures:
<br /> Sharps Waste -a device that has acute rigid corners, edges, or protuberances capable of Shall be contained in a United States Food and Drug Administration
<br /> cutting or piercing, including, but not limited to, hypodermic needles, hypodermic needles with (USFDA) approved sharps container that meets USFDA labeling
<br /> syringes, blades, needles with attached tubing, acupuncture needles, root canal files, broken requirements and is handled pursuant to Section 118285, "Sharps
<br /> glass items used In health care such as Pasteur pipettes and blood vials contaminated with Waste", or the Biohazard symbol and the word "BIOHAZARD"
<br /> biohazardous waste, and any item capable of cutting or piercing from trauma scene waste.
<br /> Pathological Waste - Human body parts, with the exception of teeth, removed at surgery and Shall be segregated for storage and, when placed in a secondary
<br /> surgery specimens or tissues removed at surgery or autopsy that are suspected by the health container, that container shall be labeled with the words"Pathology
<br /> care professional of being contaminated with infectious agents known to be contagious to Waste", " PATH", or other label approved by the department on the lid
<br /> humans or having been fixed In formaldehyde or another fixative. and on the sides, so as to be visible from any lateral direction,
<br /> Biohazardous Waste—Regulated medical waste, clinical waste, or biomedical waste that is a
<br /> waste or reusable material derived from the medical treatment of a human, which Includes
<br /> diagnosis and immunization; or from biomedical research, which includes the production and
<br /> testing of biological products.
<br /> Regulated medical waste or clinical waste or biomedical waste suspected of containing a highly
<br /> communicable disease.
<br /> Laboratory waste such as human specimen cultures; cultures and stocks of infectious agents Shall be placed in a biohazard bag conspicuously labeled with the
<br /> from research;wastes from the production of bacteria, viruses, spores, discarded live and words "Biohazardous Waste"or with the international biohazard symbol
<br /> attenuated vaccines used in human health care or research, including Brucellosis and and the word 'BIOHAZARD."
<br /> Contagious Ecthyma, as defined by the department; culture dishes, devices used to transfer, Containers may be of any color and shall be labeled with the words
<br /> inoculate, and mix cultures; and wastes identified by Section 173,134 of Title 49 of the Code of "Biohazardous Waste" or with the international biohazard symbol and
<br /> Federal Regulations as Category B 'once wasted"for laboratory wastes. the word "BIOHAZARD" on the lid and on the sides so as to be visible
<br /> Waste that, at the point of transport from the generator's site or at the point of disposal contains from any lateral direction.
<br /> recognizable fluid human blood, fluid human blood products, containers, or equipment containing
<br /> human blood that is fluid.
<br /> Waste containing discarded materials contaminated with excretion, exudate, or secretions from
<br /> humans that are required to be isolated by the infection control staff, the attending physician and
<br /> surgeon, or the local health officer, to protect others from highly communicable diseases or
<br /> diseases of animals that are communicable to humans.
<br /> Trace Chemotherapy wastes—waste that is contaminated through contact with, or having
<br /> previously contained, chemotherapeutic agents, including, but not limited to, gloves, disposable
<br /> gowns, towels, and intravenous solution bags and attached tubing that are empty.
<br /> A container is considered trace chemotherapy waste if: Shall be segregated for storage, and, when placed in a secondary
<br /> 1. All the chemotherapy drug has been removed using practices commonly employed to remove container, that container shall be labeled with the words
<br /> materials from that type of container; "Chemotherapy Waste", "CHEMO", or other label approved by the
<br /> 2. The drug cannot drip or pour or be scraped out of the container, department on the lid and sides, so as to be visible from any lateral
<br /> Examples of trace chemotherapy waste are: direction.
<br /> Contaminated gowns, gloves, masks, cleaning clothes, and barriers. Empty: IV tubing, IV
<br /> bags/bottles, syringes, drug vial
<br /> *Bulk Chemo is disposed as RCRA hazardous waste.
<br /> A person may consolidate into a common container, which may be
<br /> Non-RCRA Pharmaceutical wastes—waste pharmaceuticals which are not federally reusable, sharps waste, as defined in Section 117755, and
<br /> hazardous (non-RCRA), radioactive or classified as municipal solid waste (trash). pharmaceutical wastes, as defined in Section 117747. The container
<br /> * Pharmaceutical waste classified by the federal Drug Enforcement Agency(DEA) as "controlled shall be labeled with the biohazardous waste symbol and the words
<br /> substances" are disposed In compliance with DEA requirements. "HIGH HEAT ONLY," "INCINERATION," or other label approved by the
<br /> department on the lid and on the sides, so as to be visible from any
<br /> lateral direction,
<br /> Manteca MOB Page 2 of 5
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