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Medical Waste Management Plan
<br /> Kaiser Permanente — Manteca Medical Office
<br /> 1/01/2025-12/31/2025
<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 5ml 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 L eling
<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 Drlug 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 ords"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. j
<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 internatiohal 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 label d 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 bio iazard symbol and
<br /> Federal Regulations as Category B"once wasted"for laboratory wastes. the word"BIOHAZARD"on the lid and on the side 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 placec 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�ords
<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 vislbl 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 contain r,which may be
<br /> Non-RCRA Pharmaceutical wastes—waste pharmaceuticals which are not federally reusable,sharps waste,as defined in Section 11 f755,and
<br /> hazardous(non-RCRA),radioactive or classified as municipal solid waste(trash). pharmaceutical wastes,as defined in Section 117 47.The container
<br /> 'Pharmaceutical waste classified by the federal Drug Enforcement Agency(DEA)as"controlled shall be labeled with the biohazardous waste sym of and the words
<br /> substances"are disposed in compliance with DEA requirements. "HIGH HEAT ONLY,""INCINERATION,"or other I ibel 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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