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Medical Waste Management Plan <br /> Kaiser Permanente—Tracy Medical Office <br /> 1/01/2023-12/31/2023 <br /> ■ Approved methods of decontamination include,but are not limited to,agitation <br /> to remove visible soil combined with one of the following procedures: <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 Labeling Procedures: <br /> Sharps Waste-a device that has acute rigid corners,edges,or protuberances capable <br /> of cutting or piercing,including,but not limited to,hypodermic needles,hypodermic Shall be contained in a United Stales Food and Drug Administration(USFDA) <br /> needles with syringes,blades,needles with attached tubing,acupuncture needles,root approved sharps container that meets USFDA labeling requirements and is <br /> canal files,broken glass items used in health care such as Pasteur pipettes and blood handled pursuant to Section 118285."Sharps Waste",or the Biohazard symbol <br /> vials contaminated with biohazardous waste,and any item capable of cutting or and the word"BIOHAZARD" <br /> piercing from trauma scene waste. <br /> Pathological Waste-Human body parts,with the exception of teeth,removed at Shall be segregated for storage and,when placed in a secondary container,that <br /> surgery and surgery specimens or tissues removed at surgery or autopsy that are container shall be labeled with the words"Pathology Waste","PATH",or other <br /> suspected by the health care professional of being contaminated with infectious agents label approved by the department on the lid and on the sides,so as to be visible <br /> known to be contagious to humans or having been fixed in formaldehyde or another <br /> fixative. from any lateral direction. <br /> Biohazardous Waste—Regulated medical waste,clinical waste,or biomedical waste <br /> that is a waste or reusable material derived from the medical treatment of a human, <br /> which includes diagnosis and immunization;or from biomedical research,which <br /> includes the production and testing of biological products. <br /> Regulated medical waste or clinical waste or biomedical waste suspected of containing <br /> a highly communicable disease. <br /> Laboratory waste such as human specimen cultures;cultures and stocks of infectious <br /> agents from research;wastes from the production of bacteria,viruses,spores, Shall be placed in a biohazard bag conspicuously labeled with the words <br /> discarded live and attenuated vaccines used in human health care or research, "Biohazardous Waste'or with the international biohazard symbol and the word <br /> including Brucellosis and Contagious Ecthyma,as defined by the department;culture "BIOHAZARD." <br /> dishes,devices used to transfer,inoculate,and mix cultures;and wastes identified by Containers may be of any color and shall be labeled with the words <br /> Section 173.134 of Title 49 of the Code of Federal Regulations as Category B"once "Biohazardous Waste"or with the international biohazard symbol and the word <br /> wasted"for laboratory wastes. "BIOHAZARD"on the lid and on the sides so as to be visible from any lateral <br /> Waste that,at the point of transport from the generator's site or at the point of disposal direction. <br /> contains recognizable fluid human blood,fluid human blood products,containers,or <br /> equipment containing human blood that is fluid. <br /> Waste containing discarded materials contaminated with excretion,exudate,or <br /> secretions from humans that are required to be isolated by the infection control staff, <br /> the attending physician and surgeon,or the local health officer,to protect others from <br /> highly communicable diseases or diseases of animals that are communicable to <br /> humans. <br /> Trace Chemotherapy wastes—waste that is contaminated through contact with,or <br /> having previously contained,chemotherapeutic agents,including,but not limited to, <br /> gloves,disposable gowns,towels,and intravenous solution bags and attached tubing <br /> that are empty. <br /> A container is considered:race chemotherapy waste if: Shall be segregated for storage,and,when placed in a secondary container, <br /> 1.All the chemotherapy drug has been removed using practices commonly employed that container shall be labeled with the words"Chemotherapy Waste", <br /> to remove materials from that type of container; "CHEMO",or other label approved )y the department on the lid and sides,so as <br /> 2.The drug cannot drip or pour or be scraped out of the container. to be visible from any lateral direction. <br /> Examples of trace chemotherapy waste are: <br /> Contaminated gowns,gloves,masks,cleaning clothes,and barriers.Empty:IV tubing, <br /> IV bags/bottles,syringes,drug vial <br /> *Bulk Chemo is disposed as RCRA hazardous waste. <br />