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lqq <br />Developed By A. Mosher July 06 <br />I <br />M4 <br />Environmental Services <br />Laboratory <br />Engineering <br />Environmental Health & Safety <br />Infection Control <br />RESPONSIBILITIES <br />-Segregate, collect, and process <br />-Provide a secure <br />-Maintain current polices and <br />-Perform quarterly audits of compliance <br />-Provide oversight of spore testing <br />medical waste. <br />location for the 3M <br />procedures. <br />process. <br />incubator. <br />-Follow all standard operating <br />*Support all functions of the <br />-Report all compliance issues to the Facility <br />-Ensure the Infection Control Committee <br />procedures, including temperature <br />Sanipak. This will include <br />Safety Committee and Leadership <br />is provided accurate information in <br />confirmation and documentation, color <br />establishing standard operating <br />regards to the biological indicator testing. <br />change confirmation of the autoclave <br />procedures, training, and <br />bags, assisting with the biological <br />communication with Sanipak for <br />indicator testing. <br />proper operation of the sterilizer. <br />-Train all staff on standard operating <br />-Train staff on all polices and <br />•Act as a liaison between the SJC <br />-Report all compliance issues to the <br />procedures. <br />procedures <br />Environmental Health Dept and various <br />Infection Control Committee and <br />departments for inspections and <br />Leadership <br />communication. <br />-Train All staff on contingency plans <br />-Maintain documentation for <br />three years. This includes all <br />reports from the Sanipak and <br />biological indicator testing <br />documentation. <br />-Report any Sanipak equipment issues <br />-Perform biological indicator <br />to Engineering immediately. <br />testing. This will occur monthly, <br />as delineated in the policy. The <br />Spore Testing Policy will be <br />carefully followed. <br />-Maintain all documentation according <br />-Create a report to include the <br />to policies and procedures. <br />spore testing information, i.e. the <br />log information, training dates, <br />calibration date, confirmation <br />time, temperature, pressure are <br />in compliance for all loads. <br />-Perform random audits on a quarterly <br />-Reports will be provided to the <br />basis to ensure all standard operating <br />Facility Safety Committee and the <br />procedures and polices and <br />Infection Control Committee with <br />procedures are followed by staff. This <br />all of the delineated information. <br />information will be presented to the <br />Facility Safety Committee and the <br />Infection Control Committee. <br />-Confirm/arrange alternate method of <br />-Arrange annual calibration. <br />disposal in the event the Sanipak is <br />not functioning properly. All staff will <br />receive communication in the event <br />the contingency plan is implemented. <br />any <br />maintenance or repairs. <br />maintenance <br />Developed By A. Mosher July 06 <br />I <br />M4 <br />