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Lodi Memorial Hospital <br />Facilities Management <br />Safety Management; Environmental Services <br />POLICY <br />8420.151 <br />L-8440.005 <br />Revised: August 1998 <br />Page 1 of 6 <br />It is the policy of Lodi Memorial Hospital to manage all phases of medical waste in a manner that reduces the risk of <br />cross contamination, provides adherence to regulations, and by implementing change in practices as needed. <br />Continuous monitoring of procedures and practices aide in meeting responsibility of the program management. <br />II. PURPOSE <br />The mission of the Lodi Memorial Hospital organization is to appropriately manage medical waste at each health <br />care facility. The scope of the medical waste management program is determined for each facility by the volume <br />and type of medical waste generated. Consideration is given to appropriate space allocations, enclosures and <br />means to collect, store or treat medical waste at that facility. <br />Procedures are developed to comply with California Medical Waste Management Act, Department of Health <br />Services, Health and Safety Code Sections 117600-118360, and for management of medical waste generated by <br />Lodi Memorial Hospital, Lodi Memorial Hospital West, and all other facilities operated by the Lodi Memorial Hospital <br />organization. <br />These guidelines are provided to identify processes involved in the medical waste management program. <br />III. FUNDAMENTALS <br />A. TYPES OF WASTE <br />Medical waste generated or handled at a Lodi Memorial Hospital facility consists of biohazardous waste <br />and sharps waste. These wastes result from patient diagnosis or treatment where blood and certain body <br />fluids or other contaminates exists. Trauma scene waste may be collected at times when ambulance <br />service providers and other emergency responders deliver patients for medical attention. <br />B. VOLUMES OF WASTE <br />The following information represents the estimated total pounds of medical waste removed for disposal <br />during a monthly period at each facility. <br />Lodi Memorial Hospital; WEST FACILITY..............5,800 pounds per month <br />Lodi Memorial Hospital; MAIN FACILITY...............1,800 pounds per month <br />Lodi Memorial Hospital; CONRAD BUILDING ....... 1,752 pounds per month <br />Lodi Memorial Hospital; ALL CLINIC FACILITIES ....293 pounds per month <br />C. COLLECTION PROCESSES <br />Environmental Service Technicians are trained in the appropriate measures for collection of medical waste <br />prior to being scheduled to perform related duties. Documentation of the training and orientation is kept <br />on file in the Environmental Services office. Training information includes but is not limited to the following <br />instructions. <br />1. Always use the correct Personal Protective Equipment (PPE) during collection or handling of <br />medical waste. This includes the use of fluid proof gloves, cover coat and face shield when there <br />may be a risk of splashing into the face area such as during the cleanup of a spill. <br />2. Medical waste is segregated from other types of waste by containment in disposable biohazardous <br />bags that are a minimum of 1.5 mil in thickness, moisture proof, and meet A.S.T.M. standards. The <br />bags are red in color and printed to identify contents. <br />