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Lodi Memorial Hospital 8420.151 <br />Facilities Management L-8440.005 <br />Safety Management; Environmental Services Revised: September 1998 <br />Page 1 of 7 <br />Medical Waste Management Guidelines <br />POLICY <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 />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 Plan. <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 />Lodi Memorial Hospital does not generate PATHOLOGY WASTE. All human anatomical parts, surgery <br />specimens and tissues are transferred from the hospital by Smith -Kline Laboratories for analysis by Delta <br />Pathology Associates, 2291 W. March Lane, Ste. 179E, Stockton, CA 95207. After final processing, the <br />specimens become waste and are the responsibility of Delta Pathology Associates. <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 ....... 1,750 pounds per month <br />Lodi Memorial Hospital; ALL CLINIC FACILITIES ....300 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 />