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Lodi Memorial Hospital 8420.151 Facilities Management L-8440.005 Safety Management; Environmental Services Revised: September 1998 Medical Waste Management Guidelines Page of 7 1. Always use the correct Personal Protective Equipment (PPE) during collection or handling of medical waste. This includes the use of fluid proof gloves, cover coat and face shield when there may be a risk of splashing into the face area such as during the cleanup of a spill. 2. Medical waste is segregated from other types of waste by containment in disposable biohazardous bags that are a minimum of 1.5 mil in thickness, moisture proof, and meet A.S.T.M. standards. The bags are red in color and printed to identify contents. 3. Needles and sharps are collected in disposable, rigid, puncture -proof containers and placed into the lined reusable plastic tubs for transporting to storage area and stored. The reusable collection tubs are kept in the soiled utility rooms in the areas where medical waste is generated until collected for transporting to storage areas by Environmental Service Technicians. 4. Chemotherapeutic waste is placed in the appropriate boxes in the fenced area. 5. Medical waste will be placed into the approved biohazardous bags inside a sturdy, reusable plastic container, or collection tub. Proper collection tubs for medical waste are always labeled with the words "BIOHAZARDOUS WASTE" or with the international biohazard symbol and the word "BIOHAZARD", and are covered securely with lids. Labels are placed on the top and sides of collection tubs so that it can be easily read. a. Tubs are lined with a red biohazardous bag before waste is placed into tubs. b. The collection tub is use for transporting medical waste to the storage area and must have the lid remain tightly secured while stored and waiting for offsite disposal. C. The collection tub is portable and must not be allowed to become so full that the lid cannot be closed securely. d. Never use the medical waste collection tubs or carts for a purpose other than collecting and transporting biohazardous waste bags. Never use the containers for storage or collection of other materials or items. 6. Medical waste is not allowed to accumulate for more than seven (7) days before offsite disposal. D. SPILL CONTAINMENT AND CLEANUP In the event a leak or spill occurs, Environmental Services must be contacted immediately to confine the spill and to clean the area. Surfaces are decontaminated with a quaternary ammonium solution with a minimum of 400 ppm active agent. 2. The solution is applied to the entire surface and allowed to remain in contact for a minimum of 10 minutes to complete the disinfecting process. 3. Interior storage rooms, counters, and surfaces that may have come in contact with medical waste contamination must be disinfected. 4. Portable tubs and rigid containers are removed from the building and taken to the north supply delivery/loading area at either facility for disinfecting. 5. Materials used or collected, including excess solution is absorbed into disposable paper toweling and discarded directly into medical waste containers even though it is now rendered non-