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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 6 of 7 pull the drawer out. To close, push the drawer back into the unit, lift rails, and unlock door from the wall. 7. When filling the sterilizing unit, the drawer must not be filled beyond 75% maximum capacity for processing of each load. Never overload the drawer. The bags must be closed securely with a twister tied into a knot before placement inside the unit. The contents of each bag will not exceed 50% fluid as a total volume. 8. Closing the unit door. Turn the arrow knob on the autoclave handle to the down position. Move the handle up and down until the door is closed well. Do not force closed with strength. When initially closing the door, place your hand on the door handle and push lightly. When closed, close the locking lever at the top. 9. To activate the processing cycles, place the key into the switch and turn it to start. The key will automatically return to the start position. Remove the key from the switch and return it to the janitor's room immediately. 10. Emergency stop button is located near the switch is a RED button for use to stop the cycle in emergency situations only. REMOVAL OF STERILIZED WASTE FOR COMPACTION AND DISPOSAL 1. Obtain keys for unit from the basement janitors' room. 2. Do not attempt to open the door of unit unless the pressure gauge has no reading indicated. Always check the gauge first to make sure it is at 110" (zero). 3. Check the graph to assure the load has processed at the right temperature and for the proper length of time. Open the door to the graph chart and record the date, time, and initials prior to unloading the processed load. This is required for each time the unit is emptied. Unlock the padlock and move the chain out of the locked position. Do not remove lock and chain away from the unit. 4. Stand away from the unit to allow the safe release of any steam that may be inside and lift the locking latch at the top. Turn the arrow knob on the unit handle to the up position. Move the handle up and down until the door release. 5. Open door carefully watching for the possibility of additional steam to escape. Fasten the door open to the hook attached to the wall, to prevent the door from closing on you. Be sure to wear waterproof -heat resistant gloves and face shield while opening the unit or handling the bags at completion of the cycle as there could be sufficient heat to cause burns. Gloves and face shields are kept near the unit for handy access. To open drawer, place the rails down, check for proper alignment. When aligned, pull the drawer out. 6. When removing the bags from the unit, hold them away from you body to prevent any hot liquids from burning you while moving the bags to the compactor. 7. Employees are required to visually inspect each bag when removing it from the sterilizer to confirm adequate sterilization has occurred. Evidence that sterilization is complete is visible by the changed color of the strip on all approved bags. 8. To close, push the drawer back into the unit, lift rails, and unlock door from the wall. 9. Closing the unit door. Turn the arrow knob on the autoclave handle to the down position. Move