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Lodi Memorial Hospital 8420.151.2 Facilities Management 8750.504 Safety Management; Infection Control Revised: September 1998 Medical Waste Management Guidelines Page 2 of 3 Infection Control Subsection 6. 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. 7. Medical waste is not allowed to accumulate for more than seven (7) days before offsite disposal. C. 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- hazardous. 6. All exterior areas where decontamination is performed must be washed down with water prior to leaving the area. This clean rinse water is allowed to run into the storm drain. Reports of all spills, exposures or injuries resulting from the handling of medical waste is documented through the hospital Occurrence Reporting system. D. TRANSPORTING COLLECTED MEDICAL WASTE Biohazardous waste is removed from the source of generation by nursing and is then placed into collection tubs located inside dirty utility rooms at each facility. 2. Environmental Service Technicians then transport the collection tubs to designated areas for offsite disposal or sterilization, according to the facility. Medical waste is transported from areas where