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LODI MEMORIAL HOSPITAL <br />D-8420-10 <br />FACILITIES MANAGEMENT REVISED: APRIL, 2007 <br />ENVIRONMENT OF CARE PAGE 1 OF 1 <br />MEDICAL WASTE MANAGEMENT <br />MEDICAL WASTE MANAGEMENT PLAN <br />I. POLICY <br />A. For the management of medical waste generated by Lodi Memorial Hospital, and all facilities operated <br />by the Hospital, and complies with the California Medical Waste Management Act, Department of <br />Health Services, Health and Safety Code Sections 117600-118360 <br />B. Lodi Memorial Hospital accepts no medical waste from any other facility and is registered as a Lame <br />Quantity Generator. <br />II. PURPOSE <br />To identify processes involved in the Medical Waste Management Plan and to comply with the California <br />Medical Waste Management Act, Department of Health Services, Health and Safety Code Sections 117600- <br />118360 <br />III. PROCEDURE <br />A. Medical waste is removed from the facilities by a registered medical hauler and treated at an approved <br />off-site treatment facility. The following is a representation of estimated total pounds of medical <br />waste removed during a monthly period from each facility: <br />• West Facility .................................... 4,000 pounds/month <br />• Main Facility .................................... 2,200 " <br />................. <br />• Conrad Building ................................. 1,900 " <br />• All Clinic Facilities ............................. 250 " <br />Lodi Memorial Hospital does not generate Pathology Waste. All human anatomical parts, <br />surgery specimens and tissue are transferred from the hospital by Smith -Kline Laboratories for <br />analysis by Delta Pathology Associates, 2291 W. March Lane, Ste #179#, Stockton, CA <br />95207. <br />a. After final processing, the specimens become waste and are the responsibility of Delta <br />Pathology Associates. <br />B. LIMITED QUANTITY HAULING EXEMPTION <br />Staff in approved patient care areas such as Home Health Agency, Laboratory Services, Clinic <br />Services, etc., that provide extended health care services outside the confines of the hospital facility, <br />are authorized to provide limited hauling of small quantities of medical waste back to a designated <br />facility for disposal. <br />The current list of authorized personnel is on file with copies of authorization provided to the <br />individual staff member. Procedures for final disposal of this medical waste fall into the same <br />categories as those in place within the facility itself. <br />a. Tracking documents remain on file for a period of not less than three years. <br />REVISED: 11/04 <br />L:\P&P\EOC\D- MEDICAL WASTED -8420-1 O.doc <br />Director Approval: <br />"m 'S� w <br />Signature <br />[;I <br />