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Sutter Tracy Community Hospital <br /> Waste Disposal Reference Guide <br /> ' t <br /> x <br /> REGULAR TRASH YELLOW CHEMO RESOURCE CONSERVATION AND PHARMACEUTICAL& <br /> (Solid Waste) BIOHAZARDOUS WASTE PATHOLOGY WASTE SHARP CONTAINERS TRACE WASTE RECOVERY ACT SHARPS WASTE <br /> Absolutely no patient/ Fluid blood and items dripping with blood or Human or animal body parts Sharps Waste RCRA <br /> protected healthcare Other Potentially Infectious Materials(OPIM) <br /> information PHI Recognizable human anatomical Anything capable of All chemo/biotherapy drugs and their All drug containers,vials,etc. <br /> (PHI) 8 Yt 8 P PPE used for chemo:gowns, g <br /> Examples: parts penetrating/punctu ring the skin: • gloves,masks,and pads. immediate containers(vial,bag,bottle, Unused doses of oral tablets, <br /> • Blood contaminated • If item is saturated with dripping blood, • Surgical tissues • Hypodermic needles • Trace Chemo waste:the tubing and medicine cup) unused liquids,narcotic waste <br /> materials if not e.g.,bloody gauze,dressings,lap pads,OB • Surgical specimens • Used hypodermic needles pharmacy disposes of chemo All IV bags and tubing with <br /> dripping with blood and surgical per!-pads& loves Placenta with syringes &biotherapy drug boxes, P Listed—Acutely Hazardous <br /> Pharmaceuticals:shall be segregated by medication(e.g,TPNs,lipids, <br /> • Empty bags or • Containers,catheters,or tubes with fluid, Hard suction canisters • Needles with attached wrappers&packaging. potassium) <br /> placement into plastic bags prior to <br /> bottles blood or OPIM,e.g.,blood sets,suction Baxter Evacuated Glass Container tubing disposal In RCRA bin: <br /> Expired drugs/medications except <br /> • Kleenex/paper canister lines&drainage sets,hemovac (contains various body fluids) • Razor blades Chemo/biotherapy Soft Trace narcotics(return narcotics to <br /> Physostigmine including container � <br /> towelsWaste must be placed in a <br /> • Glass specimen tubes/test Warfarin(Coumadin)including pharmacy) <br /> • Soiled diaers Chux/ P tubes package Other more specific examples: ° chemotherapy locking bag Empty plastic bags with patient <br /> Visibly bloody gloves .,"�� first,and then placed in the identifiers and ID bracelets and <br /> • NG tubes a `tk� • Broken glass • Nicotine patches including package <br /> Visibly blood plastic Lubin '" yellow chemo container. tubing—use large Pharmaceutical <br /> • Urinary catheters y y i 8 p= - • Scalpels • Nitroglycerin injectable(not tablets or &Sharps waste container in the <br /> Visibly contaminated PPE P <br /> and empty bags • Scissors ointment) soiled utilityroom. <br /> • Tubing Blood and body fluids F,.'" Phentermine including package <br /> • Urinals Bloody saturated items <br /> o Saturated gauze DListed—Toxic Chemicals Sharps: <br /> • Irrigation o Saturated bandages ;,;,,; IV SOLUTIONS • Anything capable of <br /> equipment Silver sulfnitrate slice penetrating/puncturing the skin <br /> Silver nitrate sticks <br /> • Ostomy dressings Waste containers must be labeled as • SalineNaCl • Hypodermic needles <br /> ( ) Insulin pens and vials <br /> • Ventilator circuits "Biohazard Waste"or with the international x • Used hypodermic needles with • <br /> • Dextrose(D5W,etc.) kii • Barium sulfate(containers,cups,and <br /> • Paper items Biohazard symbol and the word"Biohazard" ` " • Electrolytes in solution - • . straws) syringes <br /> Lactated Ringers Trace elements, <br /> • Sanitary pads • �aMx._,, Used syringes with or without <br /> ,. <br /> • TPNs,Lipids "''"- multivitamin/minerals• . needles <br /> les with attached tubing <br /> No formaldehyde or other Phenol <br /> preservatives. Razor blades <br /> Partially used bulk IV bags can be drained into the sink or hopper.0r Others: Glass specimen tubes/test tubes <br /> drain into a Chux pad and throw into the regular trash.Then discardBroken lass <br /> Waste containers must be labeled as Alcohol concentration>=24%(ethyl • 8 <br /> bag and tubing that has been de-identified into the regular trash. • Scalpels and scissors <br /> "Pathology Waste"or"PATH". alcohol,isopropyl alcohol) P <br /> IV solutions containing medications cannot go down the drain,sink, • Endocrine disruptors(androgens, <br /> and/or sewer.Dispose of in the pharmaceutical waste container. estrogens,oxytocin) <br /> Aerosols(Dermoplast,ethyl chloride, <br /> respiratory inhalers with propellant) <br /> Ecolab Quik-Care hand sanitizer <br /> Ecolab OxyCide <br /> Revised:6/6/19 <br />