COMPLIANCE INFO_2016-2020 - Laserfiche WebLink

Home Browse Search

chemicals be a normal part of the selection process for purchasing all products containing hazardous chemicals. B. All hazardous chemicals including chemotherapeutic agents and radioactive materials are used, handled, stored and disposed of according to the Safety Data Sheet (SDS), applicable laws, regulations and the manufacturer's recommendations. All medical wastes are segregated, stored in containers and storage areas. They shall be disposed of by a permitted hauler of rendered non -hazardous by proper sterilization techniques as approved by the CDPH. C. The written program includes protocols for managing all regulated waste streams according to local, state and Federal requirements. Permits, licenses and manifests are kept on file by the Hazardous Waste Coordinator. D. Each department is required to maintain a current inventory list of all the hazardous chemicals used within the department. A master file can be accessed through the Verisk 3E Online Website. E. Periodic environmental chemical and ventilation evaluation assessments and monitoring are conducted in accordance with applicable laws and whenever necessary to assure that employees will not be adversely affected by hazardous materials, gases or vapors in the workplace. Monitoring frequency is based on the results of initial monitoring, the definition of the potential hazard that could be present, and the accuracy of the monitoring method and the likely variability of the exposure. Monitoring test results are available to the employees upon request. If results exceed the action level, immediate control methods are implemented, monitoring repeated and employees notified as may be required, if applicable. In addition, the Radiation Safety and Protection Program is overseen by the Radiation Safety Committee which is led by the Radiation Safety Officer (RSO). Radiation exposure monitoring is managed under a separate program (Title 17) that is overseen by the RSO. This group's goal is to make every reasonable effort to maintain radiation exposures to patient, staff and visitors As Low As Reasonably Achievable (ALARA), if applicable. F. Labeling: 1. All materials which have been denoted as hazardous will be labeled and packaged according to localI state and Federal regulations. Any deficiency is reported to the department manager who will be responsible to correct the deficiency in consult with the Hazardous Materials Coordinator. a. All bulk biohazardous waste containers shall be labeled "Biohazardous Waste" or with the biohazardous symbol and the word "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. Round cans should have 3 bio -waste labels on the sides and on the top and square cans should have one on all four sides and the top. b. Red biohazard bags will be placed as a liner in a rigid bio -waste containers with tight fitting lids and appropriate biohazardous warning labels. Red bags shall meet the specifications set by the MWMA for tearfimpact resistance with the following standards; ASTM D1709 and ASTM D1922. c. Secondary containers shall be labeled with a Hazard Warning label which includes Global Harmonization label elements. d. Chemical waste containers are labeled with "CAUTION — HAZARDOUS CHEMICAL WASTE." e. Medical waste containers are labeled "CAUTION — BIOHAZARDOUS WASTE." f. Pharmaceutical waste containers are labeled "INCINERATE ONLY". g. Universal waste containers are labeled "CAUTION — UNIVERSAL WASTE". G. Storage: Hazardous Materials and Waste Management Plan. Retrieved 3/16/2022. Official copy at hrip://sh-s[ch.policystat.com/policy/ Page 4 of 8 10532958/. Copyright 8 2022 Sutter Tmcy Community Hospital