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3. A white bin with a blue top shall be used for non -chemotherapeutic waste and yellow bins with <br />white tops shall be used for chemotherapeutic waste. <br />4. All pharmaceutical waste containers shall be in compliance with applicable laws and regulations <br />and shall be affixed with appropriate labels or markings to distinguish them from other waste <br />categories. <br />Procedures for handling pharmaceutical spills or exposures <br />1. Pharmacy staff shall reduce the risk of personal or environmental exposure by aerosol <br />generation, spraying or spillage of parenteral, anti -neoplastic medications when handling vials, <br />needles, syringes, glass ampoules, and IV bottles or bags by performing the following: <br />a. Pressure -equalize vials containing reconstituted parenteral antineoplastic in order to <br />reduce the possibility of spraying when a needle is withdrawn from the septum of the <br />cap. <br />b. Use syringes and IV sets with Luer -Lok fittings. <br />c. To open a glass ampoule, wipe the ampoule with alcohol before opening, tap down the <br />contents gently from the neck and the top portion of the ampoule and wrap the neck of <br />the ampoule with a sterile gauze pad when opening. <br />d. Venting divices with 0.2µm hydrophobic filters and 5µm needles may be used. <br />e. External surfaces of syringes and IV bottles shall be wiped clean of any contamination. <br />2. Chemo Spill Kit shall be kept by the Vertical Laminar Hood or in areas where anti -neoplastic <br />and cytotoxic agents are handled in the pharmacy. <br />3. A special chemotherapy label will be attached to anti -neoplastic and cytotoxic agent -containing <br />IV bottles, IV bags or pre -filled syringes prepared in the pharmacy prior to transporting to the <br />nursing units (e.g."Caution: Chemotherapy -Dispose of Properly"). <br />FROMMOMMAIMM11-a"A <br />Bagged medical waste, excluding pathological waste, shall be brought to the San -I -Pak 342 <br />Sterilizer/Compactor System in collection tubs. An autoclave chamber liner, which has a <br />time/temperature sensitive indicator affixed, is to be inserted into the chamber. A clamp ring <br />will then be used to hold the liner in place. <br />2. Next, the chamber shall be placed in the load position. The red bags are to then be loaded into <br />the lined sterilizer chamber with the automatic cart dumper or otherwise hand -loaded into the <br />chamber. After the chamber is loaded it will either be dog-eared or fastened with a tie strap. <br />Autoclavable tub liners may be used as an alternative to chamber liners. The lined collection <br />tubs will be filled with waste, brought to the San -I -Pak, and either dog-eared or fastened with a <br />tie strap before the waste is dumped into the chamber. When the chamber is full, it will be <br />placed into the sterilize position. <br />