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E <br /> golden <br /> , ineMedical Waste Tracking <br /> IC-516 Clinical Infection Prevention and <br /> Control <br /> POLICY STATEMENT: <br /> A medical waste tracking form(or manifest)will be used to maintain a record(log)of infectious <br /> waste generated by and transported from this facility. <br /> THIS POLICY APPLIES TO: <br /> DEFINITIONS (AS NEEDED): <br /> Policy Interpretation and Implementation <br /> Generating More Than 50 1. Should our facility generate more than fifty(50)pounds of regulated medical waste <br /> Lbs.Monthly (or the state-designated limit)monthly,we will prepare and maintain approved <br /> medical waste tracking forms of all waste transported from our premises. <br /> Generating Less Than 50 2. Should our facility generate less than fifty(50)pounds a month of regulated waste <br /> Lbs.Monthly (or the state-designated limit),we will prepare and maintain a shipment log of all <br /> waste transported from our premises. <br /> Storing Medical Waste 3. All medical waste generated by this facility,including waste treated,destroyed,and <br /> disposed of on site,must be stored in accordance with medical waste storage <br /> policies. <br /> Contents of Tracking Form 4. Our tracking form(manifest)will contain at least: <br /> a. The date of the pickup or shipment; <br /> b. The weight of the shipment; <br /> c. The type of medical waste shipped(e.g.,cultures and stocks of infectious <br /> agents/biologicals, pathological waste, human blood, blood products, <br /> contaminated sharps,etc.); <br /> d. Whether or not shipment contains treated or untreated medical waste; <br /> e. Any special handling instructions; <br /> f. Appropriate permit or identification numbers (e.g., state permit/ID <br /> number;EPA medical waste ID number,etc.); <br /> g. Name and address of facility; <br /> h. Name,address,telephone number,and permit/ID numbers of waste <br /> hauler;and <br /> i. Signatures of facility representative, waste hauler, and employee <br /> accepting containers for shipment. <br /> Contents of Shipping Log 5. If a shipment log is maintained,it shall include at least: <br /> a. The name,address,and telephone number of the transporter; <br /> Infection Control Policy and Procedure Manual <br /> C<)2001 MED-PASS,Inc.(Revised August 2012) <br /> Version#: 1 Page 1 of 3 <br />