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DEUEL VOCATIONAL INSTOTION No. 157 - OPERATIONAL PROCEDURE - Medical Waste Management Plan Page 2 of 6 B. Handling Medical Waste Rev. 07/08 Rev. 07/08 Prior to handling any medical waste bags, containers or receptacles, appropriate clothing shall be put on. Disposable gloves and aprons shall be maintained in all areas generating medical waste. All medical waste shall be placed into red biohazard bags labeled with the words "Biohazardous Waste" or with the international symbol and word "Biohazard". These bags must be impervious to moisture and have strength sufficient to preclude ripping, tearing or bursting under normal use and handling. All waste which has been placed into a red bag shall be considered to be medical waste. The bags shall be double tied to prevent spillage in the event a bag is dumped upside down. Sharps containers shall be labeled with the words "Sharps Waste" or with the international biohazard symbol and the word "Biohazard". They shall be a rigid puncture resistant container that when sealed is leak resistant not able to be reopened without great difficulty. The small red plastic bags shall be located in each area generating medical waste. Pharmaceutical waste containers will be secured in areas that are not accessible to the inmate. Each container must be clearly labeled with the current date (when put into service) and the expiration date. When the waste container becomes 3/4 full; the janitorial services will remove the container from the medical clinical areas and transport the containers to the OHU. If janitorial services are not available, nursing staff will remove the % full containers and transport them to the OHU. Replacement containers will immediately be available. C. Transportation of Medical Waste to Disposal Area Biohazardous Waste shall be contained in proper containers located in various medical areas throughout the institution. These areas are outlined in the memorandum, dated July 07, 2008 (Attachment A). 2. After donning the appropriate protective clothing, the designated staff shall proceed to the Biohazard Waste storage area located in the outlined areas. Staff assigned to areas generating Biohazard Waste shall tie up the small red bags containing Biohazardous Waste and place the bags into an appropriate Biohazard Disposal Container for pickup by the designated staff. 4. The contract janitorial services will pick up the biohazard waste in various medical areas throughout the institution as outlined in the memorandum dated July 07, 2008. Biohazard waste containers will be closed and delivered to the disposal shed located adjacent to the Truck Sal leyport. If the contract janitorial services is not available, the Search and Escort Officer #3 (S&E 3) will utilize Firehouse inmate workers during second watch on Tuesday and Friday to pick up the Biohazard Waste. The Biohazard Material Coordinator, Cynthia Fedrick, Correctional Health Services Administrator I, or designee shall ensure the placement of the Biohazard Disposal Containers in the disposal shed in a neat and orderly manner. Partially filled Biohazard Disposal Containers shall be placed in front of full containers. 7. All Biohazard Disposal Containers shall be ready for pickup by the Biohazard Waste Contractor on Monday morning prior to 1000 hours.