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Mrnam wnaa.mmnatmem srmo^ <br /> Medical Waste Management rrec.me Mannam.pMsl and wrb nmpualuaH am rmpm„rill,.lar: <br /> g AdhrdnR to all p,o:nlures In this Medl::nl Wnsm ManaRement Plen,and <br /> • tenting allPersannO r Intelt•Ihr rem:IrrA nalninR. <br /> I. Introduction to the Medical Waste Management <br /> All Peisonm•I pmmrenng nvedlal waste are rrspnnslHle for reaAing and romPlylnB with the <br /> A. Purposeofthe Medh:al Waste Management Irgnirrineltls sal out In this Plan. <br /> The purpose of this Medical Waste Management Plan("MWMP")is to Provide guidance and describe Il, <br /> requirements for the proper management of mwaste ste in Bonfield Pet Hospitals(Barfield)as Re(erene< <br /> required by the California Department of Public Health(CDPH)and local Lead Enforcement Agencies The Medlcnl Wxsle Management Act(MWMA),Calllornla Hrallh and Safety Code,Sections 11T600- <br /> (LEA). 118360,governs the management of medlcal waste In MIImisdlcllons of the stale.The most current <br /> erslma of the MWMA cert be found on the CDPH-Medical Waste Management Program webpage: <br /> This MWMP shall be maintained on site At this hospital in the Safety Binder.If changes related to htln"://www,{dpf15P:A4u./Clsfl�r/medkalwasle/Hornnirnl./Mrdiral W."t,/Jul i/M WMAfindl2015.ptl1. <br /> medical waste generation occur,contact the Health,Safety and Environment(HSE)group to update this <br /> plan.It shall be made available upon request to the medical waste transporter,metlical waste treatment <br /> facility,and C.P.or LEA.Please into-Ila HSE group of any requests for the plan,as soon as possible. 11. Medical Waste Identification <br /> All records related to medical waste management shall be maintained at this hospital for at least three Medical wastes potentially generated by this hospital arc Ilndted it blohazardous,pathology,sharps. <br /> (3)years.Copies of medical waste disposal tracking documents should be filed in the hospital's Safety and Pharmeceuticel wastes,This hospital does not generate[race(hri-therepy waste. <br /> Binder,and completed documents can be downloaded from www.sharos[rarer co <br /> This sans a A. Blohazardous Waste <br /> p pacifies the procedures used to handle and,isposeofinedicalwasm at Banfield.Banfield Blohararduus waste is clinical or laboratory waste resulting from the treatment of animals infected or <br /> conducts a wide range of veterinary services.This hospital is a small quantity medical waste generator, ft%W suspected to be Infected will,diseases likely to be lnfeetlous to humans,as determined by the attending <br /> as it produces less than 200 Pound,of medical waste per month.Medical waste is collected in approved Veterinarian.These wastes can include animal specimen cultures,swabs,personal protective equipment <br /> collection receptacles and authorized transport/treatment vendors pick up medical wastes for offsite word during treatment,etc.POr example,cultures collected from animals suspected by the attending <br /> disposal antl/or destruction.Banfield does not treat any medical waste on-site. veterinarian of havingtables, me disease,or ring ty pwonn must be managed as blohaUrdous waste. <br /> S. Applicability Please sea Banfield's Zoonotlr.Diseases Polley fur n Inst of Al diseases Cha[are infectious to humans. <br /> The Medical Waste Management Plan applies to all operations that result in the generation and disposal <br /> of medical waste materials.Medical waste that could be B. Pathology Waste <br /> biohazardous waste,pa[heinz generated at this hospital includes Pathology wastr Is a^Intal parts,tissues,(lusts,or carcasses from anneals Infected or suspected to enbe <br /> lYwaste,sharps waste,and pharmaceutical waste.Trace chemotherapy Inletted with dseases likely to be infectious to humans,as determined by the attending <br /> wastes are also considered medical wastes,but are not generated at this hospital.Pharmaceutical Y having rabic. <br /> wastes,while generated by the hospital,will not be managed as medical waste,pursuant to this plan. For example,tissues or fluids from animals suspected by the attending veterinarian of having Tablet. <br /> Pharmaceutical wastes,including expired or empty non-controlled pharmaceutical containers,waste lyme dlsease,or ring worm must be managed as pathology wua.Please see Banfield's Zoonotic <br /> propofol or other liquid drugs,pill residues,spilled drugs,etc.,will be managed as hazardous waste and Diseases Policy for a Inst of all diseases that are Infectious to humans. <br /> am covered In the Hazardous Waste Management Section of this document.Drug Enforcement Agency a <br /> (DEA)control led pharmaceuticals,including expired,damaged,recalled,amply,or unused containers, 8 C. Sharps Waste <br /> are managed in accordance with DEA requirements by the veterinarian. Sharps waste Is any device that has cute rigid corners,edges,of protuberances capable of cutting or <br /> planting,Including but not limited to,needles,blades,broken glesa(broken slide,bottle,etc.),and <br /> C. Roles and Responsibilities syringes contaminaled with blohaurdout wesa.NelM1f auRbfoken bottles or vials that <br /> The HSEgroup oversees the Medical Waste Management Plan.The HSE group is trained on the contents S an talMdpharmaceutlalawlll Mese Wasaswlll <br /> of this plan,and is able to provide guidance and assistance to the Barfield Community in managing be[Mad p N <br /> mBedics l waste.The Practice Mance er is res geell0n. <br /> Ponsible for Medical Waste Management implementation at <br /> is hospital.If the hospital does not have a Practice Manager,the Chief Of Staff or other responsible - <br /> Person,as designated by the Field Director,will be responsible for plan implementation. <br /> 00 oille <br /> PSTPET poses. 3 <br /> �Nmhmli <br /> AaeNCW Woste Afpr•aptrrntr,t Stccaoa <br /> ' Medlcol Wpst<MenoptmMrSecHon <br /> ! S :AN red biohazard waste taxes must be comainM wiln, secondary co^tair,<r at aM times.00 <br /> D.Phare notkava metlical wastein a public area unsecured arsd unprotected.Bxshazardouswaste container.0 <br /> eu[ial Waste be prsked ucitry a medical waste hauler. <br /> Pharnacindt at waste is any prescription or over-thecounter veterinary drug,except drugs that are <br /> regulated by the federal Resource Conservation and Recovery Act(RDRA)or[he Radiation Control Uw. In the <br /> As a matter of policy,this hospital will manage all pharmaceutical waste as hazardous waste,except for event that biohazardous waste isg<nerated,a special pick up must be requested from Sharps.Inc <br /> DEA-rontrolled pharmaceuticals,which will be in. <br /> In accordance with DEA requirements. IBSSA32.03001 in ober to limit storage to the shortest possible time.In nro event should the waste be <br /> Management of nomconmused dru to is discussed in the Hazardous Waste Management Plan stored formorethanTdays(if 20 pounds or more is generated in one—cob)or 30 days.if less than 20 <br /> g was pounds per month of biohazardous waste u generated.In the event these timeframes will be d,H-null to <br /> section of this document. meet,contact the HSE group as soon as Possible. <br /> III.Medical Waste Management In addition to scheduling a special pick up,all appropriate noll ions/reporting should be conducted <br /> Below is a description of the container,storage,and disposal requirements for medical wastes has are a cordance with the Zoonotic Diseases Polity.The HSE group should also be notified as soon As <br /> generated by this hospital. Possible of the biohazardous waste generation and disposal. <br /> A. Biohazardous Waste B. Pathology Waste <br /> Barfield operations rarely generate biohazardous waste but must be prepared with the appropriate Similar to biohazardous waste,Banfield o <br /> bags and containers in the event that an animal suspected by the attending veterinarian of being parabens rarely generale pathology waste but most he <br /> he <br /> infectetl with a disease communicable to humans is treated(see the Zoonotic Diseases Policy for a list of Prepared with the appropriate bags antl containers in the event[hate t animal suspected d(see <br /> onotic disease s).Staff must understand the appropriate procedures for containing,storing,and ttnotic veterinarianofbeinginfectetlwith adisease communicableehumansd treated(see the <br /> disposing of biohazardous waste.Container suppliescan be ordered from Barfield Direct.Biohazard Zoonotic Diseases Policy for a list of zoonotic diseases).Pathology waste is handled in the same manner <br /> as biohazardous waste,with the exception of secondary container labeling. <br /> waste isnot to be mixed wikh any other waste type. <br /> ConUlner.All biohazardous waste must be stored in a red biohazard bag that is marked with the in the event that tissue,parts,or A carcass are generated during treatment of an animal suspected of <br /> international biohazard symbol.Red biohazard bags are only used for biohazardous and pathology woolhavinga zootonic disease,all waste generated during treatment will be handled as pathology waste(i.e., <br /> wastes and must be picked up by the medical waste hauler(Sharps,Inc.).When a bag is ready for gloves,swabs,gauze should go i^the same bag and/or the biohazard bag with these materials placed in <br /> disposal,twist the bag and tie it with an overhand knot,plastic zip tie,or nonporous tape.Bags must be the Container labeled for pathology waste). <br /> tied to prevent leakage or expulsion of contents during all future storage,handling,or transport <br /> Procedures. Container:All pathology waste must be bagged in the same manner as biohazardous waste,in a red <br /> biohazardbag.Red biohazard bags are only used for biohazardous and pathology wastes and must be <br /> The bag is then placed in a secondary biohazard container in the Designated Accumulation Area(see picked up bythe medical waste hauler(Sharps,Inc.).When a bag is ready for disposal,twist the bag and <br /> Section IV.A).The secondary container must be labeled with the biohazardous symbol/word on all tie it with an overhand knot,plastic zip tie,or nonporous tape.Bags must be lied to prevent leakage or <br /> visible sides and have rigid walls and floor(cardboard or plastic)and a tight fitting lid.The entire expulsion of contents during all future storage,handling,or transport procedures. <br /> container will be picked up by the waste hauler and will not be reused On-site. <br /> The bag is then placed in a secondary biohazard container,The biohazard container must than be <br /> labeled with the words-Path.Pan,Waste"or"PATH”on all four sides and lid.These labels will be <br /> provided to hospitals for the rare event that A pathology waste is generated.The secondary container is <br /> stored in the Designated Accumulation Area(see Section IV.A).The entire container will be picked up by <br /> the waste hauler and will not be reused on-Site. <br /> Storage:All pathology waste must be in a red biohazard waste bag within a secondary container labeled <br /> with"Patholoev Waste"or"PATH"at all times.Do not leave pathology waste in a public area <br /> unsecured and unprotected. <br /> With the exception of the additional labeling,pathology and blohazardous waste is stored similarly and <br /> a special pick up must be requested from Sharps,Inc.(855.432.0300)in order to limit storage to the <br /> 3 Q 4 <br /> Ba eld <br />