|
l�
<br /> Medical Waste Management Section
<br /> Medical Waste Management Section
<br /> Designated Accumulation Areas may
<br /> b......
<br /> locatetl in maintenance areas,.kennel roam not in use,or • Upon receipt al In.upmalfacany,Ina tracking dxument will be t lGNED by the disposal
<br /> anothersecure local.,kir thin the hospital.Here is wM1al t PanYantl upbah lathe medical waste vondal,website.ns rvctionsfor xcessingthe
<br /> a Designated Accumulation Area may look like: racking dxumen[s�a provided in the Quick Reference Guide al Ina beginning of this plan.
<br /> Tracki°g ole ired<ontrollei pharmaceuticals u,indu xdin accordance with DEA and/or state
<br /> F' regulation,and dxumentanon can be obtained from Reliable Pharmaceutical Returns.
<br /> Section 2.5.0:Medical Waste Management Emergency Response Plan
<br /> The following response plan applies W spills of biohazardous,pathology,and sharps wall,only.Any
<br /> spills of pharmaceuticals Prather hazardous wastes leg.,gram stain,isopropyl alcohol,ett.)and any
<br /> mingled spills le.g.,tissue samples in formalin)must be managed as h...rdous waste,in accond...e
<br /> with the N...rdous Waste Emergency Response Procedures(Section 35.1 of the Hazardous Waste
<br /> f Management Settion).
<br /> I A spill cleanup kit consists of the following items:
<br /> • Absorbent(i.e.,cat litter),
<br /> Section 2.5.2:Medical Waste Accumulation Times scraper and scoop,
<br /> As indicated in the Medical Waste Management sections above Iseclions 2.4.1 through 2 c.sl,each • Pen nit Rive e
<br /> waste can only be stored on-site for the prole quipment(PPE)(i.e,water-resistant gown,eye protection,chemical-
<br /> waste of time provided in the table below. resistantgloves),
<br /> Waste Type Accumulation Time • Surface disinfectant,
<br /> Biohaza,cuus W este& As soon Y,po,,,bI,.and never to exceed'.i • Surface wipes,
<br /> Pathology Waste Tdays if over 20 pounds • Handexpes,
<br /> 30dayslfunder20pourds • Instructions,and
<br /> t Sharps Waste •Less than 30 days after full container is Biohazard bag m contai nen.
<br /> osed
<br /> Expired Controlled Pharmaceuticals(excluding Spills are to be cleaned up immediately or as soon as feasible using the following method,
<br /> substances listed in Appendix A) Less than 90 days Follow instructions included with cleanup kit.
<br /> Non-Controlled Pharmaceuticals& Manage as Hazardous Waste per • Determine what PPE is to be used,depending on size and location of pi II loves,
<br /> Pharmaceu[ital Waste' Hazardous Waste Management Section and eyewear are recommended,but booties may be necessary if the spill on the,sfloon nla ask
<br /> Novel:Thiscategoryindudeseapiredorem,pryn,n,o rolledpharm.ceutic.Iron,.icers,wastepropofol(p,.Ilerdrugs). • For fluid spills ora hard surface,place absorbent over the spill to absorb on thefthe Spill
<br /> rge)
<br /> dropped pills,and Spilled tlrugs. on tains broken glass,d0 not
<br /> Important ReauirementS to Remember. c pick up glass with your hands.if the spill has dried,soak with
<br /> disinfectant firs,.
<br /> • Storage times for all wastes should be closely tracked and special requests for pick-ups made Use• antl scraper and scoop to pick up solids or absorbed fluid spill(in at litter)and place spill,scopp
<br /> when needed. per into biahazaed bag or container.Snake,glass, LY
<br /> • Whenever biohazardous or pathology waste is generated,a request for pick,,p sh ould be ma de le.g.,scrapaid dish,glassviall,etcJ,maybeplaced iNoma metlinto this container.swell.cal wastes cal II ON
<br /> immediately to limit storage to the extent possible. • Soak contaminated surface with disinfectant/cleaner and wipe with clean paper towel in order
<br /> to clean.This may need to be repeated.
<br /> Section 2.5.3:Medical Waste Tradling Documents Soak again with the drsintettant and let sit according to manufacturer's instructions.Be sure to
<br /> Tracking documents,provided by the waste vendor,must be signed by the hospital and waste vendor, block off the area to reduce potential for slips and falls.
<br /> indicating release and receipt of the waste,respectively.The following requirements must be followed: Dispose of all PP
<br /> of the document will be retained b the hospital at the time of shipment E and cleanup materials into the biohazard bag and use hand wipes/gel or wash
<br /> • One copy Y Pi poen[and must be hands as soon as feasible.Contact the medical waste vendor(see Quick Reference Guide at the
<br /> maintained in Tab 2 of the Waste Management Binder.Completed(racking documents for each front of the WMPI to pick up the waste materials.
<br /> 1, hospital must be maintained for a minimum of three years in Tab 3 of the Waste Management
<br /> A Binder.
<br /> .—.1-11,11a.un meelsechuh,
<br /> • ta'•vaw.•R.mlaw^•
<br /> w•,In ar eklg•reN•r.,dfor,.,ym
<br /> roplerore
<br /> le lne fmd.munns
<br /> <auoas
<br /> • ".pan al wanpy<e Fuiand can be found on Fetch Section 3i.0:Hazardous Waste Management Plan
<br /> •.^vx•tl•pnf IM r4n1 u•<eae le a,m the wain,area or ext....of the Sectio
<br /> ""^°a'r•ppn,gg to II'e Hu neap m,med,el,sine,the apol has been de.ned up. n 3.1:Introduttion to the Hazardous Waste Management Plan
<br /> This plan is provided to establish procedures for storage,management,transportation,and disposal of
<br /> hazardous waste at BI's 1"tl Pet Hospitals(Banfield)in accordance with federal,stale,and local
<br /> regulations.California's Department of Toxic 6ubstances(DTSC)has delegated authority for M1azardous
<br /> waste regulation implementation and enforcement to local Certified Unified Program Agencies(CUPAS).
<br /> Hospitals may receive correspondence antl occasionally be inspected by the local CUPAS,
<br /> This plan is applicable to allactivities at Banfield that result in the generation,handling,storage,and
<br /> disposal of hazardous wastes.This document should be used by all personnelwho handle,generate,or
<br /> Package hazartlous waste.
<br /> Section 3.2:Hazardous Waste Generator Registration
<br /> This hospital has a California Hazardous Waste Identification Number and is permitted by the local
<br /> COPA,In accordance with California regulations.As the hospital is unlikely to generate more than 2,200
<br /> Pounds of hazartlous waste in a month,te hospital is consitlered a Small quantity Generator(SOG)
<br /> under Title 22 of California Code of Regulahtions
<br /> appSection 66260.10.The HSE group maintains the
<br /> ropriate registrations and permits for the hospital.
<br /> Section 3,3:Hazardous Waste Characterization
<br /> 1
<br /> Hazardous waste regulations requ,n,generators of wastes to characterize each waste stream to
<br /> determine if it Woultl be considered hazardous due to one of several characteristics or is listed by
<br /> process or active ingredient.Barfield has evaluated its Waste streams and identified five main categories
<br /> Of wastes,which will be managed separately.
<br /> Below is a description of the typical hazardous wastes that are generated by this hospital and
<br /> appropriate storage protocols.
<br /> Section 3.3.1:Expired Non-Controlled Pharm icautiCals&Empty Liquid Pharmaceutical Containers
<br /> i This Waste stream includes all non corralled pharmaceuticals and vaccines that have expired and all
<br /> liquid pharmaceutical and vaccine bottles that are empty.The drugs must be in the original
<br /> manufacturer packaging,such as the glass or plastic bottle,dose packs,etc.Additionally,several other `
<br /> products must also be managed in accordance with these procedures.These include but are not limited
<br /> [o:
<br /> • Immersion Oil
<br /> • Tissue Marking Uye
<br /> • Twmdica[or Steam Indi
<br /> Expired non-controlled pharma
<br /> corrosivity,and/or toxicity. s of ignitabllity,
<br /> f,
<br /> Containers&Storage:The pro
<br /> pharmaceuticals and empty liquid "fled
<br /> ,low.
<br />
|