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Plan -Medical Waste ManageOnt Program ATT -NCI U14 <br />V. Organization and Responsibility: <br />Person(s) responsible for the implementation of the plan: <br />1. Nurse Epidemiologist; <br />2. Safety Officer; <br />3. Director of Environmental Services; <br />4. Facility Hazardous Chemical Coordinator <br />5. Administrative Director Pathology & Core Laboratory <br />6. Director of Pharmacy <br />Vl. Processes of the Plan: <br />A. Medical Waste Segregation, Containment, Labeling, & Collection Procedures: <br />Page 5 of 9 <br />Medical Waste: <br />Medical waste (non -chemotherapeutic waste; non -pathology waste, non -pharmaceutical waste, <br />non -sharps) is contained separately from other wastes at the point of generation. In non -patient <br />care areas, non-medical solid waste is not to be disposed of in medical waste containment' <br />devices. When cleaning patient care areas, Environmental Services will place all medical wastes <br />into RED biohazard bags labeled with the word "Biohazard." These bags are to be impervious <br />to moisture and have strength sufficient to preclude ripping, tearing or bursting under normal <br />use and handling. The biohazard bag used must be constructed of material that will pass the 1.65 <br />gram dropped dart impact resistance test as required by Standard D 1709-91 of the A.S.T.M. <br />Documentation from the manufacturer of compliance with these minimum construction <br />standards will be kept on file in the Environmental Services Department. All waste placed in a <br />red bag will be considered medical waste. The bags will be tied to prevent spillage in the event <br />the bag is dumped upside down. Medical waste will be stored and transported in rigid <br />containers to the Biohazardous Waste Storage Area located near the shipping / receiving area. <br />The containers will be labeled with the words "Biohazardous Waste" or the word "Biohazard," <br />and the international biohazard symbol. This storage area will be locked at all times. Access <br />will be limited to Environmental Services and Plant Operations & Maintenance Department <br />personnel. Waste consisting of medical and nonmedical waste will be handled as medical waste <br />except as follows: <br />a. Medical waste mixed with hazardous waste will be treated as hazardous waste. <br />b. Medical waste mixed with radioactive waste will be treated as radioactive waste. <br />c. Medical waste mixed with hazardous and radioactive waste will be treated as radioactive <br />waste. <br />2. Sharps Waste <br />All sharps will be placed in a sharps container labeled with the words "SHARPS WASTE" or <br />with the international biohazard symbol and the word 'Biohazard." Sharps containers will be <br />rigid puncture -resistant containers that when sealed are leak resistant and not able to be <br />reopened without great difficulty. Sharps containers shall be considered "full" when they reach <br />2/3 capacity or the manufacturer's full line. Lids on filled sharps containers must be capped, <br />snapped closed, taped, or otherwise sealed to prevent loss of contents prior to disposal. Sharps <br />waste containers are serviced at their installed locations by either Stericycle or EVS personnel. <br />The waste containers will be stored and transported to the Biohazardous Waste Storage Area <br />located near the shipping / receiving area or the Central Hazardous Waste Storage Room <br />located near the hospital morgue. These storage areas will be locked at all times. Access will <br />be limited to Environmental Services, Plant Operations & Maintenance Department, or other <br />authorized personnel. These containers are picked up by Stericycle medical waste hauler for <br />transport to an approved incineration facility on a scheduled basis. <br />http://dha1ts01 /policy/policy.nsf/7dbOebfd3 e210600872571470079e3 a4/3 f3 a6da90b07663... 12/8/2015 <br />