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Plan-Medical Waste Managem nt Program Page 6 of 12 2. Sharps Waste All sharps will be placed in a sharps container labeled with the words "SHARPS WASTE" or with the international biohazard symbol and the word "Biohazard." Sharps containers will be rigid puncture-resistant containers that when sealed are leak resistant and not able to be reopened without great difficulty. Sharps containers shall be considered "full"when they reach 2/3 capacity or the manufacturer's full line. Lids on filled sharps containers must be capped, snapped closed,taped, or otherwise sealed to prevent loss of contents prior to disposal. Sharps waste containers are serviced at their installed locations by either Stericycle or EVS personnel. The waste containers will be stored and transported to the Biohazardous Waste Storage Area located near the shipping/receiving area or the Central Hazardous Waste Storage Room located near the hospital morgue. These storage areas will be locked at all times. Access will be limited to Environmental Services, Plant Operations&Maintenance Department, or other authorized personnel. These containers are picked up by Stericycle medical waste hauler for transport to an approved incineration facility on a scheduled basis. 3. Chemotherapeutic Waste: All trace contaminated (e.g.,empty vials, ampules, IV bottles/bags,tubings and sharps)will be deposited in a specially marked,yellow collection container labeled with the words "Chemotherapy Waste" or"Chemo"that is lined with a red, labeled biohazard bag that is ASTM D1709 and ASTM D1922 certified since this waste will be picked up for transport off site; documentation from the manufacturer of compliance with these minimum construction standards for the red bag will be kept on file in the Environmental Services Department. A single-use, disposable primary yellow collection container may also be used that is appropriately labeled. When the bag or container is full,without compacting, or no longer needed,the red bag is removed and tied-off securely to prevent loss of contents prior to disposal. Gowns, gloves, and other trace contaminated non-sharps objects may also be deposited in the container. The red bag or yellow primary container will be transferred to a specially marked, yellow secondary container for storage in the Central Hazardous Waste Storage Room located near the hospital morgue. Final pick-up occurs on a scheduled basis by Stericycle medical waste hauler for transport to an approved incineration facility. 4. Pathology Waste: Due to an outsource agreement,pathology specimens are couriered off-site to a non-owned facility remote from Dameron Hospital for analysis. All pathology waste will be kept separated from other medical waste and hazardous wastes (such as fixatives). Waste will be placed in a red, labeled biohazard bag that is ASTM D1709 and ASTM D 1922 certified since this waste will be picked up for transport off site; documentation from the manufacturer of compliance with these minimum construction standards for the red bag will be kept on file in the Environmental Services Department. This red bag will be deposited into a specially marked secondary container labeled with the words "Pathology Waste" or"PATH." The container will be stored in the Central Hazardous Waste Storage Room located near the hospital morgue. Final pick-up occurs on a scheduled basis by Stericycle medical waste hauler for transport to an approved incineration facility. Unfixed specimens deemed waste shall not be stored for more than 14 days at a temperature above 32 degrees Fahrenheit. 5. Placental Waste: Placentas shall be handled and disposed of as "pathologic waste" in accordance with California Health& Safety Code Section I I8275(f)and 118215 (a), unless as described herein. Because placentas are filled with liquid blood,they are classified as biohazardous waste. http://dhalts0I/policy/policy.nsf/2b0145f9f8l 80bc28725727600642564/b3631 e8dfOd 1 c8... 11/15/2016