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g. Name,address and phone number of offsite treatntent facility where phartnaceutical waste is transported for treatment, if different than the pharmaceutical waste hauler; Nannc: Address: City state Zip Code Phone: C. ) h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency (DEA)as "controlled substances"?11 Yes ❑No If yes, describe how the"controlled substances"are disposed:Expired"controlled substances" are kept.in the Phar•nnacy in a locked bin and are picked up every three nnonths by our reverse distributor. The reverse distributor picks up and inventories both controlled and non controlled substances: -evervtlnin>~is docunnented The reverse distributor then forwards onto us a record of destruction complete with an itemized list ofproducts destroyed i i. All medical waste generators are required to keep accurate records regarding containment, 1 storage,hauling,treatment and disposal. All medical waste records are to be maintained and available for review during inspection for two (2)years. Do you have tracking documents for all medical wastes handled at your facility?: 11 Yes ❑No j. Describe training provided to staff regarding handling, storage,disposal, and record keeping of all medical waste, including pharmaceutical'waste,at your facility: FII Housekeeping employees and the facility's Safet}r Officer receive,eves three years the Regulated Medical Waste Preparation'I'raitnirrg for Transport—U.-S. DOT Medical Waste Collection and Transportation.New Housekeel}ing employees can perforin BioHazatd Waste job functions during the initial 90 Clays of ern}I loyment aS lon Tomas they are supervised by properly trained HazMat employee or upon completion of Ha7Mat training Employee training also includes compliance Nvith 29 CFR 1910 1030 ©SHA Bloodborne Pathogens when handling Regulated Medical Waste to include the practice of"universal precautions",wearing appropriate Personal Protective Equil}rrrent(PPE)and to wash hands after handling medical waste to reduce exposure k. Describe your medical waste emergency action plan, including procedures for handling spills, exposures, equipment failures, etc. (attach infornnation as necessary): Sutter Tracy Medical Waste Spill Reponse Procedure: a.Spills from sharps containers should be cleaned up promptly using appropriate Personal Protective Equipment(PPE). 1) Do not pick up needles or other sharps with hands. Use tongs,a broom and dust mop,etc.,to sweep up contents and place in an approved puncture-proof container. 2) Remaining blood or other body fluids will be wiped up immediately with approved cleaning solution.Always wash hands after cleanup. b.Spills occurring during transportation throughout the complex or in the storage areas: 1) Contact immediately the housekeeping supervisor for direction for the cleanup,repackaging and disposal of the spill. 2) Proper Personal Protective Equipment shall be used at all times and spilled contents picked up promptly.Contents will be placed into approved appropriate bag or container-for disposal. EED d5-03 2015