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Other - Narrative <br />The Medical Waste Management Plan on site is not up to date. The MWMP approved by <br />this Enforcement Agency states waste medication whether partial dose, empty vial or any and <br />all such waste that contains medication as pharmaceutical waste. Onsite during the <br />inspection medicine vials were observed in biohazardous sharps containers, pharmaceutical <br />sharps containers and solid waste containers. Vials in solid waste containers could be <br />verified as empty vials. <br />The MWMP also states Environmental Services Technicians are responsible for <br />collection of medical waste and transport to the designated areas for off-site disposal. On <br />this date inspection this Enforcement Agency was informed that collection and transport to <br />the designated areas for offsite disposal is being performed by house keeping services not an <br />Environmental Technician. <br />Within 30 days provide to this Environmental Agency for review 1 of 2 things: <br />1) An updated MWMP describing this facilities method for <br />segregation storage and transport of pharmaceutical waste and the <br />personnel responsible for collecting and transporting medical waste to <br />the designated accumulation area for off-site treatment. Provided in <br />the updated Medical Waste Management Plan. Sent with this letter. <br />2.y Documents showing training given to staff by this facility on <br />implementing the currently approved medical waste management plan. <br />All Lodi Memorial Hospital employees at the time of employment go <br />through an orientation education where the Medical Waste <br />Management Plan of segregation, collection, storage and transport is <br />explained. Annually, the hospital provides mandatory refresher <br />training and the Medical Waste Management Plan is one segment of <br />this training. There is also department specific training that takes <br />place which defines the roles and responsibilities, segregation rules, <br />storage and transfer of each type of medical waste stream through out <br />the facilities. All training has been documented by the hospital <br />education department. <br />The primary goal training must achieve is a uniform method for the <br />segregation, collection, storage and transport of medical waste stated <br />in this Large Quantity Generator's Medical Waste Management Plan. <br />Please let me know if you require any additional information. <br />Sincerely, <br />Gayle Moses, HEM <br />Safety Security Manager <br />Lodi Memorial Hospital <br />CC: Tak Saito <br />Facilities Management Director <br />4 <br />