CORRESPONDENCE_1972-2016 - Laserfiche WebLink

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Trace chemotherapy waste is not segregated for storage. The secondary container is not labeled appropriately. Trace chemotherapy waste shall be segregated for storage, and the secondary container shall be labeled with the words "Chemotherapy Waste" or "CHEMO" on the lid and sides, so as to be visible from any lateral direction. HSC 118275(a)(4) - Chemotherapy waste containers located in soiled utility rooms were not properly labeled. Label containers and submit evidence of compliance by 2/13/2016. ***Compliant Labels "Chemo Only' placed on all chemo containers - Pictures sent via email*** 25. Biohazard bag is not placed in a rigid container that is leak resistant, tightly lid, clean, in good repair and appropriately labeled. Biohazardous waste shall be bagged and placed in a rigid container which is leak resistant, have tight -fitting cover, and be kept clean and in good repair. Container shall be labeled with the words "Biohazardous Waste" m "BIOHAZARD" on the lid and on the sides so as to be visible from any lateral direction. HSC 118280(c) - Biohazardous waste containers in the Conrad Building did not have lids. Small sharps containers were being used to collect non -sharp waste and did not have the proper lids or labels. Biohazardous waste containers in the soiled utility rooms and designated accumulation area were missing labels and lids and sides. A bag containing biohazardous waste was observed on the ground outside a patient room on the 3rd floor. Label all containers and ensure all containers have tight fitting lids. Discontinue use of small sharp items in the Conrad building. Provide training to staff regarding immediate transport of biohazardous waste to soiled utility room when biohazardous waste is collected while treating a patient (118280(b)(1). Submit evidence of compliance by 2/13/2016. ***Rigid containers were replaced with compliant "Biohazardous containers with oot pedals, we also eliminated the "Small sharps containers used to collect non -sharp material. All "Biohazardous" containers have labels on all side and are compliant with the HSC 118280(c) (Pictures sent via emaillan-Serviced staff on transporting of Biohazards waste to soiled utility, we have a signed document for the in-service) Pictures sent via email. *** Intermediate storage area is not secured or marked with proper signage. Intermediate storage area shall be either locked or under direct supervision or surveillance and marked with the international biohazard symbol or the warning signs "CAUTION BIOHAZARDOUS WASTE STORAGE AREA - UNAUTHORIZED PERSONS KEEP OUT" in English and in another language determined to be appropriate by the infection control staff or LEA. HSC118370 - "Nurse Only" room did not have a biohazardous waste label on the door. Label room and submit evidence of compliance by 2/13/2016. ***Label was placed on door and in compliance with the HSC118370. Pictures submitted via email*** Thank You, Matthew Belaski EVS Manager 209.400.5680