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gycDignity Heat g Y St. Joseph's Medical Center Medical Waste Management Plan INTRODUCTION Purpose The purpose of this plan is to specify the procedures used to handle and dispose of medical waste at Dignity Health St. Joseph's Medical Center (SJMC). SJMC is a large - quantity generator that produces approximately 200,000 pounds of autoclavable solid biohazard waste, and 75,000 pounds of pathology waste, trace chemotherapeutic waste, and pharmaceutical incineration waste per year. SJMC treats approximately 40,000 pounds of biohazardous medical waste onsite annually, in California Department of Public Health (CDPH) permitted autoclaves. Throughout campus, liquid medical waste is treated with an agent -appropriate disinfectant for an appropriate amount of time, and then either drain -disposed or directed into the appropriate hazardous waste stream. Medical waste is transferred to one of the accumulation sites where the transport/treatment vendor, Stericycle, picks up the medical waste. Applicability The Medical Waste Management Plan applies to ALL departments, laboratories, and personnel that results in the generation and disposal of medical waste materials. Medical waste materials include biohazard waste, sharps waste, pathology waste, trace chemotherapeutic waste, pharmaceutical waste, and mixed waste. Roles and Responsibilities The Manager of Environmental Services in conjunction with the Safety Officer oversees the Medical Waste Management Plan. They are trained on the contents of this plan, and are able to train and assist the SJMC community to safely and correctly dispose of biohazardous waste. St. Joseph's Medical Center is responsible for: • Complying with the Medical Waste Management Act: California Health and Safety Code, Division 104, Part 14: Medical Waste, Sections 117600 —118360, the California Code of Regulations, Title 8, Section 5193: Bloodborne Pathogen Standard, and all other federal, state, and institutional requirements involving biohazardous waste disposal. • Adhering to all the procedures in this Medical Waste Management Plan. • Ensuring all personnel complete and maintain the required safety training prior to handling, generating, or transporting medical waste, in addition to laboratory - specific training. • Immediately reporting exposure or spills involving biohazardous materials, including biohazard waste. All personnel generating medical waste are responsible for reading and complying with the requirements set out in this plan.