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SAN1 O A Q U I N Environmental Health Department COUNTY-- i. All medical waste generators are required to keep accurate records regarding containment, 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?: ❑■ Yes ❑ No JDescribe training provided to staff regarding handling, storage, disposal, and record keeping 9 of all medical waste, including pharmaceutical waste, at your facility: Annual Inservice training; and initial training for new hires k. Describe your medical waste emergency action plan, including procedures for handling spills, exposures, equipment failures, etc. (attach information as necessary) clinics have spill kits and teammates are trained. Clinic has exposure packet and training, Teammates are to notify FA and charge RN of exposure and follow the outlined steps in the exposure packet to contact Segdwick and sent out for labs and to see physician. I. Describe how reusable medical waste carts or containers are cleaned and decontaminated (see below for approved cleaning methods): Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit)for a minimum of 15 seconds. Approved cleaning methods include agitation to remove visible soil combined with one of the following: 1. Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit) for a minimum of 15 seconds. 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes: • Hypochlorite solution (500 ppm available chlorine) • Phenolic solution (500 ppm active agent) • Iodoform solution (100 ppm available iodine) • Quaternary ammonium solution (400 ppm active agent) 9of11