Managing Bio-Medical Wastes CCR TITLE 8, CA H & S CODE, PART 14

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1 TABLE OF CONTENTS 1. POLICY PURPOSE SCOPE RESPONSIBLE PERSONS PROCEDURE FOR BIOMEDICAL WASTE MANAGEMENT Prperly Cntaining Medical Waste in a Labratry As with all labratry waste, medical waste must be placed in a prperly labeled cntainer as sn as it is generated. Remember that the waste yu generate will be handled by ther individuals, such as building custdians, Risk Management Staff, and Pacific s medical waste cntractr. Fllw these steps t safely and legally cntain yur medical wastes Drain-Dispsable Medical Waste Medical Waste Pick-up Lcatins fr pick up f bimedical wastes, pharmaceuticals, sharps are Bilgy classrm building secnd flr and Bilgy Labratries. Frm the Pharmacy & Health Sciences (PHS) Building, the freezer in basement, 90 day strage shed in Pharmacy, frm the secnd flr f the Dental Clinic, Cwell Wellness Center and frm the physical therapy anatmical lab. Other lcatins may cme n-line with new research r the relcatin f a faculty member t anther labratry Decntaminating Medical Waste Cntainers Medical Waste Spills TRAINING REFERENCES AND DEFINITIONS... 7 Page 1 f 8 Versin 1 (January 2014)

2 1. Plicy 2. Purpse It is the plicy f the University f the Pacific (Pacific) t prvide its emplyees with a safe and healthful wrkplace. In rder t achieve this gal, all levels f management and supervisin are required t ensure that the guidelines f this Plan are fllwed This dcument has been designed t: Implement a system that prvides a cnsistent apprach t respnding t medical and infectius waste and Ensure that the Three Fundamental Objectives f the Pacific Medical Waste Management Prgram are effectively pursued The Three Fundamental Objectives are: Striving fr an Injury and Illness free wrkplace. Identifying and eliminating peratinal deficiencies that can lead t injuries, illnesses, and/r fatalities. Maintaining a practive and effective Safety Prgram (e.g., pen cmmunicatin between emplyee and supervisr, emplyee health and safety training, regularly scheduled inspectins, accident and injury investigatin). 3. Scpe 3.1. This dcument applies t all persnnel under the direct supervisin f a Pacific emplyee (i.e., Temprary Emplyees, Temprary Agency Emplyees, Part time Emplyees, Full time Emplyees, Student Assistants, Federal Wrk Study, Graduate Assistants, etc.). All persnnel shall cmply with the prvisins utlined in this dcument. 4. Respnsible Persns 4.1 Department Heads and Chairs Be familiar with this Plan and its cntents and bjectives Supprt the Plan and versee its implementatin Ensure that prper administrative cntrls are prvided in the wrk area Prvide funds fr bimedical waste management within departmental budget cnstraints. Page 2 f 8 Versin 1 (January 2014)

3 4.2 Managers, Supervisrs and Lead Persnnel Must be familiar with this Plan and its cntents and bjectives Ensures wrkers understand and fllw bimedical waste management rules Ensures bimedical waste strage evaluatins are available and can be used by emplyees Mnitr wrk sites and supprt effrts t crrect deficiencies in labratry settings Reprt emplyee bimedical waste cncerns t Risk Management Require emplyees t attend bimedical waste management training sessins Supprt safe wrk practice recmmendatins by requiring emplyees t fllw guidelines established by Risk Management. 4.3 Emplyees Shall be familiar with this Plan and its cntents and bjectives Cnduct tasks in accrdance with the applicable training, expsure risk infrmatin, r department Standard Operating Prcedure Participate in required training sessins n bimedical waste and incrprate recmmended wrk practices int yur jb Perfrm rutine inspectins when needed and adhere t recmmendatins presented in this plan Call Risk Management fr any questins. 4.4 Risk Management Wrk with management and supervisrs t develp, implement and maintain an effective bimedical waste management prgram Ensure prgram is maintained in cmpliance with lcal regulatins thrugh rutine auditing Prvide training t supervisrs and emplyees Prvide evaluatins in strage areas as needed r per request by emplyee r supervisr. Page 3 f 8 Versin 1 (January 2014)

4 5. Prcedure fr Bimedical Waste Management 5.0 Intrductin 5.1 The Office f Risk Management: has prepared these guidelines t assist the campus cmmunity in safely and legally managing medical waste. Federal, state, and lcal laws and regulatins gvern hw medical waste must be managed. 5.2 Risk Management: has reviewed and apprved these guidelines and will revise these guidelines whenever there are significant changes in medical waste regulatins r medical waste management safety cncerns. Cntact safety fficers at either r if yu have any questins regarding medical waste management. 5.3 These guidelines apply t anyne wh generates medical waste r manages a medical waste pick-up lcatin. Thse wh generate medical waste shuld becme familiar with all sectins f these guidelines. Thse wh are respnsible nly fr managing a medical waste pick-up lcatin shuld be familiar with Sectins 5, 6, and Segregating Medical Waste in a Labratry Segregating yur wastes at the pint f generatin is ne f the mst imprtant steps in prperly managing yur wastes. Fllwing these rules will help t ensure yu are nt prducing undesirable mixtures that may be difficult r expensive t get rid f: D nt cmbine medical waste with hazardus chemicals r radiactive waste Separate sharps waste frm ther medical wastes Separate pathlgy wastes frm ther medical wastes Separate chemtherapy wastes frm ther medical wastes Separate all pharmaceuticals frm ther wastes. 5.5 Prperly Cntaining Medical Waste in a Labratry As with all labratry waste, medical waste must be placed in a prperly labeled cntainer as sn as it is generated. Remember that the waste yu generate will be handled by ther individuals, such as building custdians, Risk Management Staff, and Pacific s medical waste cntractr. Fllw these steps t safely and legally cntain yur medical wastes. Sharps Waste Place sharps waste in puncture-resistant cntainers labeled with the wrds "Sharps Waste" r with the internatinal bihazard symbl and the wrd "Bihazard." Keep sharps cntainers upright and place them near yur wrk area. Page 4 f 8 Versin 1 (January 2014)

5 Fill cntainers t marked level. D nt verfill. D nt place packaging r paper twels r nn-sharps waste in sharps cntainers. Clse sharps cntainers when they are full. Bihazardus Waste Place bihazardus waste in red bihazard bags labeled with the wrds "Bihazardus Waste" r with the internatinal bihazard symbl and the wrd "Bihazard." D nt use range bags, even if they are labeled fr bihazardus waste. Place bihazard bags, even if they cntain nly a small amunt f bihazardus waste, in a prper secndary cntainer. Secndary cntainers must be: rigid leak-resistant equipped with a tight-fitting cver kept clean and in gd repair (d nt accept any cntainers frm vendr that are dirty r in disrepair). labeled "Bihazardus Waste" r Pathlgy Waste with the internatinal bihazard symbl and the wrd "Bihazard" n the lid and n the sides f the cntainer. Keep secndary cntainers clsed unless waste is being added t the bag. D nt use clth hampers r wire racks as secndary cntainers. Cntact Risk Management t btain specially labeled cntainers fr pathlgy r ther types f medical waste. 5.6 Drain-Dispsable Medical Waste Sme liquid medical wastes, such as human bld, may be dispsed f in a labratry sink if the waste is first autclaved r brught t a final cncentratin f 1 percent bleach. The fllwing medical wastes may nt be drain dispsed even if they have been treated with bleach r autclaved: Human r animal cultures suspected f cntaining infectius agents Cultures and stcks f infectius agents Wastes frm the prductin f infectius bacteria, viruses, spres, discarded live and attenuated vaccines 5.7 Medical Waste Pick-up T ensure yur medical waste is picked up, please cntact Risk Management fr pick up. Yu may hand-carry full sharps cntainers (they shuld be clsed) t a predetermined designated site fr dispsal, r keep them in the area where they are used. Bihazardus waste must be transprted in an uter secndary cntainer, labeled as described abve in Sectin 5. Pharmaceuticals and medicines shall be Page 5 f 8 Versin 1 (January 2014)

6 placed in Risk Management (RM) prvided plastic cntainer and be secured. When full, cntact RM fr pickup. This particular waste is incinerated by an utside vendr If waste is transprted t a predetermined lcatin fr strage, make sure cntainers are lined with a red bihazard bag (except sharps). Clse the cntainer securely after yu depsit yur waste. Designated pick-up lcatins must be adequately secured t prevent animals r unauthrized individuals frm cming in cntact with the waste. 5.8 Medical Waste Pick-Up Lcatins Lcatins fr pick up f bimedical wastes, pharmaceuticals, sharps are Bilgy, secnd flr. Frm the Pharmacy & Health Sciences (PHS) Building, the freezer in basement, 90 day strage shed in Pharmacy, frm the secnd flr f the Dental Clinic, Cwell Wellness Center, Athletics bldg, and frm the physical therapy anatmical lab. Other lcatins may cme n-line with new research r the relcatin f a faculty member t anther labratry. 5.9 Decntaminating Medical Waste Cntainers The law requires that all secndary medical waste cntainers be kept clean and in gd repair. These include labratry and cntractr-supplied cntainers at pick-up lcatins. Cntainers frm any vendr shuld nt be accepted unless in gd cnditin Medical Waste Spills Medical waste spills must be cleaned up immediately. Any spilled medical waste and all assciated cntaminated cleanup debris must be handled as medical waste. Any cntaminated area must be decntaminated by ne f the apprved methds listed in Sectin 5. Cntact Risk Management at r fr assistance in cleaning up medical waste spills that yu d nt feel cmfrtable handling yurself Cntact Risk Management at r fr cpies f any f the infrmatin resurces mentined in this publicatin Risk Management: Will evaluate medical waste prcedures in all departments fr cmpliance and prvide a summary f the evaluatin t the department Will train emplyees n bimedical waste as needed Maintain prcedures and audit medical waste prcesses in campus as needed. Page 6 f 8 Versin 1 (January 2014)

7 5.12 Emplyees and/r supervisrs: May request medical waste handling/strage and dispsal evaluatins as needed fr their wrk r prcess Evaluatins may be scheduled by calling r r r Thse evaluated will receive a summary f the evaluatin. 6. Training 6.1 Emplyee training applicability and requirements Training applies t all persnnel wh wrk fr the University Written instructins, such as this plan, are adequate t meet training requirements Training will be ffered thrugh Risk Management. 7. References and Definitins 7.1 References CCR Title , General Industry Safety Orders, Bldbrne Pathgens CDC and the NIH, Bisafety in Micrbilgical and Bimedical Labratries, 3 rd Editin Califrnia Health and Safety Cde, Part 14: The Califrnia Medical Waste Management Act 7.2 Definitins Definitin f Medical Waste The fllwing medical waste definitin was written t help yu understand what materials shuld be managed under these guidelines. Medical Waste is: Bihazardus Waste--waste (including animal carcasses) cntaminated with infectius agents knwn t cause human illness and nt cntaminated with radiactive materials r hazardus chemicals. Page 7 f 8 Versin 1 (January 2014)

8 Bihazardus Sharps Waste--devices capable f cutting r piercing that are cntaminated with bihazardus waste. Examples include cntaminated hypdermic needles, scalpels, razr blades, and X-act blades Pathlgy Waste--recgnizable human anatmical parts and fixed human surgery specimens and tissues Chemtherapy Waste--waste such as glves, twels, empty bags, and intravenus tubing that cntains r is cntaminated with chemtherapeutic agents Pharmaceutical wastes waste medicines Nn-Medical Waste that is managed as medical waste at Pacific includes: Nn-Medical Sharps Waste--devices capable f cutting r piercing that are nt cntaminated with radiactive, chemical, r bihazardus waste. Handle the same as bihazardus sharps Animal Carcasses nt cntaminated with infectius agents knwn t cause human illness--handle in the same manner as bihazardus waste. This cnservative methd f management is necessary t prtect custdial wrkers and t reduce public cncern. The additinal cst t manage these wastes as "medical waste" is minimal Medical Waste des nt include: Radiactive Waste r mixtures that cntain radiactive cmpnents Chemical Waste r mixtures f chemical and medical waste Bitechnlgy Waste, which is nt a medical, chemical, r radiactive waste, but has the appearance f a labratry waste; examples f bitechnlgy wastes include plant bacteria and viruses and cultures used in fd prductin--use the white autclavable bags labeled "Nn-Medical Waste," steam sterilize and dispse f in regular trash Brken Glass nt cntaminated with bihazardus, chemical, r radiactive waste-- package in a sturdy cardbard bx, tape clsed, label as "Brken Glass," and dispse f in regular trash. Page 8 f 8 Versin 1 (January 2014)

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