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1 ا السلامة و معالجة المخاطر لصحة البيي ية ENVIRONMENTAL HEALTH, SAFETY & RISK MANAGEMENT Hazardous Materials &Waste Management Plan at AUB-MC 1

2 Outline 1. Objectives 2. Definitions of Hazardous Waste 3. Regular Waste 4. Hazardous Waste Management 5. Biohazardous Waste: Segregation, Handling, and Transportation 2

3 Objectives To ensure safe practices & conditions in addition to ensuring safe environment for Medical Center staff, patients, and visitors. To provide education to all Medical Center staff on the safe handling of hazardous materials and waste. To ensure that Medical Center staff identify hazardous materials and the different types of generated waste. To provide a framework in which to manage generated waste and hazardous materials. 3

4 HAZARDOUS WASTE MANAGEMENT WHY?! 4

5 To minimize the potential spread of diseases inside the Medical Center and to the outside environment. To reduce the amount of hazardous waste produced at the Medical Center. To better protect the environment & reduce the Medical Center treatment expenditures. 5

6 Hazardous Waste Materials that may be constituted of biological, chemical, or radioactive substances and are no longer needed or suitable for their designated use. 6

7 Hazardous Waste Chemical Drug Radioactive Biohazardous No longer needed or suitable for its designated use 7

8 Hazardous Waste Chemical Drug Radioactive Biohazardous Chemical substances that exhibit at least one of the following characteristics: Flammable / Ignitable (Xylenes, Ethanol ) Reactive / Explosive (dry < 10% H 2 0 picric acid) Toxic (Formaldehyde, Glutaraldehyde, Methanol ) Corrosive (Acids, Bases ) 8

9 Hazardous Waste Chemical Drug Radioactive Biohazardous Hazardous medications that are expired and/or remaining after patients use/consumption. Chemotherapy agents, as well as contaminated vials, ampoules, IV bottles, tubes, syringes, gloves, masks, absorbent pads, and any other contaminated items used in the preparation, administration, and handling of these materials. Vaccines 9

10 Hazardous Waste Chemical Drug Radioactive Biohazardous Solids, liquids, or sharps containing or contaminated with radioactive material. Radiopharmaceuticals or Radiochemicals emitting ionizing radiation in the form of beta particles and/or gamma rays. 10

11 Hazardous Waste Chemical Drug Radioactive Biohazardous Liquid or semi-liquid blood or blood components or other potentially infectious materials. Items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling. Contaminated sharps. Pathological waste containing blood or other potentially infectious materials. 11

12 Mixed Hazardous Waste Priority: 1. Radioactive Waste 2. Chemical & Drug Waste 3. Biohazardous Waste 4. Regular Waste 12

13 Hazardous Waste Chemical Drug Radioactive Biohazardous + Regular Waste Biohazardous 13

14 Hazardous Waste Chemical Drug Radioactive Biohazardous Drug Waste 14

15 Hazardous Waste Chemical Drug Radioactive Biohazardous Radioactive Waste 15

16 Hazardous Waste Chemical Drug Radioactive Biohazardous Radioactive Waste Drug Waste 16

17 Hazardous Waste Chemical Drug Radioactive Biohazardous Radioactive Waste 17

18 Regular Waste Regular waste are all other waste that were not mentioned before and have not come in contact with blood or body fluids. Regular waste are collected in white/black bags. 18

19 Hazardous Waste Management 19

20 Hazardous Waste Chemical Drug Radioactive Biohazardous 20

21 Hazardous Waste Chemical Drug Radioactive Biohazardous Removed by EHSRM. 21

22 Hazardous Waste Chemical Drug Radioactive Biohazardous Radioactive Waste should be placed in specially labeled containers provided by EHSRM and collected by EHSRM for storage/disposal. For information concerning identification, segregation, storage, disposal, collection, and documentation of radioactive material waste refer to the EHSRM Radiation Protection Handbook: 22

23 Hazardous Waste Chemical Drug Radioactive Biohazardous For spill control procedures and/or assistance refer to the Radiation Protection Handbook, or contact the Health Physics Services division at 2378, 2367, (Call University Security at 2400 after working hours). 23

24 Hazardous Waste Chemical Drug Radioactive Biohazardous All non-sharp articles contaminated with hazardous drugs should be disposed of in approved red plastic bags labeled Hazardous Chemical Waste. Labels should be written in Arabic and English. Contaminated sharps should be placed into a red sharps container. 24

25 Hazardous Waste Chemical Drug Radioactive Biohazardous For spill control procedures and/or assistance contact EHSRM/Chemical Safety at Ext. 2361/2360 (Call University Security at 2400 after working hours) 25

26 Biohazardous Waste The waste which are capable of producing infectious diseases 26

27 Biohazardous Waste Segregation 1. Should be sorted at the site of generation into color-coded approved plastic bags or containers. 2. Waste bags should be placed in an approved secondary plastic container. 27

28 Biohazardous Waste Segregation Bags and containers should be labeled by the Biohazard symbol and the word BIOHAZARDOUS WASTE in Arabic and English, and should not be filled more than 3/4 of their loading capacity. Larger volumes of waste should not be packed or compressed in the bags or containers to achieve the volume limits. 28

29 BIOHAZARDOUS WASTE نفايات بيولوجية خطرة Autoclaving 29

30 BIOHAZARDOUS WASTE نفايات بيولوجية خطرة Incineration 30

31 Biohazardous Waste Segregation Biohazardous Waste Solid Sharps Pathological Liquid 31

32 Biohazardous Waste Solid Sharps Pathological Liquid Includes any non-sharp solid items contaminated with Biohazardous material. Example: Gloves & other disposable personal protective equipment (PPE), plastic-ware, towels, bench paper Yellow bags labeled by the Biohazard symbol and the word Biohazardous waste 32

33 Biohazardous Waste Solid Sharps Pathological Liquid Includes any non-sharp solid items contaminated with Biohazardous material. Example: Gloves & other disposable personal protective equipment (PPE), plastic-ware, towels, bench paper If contaminated with hazardous drugs Red plastic bag labeled BIOHAZARDOUS WASTE 33

34 Biohazardous Waste Solid Sharps Pathological Liquid Discarded sharp articles that may cause cuts or punctures such as needles, scalpels, broken glass, razors Yellow rigid plastic sharps container 34

35 Biohazardous Waste Solid Sharps Pathological Liquid Discarded sharp articles that may cause cuts or punctures such as needles, scalpels, broken glass, razors If contaminated with hazardous drugs Red rigid plastic sharps container. 35

36 Biohazardous Waste Solid Sharps Pathological Liquid Human specimens or tissues that are removed or obtained during surgery, autopsy, and studies or for diagnostic evaluation and which are intended for disposal such as: all unfixed human organs, tissues, organs, body parts (except for hairs and nails). Red plastic bag labeled BIOHAZARDOUS WASTE 36

37 Biohazardous Waste Solid Sharps Pathological Liquid Any body fluid with visible blood Amniotic fluid Cerebrospinal fluid Pericardial fluid Peritoneal fluid Pleural fluid Semen/vaginal secretions Synovial fluid Bulk quantities of blood Blood products Body fluids 37

38 Biohazardous Waste Solid Sharps Pathological Liquid < 10 ml > 10 ml Treated as solid waste Yellow bag Contained in leak proof plastic or metal containers with tight lids labeled by the Biohazard symbol and the word BIOHAZARDOUS WASTE in Arabic and English. 38

39 Biohazardous Waste Handling and Transportation Wastes should be segregated at the generation site. Bags of waste and sharps containers should, when they are three quarters full, be closed and removed from the site by housekeeping staff. Each department/ward should store its wastes in the utility room, if existing, or other designated area waiting for collection. 39

40 Don t Put Non-Biohazardous Items in Biohazardous Bags! Paper towels from drying hands after washing Scalpel blade wrappers Needle wrappers Uncontaminated gloves Packaging materials such as cardboard & Styrofoam Papers Food wrappers Pop cans 40

41 Source Separation is the Key! Everyone needs to consider which waste stream an item goes in every time waste are disposed. By properly segregating medical waste, the weight of biohazardous waste can be drastically reduced in the Medical Center. 41

42 42

43 43

44 44

45 45

46 46

47

48 1. Cytotoxic Drugs Wastes 2. Pathological Wastes Chemotherapeutic Cytotoxic Vaccines Human organs, tissues, body parts

49 Solid Biohazardous wastes Blood contaminated: Gloves & other Personal Protective Equipment Plastic-ware Towels Bench papers Examination papers

50 Cytotoxic Drugs Sharps (needles, scalpels, broken glass, razors ) Sharps contaminated with Chemotherapeutic & Cytotoxic drugs in addition to vaccines

51 Biohazardous Sharps (needles, scalpels, broken glass, razors ) Sharps contaminated with blood or body fluids

52 Regular Wastes Any other wastes that are not contaminated with any hazardous materials (blood, body fluids, cytotoxins )

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54

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56 ا السلامة و معالجة المخاطر لصحة البيي ية ENVIRONMENTAL HEALTH, SAFETY & RISK MANAGEMENT THANK YOU 56

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