BIOMEDICAL WASTE PLAN Health Sciences Campus / Biological Sciences Cocoa Campus

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1 BIOMEDICAL WASTE PLAN Health Sciences Campus / Biological Sciences Cocoa Campus Courtesy of: Brevard Community College Environmental Health Services 2725 Judge Fran Jamieson Way, Bldg. A Viera, FL (321) Our Transporter Is: Name: Biotechnology Medical Waste Transfers, Inc. Address: 745 North Drive, Suite A Melbourne, FL Transporter s State Registration Number: 7539 Telephone Number: (321) Fax Number: (321) In compliance with Florida Department of Health Chapter 64E-16, F.A.C. Facility Name: Brevard Community College Health Sciences Cocoa Campus Address: 1519 Clearlake Road Cocoa, FL Effective Date: August 24, 2004 Reference: 64E-16, Florida Administrative Code Biomedical Waste

2 PLAN REVIEW DATE Thursday, October 26, 2000 Monday, October 01, 2001 October, 2002 August, 2003 August, 2004 August, 2005 August, 2006 August, 2007 August, 2008 REVIEWER S NAME / TITLE Cindy Cameron, Academic Dean, Allied Health Division Dr. Richard Blaney (Science) Dr. Brenda Fettrow, Campus President Allied Health OSHA and Safety Committee; Dr. Barbara Ake, Rita Halllock, Holly Kahler, Claudia Campbell Dr. Richard Blaney (Science) Dr. Brenda Fettrow, Campus President Allied Health OSHA and Safety Committee; Dr. Barbara Ake, Rita Halllock, Holly Kahler, Claudia Campbell Dr. Richard Blaney (Science), Allied Health OSHA Committee: Dr. Barbara Ake, Claudia Campbell, Judith Campbell, Judy Capps, Krista Matheny, Dr. Janice Grumbles, Rita Hallock, Dr. Holly Kahler, Linda Miedema, Anthony Misco, Dr. Barry Inman, Brevard County Health Department Consultant Dr. Richard Blaney (Science), Allied Health OSHA Committee: Judy Capps, Dr. Janice Grumbles, Dr. Holly Kahler, Krista Matheny, Linda Miedema, Anthony Misco, Claudia Cambpell Health Sciences OSHA Committee: Dr. Barbara Ake, Dr. Holly Kahler, Linda Miedema, Claudia Campbell, Dr. Ethel Newman, Dr. Laura Earle, Robin Pollard, Debbie Ramirez, Rita Hallock, Judy Capps Health Sciences OSHA Committee: Dr. Barbara Ake, Dr. Holly Kahler, Linda Miedema, Claudia Campbell, Dr. Ethel Newman, Dr. Laura Earle, Robin Pollard Health Sciences OSHA Committee: Dr. Barbara Ake, Dr. Holly Kahler, Linda Miedema, Claudia Campbell, Dr. Ethel Newman, Dr. Laura Earle, Debra Ramirez Health Sciences OSHA Committee: Dr. Holly Kahler, Dr. Laura Earle, Debra Ramirez, Donna Hamilton, Dr. Kathinka Babb

3 TABLE OF CONTENTS Purpose 3 Policy.. 3 Identification of Biomedical Waste. 3 Segregation and Handling 4 Personal Protective Equipment.. 5 Co-Mixing. 5 Labeling. 5-6 Onsite Storage and Transportation/Outside Storage 6 Schedule of Biomedical Waste Removal. 6 Treatment/Offsite Transportation/Biomedical Waste Record Keeping... 7 Decontamination Plan for Spills 7 Contingency Plan for Emergencies 7 Training Records 7-8 Appendix A: Educational Labs 9

4 PURPOSE To provide for the proper management of biomedical waste in a manner which is consistent with the guidelines established by the Florida Department of Health, Chapter 64E-16 of the Florida Administrative Code on Biomedical Waste. POLICY It is the policy of this facility to handle and store biomedical waste in compliance with all State and Federal Laws. IDENTIFICATION / DEFINITION OF BIOMEDICAL WASTE This facility adheres to all the definitions as stated in 64E-16, F.A.C., Biomedical Waste. All definitions can be found in the regulations under section 64E-16 Definitions. Based on the definitions of Biomedical waste, items to be considered NON SHARP biomedical waste at this facility are as follows: Used absorbent material saturated, with blood, body fluids, or excretions or secretions contaminated with visible blood and absorbent materials saturated with blood, blood products, and body fluids that have dried. Check all examples that apply: [x] Bandages [x] Gauze [x] Wound care material [x] Sponges [x]cast material Contaminated non-absorbent material: Examples: [x] Flexible tubing [x] Flexible pipette [x] Disposable gloves [x] Intact glass [x] Intact hard plastic [x] speculum [x] suction canisters empty or solidified [x] Other: Laboratory specimens, Animal dissection specimens (Urine, Feces, Nasal, Discharge, Saliva, Sputum, sweat, tears, and vomitus are biomedical waste only if there is visible blood). Based on the definitions of Biomedical Waste, items to be considered SHARPS at this facility are as follows: Objects capable of puncturing, lacerating or otherwise penetrating the skin. Check all examples that apply: [x] Needles [x] Contaminated broken glass [x] Razors [x] IV spikes [x] Slides [x] Broken plastic [x] Lancets [x] Test tubes) [x] Other: Staples, Culture, Media containers, Blades, Scalpels, Broken sharps instruments

5 SEGREGATION AND HANDLING Biomedical waste is identified and segregated from other waste at its point of origin into its proper container. POINT OF ORIGIN is defined as the room or area at which the biomedical waste is generated. POINTS OF ORIGIN IN THIS FACILITY ARE AS FOLLOWS: [ ] Exam rooms # [ ] Lab # [ ] Resident rooms [ ] PT area # [ ] Patients home [ ] Operating suite # [ ] Recovery area # [ ] Treatment room # [x] Dental operatory area # Bldg. 20, Room 111 B [x] Other: Educational labs- See Attached List *ALL SHARPS shall be segregated from all other waste and shall, at the point of origin, be placed into sharps containers that meet the specifications detailed in 64E-16, F.A.C. Sharps containers will be sealed properly before transport. SHARPS CONTAINER LOCATIONS AT THIS FACILITY ARE: [ ] Resident room [ ] Shower room [ ] Medication cart [ ] Med room [ ] Exam room [ ] Operating room [ ] Recovery [ ] Treatment room [ ] Lab [ ] Nursing station [x] Dental operatory area-bldg. 20 room 111 [ ]Med cart placed at the resident s doorway for point of origin disposal [ ] Home care nurse takes sharps container to point of origin in resident s home [x] Other: Educational labs-see attached list We use double wall sharps boxes for contaminated glass or broken hard plastic YES / NO Containers are located _ Dental Operatory Area Bldg. 20, Rm. 111 and Educational Labs-See attached list. *All NON-SHARPS biomedical waste shall be disposed of directly into red impermeable plastic bags, meeting the requirements of 64E-16, F.A.C. or at the discretion of the generator, into sharps containers. Bags shall be packaged and sealed at the point of origin. Our bags are manufactured by WinField Corporation and meet 64E-16 biomedical waste bag standards as evidenced by our bag Quality test report. RED BAGS ARE LOCATED AS FOLLOWS: [ ] Exam room [ ] Operating suite [ ] Recovery [x] Dental operatory-bldg. 20, rm. 111 [ ] Treatment carts [ ] Utility rooms [ ] Lab [ ] Car stock [x] Other: Educational labs, -see attached lists

6 PERSONAL PROTECTIVE EQUIPMENT (PER OSHA STANDARDS) ANY EMPLOYEE HANDLING BIOMEDICAL WASTE SHALL WEAR PROTECTIVE CLOTHING. IF ANTICIPATION OF SPILL, SPLASH, OR SPLATTER A MASK, GOWN AND EYE SHIELDS WILL ALSO BE WORN. PPE EQUIPMENT IS LOCATED AS FOLLOWS: [x] Gloves [x] Gown [x] Mask/ eye shield Educational labs and Dental operatory area CO-MIXING Biomedical waste mixed with hazardous waste, as defined in Rule , F.A.C., Hazardous Waste, shall be managed and disposed of as hazardous waste. Biomedical waste mixed with radioactive material, as defined in subsection 64E-16, F.A.C. shall be managed and disposed of in a manner that does not violate this rule. Any solid waste, which is neither hazardous nor radioactive in character, but has been mixed with biomedical waste shall be managed as biomedical waste in accordance with the requirements of Chapter 64E-16, F.A.C. LABELING [x] Treatment and disposal of our biomedical waste occurs offsite [ ] Treatment and disposal of our biomedical waste occurs onsite (if onsite procedure occurs, list procedure) SHARPS CONTAINER LABELING All sharps containers will have the international biohazard symbol. The symbol shall be at least one inch in diameter and be red, orange, or black with the background color contrasting with that of the symbol or comply with the requirements cited in subpart Z of 29 CFR subparagraph (g) (1) (C), Occupational Exposure to Bloodborne Pathogen Standard. All labels shall be written in heavy metal free, indelible ink in a clearly legible and easily readable manner. All labels shall be securely attached to or permanently printed on the biomedical waste package. One of the following phrases shall be used in conjunction with the international biohazard symbol. BIOMEDICAL WASTE, BIOHAZARDOUS WASTE, BIOHAZARD, INFECTIOUS WASTE, INFECTIOUS SUBSTANCE.

7 BIOMEDICAL WASTE BAGS The symbol shall be at least six inches in diameter on bags 19 x 14 or larger. Symbols of at least one inch in diameter shall be permitted on bags having the dimensions 19 x 14 or smaller. BIOMEDICAL WASTE OUTER BAGS Any outer bags shall be labeled with our name and address. INNER BAGS Bags used in dressing changes or bags placed into a larger bag do not need to be labeled with our name and address, or date. ONSITE STORAGE AND TRANSPORTATION Biomedical waste shall not be stored for a period greater than 30 days. The 30-day time period shall commence when the first non-sharp item of biomedical waste is placed into a red bag or sharps container, or when a sharps container, containing only sharps is ¾ full or the fill line is reached. All onsite biomedical waste storage (other than at the point of origin) shall have restricted access and shall be designated in our plan. They will be located away from pedestrian traffic, be vermin and insect free, and shall be maintained in a sanitary condition. The area will be constructed of smooth, easily cleanable materials that are impervious to liquids. INSIDE STORAGE AREAS ARE AS FOLLOWS Cocoa Campus, Health Sciences, Building 20, Room 115 and Building 14, Room 143 A OUTSIDE STORAGE AREAS (IF APPLICABLE) Additionally, outdoor storage area and containers shall be secure from vandalism, unauthorized entry and conspicuously marked with the international biohazard symbol of at least six inches in diameter. none SCHEDULE OF BIOMEDICAL WASTE REMOVAL Biomedical waste is removed from the point of origin and taken to the storage area according to the following schedule: Sharps Containers shall be removed when ¾ full or when fill-line has been reached. Red Bags shall not exceed 30 days The onsite transport will be the responsibility of the following department or individuals: [ ] Nursing [ ] Maintenance [ ] Housekeeping [ ] Cleaning Service [ ] Medical technicians [x] Dental Staff [x] Other Supervising lab instructor

8 TREATMENT/ OFFSITE TRANSPORTATION Offsite transportation is performed by Biotechnology Medical Waste Transfers, Inc., a Department of Health registered offsite biomedical waste transporter. BIOMEDICAL WASTE PICK-UP (how often): Weekly or as needed per contract Solid biomedical waste will be treated by [x] steam [x] incineration [ ] alternative method approved by the department. BIOMEDICAL WASTE MANAGEMENT RECORDS Biomedical waste management records are kept for at least three (3) years and are located at Cocoa Campus, Health Sciencess, Building 20, Room 111, Dental Clinic Manager; Cocoa Campus, Science Department, Building 14, Room 134, Science Department Chair DECONTAMINATION PLAN FOR BMW SPILLS All surfaces contaminated with spilled or leaked biomedical waste shall be decontaminated. SPILL KITS ARE LOCATED AS FOLLOWS: Educational labs DISINFECTANT UTILIZED: Idophor, Bleach (ratio 1:10), Citrus II, Mada-Cide, Cidex OUR CONTINGENCY PLAN FOR EMERGENCIES ARE AS FOLLOWS: Notify Campus Security Call 911 Maintenance TRAINING: All employees who are involved in the handling, disposal and/ or management of biomedical waste shall receive Biomedical Waste Policy and procedure training prior to commencement of their duties and on an annual basis thereafter. Documentation of this training, listing topics covered and attendees names, will be maintained for a minimum of three (3) years. Inservice Training Records are located: Cocoa Campus, Building 2, Human Resources Department

9 TRAINING OUTLINE Our training outline consists of the following: 1. The OSHA standard for bloodborne pathogens. 2. Epidemiology and symptomology of bloodborne diseases.. 3. Modes of transmission of bloodborne pathogens. 4. This Exposure Control Safety Plan. 5. Procedures that might cause exposure to blood or OPIM s at this facility. 6. Control methods to be used at this facility to help minimize exposure to blood or OPIM s. 7. PPE s available at this facility 8. Contact person for exposure to blood or OPIM s. 9. Post-exposure evaluation and follow-up. 10. Signs and labels used at this facility. 11. Hepatitis B vaccine program at this facility. 12. Biohazardous Waste Disposal. 13. Tuberculosis Testing. 14. Material Safety Data Sheets.

10 APPENDIX A Brevard Community College Health Sciences Campus / Science Education Labs Cocoa Campus Clinical Education Labs Cocoa Campus HCVAS Allied Health Building #20 PROGRAM ROOM % 118, %124-A, % 124-O (No biohazardous waste Cosmetology/ Nails/ Skin Care generated) Dental Assisting/ Dental Hygiene & * # % 111-B, % 125 Nursing (ADN/ LPN/ PCT) & * # 230, & * # 212, & * # 205 MLT/ Phlebotomy & * # 213, & *213-B Radiography 108 C, D, E (No biohazardous waste) Bio-Hazard Waste Storage & # 115 Technicial Building #17 PROGRAM Medical Assisting & * # % 227, 215 Surgical Technology & * 207, 208 EMT/ Paramedic * # 203 Vet Tech & * # % 222 ROOM Veterinary Technology Building #21 Vet Tech PROGRAM & * # % 111 (Shower available) ROOM Science Building #14 PROGRAM Science Department Laboratory & * # 143 Biohazard Waste Storage & # 143-A ROOM * Sharps Container & Red Bags # Spill Clean-up Kit % Eyewash Stations

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