Grady Hospital Waste Management Program For Grady Health System. An Update

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1 Grady Hospital Waste Management Program For Grady Health System An Update

2 Goals of the GHS Regulated Medical Waste Management Program Eliminate unnecessary costs Eliminate hazards to employees Fulfilled with the knowledgeable involvement of all the hospital s employees

3 How It Works Understand Waste Handling Guidelines Procedural Training Monitoring/Feedback Information Dept. Staff Meeting Review* Eliminate Waste Handling Infractions Solutions Dialogue Zero Defects * not just one more thing to do!

4 Waste Handling Guidelines Waste Handling Guidelines are Posted In: Generating Areas Treatment Rooms Soiled Utility Rooms When in Doubt - Review the Posted Guidelines

5 Procedural Training

6 Feedback Information to Responsible Managers

7 Departmental Monitoring with Surveys

8 Needed Department Management Support Meet Audit Team For 2-3 Minute To Review Audit Finding For Your Unit. Develop Corrective Action Plan (Cap) To Resolve Observed Deficiencies Fax CAP To Safety Office At Review Unit s Audit Findings Report Card And CAP With Staff On Each Shift

9 Each Employee s Part Understand the Waste Handling Guidelines Participate in Staff Dialogue Report Infraction Conditions Prevent Infractions Everyone Thinks Solutions Attain and Maintain Zero Defects

10 Waste Handling and Disposal Issues Personal Protection Equipment Excessive General Waste Discarded in RMW RMW Disposed in General Waste Sharps Waste Medical Stainless Steel Instruments IV Bags Waste Suction Container Waste Contaminated Linen Bags & Containers Marked with Biohazard Symbol Soiled Diapers Urine Specimen Disposal Placenta Waste Pathological Waste Chemotherapy Waste

11 Personal Protection Equipment PPE Must Be Worn When Engaged In Procedures In Which Contamination Of Blood, And Other Infectious Waste Is Likely To Occur PPE, With Visible Contamination, Must Be Disposed In Infectious Red Bag Waste PPE, Without Visible Contamination, Should Be Discarded In General Waste

12 Excessive General Waste in Red Bag Waste Only Items Saturated with Body Fluid And Meeting the OSHA Blood Borne Pathogen Rule-of-thumb Should be Discarded in the Infectious Red Bag Waste

13 OSHA Bloodborne Pathogen Rule- Of-thumb Disposable Items Saturated With Body Fluids Must be Discarded in Red Bag Waste If: Pourable Dispose In Red Bag Dripable Dispose In Red Bag Squeezable Dispose In Red Bag Dry And Flakes Dispose In Red Bag Questions: Please Consult Infection Waste Segregation Guidelines Poster Located in Soiled Utility Rooms.

14 Infectious Waste in a General Waste Bag Discarding Infectious Waste in General Waste is a Major Deficiency of Internal Policy and Biomedical Waste Rules Increases Potential Exposure of Housekeeping Staff to Bloodborne Infections (e.g. HIV, AID, Hepatitis) When in Doubt Discard in Red Bag Waste

15 Sharps Disposal All Sharps Must Be Disposed in a Sharps Container Never Recap Needles or Syringes Never Overfill (>90%) Sharps Container Sharps Include: Needles/Syringes Broken Ampoules/Glass Suture Needles Surgical Blades Surgical Stapler Disposable Tweezers Disposable Hemostats Disposable Scissors

16 Sharps Containers Are Only For The Disposal Of Sharps No PPE (Gloves or Masks) No 4X4s or 2X2s No Syringe Cases No Alcohol Wipes No IV Bags No Packaging No Trash

17 Medical Stainless Steel Instruments Reusable Medical Instruments From Central Sterile Supply (CSS) Bag, Label as Infectious, and Return to CSS for Processing and Reuse Disposable Medical Instruments (Hemostats, Scissors & Tweezers) Stamped Pakistan Can be Discarded in Sharps Containers

18 Bags & Containers Marked with Biohazard Symbol Empty bags or containers, marked with biohazard symbol, should be discarded in the Infectious Red Bag Waste. Never dispose in general waste containers.

19 IV Bag & Tubing Disposal Drain Contents of IV Bag into Sink Deface All Protected Healthcare Information (PHI) Discard Empty IV Bag & Uncontaminated IV Tubing in General Waste

20 Improper Disposal of Linen Never Discard Damaged Linen in General Waste Never Discard Linen Contaminated with Body Fluids in Red Bag Waste Place All Linen into a Fluid Impervious Linen Bags Send to Laundry for disinfection and reuse

21 Bags/Container Labeled with Biohazard Symbol All Empty Biohazard Bags/Containers Must be Disposed in Red Bag Waste Infectious Control Decision to Eliminate Confusion at Landfill

22 Spent Diapers (Child & Adult) Soiled Diapers Saturated with Urine General Waste Soiled Diapers Containing Feces Red Bag Waste

23 Urine Specimen Disposal Discard Urine Down Drain and flush with Water Rinse Out Container Deface All Healthcare Protected Information Discard Container in General Waste

24 Suction Container Waste Disposal Suction Canisters (Containing Grossly Bloody or Clotted Fluid, and Pus) Must be Solidified by Adding Isosorb and Placed in Infectious Red Bag Waste Suction Canisters (Not Grossly Bloody or Clotted Fluid, and Pus) Can be Decanted into the Hopper Sink and Rinsed Prior to Disposal as General Waste in Trash. Due to Increase Exposure to Potentially Infectious Body Fluid During the Decanting Process, This Disposal Option is Not Recommend.

25 FBC PLACENTA WASTE FBC Nursing Staff Must: Put Placenta in Sealed Container; and Place Containers in Designated Red Placenta Only Drum Locate in 4J Soiled Utility Room Environmental Services will Transport to Pathology Lab for Proper Disposal

26 Pathology Waste All Tissue Samples Must Be Put in Sealed, Labeled Containers for Transported to Pathology for Processing/Storage Pathology Decants the Formalin and Places Discarded Tissue Samples in the Reusable Red Infectious Waste Containers for Offsite Incineration as Regulated Medical Waste

27 Chemotherapy Waste Deminimus (PPE, Syringes, Empty Vials & IV Bags) Waste Must be Placed into Yellow Sharps Containers for Disposal as Regulated Medical Waste Bulk (Partial/Outdated Vials & IV Bags) Must be Returned to Pharmacy in a Closed Container and Placed into Blue Drums for Disposal at an USEPA Permitted Facility

28 Performance Measurement Indicators for EC.3.10, EP.6 Know the OSHA Bloodborne Pathogen Rule-Of-Thumb for ID and Segregating Infectious Waste Do We Every Recap Needles Prior to Disposal In Sharps Containers? Do We Discard Linen Contained with Body Fluids in the Red Bag Waste?

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