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DOCUMENT ID |
6800
Appendix T4 Regulated
Medical Waste Management |
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1.0
Purpose
TJNAF manages its regulated medical waste to minimize personnel and environmental contact. The manner in which this type of waste is handled and disposed of is described herein.
2.0
Scope
The following are classified as regulated medical waste:
· human blood
· other potentially infectious material
o human bodily fluids
o detached tissues, body parts, etc.
o any solid waste or residue (e.g., needles, syringes, cloth, soil, and water) contaminated by or mixed with blood and/or other potentially infectious material
The procedures in this appendix are performed in coordination with Chapter 6800, Occupational Medicine.
3.0
Responsibilities
Note: Management authority may be delegated to a
task-qualified TJNAF employee at the discretion of the responsible manager.
3.1 Everyone at Jefferson Lab
· Read and comply with regulated medical waste warning labels.
· Do not handle regulated medical waste or waste containers, unless trained and authorized to do so.
· Contact Occupational Medicine (x7539) or Industrial Hygiene (x7882) for assistance with blood and/or other potentially infectious material response.
3.2 Bloodborne Pathogens Protection Program Participants
· Ensure
that Bloodborne Pathogens Protection Program training is current and in
accordance with Occupational Medicine’s standards.
· Use engineering and work practice controls to prevent exposure.
· Isolate areas where exposure is likely to occur and mark the areas with signs and/or barriers indicating limited access.
· Use appropriate personal protective equipment (PPE), engineering controls, and work practices when performing the steps outlined below.
3.3 Industrial Hygiene and/or Occupational Medicine
· Transfer all
containers of regulated medical waste to Occupational Medicine within 24 hours
of collection.
·
Package,
label, and handle any residue, soil, water, or other debris from cleanup of
regulated medical waste in accordance with 9 VAC 20-120 Regulated Medical Waste
Regulations.
Occupational Medicine further:
· Maintains and provides Bloodborne Pathogens
Protection Program training.
· Facilitates
post-exposure medical evaluations, when appropriate.
· Maintains an internal tracking log of the regulated
medical waste generated onsite.
· Ensures that regulated medical waste is packaged,
handled, and disposed of in accordance with 9VAC20-120-10 et. seq Virginia Regulated
Medical Waste Management Regulations.
·
Ensures
that spill containment and cleanup kits are provided where and when regulated
medical waste is produced.
3.4 Radiation Control Department (RadCon)
If an injury resulting in blood and/or other potentially infectious material occurs in a radiologically contaminated area, RadCon staff will evaluate:
· radiation exposure of employees involved in blood and/or other potentially infectious material cleanup.
· regulated medical waste for radioactivity content and provide guidance regarding appropriate disposal of any radiologically contaminated material.
4.0
Process
Only individuals
trained and authorized by Occupational Medicine (i.e., Industrial Hygiene and Occupational
Medicine staff) handle regulated medical waste in accordance with 9 VAC 20-120-10
et. seq Virginia Regulated Medical
Waste Management Regulations.
4.1 Collecting Regulated Medical Waste
Step 1:Collect sharps (e.g., needles, needles with syringes, blades) in rigid, red containers that are highly leak and puncture resistant, and labeled with the universal biohazard symbol (examples below).
Step 2:Collect other regulated medical waste in leak-proof, red, plastic bags labeled with the universal biohazard symbol (pictures follow).
Step 3:Collect expired and unused pharmaceuticals and containers, placing them in an appropriate pharmaceutical package labeled “Hazardous Waste Pharmaceuticals”. Ensure the disposal date is on the package.
Step 4:Turn containers in to Occupational Medicine for disposal.
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label |
plastic bag |
sharps containers |
4.2 Packaging Regulated Medical Waste
· Sharps
When the contents of a sharps, biohazard container reaches the Fill line, it is placed in a properly labeled and approved biohazard box.
· Non-sharps
When non-sharps have been collected, the container is placed in a properly labeled biohazard bag. The bag is then closed and sealed to ensure that no liquid can escape.
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Pharmaceutical
Medications
When unused/expired medications and containers have been collected, the container needs to be labeled Hazardous Waste Pharmaceuticals with the date the waste was generated.
4.3 Transporting Regulated Medical Waste
Occupational Medicine
coordinates regulated medical waste transportation to a permitted, off-site regulated
medical waste treatment or storage facility. Delivery confirmation and return receipt are kept with the internal
tracking log. The following transport
services are used.
· Subcontracted Transporter
Registered with the Virginia Department of Environmental Quality (DEQ)
· Health Care Professional or Authorized Subcontracted Employee
Regulated medical waste is packaged in accordance with 49 CFR 173.6, Materials of trade exceptions, and transported directly to a treatment or storage facility in a TJNAF or privately-owned vehicle.
· United States Postal Service (USPS)
Occupational Medicine coordinates transport of regulated medical waste through the USPS; packaging complies with 39 CFR 111, General Information on Postal Service.
4.4 Recordkeeping Requirements for Regulated
Medical Waste
TJNAF maintains records of its regulated
medical waste inventory and tracks it from the point of generation to disposal.
5.0
Revision
History
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rev |
summary |
date |
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2.0 |
periodic review - changed TPOC
from SChandler to KPadiyar - removed map
from footer - removed
reference to Chapter 3410 & updated Section 4.0 ES&H Manual Editor did the following: - updated:
Note: in 3.0; header, footer; cross-references: titles & hyperlinks;
bullets - corrected:
ESH&Q to ES&H as well as SOTR to TR -
organized: previous Revision Summary section style to new format, Revision
History |
07.17.2022 |
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1.1 |
periodic
review – no content changes per TPOC; updated header
and footer only, minor edits and no approval needed |
05.25.2021 |
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1.0 |
periodic
review – no changes per TPOC |
05.25.2016 |
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periodic
review – no substantive changes required |
05.20.2013 |
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revised
to reflect current laboratory operations |
05.10.2010 |
