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WELCOME
Medical Waste Management 1/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
OBJECTIVES
Define Medical Waste, Regulated Medical Waste and
Infectious Waste.
Discuss the Regulations Applicable to Medical Waste.
Discuss the Components of an Infectious Waste Management
Plan.
Outline an Exposure Control Plan.
Discuss Steps to take if Exposed to Infectious Waste.
Discuss the Problem of Mercury.
Discuss Records to Maintain.
Recommend Inspection Items.
Medical Waste Management 2/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
GOALS
Medical Waste Management 3/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
WHAT IS A MEDICAL WASTE?
Medical Waste Management 4/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
WHAT IS A REGULATED MEDICAL
WASTE?
Definition of Regulated Medical Waste
Regulated Medical Waste is a subset of all medical
wastes and include seven distinct categories:
1. Cultures and stocks of infectious agents.
2. Human pathological wastes (e.g. tissues, body parts)
3. Human blood and blood products
4. Sharps (e.g. hypodermic needles and syringes)
5. Certain animal wastes
6. Certain isolation wastes (e.g. wastes from patients
with highly communicable diseases)
7. Unused sharps.
Medical Waste Management 5/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
WHAT IS AN INFECTIOUS
WASTE?
Infectious wastes were categorized into the following
seven categories:
1. Isolation wastes – wastes generated by hospitalized
patients who are isolated to protect others from
communicable diseases.
2. Cultures and stocks of infectious agents and
associated biologicals – this category includes:
- Specimens from medical and biological laboratories
- Cultures and stocks of infectious agents from
clinical, research, and industrial laboratories
3. Human blood and blood products – this includes
waste blood, serum, plasma, and blood products.
Medical Waste Management 6/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
WHAT IS AN INFECTIOUS
WASTE?
4. Pathological waste – tissues, organs, body parts,
blood, and body fluids.
5. Contaminated sharps – contaminated hypodermic
needles, syringes, scalpel blades, Pasteur pipettes, and
broken glass.
6. Contaminated animal carcasses, body parts, and
animal bedding
7. Miscellaneous Contaminated Wastes – these include:
- Wastes from surgery and autopsy
- Miscellaneous laboratory wastes
- Dialysis unit wastes
- Contaminated equipment
Medical Waste Management 7/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
INFECTIOUS WASTE
MANAGEMENT PLANS
Medical Waste Management 8/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
DESIGNATION OF AN INFECTIOUS
WASTE
Medical Waste Management 9/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
SEGREGATING MEDICAL
WASTES
Segregation of infectious wastes at
the point of origin.
Segregation of infectious waste with
multiple hazards as necessary for
management and treatment.
Use of distinctive, clearly marked
containers or plastic bags for
infectious wastes.
Use of the universal biological
hazard symbol on infectious waste
containers as appropriate.
Medical Waste Management 10/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
SEGREGATING MEDICAL
WASTES
Whenever possible, do not combine
medical waste with hazardous chemicals
or radioactive waste.
Separate sharps waste from other
medical wastes. Sharps should be
stored in puncture-proof containers.
Separate pathology wastes from other
medical wastes.
Separate chemotherapy wastes from
other medical wastes.
Medical Waste Management 11/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
SEGREGATING MEDICAL
WASTES
If different types of waste are mixed, treat mixtures as
follows:
Mixtures of medical and radioactive waste --
decontaminate the biohazardous component and manage
as radioactive waste.
Mixtures of medical and hazardous chemical waste -- if
safe to do so, decontaminate the biohazardous
component and manage as chemical waste.
Mixtures of medical, radioactive, and hazardous
chemical waste -- if safe to do so, decontaminate the
biohazardous component and manage as radioactive
waste.
Medical Waste Management 12/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
PACKAGING INFECTIOUS WASTE
Medical Waste Management 13/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
HANDLING SHARPS
Medical Waste Management 14/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
HANDLING SHARPS
Medical Waste Management 15/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
HANDLING SHARPS
Medical Waste Management 16/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
PACKAGING OF SHARPS
Medical Waste Management 17/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
STORAGE
Medical Waste Management 18/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
TRANSPORT
Medical Waste Management 19/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
ON-SITE TREATMENT
Medical Waste Management 20/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
AUTOCLAVING
Medical Waste Management 25/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
GAS/VAPOR STERILIZATION
Medical Waste Management 26/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
CHEMICAL DISINFECTION
Medical Waste Management 27/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
STERILIZATION BY IRRADIATION
Advantages of irradiation:
Electricity requirements are nominal.
Steam is not required.
No heat or chemicals remain the treated waste.
The principal disadvantages are as follows:
Capital costs are high.
Highly trained personnel are required.
Space requirements are great.
Worker exposure as a result of leaks in seals or poor
work practices.
Disposal of the radiation source may pose problems.
Medical Waste Management 28/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
RADIOFREQUENCY IRRADIATION
Medical Waste Management 30/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
DRAIN DISPOSAL
Medical Waste Management 32/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
CONTINGENCY PLANNING
Medical Waste Management 33/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
DECONTAMINATION
Medical Waste Management 34/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
DECONTAMINATION
Medical Waste Management 37/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
EXPOSURE STEPS
Medical Waste Management 38/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
EXPOSURE STEPS
Medical Waste Management 39/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
EXPOSURE STEPS
Referral to a a Health
Care Professional (HCP)
— Following a report of an
exposure incident of a
bloodborne pathogen, the
employer shall make
immediately available to
the exposed employee a
confidential medical
evaluation and follow-up at
no cost to the employee.
Medical Waste Management 40/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
EXPOSURE STEPS
Medical Waste Management 41/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
STAFF TRAINING
Medical Waste Management 42/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
MERCURY
Medical Waste Management 43/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
MERCURY
Medical Waste Management 44/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
CHECKLIST
Medical Waste Management 45/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
CHECKLIST
Medical Waste Management 46/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
RECORDS
Medical Waste Management 47/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
TIPS FOR USING CONTRACTORS
Medical Waste Management 48/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
ELEMENTS OF A SUCCESSFUL
MEDICAL WASTE PROGRAM
Medical Waste Management 49/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.
THE IMPORTANCE OF A
CLEAN ENVIRONMENT
Medical Waste Management 50/ 60 © Copyright Training 4 Today 2000 Published by EnvironWin Software LLC.