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Section 2 Regulated Medical Waste

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Title: Section 2 Regulated Medical Waste


1
Section 2Regulated Medical Waste
  • Environmental Health and Safety
  • SUNY at Stony Brook

2
Training Objectives
  • Recognize hazards of biological wastes
  • Learn how to safely manage biological waste
    material
  • Learn how to select the appropriate personal
    protective equipment (PPE)
  • Learn what actions to take in an emergency or
    spill involving biological waste

3
  • Stericycle is the new RMW (boxes only) contractor
    effective June 1, 2008

4
Regulated Medical Waste (RMW)
  • Regulated Medical Waste
  • Any solid waste generated in the diagnosis,
    treatment, or immunization of human beings or
    animals, in research pertaining thereto, or in
    the production or testing of biologicals.
  • Material that has come in contact with blood,
    body fluids or other potentially infectious
    material (OPIM)

5
Regulated Medical Waste
  • Other Potentially Infectious Materials
  • "Other potentially infectious materials means
    those body fluids identified as potentially
    capable of transmitting a communicable disease.

6
What is RMW?
  • Cerebrospinal fluid
  • Synovial fluid
  • Pleural fluid
  • Pericardial fluid
  • Peritoneal fluid
  • Amniotic fluid
  • Biological materials in labs (etiologic)
  • Saliva in dental procedures
  • Any body fluid visibly contaminated with blood
  • Unfixed human tissue or organ

7
What is RMW?
  • Cell(s), tissue, organ cultures or culture medium
    containing OPIM
  • Blood, organs or other tissues from infected
    experimental animals
  • Bandages dripping with blood
  • Household waste, i.e. diapers
  • hygiene products, are not RMW

8
What is RMW?
  • Used or unused sharps, including
  • hypodermic needle
  • scalpel blades
  • pasteur pipettes
  • any glass or plastic that has contacted
    infectious materials

9
What is RMW?
  • Chemotherapy Waste
  • Chemotherapy contaminated wastes with trace
    (
    may be packaged in a yellow bag and disposed of
    as trace contaminated chemotherapy waste.

10
Handling RMW Safely
  • To reduce exposures by contact
  • Keep hands away from mouth, nose, eyes, face
  • Wash hands immediately after contact or when work
    is completed

11
Handling RMW Safely
  • To reduce exposures by contact
  • Decontaminate work surfaces immediately after
    spills and after work
  • Wear appropriate PPE
  • Do not smoke, eat, drink or store food in work
    areas

12
What are the 4 routes of exposure?
  • Absorption
  • Ingestion
  • Inhalation
  • Injection

13
Handling RMW Safely
  • Packaging
  • RMW must be packaged in a closed red bag, tied
    and placed into a sturdy cardboard box or fiber
    drum
  • Waste that has the potential to leak must be
    double bagged

14
Handling RMW Safely
  • Packaging RMW Boxes
  • Must have the word BIO-HAZARD
  • Must be sealed with tape
  • Must have the name of the Generator on each bag
    (Stony Brook EHS will supply pre-labeled bags)
  • Fiber drums must be kept closed
  • There must be a bar-code affixed to the outside
    of each box or container

15
This is why each bag must be labeled..
16
Sharps
  • It is estimated that over 400,000 people suffer
    the trauma of a sharps injury each year
  • Therefore, alternative sharps collection
    containers have been implemented throughout
    campus (Daniels Sharpsmart) in an effort to
    reduce exposure/incidents

17
Daniels Container
  • Reusable
  • Puncture Proof
  • Locking System
  • Removes Hazard
  • Closable

18
Handling RMW Safely
  • Sharps
  • All sharps must be disposed of in puncture-
    resistant plastic containers and labeled with the
    biohazard symbol
  • Smaller sharps containers may be placed in a RMW
    box for disposal

19
Handling Sharps Safely
  • To reduce injuries from sharps
  • Keep sharp objects in view
  • Use appropriate gloves to prevent cuts, punctures
    and skin exposure

20
Transporting RMW Safely
  • During RMW Transport
  • Wear PPE (i.e. gloves, lab coat, etc.)
  • Have spill clean-up material available or, at
    minimum, know where it is (i.e. absorbent pads,
    bleach solution, etc.)

21
Transportation of RMW
  • During Transport
  • Use the freight elevator or limit access to
    elevator

22
Waste Handling Practices
  • RMW Transport
  • When lifting boxes, support them from underneath

23
Disposal of RMW
  • Disposal of RMW
  • Bring RMW to designated locations during
    scheduled dates - call EHS for schedule _at_ 2-6410
    or log into our website _at_ http//www.stonybrook.ed
    u/ehs/
  • RMW must never be left on loading docks, freight
    elevator lobbies or any unrestricted location

24
RMW Recordkeeping
  • RMW Recordkeeping
  • Have a fully completed internal RMW manifest
    ready before you transport your RMW to your
    designated drop-off location
  • Internal RMW manifests are used to track waste
    on-campus
  • Departments must fill in all information
  • Keep a copy of the manifest for your records

25
RMW Transport
  • The University Hospital, Individual
    Departments/Entities or Research Foundation pay
    for disposal according to current RMW disposal
    rates
  • RMW is loaded onto a licensed and permitted truck
    before it is brought to an incineration facility

26
Disposal of Empty Containers
  • Under no circumstances may a container labeled
    with the words
  • infectious, sharps and/or
  • regulated medical waste
  • or labeled with the
  • biohazard symbol be
  • disposed of in the
  • regular trash.

27
Waste Minimization
  • Source Reduction
  • Do not mix RMW with
  • regular trash (otherwise the
  • whole load becomes RMW)
  • Waste Minimization is Pollution Prevention
  • Pollution Prevention not only helps
  • everyones bottom line, but it also helps
  • protect the environment

28
Waste Management Practices
  • Housekeeping
  • All work areas, benches and floors must be clean,
    dry uncluttered
  • Do not block emergency equipment
  • Working alone should be avoided
  • Undergraduates must not work alone

29
Personal Contamination
  • Assist victim with first aid
  • Always seek prompt medical attention
  • University Police 911 Campus Phone
  • University Police Cell Phone 632-3333
  • File an incident report with your Department
    within 24 hours
  • Specific OSHA paperwork required for BBP exposure

30
First Aid
  • Splash to the Eyes
  • Immediately flush with copious
  • amounts of water for at least
  • 15 minutes
  • Splash to the Body
  • Remove contaminated clothing
  • Immediately flush with copious amounts of water
    for at least 15 minutes

31
Emergency Eyewashes
  • Squeeze handle to operate located at most sinks

32
Emergency Showers
  • Pull handle to operate
  • Located in hallways

33
Biohazard Spills
  • You may clean-up small spills if you
  • Have the supplies to absorb and bag the
  • spilled material
  • Are familiar with the properties of the spilled
  • materials
  • Have the proper personal protective
  • equipment

34
Biohazard Spills
  • Decontamination - use bleach, diluted to 110
    with water
  • to decontaminate the spill area
  • to clean/decontaminate equipment used in spill
    response

35
Biohazard Spills
  • Cover spilled area with absorbent pad or paper
    towels
  • Pour diluted bleach over towels, let stand for 30
    minutes

36
Biohazard Spills
  • To reduce the number of employees at risk of
    exposure
  • Restrict access to the work area
  • Provide warnings of hazards and advice about
    special requirements

37

Emergency Condition
  • Any Spill, Leak, Fire or other uncontrolled
    release that presents a hazard to human health or
    the environment
  • Any person discovering an imminent or actual
    emergency which is not readily controllable with
    equipment on hand, must contact University Police
    (911 or 632-3333)

38

Emergency Procedures
  • If there is a fire involved, immediately pull the
    fire alarm begin evacuation
  • Contact University Police from a safe area to
    notify them of the fire and spill so that the
    HAZMAT Team can
  • be dispatched

39
Emergency Procedures
  • The following information must be provided to
    University Police
  • Your name, phone number, and Department
  • The location of the spill
  • Time of the spill
  • Identity of what spilled
  • Quantity of spilled material
  • Extent of injuries, if any

40
Emergency Procedures
  • Notify others in the area about the spill and
    post a warning sign if time/conditions allow
  • If the spill or leak of hazardous material may
    affect others outside of the immediate area,
    evacuate the area or pull the fire alarm to
    notify everyone and begin a larger evacuation

41
Regulated Medical Waste Management
Training
Section 2
TEST
42
TEST - Question
1

Household waste is considered Regulated Medical
Waste (RMW). True ____ or
False ____ ____
43
TEST - Question
2

Under no circumstances may a container labeled
with the words infectious, sharps and/or
regulated medical waste or labeled with the
biohazard symbol be disposed of in the regular
trash. True ____ or False
____
44
TEST - Question
3

Regulated Medical Waste containers must A)
Contain the words Bio-Hazard B) Show the name
of waste generator C) Be closed when being stored
and during transport D) All of the above
45
TEST - Question
4

Select the correct answer A) Sharps may be
disposed with regular trash B) RMW may be placed
into black bags C) RMW should be packaged such
that it will not leak out off its
container D) RMW boxes do not need to be sealed
with tape
46
TEST - Question
5

RMW may be left by the freight elevator for the
EHS staff, if you miss their pick-up
schedule. True _____ or
False_____
47
TEST - Question
6

Which of the following must be handled as
regulated medical waste? A) amniotic fluid B)
bandages dripping with blood C) unfixed human
tissue D) saliva from dental procedures E) All of
the above
48
TEST - Question
7
  • You may clean up a biological/RMW spill if
  • There is nobody else around to clean it up, even
    if you do not have the right supplies
  • B) You feel symptoms of exposure
  • C) You have the proper personal protection and
    are trained to do so

49
TEST - Question
8

Fill in The Blank To report a major biological
spill, fire or other emergency, contact
University Police by dialing _ _ _ or _ _ _ - _ _
_ _.
50
TEST - Question
9

Which of the following is not Regulated Medical
Waste (RMW)? A) Used hypodermic needles B) Body
fluid contaminated with blood C) Culture dishes
containing infectious materials D)
Diapers E) All of the above
51
TEST - Question
10
  • If you have a Regulated Medical
  • Waste spill, you should
  • Use bleach, diluted with 110 water,
  • to disinfect the spill area
  • Use only water to clean it up
  • Dispose of the spill cleanup debris in
  • the trash
  • Leave it for someone else to clean up

52
CONGRATULATIONS!!! Youve completed
Environmental Health Safetys Regulated Medical
Waste Management Training Class Dont forget
to return your completed test/certification page
to EHS at Z6200
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