Infectious Medical Waste

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Infectious Medical Waste
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INFECTIOUS WASTE MANAGEMENT

• 1. Definition of infectious biohazard waste
• 2. Types of Infectious Waste
• 3. WV Bureau of Public Health License
• 4. Infectious Waste Disposal Plan for the MEB
• 5. Bloodborne pathogen standard (review)
• 6. Issuance of Keys for the locked unautoclaved
  waste bin

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64CSR56Infectious Medical Waste
www.state.wv.us/csr/docs/WPDocs/64-56.wpd
Section 3.9. Infectious Medical Waste is medical
waste which is capable of producing an infectious
disease.
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64CSR56Infectious Medical Waste

• Medical waste shall be considered capable of
  producing an infectious disease if
• it has been, or is likely to have been,
  contaminated by an organism likely to be
  pathogenic to healthy humans,
• if such organism is not routinely and freely
  available in the community, AND
• such organism has a significant probability of
  being present in sufficient quantities and with
  sufficient virulence to transmit disease.

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Infectious Medical Waste

• Our Plan Sterilize all bacterial, fungal, viral
  and parasitic organisms and cultured cells.
• If you have any questions please consult with Don
  Primerano or Connie Berk.

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INFECTIOUS WASTE MANAGEMENT

• 1. Definition of infectious biohazard waste
• 2. Types of Infectious Waste
• 3. WV Bureau of Public Health License
• 4. Infectious Waste Disposal Plan for the MEB
• 5. OSHA bloodborne pathogen standard
• 6. Issuance of Keys for the locked unautoclaved
  waste bin

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TYPES OF INFECTIOUS WASTE

• Cultures of microorganisms biologicals
• Human blood and blood products
• Pathological wastes
• All Sharps (even if not contaminated)
• Contaminated animal carcasses, body parts,
  bedding and related wastes
• Materials (soil, water, or other debris) which
  result from the cleanup of a spill of any
  infectious medical waste.
• Waste contaminated by or mixed with infectious
  medical waste.

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Cultures and stocks of microorganisms and
biologicals
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Human Blood Blood Products

• All human blood (wet or dried)
• Products from human blood.

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Pathological Waste

• Human pathological wastes - tissues, organs, body
  parts, containers of body fluids

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Sharps

• Any article that can puncture or cut, and have
  been used in animal/human patient care or
  treatment
• Examples needles, syringes, scalpel blades,
  razors, forceps

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Animal Waste

• Contaminated animal carcasses, body parts, animal
  bedding known to have been exposed to infectious
  agents during research

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INFECTIOUS WASTE MANAGEMENT

• 1. Definition of infectious biohazard waste
• 2. Types of Infectious Waste
• 3. WV Bureau of Public Health License
• 4. Infectious Waste Disposal Plan for the MEB
• 5. Issuance of Keys for the locked unautoclaved
  waste bin

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WV BUREAU OF PUBLIC HEALTH LICENSE

• We received our license from the WV Bureau for
  Public Health in December 2000
• This allows us to generate infectious
  waste,sterilize on site and dispose of this waste
  in regular trash.
• License also allows us to hire a licensed
  company to remove our nonsterile infectious waste
  if necessary (e.g. contaminated animal carcasses)

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INFECTIOUS WASTE MANAGEMENT

• 1. Definition of infectious biohazard waste
• 2. Types of Infectious Waste
• 3. WV Bureau of Public Health License
• 4. Infectious Waste Disposal Plan for the MEB
• 5. Bloodborne pathogen standard (review)
• 6. Issuance of Keys for the locked unautoclaved
  waste bin

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MEB INFECTIOUS WASTE MANAGEMENT PLAN

• OBJECTIVES
• Provide a safe environment for faculty, staff,
  students and visitors
• Properly manage infectious waste in accordance
  with WV 64-CSR-56 (the Legislative Rule)

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MEB INFECTIOUS WASTE MANAGEMENT PLAN

• Handling of infectious waste (packaging,
  sterilization, storage and removal)
• Transportation of infectious waste
• Contingency plan
• Training
• Management plan summary

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INFECTIOUS WASTE MANAGEMENT OVERVIEW

• PACKAGING BY INVESTIGATORS
• DISPOSABLE WASTE
• REUSABLE ITEMS
• DELIVERY TO ROOM 114 MEB
• STERILIZATION
• DELIVERY TO BFI

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PACKAGING DISPOSABLE INFECTIOUS WASTE

1. ORANGE BIOHAZARD BAGS MUST BE USED BY ALL LABS
   FOR DISPOSABLE WASTE. (Clear bags and red bags
   are not acceptable.)
2. ALL ORANGE AUTOCLAVE BAGS MUST BE DOUBLE-BAGGED.
3. DO NOT FILL THEM MORE THAN 2/3 FULL!
4. DO NOT TIE THE BAGS CLOSED. Gather the top and
   place a strip of autoclave tape around the top.
   Steam must be able to enter and exit the bag.
5. ALL bags and flasks must be LABELED with name,
   room number, phone number and contents.

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SPECIAL PACKAGING RULES

• Each lab must have separate containers for
  contaminated broken glassware and uncontaminated
  broken glassware
• Pasteur pipettes break easily and MUST be placed
  into the appropriate broken glass container in
  each lab and NEVER into the autoclave trash bag.
• Contaminated serological pipettes MUST be placed
  into a container separate from the regular
  autoclave bag, as they can puncture the bags.
  The separate container will then be autoclaved.

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DELIVERING DISPOSABLE WASTE TO ROOM 114

1. A large gray bin is located in Room 114 MEB for
   all unautoclaved disposable waste
2. Unlock the bin and place labeled waste bags
   inside (AVAILABLE 24/7).
3. RELOCK THE BIN WHICH SHOULD BE LOCKED AT ALL
   TIMES. A numbered key for the bin will be issued
   to each lab at the end of this talk.
4. Waste will then be autoclaved, weighed and placed
   in regular trash.

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DELIVERING REUSABLE WASTE TO ROOM 114

1. Place contaminated nondisposable items (flasks,
   glass pipettes, etc) on the small cart just
   inside the door of room 114.
2. Please refrain from leaving flasks there after 3
   PM during working hours, or anytime on weekends
   and holidays, because contaminated waste must be
   secure.
3. Working hours for the autoclave room 8 AM 430
   PM.

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STERILIZATION OF INFECTIOUS WASTE

• All infectious waste must be autoclaved for 90
  minutes
• Bags are then transferred to black plastic bags
  in a separate location.
• Sterilized reusables (glassware, etc) are placed
  at the pickup point in the media kitchen.
• Disposable waste is weighed and taken to the BFI
  dumpster.

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IN THE EVENT OF A SPILL

1. NOTIFY DR. PRIMERANO OR CONNIE BERK AS SOON AS
   POSSIBLE. PHONE NUMBERS ARE POSTED IN THE INNER
   MEDIA KITCHEN DOOR AND ABOVE THE GREY BIN.
2. THERE IS A SPILL KIT LOCATED IN ROOM 113

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Definitions

• Source Reduction - ways to lessen the amount of
  material
• Segregation - keeping noninfectious waste out of
  the infectious waste stream
• Minimization - reduce or eliminate waste at the
  source
• Engineering controls - methods to reduce quantity
  of waste(smaller containers)

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MANAGING WASTE FLOW

• The ONLY items that belong in an autoclave bag
  are the ones that are contaminated with bacteria,
  viruses, blood or other potential human
  pathogens.
• IF IT IS NOT CONTAMINATED, DONT PUT IT IN AN
  ORANGE BAG.
•  

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DONT PUT NONINFECTIOUS ITEMS IN ORANGE BAGS

• bubble wrap
• paper towels, either from drying your hands
  after washing them or from wiping down the bench
  with a disinfectant 
• scalpel blade wrappers 
• needle wrappers 
• Benchkote or any other bench protector 
• gloves

• packaging materials such as cardboard, Styrofoam
  peanuts, etc.
• paper (copy paper, etc. may be recycled in any of
  the large blue wheeled BFI bins on all floors and
  in the copy room)
• pipettes
• food wrappers
• pop cans (can be recycled in the blue bins)

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PATHOLOGICAL WASTEPOLICY UNDER REVIEW

• glass slides containing fixed and embedded
  tissue (human or animal) or Pap smear slides five
  years or older
• paraffin blocks containing FIXED tissue (human
  or animal)
• all materials used in embedding fixed tissue
  such as foam pads, cassettes and paraffin
• containers with fixative for fixing tissue
  (human or animal)
• unembedded FIXED tissue (human or animal)

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REDUCED WASTE LOWER COST

• We must weigh and record the weights of ALL
  bags of autoclaved trash before placing them into
  large black plastic bags and disposing of them
  into the regular trash.
• The amount autoclaved waste determines if were
  a small or large quantity generator and that in
  turn determines the cost of our yearly permit
  renewal (currently 250).
• Current rate 4.50 per ton (1998)
• Less waste also means lower labor cost.
  

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WASTE GENERATION

• 1998 1,524 lbs. autoclaved trash
• 1999 2,308 lbs. autoclaved trash
• 2000 1,546 lbs. autoclaved trash
• 2001 523 lbs so far (2,092 lbs projected)
•  

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CONTAMINATED ANIMAL CARCASSES

• We may not autoclave contaminated animal
  carcasses for disposal in the regular trash
• BFI/Stericycle, Inc.s biohazardous waste unit
  can be hired to pick up and dispose of animal
  carcasses that are infected with human pathogens.
  They will use special containers and liners to
  hold the carcasses. The cost is currently 40
  cents per pound for disposal.
• See Dr. Billy Howard in the Animal Facility.

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Ethidium Bromide Waste

• Ethidium bromide (Et Br) contaminated waste must
  be segregated from all other trash by being
  placed into plastic-lined containers. When those
  containers are full, the plastic bags should be
  placed into the EtBr labeled barrel in Room 116A
  (gel room) to await pickup by a hazardous
  materials company.
• The cost for this service is very HIGH and is by
  the pound. DONT put film wrappers, film
  containers, film cassettes or non-ethidium
  bromide contaminated trash into these containers.

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INFECTIOUS WASTE MANAGEMENT

• 1. Definition of infectious biohazard waste
• 2. Types of Infectious Waste
• 3. WV Bureau of Public Health License
• 4. Infectious Waste Disposal Plan for the MEB
• 5. Bloodborne pathogen standard (review)
• 6. Issuance of Keys for the locked unautoclaved
  waste bin

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BLOOD AND BLOODBORNE PATHOGEN RULE

• Bloodborne pathogens are organisms carried in
  human blood that cause disease, includes bacteria
  and viruses like HBV and HIV
• OSHA requires that we have an Exposure Control
  Plan

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BLOOD AND BLOODBORNE PATHOGEN RULE

• Universal Precautions Treat all human blood
  and byproducts as if it is contaminated

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BLOOD AND BLOODBORNE PATHOGEN RULE

• No eating, drinking, smoking, applying cosmetics
  or contact lenses in the labs
• No mouth pipetting use pipetting device
• Proper disposal (bleach and autoclave)
• Protective clothing appropriate to the level of
  risk and use of barriers to exposure

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BLOOD AND BLOODBORNE PATHOGEN RULE

• Report exposures to Don Primerano
• Sets in motion option to be tested for HIV

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WE NEED YOUR FEEDBACK

• THE WASTE MANAGEMENT SYSTEM IS NEW ( NOT
  PERFECT)
• YOUR QUESTIONS, COMMENTS AND SUGGESTIONS ARE
  WELCOME
• DONT FORGET TO YOUR KEYS

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SLIDE SHOW ON IBC WEB SITE