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Infectious Medical Waste

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Infectious Medical Waste INFECTIOUS WASTE MANAGEMENT 64CSR56 Infectious Medical Waste 64CSR56 Infectious Medical Waste Infectious Medical Waste INFECTIOUS WASTE ... – PowerPoint PPT presentation

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Title: Infectious Medical Waste


1
Infectious Medical Waste
2
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

3
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.
4
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.

5
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.

6
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

7
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.

8
Cultures and stocks of microorganisms and
biologicals
9
Human Blood Blood Products
  • All human blood (wet or dried)
  • Products from human blood.

10
Pathological Waste
  • Human pathological wastes - tissues, organs, body
    parts, containers of body fluids

11
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

12
Animal Waste
  • Contaminated animal carcasses, body parts, animal
    bedding known to have been exposed to infectious
    agents during research

13
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

14
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)

15
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

16
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)

17
MEB INFECTIOUS WASTE MANAGEMENT PLAN
  • Handling of infectious waste (packaging,
    sterilization, storage and removal)
  • Transportation of infectious waste
  • Contingency plan
  • Training
  • Management plan summary

18
INFECTIOUS WASTE MANAGEMENT OVERVIEW
  • PACKAGING BY INVESTIGATORS
  • DISPOSABLE WASTE
  • REUSABLE ITEMS
  • DELIVERY TO ROOM 114 MEB
  • STERILIZATION
  • DELIVERY TO BFI

19
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.

20
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.

21
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.

22
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.

23
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.

24
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

25
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)

26
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.
  •  

27
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)

28
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)

29
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.

30
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)
  •  

31
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.

32
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.

33
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

34
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

35
BLOOD AND BLOODBORNE PATHOGEN RULE
  • Universal Precautions Treat all human blood
    and byproducts as if it is contaminated

36
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

37
BLOOD AND BLOODBORNE PATHOGEN RULE
  • Report exposures to Don Primerano
  • Sets in motion option to be tested for HIV

38
WE NEED YOUR FEEDBACK
  • THE WASTE MANAGEMENT SYSTEM IS NEW ( NOT
    PERFECT)
  • YOUR QUESTIONS, COMMENTS AND SUGGESTIONS ARE
    WELCOME
  • DONT FORGET TO YOUR KEYS

39
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