DOT Hazardous Materials - PowerPoint PPT Presentation

About This Presentation
Title:

DOT Hazardous Materials

Description:

Regulated Medical Waste Nathan Douglas, R.S., M.S. Chemical & Biological Safety Officer Marshall University 2nd Spill of blood or OPIM For small spill (1 ... – PowerPoint PPT presentation

Number of Views:337
Avg rating:3.0/5.0
Slides: 42
Provided by: Micha734
Learn more at: https://www.marshall.edu
Category:

less

Transcript and Presenter's Notes

Title: DOT Hazardous Materials


1
DOT Hazardous Materials
Regulated Medical Waste
  • Nathan Douglas, R.S., M.S.
  • Chemical Biological Safety Officer
  • Marshall University

2
Why are we here?
  • A person who knowingly violates a requirement
    of the Federal hazardous material transportation
    law, an order issued thereunder, is liable for
    a civil penalty of not more than 50,000 and not
    less than 250 for each violation, except the
    maximum civil penalty is 100,000 if the
    violation results in death, serious illness or
    severe injury to any person or substantial
    destruction of property, and a minimum 450 civil
    penalty applies to a violation relating to
    training. When the violation is a continuing one,
    each day of the violation constitutes a separate
    offense.

3
Training Outline
  • General awareness / familiarization
  • Function-specific training
  • Safety training
  • Personal Protection
  • Accident Avoidance
  • Emergency Response
  • Security awareness and in-depth training

4
Regulations
  • Several agencies have regulations that cover
    Regulated Medical Waste (RMW)
  • also called biohazard waste, infectious medical
    waste, red bag trash, and regulated waste.
  • Department of Transportation
  • 49 CFR, subtitle B, Chapter 1, subchapter C
  • Occupational Safety Health Administration
  • 29 CFR 1910.1030
  • West Virginia Department of Health Human
    Resources
  • 64 CSR 56

5
Hazardous Material Employee
  • A person who is employed, and in the course of
    such employment directly affects hazardous
    materials transportation safety

Includes all employees that Load, unload, or
handle hazardous materials Prepare hazardous
materials for transportation Sign waste
transport manifest papers
6
Training Requirements
  • Hazmat employees must be trained when performing
    duties
  • Refresher training is required every 3 years
  • Must be directly supervised by a trained person
    until trained
  • Training conducted within 90 days of hire or
    assignment of duties

7
What is a Hazardous Material (HAZMAT)
  • According to the US DOT
  • A substance or material that the Secretary of
    Transportation has determined is capable of
    posing an unreasonable risk to health, safety,
    and property when transported in commerce, and
    has designated as hazardous.

8
Hazardous Materials
  • Dangerous goods are divided into 9 classes on the
    basis of the risk they present.
  • They can be assigned more than 1 class if they
    present additional hazards
  • Each class has a primary hazard, and can have
    numerous sub-hazards, called divisions.
  • Vehicles transporting hazmat are required to
    display a placard indicating the hazard contained
    inside.

9
US DOT Hazmat Class Division Placards
10
Note
  • There is a DOT exemption to placarding for RMW
    Division 6.2 materials, but the Bloodborne
    Pathogens Standard requires the biohazard symbol
    on containers used to store, transport or ship
    blood or other potentially infectious materials.
  • The contractors truck will only have a biohazard
    sticker, not a 6.2 placard.

11
Hazardous Material Packaging
  • Each Class Division has established Packing
    Group requirements. Either PG I, II, or III
  • The Packing Group indicates the degree of danger
    presented by the Hazmat, and determines the
    protective packaging required for safe transport
  • PG I great danger, most protective packaging
  • PG II medium danger
  • PG III least danger, least protective packaging

12
Our Hazardous Materials
  • Class 2 Poisonous / Toxic
  • Division 6.2, Infectious Substances
  • Category B
  • Biological Products
  • Cultures
  • Patient Specimens
  • Regulated Medical Wastes

13
DOT Hazardous Materials Table
14
DOT Hazardous Materials Table
  • 1. Symbols None
  • 2. Description and Regulated medical waste,
    n.o.s.
  • Proper Shipping Name Clinical waste,
    unspecified, n.o.s.
  • (BIO)Medical waste, n.o.s.,
  • Biomedical waste, n.o.s. or
  • Medical waste, n.o.s
  • 3. Hazard Class or Division 6.2
  • 4. Identification Numbers UN3291
  • 5. Packing Group (PG) II

15
Regulated Medical Waste
  • A waste or reusable material derived from the
    medical treatment of an animal or human, which
    includes diagnosis and immunization, or from
    biomedical research, which includes the
    production and testing of biological products.

16
OSHA Regulated Waste
  • Liquid or semi-liquid blood or other potentially
    infectious materials contaminated items that
    would release blood or other potentially
    infectious materials in a liquid or semi-liquid
    state if compressed items that are caked with
    dried blood or other potentially infectious
    materials and are capable of releasing these
    materials during handling contaminated sharps
    and pathological and microbiological wastes
    containing blood or other potentially infectious
    materials.

17
WVDHHR Infectious Medical Waste
  • Medical waste which is capable of producing an
    infectious disease. 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.

18
Sharps
  • Any object contaminated with a pathogen or that
    may become contaminated with a pathogen through
    handling or during transportation and also
    capable of cutting or penetrating skin or a
    packaging material.
  • Includes needles, syringes, scalpels, broken
    glass, culture slides, culture dishes, broken
    capillary tubes, broken rigid plastic, and
    exposed ends of dental wires.

19
Package the Material
  • Regulated medical waste must be packaged at the
    Packing Group II performance level and meet
    general packaging requirements
  • PG II exception for private/contract carriers
  • Inner containers must be packed with closures
    upward if they contain liquid hazardous materials

20
Packaging Requirements
  • Inner bag with minimum thickness of 1.5 mil
  • Sharps containers must be securely closed to
    prevent spills or protrusions
  • Top of bag closed by tying in a knot or twisting
    and folding over, then tightly taping
  • Shipping container snapped closed or cardboard
    box taped shut on all seams

21
Packaging Requirements
  • Package filled and its contents limited so under
    normal conditions of transportation there is no
  • release of hazardous material to the environment
  • substantial reduction in the effectiveness of the
    package
  • chemical reaction with or inside the package
  • breakage, leakage or movement of the inner
    packaging

22
Additional Requirements
  • Items like staples do not protrude through the
    outer packaging in a way that would damage the
    inner packaging.
  • The package is not filled to a gross mass greater
    than the maximum gross mass marked on the
    packaging (Standard 18 x 18 x 22 boxes are
    limited to 45 lbs).
  • No hazardous material may remain on the outside
    of a package after filling.
  • A package containing inner packagings of Division
    6.2 materials may not contain other hazardous
    materials.

23
Package Markings
  • General marking requirements
  • Proper Shipping Name and Identification Number
  • Package Orientation Arrows
  • Generating Facilitys Name and Address
  • WV Requires the package to be dated once full
  • Markings must be
  • Durable, in English, and printed on the surface
    or on a label, tag, or sign
  • Displayed on a contrasting background
  • Unobscured by labels or attachments

24
Biohazard Labeling in the Bloodborne Pathogens
Std.
  • Warning labels shall be affixed to containers of
    regulated waste.
  • Labels have to have biohazard symbol wording
    per OSHA Bloodborne Pathogen Standard

25
Pathologic Waste
  • Stericycle uses a labeling system to
    differentiate between packages of Regulated
    Medical Waste that can be autoclaved and those
    that must be incinerated.
  • Pathologic and trace chemotherapeutic wastes must
    be incinerated. We should use incinerator-only
    for pharmaceuticals.
  • Our Generator Label is typically white. Yellow
    labels are used for incinerate-only waste.

26
Manifest - Shipping Papers
  • All manifests will have the following
  • Identification Number (UN 3291)
  • Proper Shipping Name (Regulated Medical Waste,
    n.o.s.)
  • Hazard Class or Division (6.2)
  • Packing Group (PG II)
  • Description of the shipping container
  • The manifest must also include, the total
    quantity of material shipped.

27
Manifest Shipping Papers
  • Quantity of Materials Shipped
  • Usually report number of containers and volume in
    cubic feet
  • Boxes are generally 4.3 cu ft.
  • Can also be reported by weight per box, and total
  • You should verify that the total quantity shipped
    block is the same as the number of boxes removed
    from the facility

28
Completing the Manifest
  • Manifests also contain Shippers Certification
  • This is to certify that the above named materials
    are properly classified, described, packaged,
    marked and labeled, and are in proper condition
    for transportation according to the applicable
    regulations of the Department of Transportation.
  • Must be signed legibly by a trained employee.
  • Indicates that we agree with the volume (number
    of containers) of waste sent off-site

29
Safety
  • OSHA Bloodborne Pathogen Standard
  • Mandates that employers provide a safe and
    healthy work environment
  • Provide Hepatitis B vaccination
  • Provide required PPE and ensure it is used
  • Provide training on HBV and HIV and other
    bloodborne pathogens annually
  • Have a written Exposure Control Plan, revised
    annually, evaluate safer sharps systems and use
    them where feasible

30
Personal Protection
  • OSHA Bloodborne Pathogen Standard
  • Requires employees to observe Universal
    Precautions
  • Treat all contaminated items like theyre
    infectious
  • Wear appropriate PPE
  • Handle and dispose properly
  • Healthcare personnel have 2 main PPE
  • exam gloves and clothing (scrubs).
  • Face masks used where splashes/sprays are
    anticipated, must also use safety glasses/goggles

31
Accident Avoidance
  • Most common healthcare accident is needlesticks
  • Extra care must be exhibited when working with
    children that squirm
  • Sharps containers must be replaced when contents
    reach the full line, not allowed to overfill
  • Containers must be securely closed before theyre
    moved out of the exam room

32
Emergency Response
  • 1st Needlestick
  • Follow Exposure Control Plan available on
    employee web site
  • Wash the affected area with soap and water
  • Notify department Collateral Duty Safety Officer
  • They will identify the source patient for
    testing, obtain consent, and have specimen
    collected
  • Immediately seek treatment at nearest Emergency
    Department
  • Identify yourself as having been exposed to BBP
  • Prophylaxis should be given within 1-2 hours
  • Request a Workers Compensation form be completed,
    not insurance

33
Emergency Response
  • Needlestick, cont
  • Follow up with Internal Medicine Department
  • They will discuss lab reports from source patient
    and exposed employee
  • Provide consultation about potential diseases and
    recommended testing timeline
  • Complete a Needlestick Incident Report and submit
    to Safety Officer
  • Safety Officer will ensure information is
    complete and will review incident with
    post-exposure management team, and maintain
    records

34
Emergency Response
  • 2nd Spill of blood or OPIM
  • For small spill (1 vaccutainer or less, 10 ml
    max)
  • Cleanup should only be performed by persons
    trained in Bloodborne Pathogens
  • Wear gloves
  • Spray area with disinfectant
  • Fresh bleach 110 dilution , or tuberculocidal
    product
  • Use tongs or other mechanical means to pick up
    sharps and broken glass. Dispose in sharps box.

35
Emergency Response
  • Small Spill of Blood or OPIM, cont.
  • Wipe up liquids with paper towel and dispose in
    biohazard bag.
  • Spray the area of the spill with disinfectant
    again
  • Allow 15 minutes contact time, or per
    instructions on container if duration is
    different
  • Wash and disinfect mechanical devices used during
    cleanup
  • Dispose gloves in biohazard bag

36
Emergency Response
  • Spill of Blood or OPIM
  • For large spill (more than 1 vaccutainer, 10 ml)
  • Secure the area from entry by unauthorized
    persons
  • Put on appropriate PPE (gown, shoe covers, mask,
    etc.)
  • Spray all containers and the entire spill area
    with disinfectant and allow 15 minutes contact
    time.

37
Emergency Response
  • Large Spill of Blood or OPIM
  • Clean up sharps and liquids similar to small
    spill
  • Disinfect area again, allow 15 minutes contact
    time, or per label instructions
  • Clean and disinfect equipment
  • Dispose single-use PPE. Biohazard if soiled,
    trash if not.
  • Make arrangements to have spill kit replenished,
    as necessary.

38
Security
  • Marshall University, the Joan C. Edwards School
    of Medicine, University Physicians Surgeons,
    Inc. and the Marshall University Medical Center
    manage Regulated Medical Waste in a controlled
    manner where only authorized personnel have
    access to secured storage areas.
  • Due to the nature of Regulated Medical Waste
    generation patients are in areas where waste is
    initially generated and temporarily stored.
  • Waste is either treated on-site via autoclave or
    shipped off-site through a permitted contract
    service, documented by waste manifests that are
    retained for 3 years (WV requirement, DOT is 2
    years).

39
Security
  • Potential Threats
  • Non-secured areas, or unattended points of entry
  • Unauthorized personnel allowed access
  • Prevention Techniques
  • Know the driver(s)
  • Look for an official uniform, ask for id when in
    doubt
  • Report suspicious behavior

40
Compliance Checklist
  • Inner container (bag) is closed.
  • Box is in good condition.
  • Box does not weigh more than 55 lbs.
  • Outside of box is not contaminated.
  • Stericycle barcode sticker is attached, and date
    filled in when box/bin taped closed.
  • Total quantity is written on shipping paper.
  • Shipping manifest is legibly signed by trained
    employee.

41
Conclusion
  • DOT regulates the transportation of hazardous
    materials
  • Proper identification
  • Classification
  • Packaging
  • Training of personnel
  • If you have questions, ask.
  • Nathan Douglas, 696-3461
  • douglas2_at_marshall.edu
Write a Comment
User Comments (0)
About PowerShow.com