Medical Waste, Inc FLORIDA Management and Proper Waste Segregation.
The regulations in this presentation are specific to the state of Florida. For an overview of general regulations pertaining to regulated medical waste, refer to the training on Medicalwasteinc.com under → Required OSHA Compliance Training for Biohazardous Waste Disposal ←
Medical Waste, Inc.
Table of Contents
Regulatory Authority
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State of Florida Department of Health
Bureau of Community Environmental Health
http://www.floridahealth.gov/environmental-health/biomedical-waste
Chapter 64E-16 Florida Administrative Code – Biomedical Waste
http://www.floridahealth.gov/environmental-health/biomedical- waste/_documents/64E16_1.pdf
Registration
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Annual Generator Permit is Required
• Keep permit in view in facility Exemption:
• Generators of less than 25 lbs in 30 day period for a period of 12 months
Registration Generator Permit Exemptions
Even exempt facilities:
– Must first get permit DOH form 4089
– Keep records for one year – Then prove exempt status
• Make Exemption Application using DOH form 4089
• Generator shall submit records from previous 12 months showing biomedical waste generated in each 30-day period during those 12 months was less than 25 pounds
Documentation must include the weight of the biomedical waste generated in each 30-day period and may be in the form of monthly log or receipts
If needed Weight report records may be requested from MEDICAL WASTE, INC Customer Service at email: info@medicalwasteinc.com
Biomedical Waste Operating Plan
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Management – Biomedical Waste Operating Plan
A written plan that includes:
Description of training
Procedures for segregating, labeling, packaging, transporting, storing, treating biomedical waste
Procedures for decontaminating spills
Contingency plan for emergencies
A Biomedical Waste Operating Plan template is available at the DOH website
Contingency Plan
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Contingency Plan
• Be sure you have included a contingency plan in your Biomedical Waste Operating Plan that discusses how any potential disruptions in service due to hurricanes, etc., will be handled by you facility
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Florida Administrative Code (FAC) 64E-16
Contains a broader definition of Regulated Medical Waste than federal OSHA:
• When biomedical waste is improperly managed, it places health care workers, sanitation workers, and the general public at risk for contracting dangerous diseases. Section 381.0098, Florida Statutes and Chapter 64E-16
“Any solid or liquid which may present threat of infection to humans, including…”
http://www.doh.state.fl.us
Definitions
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Non-liquid tissue
Body parts
Blood, blood products, body fluids from humans, other primates
Lab and veterinary wastes that contain human disease-causing agents
Sharps
Used, absorbent materials saturated with blood, blood products, body fluids, or excretions or secretions contaminated with visible blood
Absorbent materials saturated with blood or blood products that have dried
• Non-absorbent, disposable devices that have been contaminated with blood, body fluids, secretions. or excretions visibly contaminated with blood
Exceptions:
• Body excretions such as feces and secretions such as nasal discharges, saliva, sputum, sweat, tears, urine, and vomitus shall not be considered biomedical waste unless visibly contaminated with blood
Collection
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Biomedical waste must be:
• Segregated, at point of origin, into red bags or sharps containers
• Sharps and non-sharps must be kept separate
• Segregate in room where produced; do not carry waste to another room to be segregated
Red bags must be:
Be impermeable
Display biological hazard symbol
– At least 6” diameter on bags 19” x 14” – At least 1” diameter on smaller bags
Have impact resistance of 165 grams
Have tearing resistance of 480 grams
Contain no greater than 100 ppm lead, mercury, hexavalent chromium, cadmium used for dyes in coloration of bags
Storage (designate in Plan)
Interior Storage must have:
Restricted access
Smooth, easily cleanable materials
(No carpeting in area – rough cement must be sealed)
Must be impervious to water
Exterior Storage:
• Must be locked and must display biohazard warning symbols
SpillKits/SpillSOPs
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Transferring- Packaging must remain intact within the facility
Spills:
• Must be decontaminated
• Spill kit should be maintained
• Be sure to document in your training records that you have trained employees in how to manage spills
• Maintain a Spill Cleanup SOP
Healthcare Self Transport
Healthcare providers who deliver in-home medical services shall remove or have removed by a registered biomedical waste transporter all biomedical waste generated during the performance of services.
Labeling
Exterior bag (bag lining transport container) mustbe labeled with generator’s:
• Name / Name Business
• Address
Outer container must be labeled with transporter’s:
• Name
• Address
• Registration number
• 24 hour telephone contact number
• Biomedical Waste symbol and phrases
Recordkeeping
• All biomedical waste management records shall be maintained for 3 years.
