to provide standards for management of regulated medical waste (RMW) at Navy shore medical treatment facilities (MTF).
management of regulated medical waste
concern about potential adverse environmental and public health effects of RMW.
is solid material intended for disposal, produced as the direct resuld of patient Dx, Tx, Therapy or medical research.
is generated during Dx, Tx, or immunization of humans or animals and is capable of causing disease or would pose other adverse health rish.
action for RMW
Commanders, CO, OIC of MTF and DTF shall comply with State and local regulations.
used personal hygiene products (e.g. diapers, facial tissues, and sanitary napkins)
and absorbent material containing very small amount of blood or other body fluids.
regulated waste and other infectious material.
liquid or semi-liquid blood or other potentially infectious materials.
Potentially Infectious materials
human body fluids; semen, vaginal secretion, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid.
Potentially Infectious Materials Cont'd
any unfixed tissue or organ (other than intact skin) from a human (living or dead)
Potentially Infectous Materials Cont'd 2
HIV, HBV-containing culture medium or other solutions; blood, organs, or other tissues form experimental animals infected with HIV, HBV.
9 groups of RMW
1. Cultures, stocks, and vaccine
2. pathological waste
3. blood and blood products
5. animal waste(those expose to infectous agent during medical reseach)
6. Isolation wastes
8. other (fluids designated by local infection control authority)
9. Chemotherapy trace wastes
Separate RMW from the other waste at point of origin, Place RMW in containers, bags, sharps containers, and label "BIOHAZARD"
line containers with plastic bags of sufficient thickness (typically 3ml), bags shall be labeled or color coded red. Do not over load bag!
Collection/Segregation Cont'd 2
Dispose of sharps waste as well as discarded vaccines/vaccine containers in rigid, puncture resistan sharps containers.
Packaging and Handling
1. Place Sharps Cont. in a second container(bag/rigid) which is labeled and/or color coded and treated and disposed.
2. Minimize human exposure to RMW during transport to treatment or storage areas.
Packaging and Handling Cont'd
place all anatomical pathology waste into double-wall corrugated boxes or equivalent figid containers that are double-lined with plastic bags for transport and incineration in an infectious waste incinerator.
Packaging and handling Cont'd 2
ethical considerations may dictate using alternate means of disposal such as cremation or burial by a licensed mortician.
store in storage areas, Pathological wastes must be refrigerated or frozen in dedicated cold storage. non-pathological waste shall not exceed 7 days
storage cont'd 2
RMW storage areas will be constructed to keep pest out and allow easy clean up in case of spills and the front shall be labeled RMW w/ BIOHAZARD
Storage Cont'd 3
Pathological waste(PW) not immediately processed for treatment and disposal must be refridg/frozen if stored for more than 24hrs. only PW shall not exceed 30 days.
Storage Cont'd 4
RMW storage will not exceed storage times, if local, State, or country rules and Reg. are more stringent, they should be followed.
Place RMW into rigid, leak-proor containers before transporting off-site.
Comply w/ federal, state, and local law and reg.
treatment and disposal
RMW treatment is achieved through destruction, such as by incineration, or through inactivation by heat, chemicals, or radiation.
treatment & disposal Group 1; Cultures, Stocks, and Vaccines.
Separate microbiologic waste such as cultures and stocks of etiologic agents from general waste for decontamination.
treatment & disposal Group 2; PW
Dispose of PW inside a RMW container with a plastic bag or double bag in RMW bags.
treatment & disposal Group 3; Blood and Blood products
In accordance with local, State or hosting-nation laws, dispose blood or bodily fluids via sanitary sewer. blood products shall be disposed in a rigid, puncture-resistant, leak-proof containers.
treatment & disposal Group 4/7; Sharps
Group 4 Used/Group 7 unused sharps. Discard all sharps directly into sharps containers immediately after use.
treatment & disposal Group 5; animal waste
animal waste must be managed as RMW and incinerated.
treatment & disposal Group 6; Isolating wastes
isolated waste shall be handled in accordance with facility infection control directives.
treatment & disposal Group 8; Other
fluids that are designated as RMW by the Local infection Control authority. they may include but not limited to semen, vaginal secretions, cerebrospinal fluid..etc.
treatment & disposal Group 9; Chemotherapy trace waste
do not mix Chemo waste with non-chemo waste. place chemo waste in yellow containers and consult facility chemotherapy drugs protocol or IC committee and/or safety office for additional guidance.
Manifesting and recordkeeping
all MTF/DTF must develop and document a system to monitor disposal of RMW per local, Sate, and Federal reg. Records must be keep 2 yrs. tracking must include; type, amount, and disposition
Manifesting and recordkeeping Cont'd
RMW is transported off-site, receiving facility shall provide written documentation. MTF will maintain record of RMW disposal
all shall receive training prior to beginning work and annually thereafter, and receive supplemental training whenever new processes, procedures and or new processes.
cleanup of spills
clean up spills immediately
post staff while gathering materials to cleanup spill to prevent potential spreading of infectious material.