UF Biomedical Waste Training

25
UF Biomedical Waste Training Biological Safety Office Environmental Health & Safety 352-392-1591 www.ehs.ufl.edu [email protected]

description

UF Biomedical Waste Training. Biological Safety Office Environmental Health & Safety 352-392-1591 www.ehs.ufl.edu [email protected]. Overview. What is biomedical waste? Biological vs. biomedical vs. hazardous Regulations Identification Segregation Handling Storage Transport - PowerPoint PPT Presentation

Transcript of UF Biomedical Waste Training

Page 1: UF Biomedical  Waste Training

UF Biomedical Waste Training

Biological Safety OfficeEnvironmental Health & Safety

[email protected]

Page 2: UF Biomedical  Waste Training

What is biomedical waste?◦Biological vs. biomedical vs. hazardous

Regulations◦ Identification◦Segregation ◦Handling ◦Storage ◦Transport◦Treatment ◦Spills/Disinfection

Spill handling

Overview

Page 3: UF Biomedical  Waste Training

Biological waste - Solid or liquid waste which may present a threat of infection to humans, animals, crops, or natural ecosystem

Animal pathogens Plant pathogens Recombinant DNA organisms Biological toxins Biomedical waste

Hazardous waste ◦ At UF, used to describe chemical or pharmaceutical waste (see

http://www.ehs.ufl.edu/programs/chemrad_waste/ for more information)

Biological vs. Biomedical Waste

Page 4: UF Biomedical  Waste Training

Solid or liquid waste which may present a threat of infection to humans. Includes:

Discarded sharps (medical items intended to cut or puncture skin, e.g. needles, lancets, scalpels)

Non-liquid human tissue and body parts Blood, blood products and OPIM (as defined in OSHA BBP

standard) from humans and other primates Laboratory/clinical waste containing/contaminated with

blood, tissue, cell cultures & other potentially infectious body fluids

Laboratory/veterinary wastes containing human disease-causing agents

Biomedical WasteA subset of biological waste

Page 5: UF Biomedical  Waste Training

Segregation, handling, labeling, storage, transport & treatment of waste are regulated.

Training – initial & annual ◦ Training records must be kept a minimum of 3 years

Site-specific Biomedical Waste Plan◦ UF BMW plan @ EH&S Biosafety (call 352-392-1591)◦ Shands BMW plan @ Environmental Services Dept. (call 352-265-

0480) Permits req’d to generate, store, treat, & transport BMW Inspections by the state Enforcement◦ Suspend/revoke permits◦ Fines of up to $2500/day/violation

State Regulationshttp://www.doh.state.fl.us/environment/community/biomedical/pdfs/64E16_1.pdf

Page 6: UF Biomedical  Waste Training

International biological hazard symbol on the container

The phrase “Biomedical Waste”, “Biohazardous Waste”, “Biohazard”, “Infectious Waste” or “Infectious Substance” must be on the container

Bagged waste must be in red bags.

How is BMW identified?

Page 7: UF Biomedical  Waste Training

Segregated at point of origin into its proper container◦ “Point of origin” is the lab, patient/exam/procedure room or other

area where the BMW is generated

Choices for proper BMW container:◦ Red biowaste bag◦ Labeled fiberboard box lined with a red biowaste bag◦ Sharps container – puncture resistant container specifically

designed for sharps

Segregation of BMW

Page 8: UF Biomedical  Waste Training

Chemically or radiologically contaminated gloves, tubes, etc. do not go into a biomedical waste box. They go into their appropriate waste container.

Call EH&S (352-392-1591) before putting hazardous (chemical) or radioactive warning stickers on biomedical waste containers.

Remember – the biomedical waste box is not a universal disposal container!

Segregation: Do not mix BMW with radioactive or chemical waste!

Page 9: UF Biomedical  Waste Training

Discard directly into a leak-proof, puncture resistant container

Never Re-Cap Needles or Scalpels◦ Don’t bend, break, or detach from syringe

Replace container when ¾ full

Never attempt to re-open a closed sharps container

Label container with the date, PI name, location (building/room #), and phone #

Segregate medical sharps into sharps containers

Page 10: UF Biomedical  Waste Training

Container should be located where the sharps are used: patient rooms, procedure areas, exam rooms, lab, etc.◦ UF uses disposable containers transported for disposal by

Stericycle◦ Shands uses reusable containers which are supplied & serviced by

Bio Systems

Only sharps should go into sharps containers◦ Soft items quickly overfill containers and may cause sharps to

stick out of the top of the box. Sharps boxes containing items other than sharps and syringes need to be replaced ASAP, but definitely within the 30 days of first use

Sharps

Page 11: UF Biomedical  Waste Training

Examples: broken glass, Pasteur pipets, serological pipets, pipet tips, glass slides/cover slips

Dispose of in a way that they can’t do harm◦ Sharps box – date and dispose of w/in 30 days◦ Bench top biohazard bag or empty media bottle for pipet tips◦ Sturdy box placed in biohazard bag◦ Plastic sleeve (to bundle pipets together) placed in biohazard bag◦ Align serological pipets in one direction

Options for items that can cut or puncture the biowaste bag or box?

Page 12: UF Biomedical  Waste Training

RED autoclave bags – must meet certain documented standards of State of FL, BBP & DOT◦ e.g. Fisher #01-828E (Medical Action Industries)

Red bags are to be available where needed

No liquid waste in red bags!

Once sealed, containers must stay sealed. If container breaks or is punctured, put the whole broken container in a new one.◦ Infectious/potentially infectious waste must be stored in a covered,

leak-proof container

What do we do with non-sharp BMW?

Page 13: UF Biomedical  Waste Training
Page 14: UF Biomedical  Waste Training

BMW must be staged in an area away from general traffic & accessible only to authorized personnel. Storage area must be:◦ Labeled with biohazard sticker◦ Secure (locked/non-accessible)◦ Easily cleanable & tidy

Waste cannot be stored > 30 days◦ “The 30 day period shall commence when the first non-sharps item of biomedical waste is

placed into a red bag or sharps container, or when a sharps container containing only sharps is sealed.”

Packages must be labeled as biomedical waste with the biohazard symbol, name, location, phone & date

Some locations stage the waste & then transport it to outdoor containers removed for disposal by a designated hauler

BMW Storage

Page 15: UF Biomedical  Waste Training

Use Universal Precautions – assume all BMW is infectious

Wear appropriate PPE (gloves, clothing cover, safety glasses) when handling non-inactivated waste

Transport waste in leak-proof containers

Know how to handle spills

Handling BMW

Page 16: UF Biomedical  Waste Training

At UF:◦ Labs must furnish their own PPE and red bags (Fisher #01-828E)◦ Sharps containers and BMW boxes are available from Building

Services custodians (in the HSC). Call 294-5500 for routine scheduled biowaste box delivery, pickup or problems. Labs not on routine delivery, call 392-4414 for occasionally needed supplies.

◦ Outside of the HSC, call 392-5775 to arrange to pick supplies up at the Health Science Center Storeroom, AG133.

At Shands, staff may obtain supplies by:◦ North Tower: contacting 265-0480 ◦ South Tower: contacting 260-7006◦ Speaking to an Environmental Services staff associate on the unit

they are working

Supplies for Handling and Containing BMW

Page 17: UF Biomedical  Waste Training

Transportation of BMW is provided by the following registered BMW transporter:

Stericycle, Inc.4245 Maine Ave

Eaton Park, FL 33840407-361-5454

State of Florida Permit # 53-64-00911

What happens in case of an emergency? ◦ Stericycle has a number of other sites in the state that they can

pull transport equipment from to facilitate emergency situations (the contingency plan)

Who Picks Up/Transports BMW for Shands/UF?

Page 18: UF Biomedical  Waste Training

BMW shall be treated by heat, incineration, or other equivalent method suitable for hazard inactivation acceptable to the State of Florida.

UF/Shands BMW is treated by Stericycle, Inc.◦ Autoclave which sterilizes the waste or◦ Incineration which destroys the waste

Treatment of BMW

Page 19: UF Biomedical  Waste Training

Lab waste handled by UF custodial staff UF Policy:◦ Laboratory waste containing infectious, potentially

infectious or rDNA organisms must be inactivated prior to disposal

◦ Properly performed autoclave or bleach treatment is acceptable

◦ Storage of all non-inactivated waste in this category is restricted to within the generating laboratory

◦ Specific requirements apply for waste containing biological toxins. Contact the Biological Safety Office at 352-392-1591

Pretreatment of biological waste from UF labs prior to disposal by Stericycle

Page 20: UF Biomedical  Waste Training

Requirements:◦ Biological indicator testing every 40 hrs of

use (every 6 mos if autoclaving non-infectious material exclusively)

◦ Log book◦ Regular maintenance◦ 250°F/121°C, 15-20 lb pressure

Large loads/resistant pathogens need more time◦ Typical bag of biowaste = 60-90 min

Transport waste to autoclave in closed bag and leak-proof container

Autoclaving

Page 21: UF Biomedical  Waste Training

Acceptable for liquid material if done correctly◦ Add full strength household bleach to final concentration of

10% (5000 ppm available chlorine). ◦ Mix. Contact time should be at least 30 minutes. ◦ Pour down drain to sanitary sewer.

Beware of other disinfectants = “hazardous chemicals”, harmful to work with and can’t go down drain, must be picked up by EH&S

Bleach Inactivation

Page 22: UF Biomedical  Waste Training

“Medical / Biomedical looking” – perception issue - especially for custodians & Alachua County landfill.

Non-infectious biological waste

Does not need to be inactivated before disposal

Put in biowaste box

1. Used culture ware & molecular biology lab ware not contaminated with pathogen, rDNA, or blood

2. Gloves & other disposable PPE that are not contaminated with pathogen, rDNA, or blood

3. Medical devices

4. Items contaminated with non-infectious animal blood

Not to trash!

Page 23: UF Biomedical  Waste Training

Proper spill handling:◦ Notify people in the area◦ Don appropriate PPE◦ Place absorbent material on spill◦ Apply appropriate disinfectant – allow sufficient contact time (30 min)◦ Pick up material (watch for glass – use tongs or dust pan); dispose

of material into biomedical waste◦ Reapply disinfectant and wipe◦ For large/high hazard spills, call the Biosafety Office (352-392-1591)

For routine disinfection of surfaces where BMW is handled, use a 1:10 solution of freshly diluted bleach or a tuberculocidal disinfectant (ethanol evaporates too quickly!)◦ Shands uses VIREX, a hospital level disinfectant/germicidal cleaner to clean

and disinfect surfaces.

BMW Spills & Surface Disinfection

Page 24: UF Biomedical  Waste Training

Do you have a bio-spill kit? Container of undiluted household bleach Several pairs of gloves Safety glasses Absorbent material Biohazardous waste (autoclave) bags Dust pan & scoop or tongs for broken glass

Place in a labeled bag or bucket and keep in areas where biohazards are used

Page 25: UF Biomedical  Waste Training

Call 392-1591 or email [email protected]