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[[Safety Policy]] | [[Deadly Weapon Policy]] | [[Shipping Hazardous Materials]] | [[Latex Sensitivity]] | [[Bloodborne Pathogens Exposure]] | [[Waste Handling]] | [[Portable Space Heaters]] | [[Children in the Workplace]] | [[Pets in the Workplace]] | [[Tuberculosis Exposure]] | [[Food, Drinks and Cosmetic Use in Laboratory Areas]] | [[Medical Surveillance]] | [[Enterprise Threat Assessment and Management Response Team]] | [[Management of Violent or Aggressive Patients/Visitors]] | [[Youth Safety]] | [[Tours]] | [[Small Appliance]] | [[Unmanned Aircraft]] | [[ Electric Scooter ]]<br /><br /><p>Policy No: <strong>2005</strong><br />Effective Date: <strong>08/25/06</strong><br />Revised Date: <strong>0406/1217/1019</strong><br />Reviewed Date: <strong>0406/1517/1019</strong><br /p><pbr />It is the policy of <big>'''Waste Handling Policy'''</big>==Basis==The University of Nebraska Medical Center (UNMC) is required to manage waste in a manner designed to protect patients, employees, students, contractors, visitors and volunteers, as well as the environment. ==Policy==UNMC’s first priority is to minimize waste whenever possible and has set a [https://livegreennebraska.com/updated-2030-sustainability-goals/ Zero Waste handling Goal]. The second priority is accomplished to recycle as much waste as possible to divert it from the landfill. Waste which cannot be reused or recycled must be disposed of in in a cost -effective manner , in accordance with this policy and all applicable local, state and federal regulations .==Guidelines==Please follow the recycling and lawsdisposal guidelines below. ===Recyclable Waste which cannot ===Recyclable waste is any material collected on campus that can be reused or recycled will be disposed . The most common recycled material is listed below. ====Paper and Cardboard====It is policy of UNMC and Nebraska Medicine that '''ALL PAPER''' must be placed in accordance with this policya blue desk-side container, large blue bin, locked grey or beige bin, or locked cart. All paper is shredded to ensure HIPAA/FERPA/confidentiality compliance. Even if that paper does not need to be shredded (i.e. newspaper) it is still placed in one of those containers.&nbsp;<br /pVirtually all paper products on campus can be recycled: copy paper, envelopes (including plastic windows), scratch paper, glossy paper, construction paper, clean food packaging, newspaper, receipts, post-its, notebook paper, etc. Facial tissues, napkins, paper towels, etc. '''cannot''' be recycled and should be placed in the trash.<h2br />BIOHAZARD WASTE If you have large quantities to recycle, please contact Environmental Services (EVS) (402-559-4073) so they can provide you with a larger bin, making it easier for you and safer for your EVS colleague.<br /h2All corrugated cardboard (boxes used for shipping) and standard cardboard (sometimes referred to as paperboard: facial tissue/cereal/frozen meal boxes) can be recycled on campus. Please break all boxes down flat and place them between your paper recycling bin and the wall or at the designated location for your building. You do not need to remove labels or tape. Cardboard that has come in direct contact with food can be recycled as long as it is not dirty/soiled. Do not place any grade of cardboard in the blue/paper recycling container.<pbr />Biohazard waste  The recycling program at UNMC must comply with the federal requirement, in accordance with the Health Insurance Portability and Accountability Act of 1996 (infectious wasteHIPAA) , that all personal health information (PHI) be protected from the time it is defined as material created to the time it is destroyed. Recyclable paper containing confidential information is safeguarded from the time of biological origin capable generation through destruction. For guidelines on the proper destruction of producing an infectious disease confidential materials in humans or animals the hospital, see IM.14, and includes at a minimum bloodUNMC Policy No. 6056, body fluidsRetention and Destruction/Disposal of Private and Confidential Information. All paper waste, discarded sharps including medical and inoculated culture mediapersonal information, is considered confidential waste.<br /p><p>Biohazard EVS is responsible to secure, transport, and store confidential materials from internal customer departments. All paper in the blue containers marked specifically for recycling is considered confidential in the recycling process. Once picked up, this confidential waste is composed to be secured in locked containers provided by the vendor and locked containers should not be tampered with by unauthorized personnel. EVS will be the keepers of two broad categories the keys for unlocking these containers and will have access to include sharps the contents of the containers through keys signed in and nonsharps, out daily in compliance with the Environmental Services Key Control Policy.====Plastic and Metal====Recyclable material can include rigid plastic, tin or aluminum. These items should be further subdivided placed in the green recycling bins. EVS will empty the bins, collect the waste and prepare it for disposal by typethe recycling vendor. See the definitions outlined in [httphttps://infolivegreennebraska.unmc.educom/safetyrecycling/PDF/2005%20WASTE%20HANDLING%20ATTACHMENTS%20Nov%202009.pdf Attachment ILiveGreen Recycling] for further detailsadditional information.<br /><br  Large metal items can be recycled through Facilities Management and Planning and/>Biohazard waste, except for sharpsor [http://info.unmc.edu/procurement/general-supply/ General Supply/Furniture Stores].====Surplus Material===='''Surplus''' is any item that you or your department no longer needs. Common surplus equipment includes:*Computers*Printers and cartridges*Electronic Equipment*Furniture*Chairs*Appliances*EquipmentThese materials may be reused within the organization, sold or properly disposed of. Disposition of all surplus equipment shall be contained in disposable plastic bags or containers that are tearthe responsibility of the Manager of General Supply/Furniture Stores (402-resistant, leak559-proof, 5899) and secured to prevent leakage must be coordinated with the appropriate director or expulsion department head. Surplus equipment valued over $5,000 and entered in the UNMC Fixed Asset Inventory System must be handled in accordance with UNMC Policy No. 3000, [[General Accounting]].====Technotrash====Electronic trash, such as CD/DVD, barcode lab label printer ribbons, hard drives, and copiers are disposed of solid using an appropriate channel that can handle the chemical hazards of the item and taking into account the presence or liquid waste during storageabsence of personal health information (PHI). Items containing PHI are disposed of in accordance with UNMC Policy No. 6056, handling or transport[[Retention and Destruction/Disposal of Private and Confidential Information]].<br /p><ol><li>Biohazard waste will For additional information on other recyclable material, see [https://livegreennebraska.com/recycling/ LiveGreen Recycling].====Alkaline Batteries====These are the typical non-rechargeable batteries that most people use. They are not EPA regulated and can be transported in covered containers designated recycled through the UNMC Alkaline Battery Recycling Program. See [https://livegreennebraska.com/recycling/batteries/ LiveGreen Alkaline Battery (single use) Recycling] for biohazardous additional information.===Non-Recyclable Waste===Non-recyclable wasteis any waste, generated at UNMC that cannot be recycled.</li><li>Bags ====Biohazardous Waste====Biohazardous waste will meet current tear be managed and impact resistance requirementsdisposed of in accordance with DOT, will conform to current maximum size and weight restrictionsEPA, OSHA, and will be labeled as biohazardous. The top State of the inner bag must be closed by twisting it closed and tying in a single knotNebraska Regulations. It Biohazardous waste (infectious waste or medical waste) is preferred waste contaminated with biological material that is infectious or potentially infectious to humans, animals, or plants. Materials contaminated with recombinant and synthetic nucleic acids, as well as genetically modified organisms are also considered biohazardous. Please contact EVS at (402-559-4073) for biohazardous waste be placed directly into rigid reusable containers supplied . Disposable sharps containers must be purchased by the waste contractor at the site of origindepartment.</li><li>&nbsp;Prior =====General Biohazardous Waste Categories=====*Microbiological waste includes but is not limited to transport off campuscultures and disposable culture materials, all biohazardous waste will stocks of infectious agents and associated biologicals, discarded live and attenuated vaccines. *Human blood and blood products (dripable or dried blood that can be placed in an approved leak-proof container such as disposable dislodged during handling). *Human tissues, body fluids or reusable pailsother potentially infectious materials including but not limited to unfixed human cell lines, reusable sharps containerstissues, cartonspathology specimens, boxesand used specimen containers. *Contaminated animal waste including carcasses, drumsblood and body fluid, body parts, or portable bins. These containers will be clearly marked and labeled in accordance excrement/bedding from animals infected with DOT and OSHA regulatory requirementsa pathogen. *Synthetic or recombinant nucleic acid materials. '''All containers will biohazardous waste must be closed and completely sealedrendered non-infectious prior to final disposal per State law [http://deq.<ne.gov/li>RuleAndR.nsf/pages/PDF/%24FILE/T132_5.17.16.pdf (NDEQ Title 132)].''' <li>Suction canisters containing =====Liquid Biohazardous Waste=====Decontaminate liquid biohazardous waste (such as human blood , aspirated culture media, infectious human or other animal body fluids must be carefully emptied or contents may be sealed , and placed in rigid reusable biohazardous waste containers with absorbent materialliquid bacterial cultures) by steam sterilization (i. Personnel must wear e. autoclave) or treatment with an appropriate protective equipment to minimize exposure to potential pathogens if contents are emptiedchemical disinfectant (such as freshly-prepared bleach) for the recommended contact time (20 minutes for 1:10 final dilution with bleach). The contents After decontamination, liquids may be solidified and discarded using approved methods if emptying poured down the contents is not practicaldrain to the sanitary sewer while flushing with cold water. The empty suction canisters must be handled and discarded as biohazard wasteSee [sehttps://www.<unmc.edu/li><li>Equipment and linen contaminated with biohazard material or ehs/FactSheets/SanitarySewerDisposal.pdf Sewer Disposal Fact Sheet] for guidance. Please note: solutions containing biological agents toxins must be handled and decontaminated in accordance with a manner that also inactivates the guidelines established in the Bloodborne Pathogen Exposure Control Plan toxin. Contact Environmental Health & Safety Department (See The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan; UNMC Policy 2004, Bloodborne Pathogens Exposure PolicyEHS)at 402-559-6356 prior to drain disposal if using disinfectants other than bleach. Equipment =====Solid Biohazardous Waste=====Solid biohazardous waste is composed of two broad categories to include sharps and linen are not thrown away as a biohazardnon-sharps. Items are cleaned first and appropriate personnel will determine if an item must be discarded due to contamination.</li> <li>Infectious ======Sharps======*Biohazardous sharpswaste includes but is not limited to needles, medical syringes, scalpels, glass microscope slides, cover-slips, glass blood vials, Pasteur pipettes, plastic sharps(serological pipettes and pipette tips), broken razor blades, and contaminated broken glass and . '''Uncontaminated medical/research sharps (such as needles, syringes, scalpels, serological pipettes , pipette tips, etc.), although not contaminated with , may be perceived as infectious material when presented for disposal and must be handled as biohazardous sharps waste.'''*Biohazardous sharps must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant sharps containers. Sharps containers must be approved by Safety Operations and the UNMC Safety Office. These containers must be sealed shut closed when they are 3/4 full and placed with the biohazard waste for pick up and disposal. Sharps containers should be bagged and sealed as outlined above if they contain liquids in the form of blood, body fluids or medications. Disposable sharps containers four (4 ) gallons or smaller are sealed closed and placed in the biohazard waste tub for disposal. Larger disposable sharps containers which will not fit into biohazard tubs for shipping must be in a shippable container, an approved by DOT container. Contact EHS for shipment additional information. *The use of reusable sharps containers is acceptable with no other packaging requiredthe approval from EHS. Reusable sharps containers regardless of size are sealed closed and then transported by the vendor to a facility which handles emptying and disinfecting the containers , as well as decontamination of the sharps for disposal.</li> <li>The use *Pipettes and pipette tips readily puncture biohazard waste bags and must be disposed of re-usable sharps containers is acceptable in a rigid container (biohazard bag lined cardboard box). Lining pipette disposal box with plastic keeps residual liquids from soaking the written approval of box and seeping onto the UNMC Safety Managerfloor/counter. Containers will Once pipette disposal boxes are full, they must be handled taped shut and processed in a manner consistent with acceptable regulatory guidelinesplaced into biohazard waste bin.</li> <li>======Non-EPA regulated chemotherapy waste Sharps======*Solid (See [http://info.unmc.edu/safety/PDF/2005%20WASTE%20HANDLING%20ATTACHMENTS%20Nov%202009.pdf Attachment 2] for a list of EPA regulated chemotherapy agentsnon-sharps)biohazardous waste including contaminated disposable PPE, pathological culture materials, samples, specimens, shall be placed into tear-resistant, leak-proof, and secured red biohazard bags to prevent leakage or other expulsion of solid or liquid waste requiring incineration (human during storage, handling or animal remains or excised tissue) are marked clearly transport. Bags will meet current tear and impact resistance requirements will conform to current maximum size and weight restrictions and will be labeled with the "incineration only" stickers provided by the universal biohazard waste contractorsymbol (reference requirements in 49 CFR 173.134, 49 CFR 173.197, 49 CFR 173.24, 49 CFR 173.24a). The stickers are available from top of the biohazard waste contractorinner bag must be closed by twisting and tying in a single knot. Information on obtaining the incineration stickers can The infectious waste bags should be obtained from UNMC Safety placed directly into rigid reusable containers supplied by the waste contractor at 9-7315the site of waste generation.</li><li>=====Special Circumstances in Handling Biohazard Biohazardous Waste</li>=====<ol>*Before generating any biohazardous waste that requires incineration, contact EHS. <li>Placentas for *Prion and prion-like wastes require special treatment before disposal will be labeled , contact EHS for incinerationadditional information.</li><li>Tissue dissected from surgical pathology or autopsy specimens are disposed by incineration. See H. above.</li><li>Biosafety*BSL-3 and ABSL-Level 3 containment laboratories shall have must decontaminate all waste generated in such labs either decontaminated wastes using agent-appropriate methods prior to removal from the lab or wrapped and placed into a sealed container prior to removal from lab for decontamination on site.</li> <li>*Any materials/substances coming out of a laboratory with a larger volume of concentrated infectious agents, such as an HIV/HBV production facility, must be decontaminated on -site before leaving the facility.</li> <li>Biocontainment unit biohazard *Wastes generated from diagnostic sample analysis containing a known or suspected Risk Group 4 organism must be decontaminated using agent-appropriate methods before leaving the facility and then subsequently incinerated. *Suction canisters containing blood, other body fluids, or other infectious materials must be carefully emptied, or contents may be sealed and placed in rigid reusable biohazardous waste will containers with absorbent material. Personnel must wear appropriate protective equipment to minimize exposure to potential pathogens if contents are emptied. The contents may be solidified and discarded using approved methods if emptying the contents is not practical. The empty suction canisters must be handled and discarded as biohazardous waste. *Non-disposable or reusable items such as equipment, glassware, or linens that are contaminated with biohazardous material must be handled and decontaminated in accordance with acceptable the guidelinesestablished in UNMC Policy No. Known 2004, [[Bloodborne Pathogens Exposure]]. Items are decontaminated as appropriate for the specific biohazardous material and personnel will refer questions to managers or suspected Risk Group 4 leads to determine if an item must be discarded due to contamination. *Biohazardous waste that is decontaminated on-site via steam sterilization ([httpi.e., autoclave) before disposal must undergo a process that includes quality assurance testing to verify that the decontamination process is adequate. Please see the IBC Autoclave Operation and Safety policy for additional information. *Biohazardous waste that has been mixed with a radioactive material or a regulated chemical (mixed waste) requires additional guidelines for disposal. Contact EHS prior to generating these types of waste.======Extracted Teeth======Extracted Teeth at the College of Dentistry are handled as follows://info*Virgin teeth are placed into a sharps container and disposed of as biohazardous waste.unmc*Teeth with gold restoration are placed into a sharps container and eventually sent to a gold recovery company.edu/safety/PDF/2005%20WASTE%20HANDLING%20ATTACHMENTS%20Nov%202009*Teeth with amalgam restoration are placed into a sharps container and eventually picked up and handled as hazardous waste by UNL Environmental Health and Safety due to the mercury content.pdf See Attachment]*Extracted teeth stored at the College of Dentistry for use by students in pre-clinic laboratory are stored in dilute hypochlorite solution (generally a 1:10 dilution) . This leaches the mercury from the restorations and the solution is autoclaved on site before leaving picked up by UNL Environmental Health and Safety when the facilityteeth are disposed of at the end of the year.</li></ol>=====Shipping Biohazardous Waste=====<li>Prior to transport off campus, all biohazardous waste will be placed in covered, leak-proof containers designated for biohazardous waste. These containers will be clearly marked and labeled in accordance with DOT and OSHA regulatory requirements. Only trained and certified individuals shall sign Regulated Medical Waste (biohazardous) transport shipping papers. <br /> These individuals are signing for the organization and as such are not held financially responsible for any penalties or fines that may be imposed by regulatory agencies (i.e., OSHA, DOT, etc.) so long as they are acting in a reasonable manner, consistent with their training and UNMC policy. For information on training, please contact EHS at (402) 559-6356.<br /li></ol><h2>CHEMICAL AND HAZARDOUS WASTE</h2>Biohazardous waste is disposed of through a licensed biohazardous waste contractor. Final disposal of biohazardous waste is in accordance with all applicable local, state and federal regulations and applies a process which renders the biohazardous waste non-infectious. For further questions, please contact EHS.<ol><li>====Chemical and Hazardous Waste ====Chemical waste is any chemical or chemical material that is used or no longer needed and destined for disposal and includes both hazardous and non-hazardous chemicals. Chemicals and chemical materials like lead acid batteries and aerosol cans are disposed of in accordance with the Chemical Safety Manual and are removed from the premises EPA regulations. UNMC is also required by EPA to have a licensed contractor[https://www. Contact the UNMC Chemical Safety Office at extunmc. 9-6356 edu/ehs/_documents/UNMCWasteMinimizationPlan10_2018.pdf Waste Minimization Plan] for disposal guidelineshazardous waste.<Use the [https:/li><li>Aerosol cans are picked up by Environmental Services in most locations except labs, where they are tagged for pick-up by UNMC /www.unmc.edu/ehs/FactSheets/ChemicalDisposal.pdf Chemical and Radiation SafetyDisposal Fact Sheet] for guidance on disposing chemicals. Cans are punctured in accordance with applicable Nebraska lawFor information on some specific chemical waste streams, and please see the metal recycled[https://www.<unmc.edu/li><ehs/ol><h2>RADIOACTIVE WASTE<chemical-safety/h2><p>Radioactive hazardous-materials-fact-sheets.html Hazardous Material Fact Sheets]. Nebraska Public Service Laboratory waste is any material with detectable radioactivity above background levels. These materials are will be handled in accordance with Radioactive Materials per internal guidelines and Waste policies and procedureschain-of-custody requirements. Contact the UNMC Radiation Safety Office For additional information on chemical disposal, please contact EHS at 9(402-559-6356 for disposal guidelines).</p> <h2>RECYCLABLE WASTE</h2>=====Liquid Chemical Waste=====<p>Recyclable waste includes mixed paper, cardboard, plastic, tin, scrap metal and aluminumCertain non-hazardous liquid chemicals can be disposed to the sanitary sewer. Recyclable material containing confidential information is safeguarded from Please see the time of generation through destructionHazardous Material Fact Sheet [https://www.unmc. See UNMC Policy 6056 Retention and Destructionedu/ehs/FactSheets/SanitarySewerDisposal.pdf Sanitary Sewer Disposal ] for a list of Private these chemicals. All other liquid chemicals and chemical waste must be tagged and Confidential Information given to EHS for guidelines on the proper destruction of confidential materialsdisposal. Questions concerning recycling can be addressed by calling ext. 9-4100.</p><h2>GENERAL WASTE</h2>=====Solid Chemical Waste=====<p>General Solid chemicals and chemical waste is anything which does not fit into other must be tagged and given to EHS for proper disposal. Chemical waste categories and is transported and cannot be disposed via a contracted service using normal waste handling methodsof in the trash.</p><ol>=====Empty Chemical Containers=====<li>Uncontaminated glass is placed in rigid Empty containers and labeled as must be properly handled to ensure the contentssafety of laboratory and EVS staff.</li><li>Compressed gas cylinders are returned to Please see the vendor when empty. Contact Safety Ext 9-7315 to arrange disposal of single use disposable cylinders.<Hazardous Materials Fact Sheet [https:/li><li>Asbestos must be disposed in accordance with all applicable state, federal and local guidelines/www. Contact Facilities Management to arrange for disposal of items containing asbestosunmc.<edu/li><ehs/ol><h2>UNIVERSAL WASTE<FactSheets/h2>EmptyChemicalContainerDisposal.pdf Empty Chemical Container Disposal].<ol>=====Universal Waste=====<li>Universal wastes are any of the following hazardous wastes subject to the State of Nebraska universal waste requirements. Questions concerning disposal of universal waste can be addressed by calling 9-6356.</li> <li>*Batteries - Nickel -cadmium (rechargeable), button (calculator, watch) or lithium batteries.</li><li>*Mercury containing lamps - light -emitting bulbs containing mercury, including fluorescent, high -pressure sodium, mercury vapor and metal halide lamps.</li><li>*Mercury containing items (thermostats, switches, manometers, sphygmomanometers, etc.).</li><li>*Electronic items (circuit boards, computer monitors)</li><li>*Pesticides</li></ol><p>For additional Additional informationcan be found online in the Hazardous Material Fact Sheet, please see [httphttps://infowww.unmc.edu/safetyehs/PDFFactSheets/2005%20WASTE%20HANDLING%20ATTACHMENTS%20Nov%202009UniversalWasteStorage_Disposal.pdf Attachment I Universal Waste]. Questions concerning disposal of universal waste can be addressed by contacting EHS at (402-559-6356).====Radioactive Waste====Radioactive waste is any material with detectable radioactivity above background levels. These materials are handled in accordance with Radioactive Materials and Attachment 2Waste policies and procedures. Contact EHS/Radiation Safety at (402-559-6356) for disposal guidelines or see Section B-8 of the [https://www.unmc.edu/ehs/Manuals/RSM2014updated.pdf Radiation Safety Manual] .=====Mixed Waste =====Mixed waste (radioactive, biohazardous, and/ or contact chemical) must be disposed of in accordance with the state regulations as outlined in the Hazardous Materials Fact Sheet, [httphttps://www.unmc.edu/ehs/FactSheets/MixedRadioactiveChemicalWasteDisposal.pdf Mixed Waste Disposal].====Construction Waste=========Asbestos =====Asbestos must be disposed of in accordance with all applicable state, federal and local guidelines. Contact Facilities Management to arrange for disposal of items containing asbestos. A Construction Risk Assessment is required for asbestos removal in hospital areas.=====Construction/Demolition Waste=====Construction/demolition waste must be disposed of in accordance with State regulations. Facilities Management and Planning will manage the disposal of non-hazardous construction waste and will communicate all requirements to any contractors.====General Waste====General waste is anything which does not fit into other waste categories outlined within this plan. General waste is transported and disposed of via a contracted service using normal waste handling methods.It is the responsibility of EVS to empty all trash and recycling receptacles as scheduled based on customers’ needs. Timing of trash removal is generally on a predetermined schedule but can be upon request, based on customer needs.In order to avoid mistakenly disposing of items of value, anything which is to be considered ‘trash’ and taken to a dumpster, must be:*Placed directly in a trash can.*Verbally indicated by the customer, to EVS management or staff, that the item(s) is trash and may be disposed of.*The following will not be disposed of by Environmental Services::*Items placed next to or near a trash can without contacting EVS office.:*Items marked with a sign as “Trash”, unless request has been submitted to the EVS office.:*Broken uncontaminated glass which is not placed in rigid containers, sealed shut, and labeled as “Broken glass”.==Additional Information==*Contact [mailto:jhauserunmcehs@unmc.edu UNMC Environmental Health & Safety ManagerDepartment], 402-559-6356*UNMC Policy No.<br 2004, [[Bloodborne Pathogens Exposure]]*UNMC Policy No. 3000, [[General Accounting]]*UNMC Policy No. 6056, [http:/>/wiki.unmc.edu/index.php?title=Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information] *[https://livegreennebraska.com/recycling/ LiveGreen Recycling]. This policy maintained by [http://mailto:dpanowic@unmc.edu dkp].</p>

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