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[[Safety]] | [[Deadly Weapon]] | [[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 ]]
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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 /><br /><big>'''Waste Handling Policy'''</big>
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<br big>'''Waste Handling Policy'''</big>It is the policy of ==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 of in accordance with this policy. The most common recycled material is listed below.==Biohazard Waste==Paper and Cardboard====Biohazard waste (infectious waste) It is defined as material policy of biological origin capable of producing an infectious disease in humans or animals UNMC and includes at Nebraska Medicine that '''ALL PAPER''' must be placed in a minimum bloodblue desk-side container, body fluidslarge blue bin, discarded sharps and inoculated culture medialocked 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.<br /> Virtually 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.<br />Biohazard waste is composed of two broad categories If you have large quantities to include sharps and nonsharpsrecycle, 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 /> All corrugated cardboard (boxes used for shipping) and standard cardboard (sometimes referred to as paperboard: facial tissue/cereal/frozen meal boxes) can be further subdivided by typerecycled on campus. See Please break all boxes down flat and place them between your paper recycling bin and the definitions outlined wall or at the designated location for your building. You do not need to remove labels or tape. Cardboard that has come in [http:direct contact with food can be recycled as long as it is not dirty//infosoiled.unmc.eduDo not place any grade of cardboard in the blue/safety/PDF/2005%20WASTE%20HANDLING%20ATTACHMENTS%20Nov%202009paper recycling container.pdf Attachment I] for further details.<br /><br />Biohazard wasteThe recycling program at UNMC must comply with the federal requirement, except for sharpsin accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), shall that all personal health information (PHI) be contained protected from the time it is created to the time it is destroyed. Recyclable paper containing confidential information is safeguarded from the time of generation through destruction. For guidelines on the proper destruction of confidential materials in disposable plastic bags or containers that are tear-resistantthe hospital, leak-proofsee IM.14, and secured to prevent leakage or expulsion UNMC Policy No. 6056, Retention and Destruction/Disposal of solid or liquid Private and Confidential Information. All paper waste during storage, handling or transportincluding medical and personal information, is considered confidential waste.<br />#Biohazard waste will be transported EVS is responsible to secure, transport, and store confidential materials from internal customer departments. All paper in covered the blue containers designated marked specifically for biohazardous recycling is considered confidential in the recycling process. Once picked up, this confidential wasteis to be secured in locked containers provided by the vendor and locked containers should not be tampered with by unauthorized personnel.#Bags EVS will meet current tear be the keepers of the keys for unlocking these containers and impact resistance requirements, will conform have access to current maximum size the contents of the containers through keys signed in and weight restrictions, out daily in compliance with the Environmental Services Key Control Policy.====Plastic and will Metal====Recyclable material can include rigid plastic, tin or aluminum. These items should be labeled as biohazardousplaced in the green recycling bins. The top of EVS will empty the inner bag must be closed by twisting bins, collect the waste and prepare it closed for disposal by the recycling vendor. See [https://livegreennebraska.com/recycling/ LiveGreen Recycling] for additional information.<br /> Large metal items can be recycled through Facilities Management and tying in a single knotPlanning and/or [http://info. It unmc.edu/procurement/general-supply/ General Supply/Furniture Stores].====Surplus Material===='''Surplus''' is preferred any item that infectious waste you or your department no longer needs. Common surplus equipment includes:*Computers*Printers and cartridges*Electronic Equipment*Furniture*Chairs*Appliances*EquipmentThese materials may be placed directly into rigid reusable containers supplied by reused within the waste contractor at organization, sold or properly disposed of. Disposition of all surplus equipment shall be the site responsibility of originthe Manager of General Supply/Furniture Stores (402-559-5899) and must be coordinated with the appropriate director or department head.#Prior to transport off campusSurplus equipment valued over $5, all biohazardous waste will 000 and entered in the UNMC Fixed Asset Inventory System must be placed handled in an approved leak-proof container accordance with UNMC Policy No. 3000, [[General Accounting]].====Technotrash====Electronic trash, such as disposable or reusable pailsCD/DVD, reusable sharps containersbarcode lab label printer ribbons, cartonshard drives, boxesand copiers are disposed of using an appropriate channel that can handle the chemical hazards of the item and taking into account the presence or absence of personal health information (PHI). Items containing PHI are disposed of in accordance with UNMC Policy No. 6056, drums[[Retention and Destruction/Disposal of Private and Confidential Information]]. <br /> For additional information on other recyclable material, or portable binssee [https://livegreennebraska. com/recycling/ LiveGreen Recycling].====Alkaline Batteries====These containers are the typical non-rechargeable batteries that most people use. They are not EPA regulated and can be recycled through the UNMC Alkaline Battery Recycling Program. See [https://livegreennebraska.com/recycling/batteries/ LiveGreen Alkaline Battery (single use) Recycling] for additional information.===Non-Recyclable Waste===Non-recyclable waste is any waste, generated at UNMC that cannot be recycled.====Biohazardous Waste====Biohazardous waste will be clearly marked managed and labeled disposed of in accordance with DOT and , EPA, OSHA regulatory requirements. All containers will be closed , and completely sealedState of Nebraska Regulations.#Suction canisters containing blood Biohazardous waste (infectious waste or other body fluids must be carefully emptied medical waste) is waste contaminated with biological material that is infectious or contents may be sealed potentially infectious to humans, animals, or plants. Materials contaminated with recombinant and placed in rigid reusable synthetic nucleic acids, as well as genetically modified organisms are also considered biohazardous. Please contact EVS at (402-559-4073) for biohazardous waste containers with absorbent material. Personnel Disposable sharps containers 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 purchased by the contents department.=====General Biohazardous Waste Categories=====*Microbiological waste includes but is not practicallimited to cultures and disposable culture materials, stocks of infectious agents and associated biologicals, discarded live and attenuated vaccines. The empty suction canisters must *Human blood and blood products (dripable or dried blood that can be handled dislodged during handling). *Human tissues, body fluids or other potentially infectious materials including but not limited to unfixed human cell lines, tissues, pathology specimens, and discarded as biohazard wasteused specimen containers. #Equipment *Contaminated animal waste including carcasses, blood and linen contaminated body fluid, body parts, and excrement/bedding from animals infected with biohazard material a pathogen. *Synthetic or biological agents recombinant nucleic acid materials. '''All biohazardous waste must be handled rendered non-infectious prior to final disposal per State law [http://deq.ne.gov/RuleAndR.nsf/pages/PDF/%24FILE/T132_5.17.16.pdf (NDEQ Title 132)].''' =====Liquid Biohazardous Waste=====Decontaminate liquid biohazardous waste (such as human blood, aspirated culture media, infectious human or animal body fluids, and decontaminated in accordance liquid bacterial cultures) by steam sterilization (i.e. autoclave) or treatment with an appropriate chemical disinfectant (such as freshly-prepared bleach) for the guidelines established in the Bloodborne Pathogen Exposure Control Plan recommended contact time (See The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan; UNMC Policy 200420 minutes for 1:10 final dilution with bleach). After decontamination, liquids may be poured down the drain to the sanitary sewer while flushing with cold water. See [[Bloodborne Pathogens Exposuresehttps://www.unmc.edu/ehs/FactSheets/SanitarySewerDisposal.pdf Sewer Disposal Fact Sheet]] Policy)for guidance. Equipment and linen are not thrown away as Please note: solutions containing biological toxins must be decontaminated in a biohazardmanner that also inactivates the toxin. Items are cleaned first and appropriate personnel will determine Contact Environmental Health & Safety Department (EHS) at 402-559-6356 prior to drain disposal if an item must be discarded due using disinfectants other than bleach.=====Solid Biohazardous Waste=====Solid biohazardous waste is composed of two broad categories to contaminationinclude sharps and non-sharps. #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. #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. #======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.#=====Special Circumstances in Handling Biohazard Biohazardous Waste=====#*Placentas for disposal will be labeled for Before generating any biohazardous waste that requires incineration, contact EHS.#*Tissue dissected from surgical pathology or autopsy specimens are disposed by incineration. See 8. abovePrion and prion-like wastes require special treatment before disposal, contact EHS for additional information.#*BiosafetyBSL-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. #*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. #*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.#=====Shipping Biohazardous Waste=====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 . For information on training, please contact EHS at (402) 559-6356.<br /> 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 UNMC policyfederal regulations and applies a process which renders the biohazardous waste non-infectious. For further questions, please contact EHS.====Chemical and Hazardous Waste====#Chemical and Hazardous Waste 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 for disposal guidelinesedu/ehs/_documents/UNMCWasteMinimizationPlan10_2018.#Aerosol cans are picked up by Environmental Services in most locations except labs, where they are tagged pdf Waste Minimization Plan] for pick-up by UNMC hazardous waste. Use the [https://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.==Radioactive Waste==Radioactive waste is any material with detectable radioactivity above background levelsunmc. These edu/ehs/chemical-safety/hazardous-materials are -fact-sheets.html Hazardous Material Fact Sheets]. Nebraska Public Service Laboratory waste 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). ==Recyclable ===Liquid Chemical Waste=====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. See UNMC Policy 6056 Retention and Destructionunmc.edu/ehs/FactSheets/SanitarySewerDisposal.pdf Sanitary Sewer Disposal ] for a list of Private these chemicals. All other liquid chemicals and Confidential Information chemical waste must be tagged and given to EHS for guidelines on the proper destruction of confidential materials. Questions concerning recycling can be addressed by calling ext. 9-4100disposal.==General ===Solid Chemical Waste=====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.#Uncontaminated glass is placed in rigid =====Empty Chemical Containers=====Empty containers and labeled as must be properly handled to ensure the contentssafety of laboratory and EVS staff.#Compressed gas cylinders are returned to Please see the vendor when emptyHazardous Materials Fact Sheet [https://www. Contact Safety Ext 9-7315 to arrange disposal of single use disposable cylindersunmc.#Asbestos must be disposed in accordance with all applicable state, federal and local guidelinesedu/ehs/FactSheets/EmptyChemicalContainerDisposal. Contact Facilities Management to arrange for disposal of items containing asbestospdf Empty Chemical Container Disposal].=====Universal Waste=====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. #*Batteries - Nickel -cadmium (rechargeable), button (calculator, watch) or lithium batteries.#*Mercury containing lamps - light -emitting bulbs containing mercury, including fluorescent, high -pressure sodium, mercury vapor and metal halide lamps.#*Mercury containing items (thermostats, switches, manometers, sphygmomanometers, etc).)#*Electronic items (circuit boards, computer monitors)#*Pesticides<br />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 & SafetyDepartment], 402-559-6356*UNMC Policy No.2004, [[Bloodborne Pathogens Exposure]]<br *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] <br *[https:/>/livegreennebraska.com/recycling/ LiveGreen Recycling]. This policy maintained by [http://mailto:dpanowic@unmc.edu dkp].

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