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Policy No: <strong>2005</strong><br />
 
Policy No: <strong>2005</strong><br />
 
Effective Date: <strong>08/25/06</strong><br />
 
Effective Date: <strong>08/25/06</strong><br />
Revised Date: <strong>10/10/14</strong><br />
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Revised Date: <strong>10/09/14</strong><br />
Reviewed Date: <strong>10/10/14</strong><br />
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Reviewed Date: <strong>10/09/14</strong><br />
 
<br />
 
<br />
 
<big>'''Waste Handling Policy'''</big>
 
<big>'''Waste Handling Policy'''</big>
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Biohazard waste is composed of two broad categories to include sharps and nonsharps, and can be further subdivided by type. See the definitions outlined in [http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment I] for further details.<br />
 
Biohazard waste is composed of two broad categories to include sharps and nonsharps, and can be further subdivided by type. See the definitions outlined in [http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment I] for further details.<br />
 
<br />
 
<br />
Biohazard waste is handled by Environmental Services (ES) and is disposed through a licensed biohazard waste contractor. Final disposition of biohazardous waste is in accordance with all applicable local, state and federal regulations and applies a process which renders the biohazard waste non-infectious. For further questions, please contact UNMC Safety Office.<br />
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Biohazard waste is handled by Environmental Services (EVS) and is disposed through a licensed biohazard waste contractor. Final disposition of biohazardous waste is in accordance with all applicable local, state and federal regulations and applies a process which renders the biohazard waste non-infectious. For further questions, please contact UNMC Safety Office.<br />
 
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<br />
 
Biohazard waste, except for sharps, shall be contained in disposable plastic bags or containers that are tear-resistant, leak-proof, and secured to prevent leakage or expulsion of solid or liquid waste during storage, handling or transport.
 
Biohazard waste, except for sharps, shall be contained in disposable plastic bags or containers that are tear-resistant, leak-proof, and secured to prevent leakage or expulsion of solid or liquid waste during storage, handling or transport.
 
#Biohazard waste will be transported in covered containers designated for biohazardous waste.
 
#Biohazard waste will be transported in covered containers designated for biohazardous waste.
#Bags will meet current tear and impact resistance requirements, will conform to current maximum size and weight restrictions, and will be labeled as biohazardous. The top of the inner bag must be closed by twisting it closed and tying in a single knot. It is preferred that infectious waste be placed directly into rigid reusable containers supplied by the waste contractor at the site of origin.
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#Bags will meet current tear and impact resistance requirements, will conform to current maximum size and weight restrictions, and will be labeled as biohazardous (reference requirements in 49 CFR 173.134, 49 CFR 173.197, 49 CFR 173.24, 49 CFR 173.24a).  The top of the inner bag must be closed by twisting it closed and tying in a single knot. It is preferred that the infectious waste bags be placed directly into rigid reusable containers supplied by the waste contractor at the site of origin.
#Prior to transport off campus, all biohazardous waste will be placed in an approved leak-proof container such as disposable or reusable pails, reusable sharps containers, cartons, boxes, drums, or portable bins. These containers will be clearly marked and labeled in accordance with DOT and OSHA regulatory requirements. All containers will be closed and completely sealed.
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#Prior to transport off campus, all biohazardous waste will be placed in an approved leak-proof container such as disposable or reusable pails, disposable or reusable sharps containers, cartons, boxes, drums, or portable bins. These containers will be clearly marked and labeled in accordance with DOT and OSHA regulatory requirements. All containers will be closed and completely sealed.  See [http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment II] for details on meeting DOT and OSHA requirements.
#Suction canisters containing blood or other body fluids must be carefully emptied or contents may be sealed and placed in rigid reusable biohazardous waste 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 biohazard waste.
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#Suction canisters containing blood or other body fluids must be carefully emptied or contents may be sealed and placed in rigid reusable biohazardous waste 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 biohazard waste.
#Equipment and linen contaminated with biohazard material or biological agents must be handled and decontaminated in accordance with the guidelines established in the Bloodborne Pathogen Exposure Control Plan (See The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan; UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]). Equipment and linen are not thrown away as a biohazard. Items are cleaned first and appropriate personnel will determine if an item must be discarded due to contamination.
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#Equipment and linen contaminated with biohazard material or biological agents must be handled and decontaminated in accordance with the guidelines established in the hospital Bloodborne Pathogen Exposure Control Plan (See The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan; UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]). Equipment and linen are not thrown away as a biohazard. Items are cleaned first and personnel will refer questions to managers or leads to determine if an item must be discarded due to contamination.
 
#Infectious sharps, medical sharps, broken contaminated glass and pipettes contaminated with infectious material must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant containers. Sharps containers must be approved by Safety Operations and the UNMC Safety Office. These containers must be sealed shut 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 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, approved by DOT for shipment of sharps with no other packaging required. 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.
 
#Infectious sharps, medical sharps, broken contaminated glass and pipettes contaminated with infectious material must be disposed of in leak-proof, rigid, puncture-resistant and break-resistant containers. Sharps containers must be approved by Safety Operations and the UNMC Safety Office. These containers must be sealed shut 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 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, approved by DOT for shipment of sharps with no other packaging required. 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 of re-usable sharps containers is acceptable with the written approval of the UNMC Safety Manager. Containers will be handled and processed in a manner consistent with acceptable regulatory guidelines.
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#The use of re-usable sharps containers is acceptable with the approval of Safety Operations (Hospital) or UNMC Safety Office (UNMC). Containers will be handled and processed in a manner consistent with acceptable regulatory guidelines.  Areas looking for help with the regularly scheduled pick-ups in their area should contact the Support Operations Manager at 2-3153.  If a re-usable sharps container is full and cannot wait until the next scheduled rounds for pick-up, contact Environmental Services at 402-888-3877 (UT) or 402-888-3876 (CT).
 
#Non-EPA regulated chemotherapy waste (See [http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment 2] for a list of EPA regulated chemotherapy agents), pathological or other waste requiring incineration (human or animal remains or excised tissue) are marked clearly with the "incineration only" stickers provided by the biohazard waste contractor. The stickers are available from the biohazard waste contractor. Information on obtaining the incineration stickers can be obtained from Environmental Services at ext. 9-4073.
 
#Non-EPA regulated chemotherapy waste (See [http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment 2] for a list of EPA regulated chemotherapy agents), pathological or other waste requiring incineration (human or animal remains or excised tissue) are marked clearly with the "incineration only" stickers provided by the biohazard waste contractor. The stickers are available from the biohazard waste contractor. Information on obtaining the incineration stickers can be obtained from Environmental Services at ext. 9-4073.
 
#Special Circumstances in Handling Biohazard Waste
 
#Special Circumstances in Handling Biohazard Waste
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#*Biosafety-Level 3 containment laboratories shall have all waste generated in such labs either decontaminated prior to removal from the lab or wrapped and placed into a sealed container prior to removal from lab for decontamination on site.
 
#*Biosafety-Level 3 containment laboratories shall have all waste generated in such labs either decontaminated 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 concentrated infectious agents, such as an HIV/HBV production facility, must be decontaminated on site before leaving the facility.
 
#*Any materials/substances coming out of a laboratory with concentrated infectious agents, such as an HIV/HBV production facility, must be decontaminated on site before leaving the facility.
#*Biocontainment unit biohazard waste will be handled in accordance with acceptable guidelines. Known or suspected Risk Group 4 waste ([http://info.unmc.edu/media/safety/2005_waste_handling_attachments_Nov2009.pdf See Attachment]) is autoclaved on site before leaving the facility.
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#*Biocontainment unit biohazard waste will be handled in accordance with acceptable guidelines. Known or suspected Risk Group 4 waste ([http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachment 1]) is autoclaved on site before leaving the facility.
 
#Only trained and certified individuals shall sign Regulated Medical Waste (biohazardous) transport shipping papers. 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.
 
#Only trained and certified individuals shall sign Regulated Medical Waste (biohazardous) transport shipping papers. 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.
 
==Chemical and Hazardous Waste==
 
==Chemical and Hazardous Waste==
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#Recyclable material containing confidential information is safeguarded from the time of generation through destruction.  For guidelines on the proper destruction of confidential materials in the hospital, see IM.14, and UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]. All paper waste, including medical and personal information is considered confidential waste.  
 
#Recyclable material containing confidential information is safeguarded from the time of generation through destruction.  For guidelines on the proper destruction of confidential materials in the hospital, see IM.14, and UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]. All paper waste, including medical and personal information is considered confidential waste.  
 
#The recycling program at UNMC must comply with the federal requirement, in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), that all personal health information (PHI) be protected from the time it is created to the time it is destroyed.
 
#The recycling program at UNMC must comply with the federal requirement, in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), that all personal health information (PHI) be protected from the time it is created to the time it is destroyed.
#The Environmental Services is responsible for the securing, transporting, and storage of confidential materials from internal customer departments. All paper in the blue containers marked specifically for recycling is considered confidential in the recycling process. This confidential waste is to be secured in locked containers provided by the vendor and locked containers should not be tampered with by unauthorized personnel. Environmental Services will be the keepers of the keys for unlocking these containers and will have access to the contents of the containers through keys signed in and out daily in compliance with the Environmental Services Key Control Policy.
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#Environmental Services is responsible for the securing, transporting, and storage of confidential materials from internal customer departments. All paper in the blue containers marked specifically for recycling is considered confidential in the recycling process. This confidential waste is 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 the keys for unlocking these containers and will have access to the contents of the containers through keys signed in and out daily in compliance with the Environmental Services Key Control Policy.
#Environmental Services (EVS) picks up recyclables from departments as needed, on a schedule agreed between the department and EVS. Recyclables are removed from campus Monday thru Friday.
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#EVS picks up recyclables from departments as needed, on a schedule agreed between the department and EVS. Recyclables are removed from campus Monday thru Friday.
 
==General Waste==
 
==General Waste==
 
General waste is anything which does not fit into other waste categories and is transported and disposed via a contracted service using normal waste handling methods.
 
General waste is anything which does not fit into other waste categories and is transported and disposed via a contracted service using normal waste handling methods.
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#**Verbally indicated by the customer, to Environmental Services management or staff, that the item(s) is trash and may be disposed.   
 
#**Verbally indicated by the customer, to Environmental Services management or staff, that the item(s) is trash and may be disposed.   
 
#*The following will not be disposed of by Environmental Services:
 
#*The following will not be disposed of by Environmental Services:
#**Items placed next to or near a trash can without contacting ES office.
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#**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 ES office.
 
#**Items marked with a sign as “Trash”, unless request has been submitted to the ES office.
 
#**EVS employees should abstain from discarding items perceived as trash. Items should be in a waste receptacle or designated as trash by your leader, manager or at the direction of office.
 
#**EVS employees should abstain from discarding items perceived as trash. Items should be in a waste receptacle or designated as trash by your leader, manager or at the direction of office.
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#Teeth with gold restoration are placed into a sharps container and eventually sent to a gold recovery company.
 
#Teeth with gold restoration are placed into a sharps container and eventually sent to a gold recovery company.
 
#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.
 
#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.
#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 leached the mercury from the restorations and the solution is picked up by UNL Environmental Health and Safety when the teeth are disposed of at the end of the year.
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#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 picked up by UNL Environmental Health and Safety when the teeth are disposed of at the end of the year.
 
==Technotrash==
 
==Technotrash==
 
Electronic trash is disposed 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 in accordance with hospital policy IM14 and UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information](Examples: CD/DVD, barcode lab label printer ribbons, hard drives, copiers, etc.)
 
Electronic trash is disposed 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 in accordance with hospital policy IM14 and UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information](Examples: CD/DVD, barcode lab label printer ribbons, hard drives, copiers, etc.)
 
==Additional Information==
 
==Additional Information==
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*Contact [mailto:jhauser@unmc.edu UNMC Safety]
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*Contact Chemical Safety Office at ext. 9-6356
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*Contact Radiation Safety Office at ext. 9-6356
 
*UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]
 
*UNMC Policy No. 2004, [[Bloodborne Pathogens Exposure]]
 
*UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]  
 
*UNMC Policy No. 6056, [http://wiki.unmc.edu/Confidential_Information Retention and Destruction/Disposal of Private and Confidential Information]  
 
*http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachments I-V]
 
*http://info.unmc.edu/safety/safety-office/biohazardous-waste/2005-waste-handling-attachments-2014.pdf Attachments I-V]
*Contact [mailto:jhauser@unmc.edu UNMC Safety].
   
*The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan<br />
 
*The Nebraska Medical Center Policies and Procedures, IC13, Bloodborne Pathogens Exposure Control Plan<br />
 
This policy maintained by [mailto:dpanowic@unmc.edu dkp].
 
This policy maintained by [mailto:dpanowic@unmc.edu dkp].

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