hazardous materials &waste management plan at aub-mc · ¾to provide education to all medical...

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Hazardous Materials Hazardous Materials &Waste Management &Waste Management

Plan atPlan at

AUBAUB--MCMC

لصـــــحة البـيــئــيةا ، الســـــــالمة و معالجة المخاطر ENVIRONMENTAL HEALTH, SAFETY & RISK MANAGEMENT

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Outline

1. Objectives2. Definitions of Hazardous Waste3. Regular Waste4. Hazardous Waste Management5. Biohazardous Waste: Segregation, Handling,

and Transportation

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ObjectivesTo ensure safe practices & conditions in addition to ensuring safe environment for Medical Center staff, patients, and visitors.To provide education to all Medical Center staff on the safe handling of hazardous materials and waste.To ensure that Medical Center staff identify hazardous materials and the different types of generated waste.To provide a framework in which to manage generated waste and hazardous materials.

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HAZARDOUS WASTE MANAGEMENT

WHY?!

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To minimize the potential spread of diseases inside the Medical Center and to the outside environment.

To reduce the amount of hazardous waste produced at the Medical Center.

To better protect the environment & reduce the To better protect the environment & reduce the Medical Center treatment expenditures.Medical Center treatment expenditures.

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Hazardous Waste

Materials that may be constituted of biological, chemical, or radioactive substances and are no longer needed or suitable for their designated use.

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

No longer needed or suitable for its designated use

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HazardousWaste

Chemical Drug Radioactive Biohazardous

Chemical substances that exhibit at least one of the following characteristics:Flammable / Ignitable (Xylenes, Ethanol…)Reactive / Explosive (dry < 10% H20 picric acid)Toxic (Formaldehyde, Glutaraldehyde, Methanol…)Corrosive (Acids, Bases…)

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HazardousWaste

Chemical Drug Radioactive Biohazardous

Hazardous medications that are expired and/or remaining after patients use/consumption.

Chemotherapy agents, as well as contaminated vials, ampoules, IV bottles, tubes, syringes, gloves, masks, absorbent pads, and any other contaminated items used in the preparation, administration, and handling of these materials. Vaccines

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Solids, liquids, or sharps containing or contaminated with radioactive material.

Radiopharmaceuticals or Radiochemicalsemitting ionizing radiation in the form of beta particles and/or gamma rays.

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Liquid or semi-liquid blood or blood components or other potentially infectious materials.Items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling.Contaminated sharps.Pathological waste containing blood or other potentially infectious materials.

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Mixed Hazardous Waste

Priority:1. Radioactive Waste2. Chemical & Drug Waste3. Biohazardous Waste4. Regular Waste

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

++Regular Waste

Biohazardous

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Drug Waste

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Radioactive Waste

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Radioactive Waste

Drug Waste

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Radioactive Waste

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Regular Waste

Regular waste are all other waste that were not mentioned before and have not come in contact with blood or body fluids.

Regular waste are collected in white/black bags.

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Hazardous Waste Management

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Removed by EHSRM.

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

Radioactive Waste should be placed in specially labeled containers provided by EHSRM and collected by EHSRM for storage/disposal.

For information concerning identification, segregation, storage, disposal, collection, and documentation of radioactive material waste refer to the EHSRM Radiation Protection Handbook:http://staff.aub.edu.lb/~webehsc/hps_radiation_protection_handbook.htm

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

For spill control procedures and/or assistance refer to the Radiation Protection Handbook, or

contact the Health Physics Services division at 2378, 2367, 2363.

(Call University Security at 2400 after working hours).

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

All non-sharp articles contaminated with hazardous drugs should be disposed of in approved red plastic bagslabeled “Hazardous Chemical Waste”. Labels should be written in Arabic and English.

Contaminated sharps should be placed into a red sharps container.

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Hazardous Waste

Chemical Drug Radioactive Biohazardous

For spill control procedures and/or assistance contact EHSRM/Chemical Safety

at Ext. 2361/2360

(Call University Security at 2400 after working hours)

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Biohazardous Waste

“The waste which are capable of producing infectious diseases”

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Biohazardous Waste Segregation

1. Should be sorted at the site of generation into color-coded approved plastic bags or containers.

2. Waste bags should be placed in an approved secondary plastic container.

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Biohazardous Waste Segregation

Bags and containers should be labeled by the Biohazard symbol and the word“BIOHAZARDOUS WASTE” in Arabic and English, and should not be filled more than 3/4 of their loading capacity.

Larger volumes of waste should not be packed or compressed in the bags or containers to achieve the volume limits.

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BIOHAZARDOUS WASTE

نفايات بيولوجية خطرة

Autoclaving

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Incineration

BIOHAZARDOUS WASTE

نفايات بيولوجية خطرة

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Biohazardous Waste

Solid Sharps Pathological Liquid

Biohazardous Waste Segregation

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Biohazardous Waste

Solid Sharps Pathological Liquid

Yellow bags labeled by the ‘Biohazard’symbol and the word “Biohazardous waste”

Includes any non-sharp solid items contaminated with Biohazardous material.Example: Gloves & other disposable personal protective equipment (PPE), plastic-ware, towels, bench paper…

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Biohazardous Waste

Solid Sharps Pathological Liquid

If contaminated with hazardous drugs

Red plastic bag labeled BIOHAZARDOUS WASTE

Includes any non-sharp solid items contaminated with Biohazardous material.Example: Gloves & other disposable personal protective equipment (PPE), plastic-ware, towels, bench paper…

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Biohazardous Waste

Solid Sharps Pathological Liquid

Yellow rigid plastic sharps container

Discarded sharp articles that may cause cuts or punctures such as needles, scalpels, broken glass, razors…

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Biohazardous Waste

Solid Sharps Pathological Liquid

Red rigid plastic sharps container.

Discarded sharp articles that may cause cuts or punctures such as needles, scalpels, broken glass, razors…

If contaminated with hazardous drugs

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Biohazardous Waste

Solid Sharps Pathological Liquid

Red plastic bag labeled BIOHAZARDOUS WASTE

Human specimens or tissues that are removed or obtained during surgery, autopsy, and studies or for diagnostic evaluation and which are intended for disposal such as: all unfixed human organs, tissues, organs, body parts… (except for hairs and nails).

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BiohazardousWaste

Solid Sharps Pathological Liquid

Bulk quantities of bloodBlood productsBody fluids

Any body fluid with visible bloodAmniotic fluidCerebrospinal fluidPericardial fluidPeritoneal fluidPleural fluidSemen/vaginal secretionsSynovial fluid

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BiohazardousWaste

Solid Sharps Pathological Liquid

< 10 ml > 10 ml

Contained in leak proof plastic or metal containers with tight lids labeled by the ‘Biohazard’ symbol and the word “BIOHAZARDOUS WASTE” in Arabic and English.Yellow bag

Treated as solid waste

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Biohazardous Waste Handling and Transportation

Wastes should be segregated at the generation site.Bags of waste and sharps containers should, when they are three quarters full, be closed and removed from the site by housekeeping staff.Each department/ward should store its wastes in the utility room, if existing, or other designated area waiting for collection.

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Don’t Put Non-Biohazardous Items in Biohazardous Bags !

Paper towels from drying hands after washing

Scalpel blade wrappers

Needle wrappers

Uncontaminated gloves

Packaging materials such as cardboard & StyrofoamPapersFood wrappersPop cans

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Source Separation is the Key!

Everyone needs to consider which waste stream an item goes in every time waste are disposed.

By properly segregating medical waste, the weight of biohazardous waste can be drastically reduced in the Medical Center.

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1. Cytotoxic Drugs Wastes

2. Pathological Wastes

· Chemotherapeutic· Cytotoxic· Vaccines· Human organs, tissues, body parts…

Solid Biohazardous wastes

Blood contaminated:►Gloves & other Personal Protective Equipment►Plastic-ware►Towels►Bench papers►Examination papers…

Cytotoxic Drugs Sharps(needles, scalpels, broken glass, razors…)

Sharps contaminated with Chemotherapeutic & Cytotoxic drugs in addition to vaccines

Biohazardous Sharps(needles, scalpels, broken glass, razors…)

Sharps contaminated with blood or body fluids

Regular Wastes

Any other wastes that are not contaminated with any hazardous materials (blood, body fluids, cytotoxins…)

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THANK YOU

لصـــــحة البـيــئــيةا ، الســـــــالمة و معالجة المخاطر ENVIRONMENTAL HEALTH, SAFETY & RISK MANAGEMENT