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3500 Series > 3506 - Infectious Waste Management > Flashcards

3506 - Infectious Waste Management Flashcards

1
Q

Who shall:

  1. Maintain this document.
  2. Function as TFD’s Infectious Disease Control Officer (IDCO).
  3. Ensure this plan is implemented.
  4. Maintain TFD’s infectious waste permit.
  5. Report any spills of infectious disease to the Tacoma-Pierce County Health Department (TPCHD) as required.
  6. Record infectious waste spills on the Infectious Waste Spill Log as required.
A

The Assistant Chief of Emergency Medical Services

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2
Q

Who shall provide initial and annual training on infectious waste handling to TFD personnel during the annual blood-borne pathogen training.

A

The EMS Training Program Manager

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3
Q

Who shall:

  1. Maintain an adequate supply of red biohazard bags, sharps waste containers and biological hazardous waste boxes at their stations and on each apparatus.
  2. Ensure that all personnel are aware of the residential sharps container exchange program.
  3. Maintain at their stations an adequate supply of sharps containers for the residential exchange program.
A

Station Captains

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4
Q

Who shall maintain an adequate supply of red biohazard bags, sharps waste containers and biological hazardous waste boxes at their stations and on each apparatus.

A

Paramedic Supervisors

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5
Q

Who shall contact the infectious waste removal contractor for pick-up of full biological hazardous waste boxes within 7 days of their arrival at old Station 12.

A

The Fire Garage Supervisor

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6
Q

Who shall:

  1. Pick up full biohazard station boxes.
  2. Ensure stations have replacement boxes, lids, and liner bags.
  3. Take full boxes to designated storage site.
  4. Notify the Fire Garage Supervisor when a full biological hazardous waste box has been moved to old Station 12.
A

The TFD Messenger

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7
Q
  1. The following human body fluids: Semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids;
  2. Any unfixed tissue or organ (other than intact skin) from a human (living or dead)
A

Other Potentially Infectious Materials (OPIM).

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8
Q

Organisms capable of producing disease.

A

Pathogenic agents.

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9
Q

TFD personnel shall wear latex or nitrile gloves any time:

A

s/he is handling possible infectious materials and when finished shall wash his/her hands as soon as possible.

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10
Q

Contaminated broken glass shall be picked up using:

A

mechanical means such as tongs, forceps or a brush and dustpan.
a. Never pick up with hands—even if gloves are worn!

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11
Q

Contaminated materials generated by the patient may be disposed of at:

A

the receiving hospital, using their approved biohazard containers.

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12
Q

The IDCO shall be notified in the event of an infectious waste spill that exceeds either:

 a. \_\_\_\_\_\_\_\_\_\_\_\_ shall be notified of such spills. 
 b. Spills of this magnitude shall be recorded on:
A

one-liter of fluid or 32 gallons of solids.

 a. The Tacoma-Pierce County Health Department
 b. the Infectious Waste Spill Log.
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13
Q

Who shall retain the following for a minimum of three years:

 a. All infectious waste correspondence 
 b. All infectious waste disposal receipts 
 c. All infectious waste spill logs
A

The Assistant Chief of Emergency Medical Services

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14
Q

Sharps waster containers shall be considered “full” when they reach _________ at which time they will be __________

A

three-quarters capacity

secured and placed in the biological hazardous waste box at the station.

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15
Q

When the biological hazardous waste box is full, what is done?

A

the Fire Garage Supervisor shall be contacted to arrange for the TFD messenger to move the box to old Station 12.

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16
Q

Signs and Labels

  1. Containers of regulated waste and other containers used to store or transport infectious materials shall have:
  2. The label will be a:
A
  1. warning labels.

2. fluorescent orange or orange-red biohazard label as illustrated with lettering in a contrasting color.

17
Q

Who is the current waste disposal contractor?

A

The current waste disposal contractor for TFD is LeMay, Inc

4. The alternate contractor in the event LeMay, Inc. is not available is Murray’s Disposal Co.

18
Q

Who shall ensure that an ample supply of small, medium and large red biohazard waste bags are kept at each station.

 a. They can be ordered with station supplies. 
 b. This includes a second station box and lid, in case the first one gets full over the weekend.
A

Station Captains and Paramedic Supervisors

19
Q

Residential Sharps Container Exchange
1. TFD sponsors the Residential Sharps Container Exchange program to provide a safe and convenient needle disposal for senior and economically disadvantaged citizens.
a. This service cost:
b. Exchange times are:
c. Only ___________can be accepted for exchange.
2. TFD personnel shall:
a-b

A
  1. a. is free for eligible persons.
    b. Monday through Saturday from 0900-1700.
    c. approved sharps containers
    1. a. Offer residents a new container upon receiving the full container.
      b. Seal full containers and place in the station’s biological hazardous waste box.
20
Q

6.0 PROCEDURES FOR INFECTIOUS WASTE DISPOSAL

6.1 At the incident scene
1-6

A
  1. Put on latex or nitrile gloves
  2. Gather all blood and OPIM generated waste and place in a red biohazard bag.
  3. Gather all contaminated disposable supplies and place in red biohazard bag.
  4. Gather all sharps waste and place into a sharps waste container immediately after use.
  5. Gather all other waste and place in a regular trash receptacle at the scene or on an apparatus.
  6. Wash hands as soon as possible.
21
Q

PROCEDURES FOR INFECTIOUS WASTE DISPOSAL

At the station

A
  1. Place all filled red biohazard bags into the designated biological hazardous waste box.
  2. When trading rigs, remove all biohazardous waste and sharps containers.
  3. Segregate sharps from other waste and place in appropriate sharps waste container.
22
Q
  1. When sharps waste container is full:

a-d

A

a. Close the container
b. Tape the lid securely so needles can’t fall out of the container.
c. Place the container in the designated biological hazardous waste box.
d. Never put any sharps in the biological hazardous waste box without sealing them in

23
Q

When the biological hazardous waste box is full:

a-h

A

a. Fold box with lid flaps folded to the outside.
b. Line the box with a large red bio-waste bag, fold up and install cover lid.
c. Fill boxes completely as TFD pays by the box. Full boxes do not need to be logged.
d. When the box is full, put the cover lid inside the box, tie up the bag, close up the box lid flaps with the grab handles on top, exposed, and tape it shut, top and bottom, with clear strapping tape.
e. Place the box in the mail area in the apparatus bay.
f. Call the Fire Garage supervisor to arrange for pick up by the TFD messenger.
g. The messenger will pick it up and leave a new box, lid and liner bag.
h. Companies shall not transport full or partially full boxes.

24
Q

PROCEDURES FOR INFECTIOUS WASTE DISPOSAL

The TFD messenger shall:

A
  1. Pick up full biohazard station boxes. 2. Leave replacement station boxes, lids, and liner bags. 3. Take full boxes to Old Station 12 and place them in the shed outside the building. 4. Notify the Fire Garage Supervisor when a full biological hazardous waste box is ready to be picked up by the infectious waste disposal contractor.
25
Q

PROCEDURES FOR INFECTIOUS WASTE DISPOSAL

The Fire Garage Supervisor shall:

A
  1. Contact the infectious waste contractor for pick up of waste within 7 days of being notified that a biological hazardous waste box is at Station 12.
26
Q

PROCEDURES FOR INFECTIOUS WASTE SPILLS
If an infectious waste spill occurs in the station, TFD personnel shall:
1-9

A
  1. Don appropriate BSI equipment.
  2. Place all large infectious waste items in a red biohazard bag.
  3. Wipe up the area with paper towels.
  4. Place paper towels in red biohazard bag.
  5. Apply a 1:10 solution of bleach to the spill area to deactivate any pathogenic agents.
  6. Wipe the area again with additional paper towels.
  7. Place paper towels in red biohazard bag.
  8. Clean the entire area as in normal housework.
  9. Notify the IDCO of the spill as appropriate.
27
Q

Upon receiving a report of a spill, the IDCO shall:

1-2

A
  1. Report the spill to the Tacoma-Pierce County Health Department.
  2. Record the spill on the Infectious Waste Spill Log.

3500 Series (8 decks)

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