Management of Regulated Medical Waste Flashcards

1
Q

What is the instruction # for regulated medical waste?

A

BUMEDINST 6280.1B

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2
Q

What is Group 6 of RMW?

A

Isolation wastes

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3
Q

What is group 2 of RMW?

A

Pathological wastes

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4
Q

What is group 3 of RMW?

A

Blood and blood products

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5
Q

What is group 4/7 of RMW?

A

Sharps

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6
Q

What is group 8 of RMW?

A

Other, designated by local infection control authority

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7
Q

What is group 9 of RMW?

A

Chemotherapy waste

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8
Q

What are non-RMW example?

A

Solid materials intended for disposal (waste/trash)

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9
Q

Definition RMW

A

Capable of causing disease or would pose other adverse health risks to individuals/communities if improperly handled

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10
Q

What kind of waste is waste that originated from medical isolation rooms?

A

RMW

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11
Q

How are sanitary napkins originating from post-partum suits/GYN surgical ward handled?

A

RMW

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12
Q

How many groups of RMW are there?

A

9

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13
Q

Where is RMW separated from other wastes?

A

At point of origin

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14
Q

Can RMW be transported in chutes or dumbwaiters?

A

No

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15
Q

What is the storage time for pathological RMW?

A

30 days

If waste is not immediately processed, 24hrs

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16
Q

How is RMW treatment achieved?

A

Incineration

Inactivation by heat, chemicals or radiation

17
Q

How are liquid wastes disposed of?

A

Steam sterilization then into sanitary sewers

18
Q

How is chemotherapy trace wastes disposed?

A

Do not mix with non-chemo/RMW products

Place in yellow bins

19
Q

How long does federal regulations require facilities to maintain shipping paperwork?

A

2 years after RMW is accepted

20
Q

How is RMW labeled?

A

Date
Type
Amount
Disposition

21
Q

Dilution ratio of water and bleach

A

1:10 w/ clear water

22
Q

How is anatomical pathology transported to incineration?

A

Double wall corrugated boxes that are double lined w/ plastic bags

23
Q

What considerations may dictate using alternate means of disposal for anatomical pathology waste such as cremation or burial by a licensed mortician?

A

Ethical considerations

24
Q

Blood, suction fluids and other potentially infectious liquid wastes may be decanted into what type of sinks, unless this practice is specifically prohibited by state/local laws?

A

Clinical

25
Q

Define gelatinization

A

Forms semi-rigid gel when added to liquids

26
Q

What kind of waste cannot be safely decanted?

A

Bulk

27
Q

How often is training conducted?

A

Initial and annual

28
Q

Infectious waste shall be sterilized and rendered noninfectious before what steps are taken?

A

Compacting and grinding

29
Q

Whose approval is required before the purchase of an infectious waste treatment system?

A

Bureau of Medicine and Surgery

30
Q

New treatment techniques must have successful use elsewhere for how many years prior to USN use?

A

2 years

31
Q

Effective steam sterilization temp/time/psi for microbial infectious waste?

A

250* x 90min @ 15psi

32
Q

How long can infectious waste be stored w/out refrigeration?

A

7 days

33
Q

Where are ashes after incineration sent?

A

Sanitary landfill

34
Q

What is group 5 of RMW?

A

Animal waste

35
Q

How should pathological wastes be stored?

A

Dedicated refrigerators/freezers

36
Q

What is group 1 of RMW?

A

Cultures, stocks and vaccines

37
Q

How long can non-pathological RMW be stored in the facility?

A

7 days

38
Q

How long can frozen pathology be stored in a facility?

A

30 days

39
Q

How long is the medical department required to keep records of all RMW?

A

2 years