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21 Cards in this Set

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what is the purpose of BUMED INSTRUCTION 6280.IB MANAGEMENT OF REGULATED MEDICAL WASTE
To provide standards for management of regulated medical waste (RMW) (used interchangeably with infectious waste) at Navy shore medical treatment facilities (MTFs) and dental treatment facilities (DTFs). Shipboard medical personnel are governed by and shall comply with the current Afloat Medical Waste Management Guide for afloat practices regarding RMW.
What evidence indicates infectious waste poses no greater threat to public health and environment than residential waste. However, medical facilities are perceived to be a source of pollution, prompting several States to enact severely restrictive infectious waste disposal regulations?
Scientific
What items are generated in the health care setting but are non-infectious and require no additional treatment before disposal and can be processed as general waste, using accepted methods of collection, storage, transport, and disposal
Non-RMW/Trash
Personal hygiene products (e.g., diapers, facial tissues, and sanitary napkins*).
b. Absorbent materials containing very small amounts of blood or other body fluids Are examples of what?
Non-RMW/Trash
What are Liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed?
Regulated Waste
what items are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious wastes?
Regulated Waste
What are 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 visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids?
Other Potentially Infectious Materials
What are examples of Other Potentally infectious Materials?
Any unfixed tissue or organ (other than intact skin) from a human (living or dead).
(c) Human Immunodeficiency Virus (HIV) - containing cell or tissue cultures, organ cultures, and HIV- or Hepatitis B Virus (HBV) - containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBV.
RMW is divided into how many groups?
Nine
Separate RMW from other waste at its what?
point of origin
RMW Line containers with plastic bags of sufficient thickness (typically __ millimeters), durability, puncture resistance, and burst strength to prevent rupture or leaks
3 millimeters
Pathological wastes must be refrigerated or what in dedicated cold storage units?
frozen
Storage of non- pathological RMW shall not exceed how many days?
7 days.
Pathological wastes not immediately processed for treatment and disposal must be refrigerated and must be frozen if stored for more than ___ hours. Frozen storage of RMW (applies only to pathological wastes) shall not exceed 30 days
24 hours
RMW treatment is achieved through destruction, such as ?
incineration, or through inactivation by heat, chemicals, or radiation.
Liquid wastes, e.g., liquid culture media, may be either ____________or kept in original glass containers and placed in sharps containers for treatment and disposal via the sharps disposal procedure
steam sterilized and disposed of in the sanitary sewer system
Human, tissues, organs, body parts, extracted human teeth, and body fluids removed during surgery or autopsy, or other medical procedures, and specimens of body fluids
Pathological Waste
free-flowing liquid human blood, plasma, serum, and other blood derivatives (e.g., blood in blood bags or bloody drainage in suction containers); absorbent materials soaked or dripping with saliva or blood; and items caked with dried blood, capable of releasing blood if handled.
Blood and Blood Products
Remove and seal sharps containers when____ full or above fill line.
¾
) Each MTF/DTF must develop and document a system to monitor disposal of RMW per local, State, and Federal regulations. Federal regulations require facilities maintain shipping paperwork/manifests for ____years after the RMW was accepted by the waste carrier
2 years
All employees with occupational exposure to RMW shall receive training prior to beginning work, and at least _____ thereafter
annually