The purpose of this Medical Waste Management Plan (The Plan) is to ensure that the University of the Pacific complies with all requirements set forth in the 2017 California Medical Waste Management Act. This plan describes the processes necessary to safely manage the University’s generated medical waste and defines the responsibilities of all aspects of the plan.
University has the following medical waste streams:
The scope of this plan encompasses all University facilities in the City of Stockton.
This policy applies to all full time and part-time university employees, faculty, programs and volunteers regardless of the funding source and dollar value.
Name and Address
Medical Waste Transport and Disposal
Ingenium Contact Information
The following Materials are to be considered medical waste for the purpose of disposal;
Managers and Supervisors
Environmental Health and Safety (EH&S)
Pharmaceutical waste classified by the federal Drug Enforcement Agency (DEA) as “controlled substances” are disposed of in compliance with the DEA requirements with being logged and in dual control, and disposed of by our medical waste hauler.
All medical waste must be accumulated separately from other wastes in compliant red containers clearly labeled "BIOHAZARD". These containers will be labeled on the top and sides as required by Section Health & Safety Code 118280.
Red plastic biohazard bags will be utilized for non-sharps waste accumulation and tied to prevent leakage of contents prior to transferring to a container for storage. Sharps must be collected in a rigid puncture resistant container. These sharps containers can be combined with non-sharps waste in biohazard containers only if the waste will be transferred off-site by a licensed bio hazardous waste vendor.
University of the Pacific generates an estimated 345 pounds of medical waste per month, therefore all medical waste sharps (full containers) and non-sharps must be treated within 7 days unless waste is stored below 32° F. If the waste is maintained below 32° F it may be stored for up to 90 days before treatment or off-site disposal by a licensed medical waste hauler.
The storage areas are located in the Pharmacy Building Basement and The Biological Sciences building and are secured (locked) except when waste is added or removed and. The doors are marked with a sign that reads, "CAUTION - BIOHAZARDOUS WASTE STORAGE AREA - UNAUTHORIZED PERSONS KEEP OUT", in both English and Spanish.
Non-sharps medical waste will be treated by steam sterilization in the Biological Sciences Department and Pharmacy Building Basement.
Once treatment has been completed, non-sharps waste may be disposed in standard solid waste dumpsters. Sharps waste must not be placed into a solid waste dumpster, even it treated. It must be transferred to the accumulation drum located in Pharmacy Basement Freezer, and then be transported and disposed of by our medical waste hauler.
In the event that the autoclaves in the Biology Department and/or in the Pharmacy Building basement become inoperable and the primary hauler is unavailable. University of the Pacific has identified an emergency backup hauler the following medical waste transporter to collect medical waste as needed:
Stericycle30542 San Antonio StHayward, CA 94544(510) 471-0918
In the event of a biohazardous spill, the follow precautions must be followed:
The sanitizer must contain one of the following:
All waste generated, including PPE and items used in decontamination must be disposed of in a compliant red biohazardous waste bag or compliant sharps containers as necessary. The bags or containers must be conspicuously labeled with the international biohazard label and marked as "Biohazard" or "Biohazardous Waste".
A closure plan for the termination of treatment at the facility using, at a minimum, one of the methods of decontamination specified in subdivision (a) or (b) of Section 118295 (also listed under the Emergency Action Plan), thereby rendering the property to an acceptable sanitary condition following the completion of treatment services at the site.
All records associated with the treatment and disposal of medical waste will be maintained by the treating department and/or EH&S for a minimum of three years. All pink waste tracking forms must be maintained by EH&S.