This Medical Waste Management Program is managed by the Ambulatory Safety Division under the UCLA Health Office of Environmental Health & Safety. The program provides clinics with the tools and resources needed to ensure compliance with local, state and federal regulations.In order to comply with this program simply complete the 6 steps outlined below.
The UCLA Health Ambulatory Safety Division has environmental health & safety oversight over all FPG managed and department based clinics that are not under the hospital's license. This Medical Waste Management Program applies to those non-hospital based clinics that generate medical waste.
Step 1: Create a new computer folder and name it "Medical Waste Management"
Step 2: Read & Complete the Medical Waste Management Plan template
As generators of medical waste you must ensure you have a Medical Waste Management Plan specific to your location that is compliant with local, state and federal regulations. Use the Medical Waste Services Guide to assist you if needed. When the plan is complete:
Step 3: Populate the Pharmaceutical Classification Tool to Classify Pharmaceuticals/Samples as: Hazardous Pharm. vs Non-Hazardous Pharm.
As generators of pharmaceutical waste, you must ensure that you properly classify your pharm. and dispose of it in accordance with local, state and federal regulations; or secure an approved method for returning pharm. back to the supplier. There are TWO tabs in the Pharmaceutical Classification Tool spreadsheet, one tab for Non-Hazardous Pharm. and one tab for Hazardous Pharm. Follow the instructions on each tab. When the tool is complete:
NOTE: If you have any RCRA Hazardous Waste products in need of disposal contact Ambulatory Safety for assistance.
Step 4: Populate the Medical Waste Containment Guide for Training Purposes
Using the information from Step 3, populate the pharmaceuticals in the applicable columns of the Medical Waste Containment Guide along with your sharps, biohazard waste etc. Ensure you have the appropriate waste containers and waste services on your waste account(s), if applicable (e.g. biohazardous waste, non-hazardous pharmaceutical waste, trace chemo waste, RCRA hazardous waste). Waste containers may be purchased through Stericycle or other approved vendors. When the guide if complete
Step 5: Complete the Medical Waste Site-Inspection Checklist
Use this checklist to verify whether your location is compliant with local, state and federal regulations. The initial completion of this checklist should occur within 30 days of implementing the Medical Waste Management Plan. The checklist should be completed at least annually thereafter and as needed.
Step 6: Request Assistance from Ambulatory Safety (optional)
If you need assistance implementing your Medical Waste Management Program or you receive a letter/notice from the California Department of Public Health (CDPH) or other regulatory enforcement agency regarding your Medical Waste Generator status contact Carolyn Genovese, Senior Ambulatory Safety Specialist at: firstname.lastname@example.org
Questions? Contact Carolyn Genovese, Senior Safety Specialist: email@example.com