Care Team, Inc. follows Federal and State laws and statutes pertaining to the handling, transporting, storing, and
disposal of Biomedical Waste.  All direct patient contact employees will receive an orientation, which covers the
proper handling, transportation storing, and disposal of biomedical waste.  Additionally, clinical staff will receive a
refresher training at least annually.

DEFINITIONS

Biomedical Waste: Any solid waste or liquid waste, which may present a threat of infection to humans.  The term
includes, but is not limited to, non-liquid human tissue and body parts, discarded sharps, human blood, human
blood products, laboratory waste that contains human disease-causing agents and body fluids. The following are
also included: Used, absorbent materials saturated with blood products, body fluids or excretions or secretions
contaminated with visible blood; and absorbent materials saturated with blood or blood products that have dried.
Non-absorbent, disposable devices that have been contaminated with blood, body fluids or secretions or
excretions visibly contaminated with blood but have not been treated by an approved method. Devices which
retain visible blood or body fluids adhering to inner surfaces after use and rinsing such intravenous tubing,
hemodialysis filters, blood bags, and catheters.

Body Fluids: Those fluids which have the potential to harbor pathogens such as human immunodeficiency virus
and hepatitis B virus and include lymph, semen, vaginal secretions, cerebrospinal, synovial, pleural, pericardial,
and amniotic fluids.  Body excretions such as nasal discharges, saliva, sweat, tears, urine and vomitus shall not
be treated as biomedical waste unless visibly contaminated with blood.

Sharps:  Objects capable of puncturing, lacerating or otherwise penetrating the skin. These objects include but
are not limited to needles, intact or broken glass, intact or broken plastic, and intact or broken glass or hard
plastic devices containing blood, blood products, or body fluids.
Point of Origin:  The room or area at which the biomedical waste is generated. Biomedical waste is identified and
segregated from other waste at its point of origin into its proper container.

Procedures for decontaminating biomedical waste spills:
Surfaces contaminated with spilled or leaked biomedical waste shall be decontaminated as part of the cleaning
process (use a 1:10 dilution of bleach to water). Liquid waste created by chemical disinfection shall be disposed
of into the sewage system.  Personal protective equipment is available to all employees. Spill kits are available
upon request at our office.

Storage and Treatment of Biomedical Waste:
The storage area for our Tampa Office is located in the North/West area of the office in a storage room with a red
Bio-Medical Waste placard on the door. The storage area for our Leesburg Office is located down the main hall in
the second door on the left (brown door) with a red Bio-Medical Waste placard on the door. There is a marked
and designated biomedical storage container in this area. These rooms are away from general traffic flow
patterns. Only authorized personnel may have access to this storage area.

The storage of biomedical waste is his office shall not be for a period greater than thirty (30) days for non-sharps
waste.  The 30-day storage time period will commence when the first non-sharps item of biomedical waste is
placed into the office’s storage container (the date of placement in the container should be clearly marked to
assure timely disposal), or when a sharps container containing only sharps is sealed. The indoor biomedical
waste storage area is constructed of smooth, easily cleanable materials that are impervious to liquids, vermin and
insect free, and maintained in a sanitary condition.

Treatment of Biomedical Waste: This office does not routinely treat biomedical waste. In the event that
equipment used in patient care becomes contaminated, the clinician involved shall follow the procedure outlined
in the Infection Control Manual. Care Team, Inc. contracts with Stericycle, Inc., which is registered with the
Department of Health for the removal of biomedical waste.

Contingency Plan for Emergencies: If our registered biomedical waste transporter is unable to transport the
agency’s biomedical waste, then the Department of Health (352-253-6130) will be contacted for consult for a
recommended transporter. In the event of a natural disaster, all biomedical waste will be secured and stored in
the office’s biomedical waste storage area.

Records: Biomedical waste records, which includes manifests, invoices, and certificates of disposal, are kept in
the Biomedical Waste Log located in Care Team’s front office. All biomedical waste records are kept for three (3)
years and shall be available for review by the Department of Health upon request.

Segregation and Handling of Biomedical Waste: Biomedical waste is identified and segregated from other
waste at its point of origin into its proper container. All sharps shall be discarded into leak-proof, puncture-
resistant containers, which are provided to nursing staff at the office by the Director of Nursing. All non-sharp
biomedical waste shall be disposed of directly into red, impermeable bags in the room or area where it is
generated. This meets the specifications and requirements of the Florida Administrative Code. These red bags
are provided to the nursing staff at our office by the Director of Nursing.

Any employee handling biomedical waste shall wear protective clothing when necessary. At a minimum, approved
gloves will be worn when handling biomedical waste. All sharps containers and red bags shall be sealed. Bagged
biomedical waste being prepared for off-site transport shall be handled with care and enclosed in a rigid type
container to ensure no leakage or discharge is allowed.

Co-mixing: All biomedical waste, which is mixed with hazardous waste, shall be managed as hazardous waste. All
biomedical waste, which is mixed with radioactive waste, shall be managed as radioactive waste. All solid waste,
other than hazardous and radioactive waste, which is mixed with biomedical waste, shall be managed as
biomedical waste.

Labeling: Biomedical waste bags and sharps containers will be labeled as specified in the Florida Administrative
Code. Biomedical waste is labeled prior to transport with a label that is legible and readable and is securely
attached to or printed on each bag or sharps container. The label should contain: Name and office address, the
international biological hazard symbol, the phrase “Biomedical Waste” or “Infectious Waste”, date of the
packaging the outer containers shall be labeled with name, office address, and registration number, and 24-hour
phone number prior to transport.

Training:
All Care Team employees who have patient contact will receive biomedical waste training at orientation with
annual updated training.





Revised 6/1/2016
BIO-MEDICAL WASTE
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