2015 CDPH Medical Waste UCLA Inspections
Thanks for your cooperation!
CDPH Final Report, 2015
No medical waste violations were noted by CDPH in 2015 for:
|Arthur Ashe Student Health||Life Science||Rehabilitation||Young Hall|
|Brain Research Institute (A-C)||Marion Davies Children Ctr||Semel (NPI)|
|Doris Stein Eye Institute||Neuroscience Research Bldg.||Slichter Hall|
|Engineering IV||Public Health||Terasaki Life Science Bldg.|
|Hillblom Islet Ctr.||Reed Neurological Research Ctr.||Warren Hall|
2015 UCLA Violations, Ranked
Overfilled Sharps Containers
|2||Overfilled Medical Waste Containers/Waste protruding from waste container|
|2||Medical Waste container missing proper labels.|
|4||Items on top of medical waste/sharps containers preventing access|
|4||Medical Waste disposed into unlined secondary containers|
|6||Secondary Medical Waste container without proper tight-fitting lid|
|6||Re-use of Biohazard Bag liners|
|8||Unsanitary/soiled medical waste secondary container|
|8||Pharmaceutical wastes mis-disposed in Biohazard sharps container|
|10||Improper Secondary Containers (e.g., cardboard, beaker)|
|Sharps container line with a red biohazard bag|
|Biohazardous pipette tips on floor next to Biohazard waste container|
|Container labeled "Biohazard waste" which was not used for medical waste|
|Biohazard bag top edge taped to the inside of the secondary container|
|Staff indicated Biohazard bags are hand-carried to acumulation site|
|Biohazard bags used for a purpose other than containment of medical wastes|
CDPH asked that corrective action plans be submitted for each violation, which included:
- How the issue was corrected, and
- Monitoring plans to ensure these violations do not re-occur or continue.
As of January 25, 2016, all users in which violations were noted have been contacted by Biosafety and each lab's corrective action plan has been submitted to CDPH for review.
Tools to Review your Labs:
Reminder: 2015 Regulatory Changes
In January 2015, California Medical Waste Act was amended. Also, CDPH 2014 inspections provided new information. The regulations were amended yet again on September 28, 2015. Please review the following four changes and implement these in your labs.
1. All OUTER biohazard bags in the vendor barrel must be certified and marked by the manufacturer as meeting the following American Society for Testing and Materials (ASTM) standards:
ASTM D1922 Tear Resistance
ASTM D1709 Dart Resistance
2. All pharmaceutical waste containers must be labeled with the words “HIGH HEAT" or "INCINERATION ONLY”.
3. You are permitted use additional colors of bags than red to help segregate and contain wastes (provided they comply with the other marking requirements for medical waste bags) as follows:
|Trace Chemotherapy Waste||Yellow Bags|
|Not Yet Available|
4. Gooseneck tie or Overhand Knot bags within your laboratory/clinic prior to transport to accumulation sites:
- While wearing gloves, gather the 4 top edges of the red bag from the sides of the container.
- Twist the top of the bag several to seal the contents by creating a neck.
- Secure the neck closed with a strong, hand-tied single overhand know OR tie with a goosenck tie by folding the neck over on itself, twisting again, then securing the neck with a zip or twist tie, or non-porous tape.