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VHF - 7 Waste Workers/Cleaning Staff/ Decontamination Group 

Following the Dress-Out protocol as previously discussed, the WW/CS (Waste Workers/Cleaning Staff) will primarily be working in their isolated response area (See VHF 6). In addition to some system of transporting the fresh and used solutions from patient treatment area to their solution handling area, this response Team handles used solutions and prepares them for waste disposal or transport and creates fresh solutions for replacement.

Their operation will require more coordination as they may either be moving into clean areas throughout the facility, or transferring packaged waste to additional workers that require all the same training and CPC. Regardless of your choice of plan, this type of hazardous waste transportation will require more coordination.

Containers chosen for VHF waste will ultimately need proper shipping containers to get off-site this feature can be decided upon after the VHF waste is contained and can be safely moved about with minimal CPC. Bio-hazard bags for everything that will not puncture a plastic bag are a good choice for initial handling. After the exterior of these bags are properly bleached with your solution, they can be handled for final shipping for hazardous waste disposal. If, you handle hazardous waste on-site, only the bio-hazard bags “type” will be needed and are more easily incinerated.

After the first used solutions return to your solution preparation area the waste handling actually begins.

The Dress-out Protocol outlined in VHF – 4 must be followed by all waste workers on or off-site. These personnel are actively exposed and contaminated just as much as the medical staff performing patient treatment. Waste workers should follow the following steps while adapting them to fit their facility’s needs;

1] Place all VHF waste into bio-hazard bags or if liquids pourable containers of choice. Secure these bags or others, with some type of “seal” demonstrating a single closure. This will alert hospital employees if the contaminated waste was opened between confinement and disposal.

2] Spray bag exterior at opening with separate clean 10% bleach solution and wait 3 to 5 minutes.

3] Place this bag into second bio-hazard waste bag and seal closed.

4] Spray sealed opening with clean 10% bleach solution and wait an additional 3 minutes.

5] Transport VHF waste to storage area with a Security Escort.

6] Secure and mark Bio-Hazard Waste staging area for off-site transporters or on-site incineration.

7] Upon completion, Waste Workers shall decontaminate with 10% bleach solution, wait 3 to 5 minutes and then doff CPC.

Used waste worker CPC should be collected and placed with the VHF waste in the like manner described above. Where you decide to operate this procedure is your facilities choice. A good plan for confining the ancillary contamination is to perform this action near or in the short-term waste storage area.

It is always a good decision to secure the waste short-term storage area with security personnel. These individuals can explain the situation and avoid any ancillary contamination of uninvolved hospital workers. The complete decontamination procedure must be followed by ALL workers, including the waste workers. This detailed plan shall be outlined in the coming months.

Haz Mat Mike


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