Mississippi Administrative Code › Title 15 - Mississippi Department of Health › Part 16 - Health Facilities › Subpart 1 - Health Facilities Licensure and Certification › Chapter 49 - MINIMUM STANDARDS FOR OPERATION FOR INTERMEDIATE CARE FACILITIES FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES › Subchapter 34 - REGULATED MEDICAL WASTE IN AN ICF-IID AND/OR A ICF-IID RESIDENTIAL COMMUNITY HOME › Rule 15-16-1-49.34.3 - Medical Waste Management Plan

Current through June 25, 2024
All generators of infectious medical waste and medical
						waste shall have a medical waste management plan that shall include, but is not
						limited to, the following:
1. Storage
					 and Containment of Infectious Medical Waste and Medical Waste:
a. Containment of infectious medical waste
					 and medical waste shall be in a manner and location which affords protection
					 from animals, rain and wind, does not provide a breeding place or a food source
					 for insects and rodents, and minimizes exposure to the public.
b. Infectious medical waste shall be
					 segregated from other waste at the point of origin in the producing
					 ICF-IID.
c. Unless approved by the
					 licensing agency or treated and rendered non-infectious, infectious medical
					 waste (except for sharps in approved containers) shall not be stored at a waste
					 producing ICF-IID for more than seven days above a temperature of six (6)
					 degrees Celsius (equivalent to thirty-eight [38] degrees Fahrenheit).
					 Containment of infectious medical waste at the producing ICF-IID is permitted
					 at or below a temperature of zero (0) degrees Celsius (equivalent to thirty-two
					 [32] degrees Fahrenheit) for a period of not more than ninety (90) days without
					 specific approval of the licensing agency.
d. Containment of infectious medical waste
					 shall be separate from other wastes. Enclosures or containers used for
					 containment of infectious medical waste shall be so secured so as to discourage
					 access by unauthorized persons and shall be marked with prominent warning signs
					 on, or adjacent to, the exterior of entry doors, gates, or lids. Each container
					 shall be prominently labeled with a sign using language to be determined by the
					 licensing agency and legible during daylight hours.
e. Infectious medical waste, except for
					 sharps capable of puncturing or cutting, shall be contained in double
					 disposable plastic bags or single bags (1.5 mills thick) which are impervious
					 to moisture and have strength sufficient to preclude ripping, tearing, or
					 bursting under normal conditions of usage. The bags shall be securely tied so
					 as to prevent leakage or expulsion of solid or liquid wasted during storage,
					 handling, or transport.
f. All bags
					 used for containment and disposal of infectious medical waste shall be of a
					 distinctive color or display the Universal Symbol for infectious waste. Rigid
					 containers of all sharps waste shall be labeled.
g. Compactors or grinders shall not be used
					 to process infectious medical waste unless the waste has been rendered
					 noninfectious. Sharps containers shall not be subject to compaction by any
					 compacting device except in the institution itself and shall not be placed for
					 storage or transport in a portable or mobile trash compactor.
h. Infectious medical waste and medical waste
					 contained in disposable containers as prescribed above, shall be placed for
					 storage, handling, or transport in disposable or reusable pails, cartons,
					 drums, or portable bins. The containment system shall be leak-proof, have tight
					 fitting covers and be kept clean and in good repair:
i. Reusable containers for infectious medical
					 waste and medical waste shall be thoroughly washed and decontaminated each time
					 they are emptied by a method specified by the licensing agency, unless the
					 surfaces of the containers have been protected from contamination by disposable
					 liners, bags, or other devices removed with the waste, as outlined in I.E.
					 Approved methods of decontamination include, but are not limited to, agitation
					 to remove visible soil combined with one or more of the following procedures:
i. Exposure to hot water at least one-hundred
					 eighty (180) degrees Fahrenheit for a minimum of fifteen (15)
					 seconds.
ii. Exposure to a chemical
					 sanitizer by rinsing with or immersion in one of the following for a minimum of
					 three (3) minutes:
1. Hypochlorite solution
					 (500 ppm available chlorine).
2.
					 Phenolic solution (500 ppm active agent).
3. Iodoform solution (100 ppm available
					 iodine).
4. Quaternary ammonium
					 solution (400 ppm active agent).
iii. Reusable pails, drums, or bins used for
					 containment of infectious waste shall not be used for containment of waste to
					 be disposed of as noninfectious waste or for other purposed except after being
					 decontaminated by procedures as described in 133.03 (i) of this section.
j. Trash chutes shall
					 not be used to transfer infectious medical waste.
k. Once treated and rendered non-infectious,
					 previously defined infectious medical waste will be classified as medical waste
					 and may be land-filled in an approved landfill.