inspectors as a reminder of what materials will be delivered to the recycling yard (see
para 1-10).
Section IV. DISPOSAL OF WASTES IN MEDICAL TREATMENT FACILITIES
1-20. GENERAL
a. Overall. Medical treatment facility personnel are to ensure that proper care,
handling, and disposal of refuse; regulated medical waste; drugs, biological, and
regents; and hazardous wastes are followed to prevent potential sudden and long
standing problems with microorganisms, chemicals, etc. These are the items
preventive medicine personnel should monitor and check during inspections and
surveys.
b. Training Requirements for Handling and Disposing of Wastes.
(1) Refuse. Train personnel to follow the same reasonable practices and
methods as is done for collecting refuse generated in nonmedical facilities. Personnel
handling waste should receive training in the proper handling and disposal of all wastes
and receive periodic refresher and sustainment training at least annually. Any new
procedures should be incorporated into daily routines on an as needed basis regardless
of the next training cycle.
(2) Regulated medical waste. USAHA TG 177 contains guidelines to train
personnel in safe handling and disposal of regulated medical waste as does the Federal
Register, Vol.56, No.235, Friday, 6 December 1991, Rules and Regulations. The
Federal Register stipulates:
(a) At the time of initial assignment to tasks where occupational
exposure may take place, employees are to be trained within 90 days after the effective
date of the standard and at least annually thereafter.
(b) Employees having received training on bloodborne pathogens the
preceding year only need training in the standard which was not included. Their
medical records will be confidentially annotated.
(c) Segregation at the point of generation is one of the most important
training requirements.
1-21. REFUSE
a. Responsibilities. Hospital, dispensary, and other medical facility
commanders are responsible for the proper segregation, safe handling, collection,
treatment, and transportation of all locally generated waste IAW AR 40-5.
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