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007.05.7-III. Definitions.

AR ADC 007.05.7-IIIArkansas Administrative CodeEffective: January 1, 2017

West's Arkansas Administrative Code
Title 007. Department of Health
Division 05. Health Facility Services
Rule 7. Rules and Regulations Pertaining to the Management of Medical Waste from Generators and Health Care Related Facilities
Effective: January 1, 2017
Ark. Admin. Code 007.05.7-III
007.05.7-III. Definitions.
A. ADEQ. The Arkansas Department of Environmental Quality.
B.1. Commercial medical waste. Any medical waste transported from a generator to an off-site facility for treatment/disposal where such off-site treatment/disposal facility is engaged in medical waste treatment/disposal for profit and/or medical waste treated/disposed on-site by a commercial treatment/disposal mobile unit operated as a business for profit.
B.2. Commercial medical waste incineration facility. Any facility accepting medical waste materials for treatment and disposal by incineration from an off-site source and operating the treatment and disposal facility as a business for profit.
B.3. Commercial non-incinerator Treatment, Storage, and/or Disposal (TSD) facility. All contiguous land and structures, other appurtenances and improvements on the land used for treating and/or destroying and/or storing and/or disposing of commercial medical waste as a business for profit. A Treatment, Storage, and/or Disposal (TSD) facility may consist of several treatment, destruction, storage or disposal operational units under the same facility management.
B.4. Commercial treater/disposer. An entity that receives medical waste from various sources for treatment and disposal as a business for profit.
C. Contaminated. The presence or the reasonably anticipated presence of blood or other potentially infectious materials on an item or surface.
D. Department. The Arkansas Department of Health.
E. DOT. The Department of Transportation.
F. Destruction. The process of changing the original characteristics of medical waste where it is unrecognizable and may no longer be able to transmit an infectious disease when handled or disposed.
G. Disposal. The deposit, discharge, dumping, spilling, leaking, or placing of any medical waste into or on any land or waters so that such waste or any constituent thereof may enter the environment.
H. EPA. The Environmental Protection Agency.
I. Facility. All contiguous land and structures, other appurtenances, and improvements on the land, used for treating, destroying, storing, or disposing of medical waste, provided that all land and structures are under control of a single person or legal entity. A facility may consist of several treatment, destruction, storage, or disposal operational units or transfer facilities.
J. Generator. Any person or source institution whose action or process produces medical waste as defined in these sections.
K. Labeling. To write on or affix a color-coded label to a medical waste package that is water resistant, legible and readily visible.
L. Medical Waste. A waste from a generator or a health care related facility as outlined in Section IV, which, if improperly treated, handled, or disposed of may serve to transmit an infectious disease as established by the Arkansas Department of Health and which includes the following:
1. Pathological waste - all human unfixed tissues, organs and anatomical parts, other than intact skin, which emanate from surgeries, obstetrical procedures, dental procedures, autopsies and laboratories, including embalming waste Such waste shall be exclusive of bulk formaldehyde and other preservative agents.
2. Liquid or semi-liquid blood such as human blood, human blood components and/or products made from human blood (e.g., serum, plasma) and other potentially infectious materials, to include regulated human body fluids such as semen, vaginal secretions, cerebrospinal fluid, pleural fluid, pericardial fluid, synovial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids where it is difficult or impossible to differentiate between body fluids, can be discharged into the collection system of a publicly owned treatment works (POTW) within the generating facility. Breast milk, urine, and feces are not considered medical waste and can also be discharged into the (POTW).
3. Contaminated items to include dressings, bandages, packing, gauze, sponges, wipes, personal protective equipment, cotton rolls and balls, etc., which cannot be laundered or disinfected and from which blood, blood components, or regulated body fluids drip freely, or that would release blood or regulated body fluids in a liquid or semi-liquid state if compressed or are caked with dried blood or regulated body fluids and all capable of releasing these materials during handling, not to include feminine products, enema bags, used condoms, or diapers.
a. Contaminated disposable, single-use gloves such as surgical or examination gloves shall not be washed or decontaminated for reuse and are to be handled as a contaminated item.
b. Protective coverings such as plastic wrap and aluminum foil used to cover equipment and environmental surfaces when removed following their contamination are considered a contaminated item.
c. All patient care items from hospital isolation rooms and end-stage renal dialysis units, or from patients with communicable diseases, which cannot be laundered and which are contaminated with regulated body fluids or blood or potential infectious material, must be considered a contaminated item.
d. Biological waste and discarded materials contaminated with blood, excretion, exudates, or secretions from isolated animals known, or suspected, to be infected with communicable diseases.
4. Microbiological waste which includes, but is not limited to, cells and tissue cultures, culture medium or other solutions and stocks of infectious agents, organ cultures, culture dishes, devices used to transfer, inoculate and mix cultures, paper and cloth that has come in contact with specimens or cultures and discarded live or attenuated vaccines.
5. Contaminated sharps which include, but is not limited to, any contaminated object that can penetrate the skin, e.g., hypodermic needles, intravenous tubing with needles attached, syringes with attached needles, razor blades used in surgery, scalpel blades, Pasteur pipettes, capillary tubes, broken glass from laboratories, and dental wires. Potentially breakable container(s) of blood, regulated body fluid, microbiological waste, or infectious material must be treated as contaminated sharps when disposed of. Sharps that have been used in human or animal patient care, treatment or for other medical procedures are included. Any waste produced in the course of physically altering a human being or animal including tattooing, ear piercing, or any other process where a foreign object is used to cut or pierce the skin. All waste generated in this manner meeting the definition of sharps must be handled accordingly.
6. Veterinary waste to include any and all animal related waste (carcasses, body parts, bulk blood and blood products, bedding of animals, etc.) which meets the definition of any of the five categories delineated above and has been or is suspected to have been exposed to a zoonotic disease or pathogens known to cause human disease, or which has been exposed to human pathogens in research or the production of biological, must be handled as medical waste. All contaminated sharps and microbiological waste must be handled as medical waste.
7. Trace contaminated chemotherapy waste that can be treated as medical/infectious waste includes: masks, empty drug vials, gloves, gowns, IV tubing, empty IV bags/bottles, and spill clean-up materials. Bulk chemotherapy wastes to include: full expired vials of chemotherapy drugs are not considered to be medical/infectious wastes; they are considered hazardous wastes and must be handled accordingly.
8. Spill/clean-up material collected during or resulting from the clean-up of a spill of regulated medical waste.
9. Crime scene/accident/trauma clean-up waste generated by individuals or commercial entities hired to clean crime scenes or accidents that are saturated with human blood, sharps, or sharp objects contaminated with human blood.
M. Mobile Treatment/Disposal System. A portable system used for the treatment/destruction of medical waste.
N. Off-site. Any facility that is not on-site.
O. On-site. A facility on the same or adjacent property with adjacent meaning real property within four hundred (400) yards from the property boundary of the existing facility.
P. OSHA. The Occupational Safety and Health Administration.
Q. Packaging. Containment of medical waste in disposable or reusable containers in such a manner as to prevent exposure to the waste material.
R. Person. Any individual, partnership, company, corporation, association, firm, organization, Federal and State government, or any other group of individuals, or any officer or employee thereof.
S. POTW. Publicly owned treatment works owned by a state or municipality as defined by section 502(a) of the Clean Water Act.
T. Processing. The handling of medical waste at the generating facility after its segregation by the procedures of treatment, packaging, labeling, storing, transporting and disposal.
U. Satellite facilities. Additional hospitals, affiliated off-site services and physician offices or other affiliated services owned and managed by the primary generator/treater.
V. Segregation. The separation of medical waste from other routine solid waste at the time waste is generated within the generating facility.
W. Storage. The containment of medical waste in such a manner as not to constitute disposal.
X. Transfer facility. A transporters facility permitted by the Department that may be utilized for transferring medical waste from one vehicle to another.
Y. Transport. The movement of medical waste from the point of generation to any intermediate points toward the point of ultimate disposal.
Z. Treatment. Any method, technique, or process designed to alter the character or composition of any medical waste as to neutralize or render it potentially non-infectious.
A. a. Unrecognizable. Physically altered to a state where the item is no longer usable for its original intended purpose nor identifiable as to its use or source.

Credits

Amended Sept. 5, 2013; Jan. 1, 2017.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.05.7-III, AR ADC 007.05.7-III
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