EXCERPT FROM FLORIDA STATE EXAM – SPEED READER

NURSING HOME ADMINISTRATOR LICENSURE
EXAM REVIEW COURSE
Florida Exam ◘MODULE 1

referencsection

Rule 64E-16

Biomedical Waste

 Speed Reader
Examination 1

Stan Mucinic, LNHA


BIOMEDICAL WASTE

SECTION 1 - General

1.1 - general

  1. This rule establishes minimum standards to manage, handle, label, transport and treat biomedical waste
  2. This rule applies to nursing homes which generate and store biomedical waste in the form of bodily fluids, used syringes, and infectious agents that need to be properly bagged, stored and handled to prevent transmission of disease in the facility or contamination to the environment
  3. Department of Health - regulates the packaging, transport, storage, and treatment of biomedical waste
  4. Department of Environmental Protection - regulates biomedical waste incineration and biomedical waste disposal
  5. Home Users - Health care providers must inform home user clients verbally and in writing of the recommended method for handling biomedical waste generated in the home setting
  6. In Home Medical Users - Providers who deliver in-home medical services must arrange to have biomedical waster produced in client home removed by biomedical waste transporter
  7. The transporter will give you a receipt with the date of pickup and the weight of the pickup, You will need to produce these receipts to the health dept when they visit to prove proper disposal of biomedical waste

SECTION 2 - DEFINITIONS

2.1 - Definitions

  1. American Society for Testing Materials, also referred to as ASTM – A technical society that publishes national standards for the testing and quality assurance of materials
  2. Biomedical waste– Any solid or liquid waste which may present a threat of infection to humans, including non-liquid tissue, body parts, blood, blood products, and body fluids from humans and other primates; laboratory and veterinary wastes which contain human disease-causing agents, and discarded sharps

Biomedical waste includes:

(a)Used, absorbent materials saturated with blood, blood products, body fluids

(b)Excretions or secretions contaminated with visible blood

(c)Absorbent materials saturated with blood or blood products that have dried

(d)Non-absorbent, disposable devices that have been contaminated with blood or bodily fluids visibly contaminated with blood

  1. Biomedical waste generator – A facility or person that produces biomedical waste (includes hospitals, skilled nursing or convalescent hospitals, intermediate care facilities, clinics, dialysis clinics, dental offices, health maintenance organizations, surgical clinics, medical buildings, physicians' offices, laboratories, veterinary clinics and funeral homes)
  2. Body fluids – Those fluids which have the potential to harbor pathogens, such as human immunodeficiency virus and hepatitis B virus and includes:

a)Blood and blood products

b)Lymph

c)Semen and vaginal secretions

d)Cerebrospinal, sinovial, pleural, peritoneal, pericardial and amniotic fluids.

  1. “Regulated bodily fluids” are fluids that cannot be identified and must be treated as a regulated body fluid
  2. Feces and secretions such as nasal discharges, saliva, sputum, sweat, tears, urine, and vomit are not considered biomedical waste unless visibly contaminated with blood
  3. Contaminated – Soiled by any biomedical waste
  4. Decontamination – Process of removing pathogenic microorganisms from objects or surfaces

2.1 Definitions (Cont’d)

  1. Disinfection – Process that uses dry heat, chemicals, or microwave shredding to kill bacteria
  2. Facility – All contiguous land and structures owned, operated, and licensed as a single entity which may consist of several generating, treatment or storage units.
  3. Health Care Provider – Any person who provides medical care to another individual
  4. Home User – An individual who generates biomedical waste as a result of self-care or care by a family member or other non health care provider
  5. Outer Biohazard Material container – Any rigid type container used to enclose packages of biomedical waste (does no include cardboard or paper containers)
  6. Packages – Any material that completely envelops biomedical waste (includes red bags, sharps containers and outer containers)
  7. Person – Any individual, partnership, corporation or public body that generates, stores, transports, or treats biomedical waste
  8. Point of origin – The room or area where the biomedical waste is generated.
  9. Sharps – Objects capable of puncturing, lacerating, or otherwise penetrating the skin
  10. Sharps container – A rigid, leak and puncture resistant container, designed to contain sharps, and clearly labeled with the phrase and international biological hazard symbol
  11. Sterilization – Any process, including steam, chemicals, microwave shredding, or incineration, which changes the character or composition of biomedical waste to render it noninfectious
  12. Storage – The holding of packaged biomedical waste for a period longer than 30 days at a facility or in a transport vehicle
  13. Transport – The movement of biomedical waste away from a facility
  14. Transport Vehicle - A motor vehicle, rail car, watercraft or aircraft used to transport biomedical waste
  15. Treatment - Any process, including steam, chemicals, microwave shredding, or incineration,

Which renders biomedical waste noninfectious by disinfection or sterilization

SECTION 3 - Policies and Procedures

3.1 - Facility Policies and Procedures

  1. Hazardous Waste - Biomedical waste mixed with hazardous waste is managed as hazardous waste
  2. Untreated Biomedical waste - Solid waste or liquid, that is neither hazardous nor radioactive, combined with untreated biomedical waste must be managed as untreated biomedical waste
  3. Staff Training requirements:

a)Must train new personnel who handle biomedical waste in their job

b)Training must be provided before worker can handle any biomedical waste

c)Refresher training must be provided annually

d)Training must detail compliance with the facility's operating plan

  1. Records - All biomedical waste management records must be maintained for 3 years and be available for review by the Department of Health

EXCERPT FROM FLORIDA EXAM – EXAM

NURSING HOME ADMINISTRATOR LICENSURE
EXAM REVIEW COURSE
Florida Exam ◘MODULE 1

referencsection

Rule 64E-16

Biomedical Waste

Speed Reader
 Examination 1

Stan Mucinic, LNHA


Biomedical Waste Permit

1. / Rule 64E-16 establishes minimum standards to segregate, handle, label, store, transport and treat ______. / 1 2 3 4
  1. Biomedical waste
  2. Cardiac Patients
  3. Dementia Patients
  4. Spinal cord injuries
/
2. / The ______regulates the packaging, transport, storage and treatment of biomedical waste / 1 2 3 4
  1. The Department of children and Family Services
  2. The Department of Environmental Protection
  3. The Department of Quality Assurance
  4. The Department of Health
/
3. / The ______regulates biomedical waste incineration and biomedical waste disposal / 1 2 3 4
  1. The Department of children and Family Services
  2. The Department of Environmental Protection
  3. The Department of Quality Assurance
  4. The Department of Health
/
4. / Health care providers must inform home user clients ______how to handle biomedical waste generated in the home. / 1 2 3 4
  1. In writing
  2. Verbally
  3. Both verbally and in writing
  4. By documenting their medical chart
/
5. / Health care providers who deliver in-home medical services must have biomedical waste removed from the home by a ______. / 1 2 3 4
  1. Registered nurse
  2. Registered biomedical waste transporter
  3. Home health care aide
  4. Nurse practitioner

6. / The ______publishes national standards for the testing and quality assurance of hazardous materials / 1 2 3 4
  1. National Fire Protection Association
  2. American National Safety Institute
  3. American Society for Testing Materials
  4. Council of American Business Organizations
/
7. / ______is not biomedical waste / 1 2 3 4
  1. Non-liquid tissue
  2. Body parts
  3. Blood, blood products, and body fluids from humans and other primates
  4. Unused sharps
/
8. / Biomedical waste does not include ______/ 1 2 3 4
  1. Absorbent materials saturated with blood, blood products, body fluids
  2. Excretions or secretions with visible blood
  3. Non-absorbent, disposable devices contaminated with blood, body fluids or secretions visibly contaminated with blood
  4. Urine with no visible blood
/
9. / Bi A “biomedical waste generator” means ______. / 1 2 3 4
  1. A facility or person that produces biomedical waste
  2. Any person who provides medical care to another individual
  3. Any individual or entity transports or treats biomedical waste
  4. An individual who generates biomedical waste as a result of self-care or care by a family member or other non health care provider
/
10. / Fluids that could harbor pathogens, such as human immunodeficiency virus and hepatitis B virus, include ______/ 1 2 3 4
  1. Blood and blood products
  2. Semen and vaginal secretions
  3. Cerebrospinal, sinovial, pleural, peritoneal, and amniotic fluids
  4. All of the above

11. / If a bodily fluid cannot be identified it must be considered ______. / 1 2 3 4
  1. A regulated body fluid
  2. Not contaminated
  3. Safe to touch with ungloved hands
  4. A radioactive biohazard

12. / “Contaminated” means ______. / 1 2 3 4
  1. Soiled by any biomedical waste
  2. Removing pathogenic microorganisms from objects or surfaces
  3. All contiguous land and structures licensed as a single entity which consists of generating, treatment, or storage units
  4. The movement of biomedical waste away from a facility

13. / “Decontamination” means ______. / 1 2 3 4
  1. Soiled by any biomedical waste
  2. Removing pathogenic microorganisms from objects or surfaces
  3. All contiguous land and structures licensed as a single entity which consists of generating, treatment, or storage units
  4. The movement of biomedical waste away from a facility

14 / “Facility” means ______. / 1 2 3 4
  1. Soiled by any biomedical waste
  2. Removing pathogenic microorganisms from objects or surfaces
  3. All contiguous land and structures licensed as a single entity which consists of generating, treatment, or storage units
  4. The movement of biomedical waste away from a facility
/