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To provide a process governing the management of infectious and non-infectious medical waste
including monitoring and control methods for safe handling stora8e, labelin& segregation, reporting,
transportation, safe disposal and treatment processing in accordance with the health and safety
guidelines, laws and regulations.
2. APPUCABIUTY
To all employees, patients and visitors at all heahh care facilities in the Kin8dom of Saudi Arabia.
3. RETATED REFEREI{CES
4. DEFINITIONS
4.1. Competent Authority refers to the environmental body, organization or any other party
named by the State such as Presidency of Meteorology and Environment (PME) and KinB
Abdulaziz City for Science and Technology (for Radiation Safety).
4.2. Container refers to a receptacle used to retain liquids, solids or Saseous substances (e.8.
bottles, pipelines, bags, barrels, boxes, cans, cylinders, drums, cartons, vessels, vats, and
stationary or mobile storage tanks).
4.3. Generator, for the purpose of this document, refers to any legal individual or body (such as
healthcare facilities and its departments), who generates medical waste.
4.4. Cvtotoxic Agents refer to substances used in the treatment of malignant and other diseases
which are known to be potentially carcinogenig Senotoxic, mutagenic, teratogenic or in any
way hazardous or lethal to cell DNA growth and synthesis. lt is commonly used in the
treatment of cancer in the form of chemotherapy.
4.5. Healthcare waste (Medical Wastel refers to any waste generated by facilities that provi de
various heahhcare services (hospitals, home healthcare services, la boratories, pha
vaccine manufacturers, veterinary and research centers). :r.)
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4.5.L.Harardous Medlcal Waste refers to any hazardous material no longer in use that
represents a threat to human life, health or the environment.
4.5.1.1. Cytotoric Waste refers to any residual cytotoxic agents that remains following
patient treatment and any materials or equipment (considered as waste)
potentially contaminated with cytotoxic agents (not including contaminated body
fluids/secretions).
4.5.1-2. Human and Animal Body Parts and Ortans, forthe purpose of this document,
refers to waste which contain human or animal tissues (e.g. organs or their parts,
fetal and placental tissues and animal carcasses), blood, blood components and
body fluids.
4.5.1.3. lnfectious Waste, refers to waste which contains biological agents (e.g.
bacteria, viruses, parasites, fungi) in quantities or at concentrations sufficient to
cause infectious disease to individuals susceptible to infection (Appendix C). Any
items contaminated (i.e. Dripping) with blood or body fluid is considered to be to
be infectious.
4.5.1.4. Sharps Waste refers to waste which contains sharp items such as vaccine glass
vials, needles, syringes with needles, scalpels, lancets, razors, broken glass or any
other sharp object that has the potential to cut or puncture the body or skin.
4.5.2.Non-hazardous Medlcal Waste refers to waste similar to that found in municipal waste
generated by adminisrative departments, general cleaning work within healthcare
facilities and items not contaminated (i.e. not Dripping) with blood or body fluid. This
waste constitutes the larger portion of healthcare waste and is treated in a way similar
to general/municipal waste.
4.6. Label refers to a warning sign, emblem, sticker or marker affixed to or stenciled onto a
container or plastic waste bag for identification and listing of contents sealed within as
applicable to this policy.
4.7. Personal Protective Equipment (PPE) refers to protective clothing, helmets, goggles or other
garments or equipment designed to protect an employee's body from injury or exposure to
hazardous environment.
4.8. Transportation Document (Manifest) refers to a form that contains all data, duly completed
and signed by the generator, transporter/carrier and the clearance agent. lt is made up of
several copies that accompany medical waste shipments being transported from generating
facilities to the Waste Treatment and Disposal Facility.
4.9. Transporter/Carrier refers to the legal individual or body (company, public/private
establishment) contracted to transport hazardous medical waste to a Waste Treatment and
Disposal Facility.
4.10. Waste lncineration refers to the disposal process of solid, liquid and gas waste by
burning waste at high temperatures. lts generated gas or other materials/components have
no impact on the environment and its new components contain no hazardous materials.
4.11. Waste Segregation refers to the separation of a group of healthcare waste (by t
generator) at the site of their generator within the facility and during stages of coll
storage and transportation within the facility.
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4.72. Waste Storate refers to temporary storage for hazardous medical waste at a specific
collection site.
4.13. waste Treatment and Disposal Facllities refer to facilities in which the operations of
changing biological, chemical or physical characteristics of healthcare waste are carried out
for elimination of hazards, for safe use in the environment and to health.
5. PROCEDURE
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5.1.3.1. lnfectious medical waste generator will attach a sticker to the containers and
waste bags (if information is not printed or provided) prior to their transportation
to stores within facility or Waste Treatment and Oisposal Facility. The stickers will
contain the following data:
5.1.3.1.1. Waste generator name (facility name)
5.1.3.1.2. Site name (section or ward)
5.1.3.1.3. Generated waste type as per its classification.
5.1.3.1.4. Weight and quantity of waste in the ba&/container
5.1.3.1.5. Date and time of collection
5.1.3.1.6. Transportation date and time to the disposal facility.
5.1.3.2- All labellinB stickers attached to bags/containers will be ofthe proper size and
written/printed in waterproof and permanent ink.
5.1.3.3. The Bio-Hazard logo or other labeling requirements will be affixed to
bags/containers as specified in the Labeling Requirements (Appendix F).
5.1.3.4. Collection/fransportation
5.1.3.4.1. The collection and transportation of bags/containers of lnfectious
medical waste requires the use of special trolleys and well-trained staff in
order to guarantee the highest degree of safety during collection or
transportation within the facilities, for prevention of leak or spills from
bags/containers.
5.1.3.4.2. Healthcare workers who transport such waste will be trained on such
tasks and on spill management.
5.1.3.4.3. Prior to the collection and transportation of lnfectious waste,
ba8s/containers will be fully sealed and locked. and display the appropriate
data sticker identifying content, as well as proper hazard identification and its
related labelin& including the Bio-Hazard logo.
5.L.3.4.4- Waste bags will not be filled to more than 3/4 of their capacity and
will not be pressurized or compacted. Waste bags will not be held close
to the collector's body or be held from underneath. Bags will only be held at
the top for safe handling.
5.1.3.4.5. lnfectious waste will be transported within the facilities in covered,
specially designed leak proof trolleys that guarantee efficiency on loading and
unloading and are easy to clean or disinfect.
5.L.3.4.6. Tissue, human body parts, fetal and placental or8ans will be
segregated and collected in red bags and stored in the mortuary in a special
refrigerator until burial in accordance with Sharia Law (tslamic Law).
5.1.3.4.7. Animal carcasses and animal tissues will be collected in yellow bags
and kept isolated in a special fridge until they are treated and disposed of.
D:fr't t-.. 5.1.3.4.8. Trolleys for collecting and carrying hazardous medical waste will be
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!l t cleaned, washed and disinfected on a daily basis in special location by trained
staff under the supervision of the person responsible for hazardous medical
waste within respective facilities.
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lnfectivity Tissues, Waste from Suspected CJD case waste from confirm oD
cateSory secretions, and case
excretions
Manage used, disposable PPE Manage used, disposable PPE and
and all other patient care items all other patient care items which
Brain, which were contaminated with were contaminated with High
Spinalcord High infectivity (Tissues, infectivity (Tissues, excretions, and
Hith infectivity
Eye excretions, and excretions) as excretions) as Hazardous Medical
csF Hazardous Medical Waste and Waste and dispose in the yellow
dispose in the yellow bag for bag for incineration.t
incineration.*
Manage used, disposable PPE Manage used, disposable PPE and
Kidney and all other patient care items all other patient care items which
Liver which were contaminated with were contaminated with Low
Lung Low infectivity (Tissues, infectivity (Tissues, excretions, and
Low infectivity
Lymph excretions, and excretions) as excretions) as Hazardous Medical
nodes/spleen Hazardous Medical Waste and Waste and dispose in the yellow
Placenta dispose in the yellow bag for bag for incineration.*
incineration.*
Adipose All wattes which were All wastes whkh were
Adrenalglands contamlnated with No contamlnated s'lth No detectable
Gingivaltissue detectaUe lnfectMry (nssues, excretions,
Heart muscle lnfedlvlty {Tissues, excr€tions, and ercretlonrl should be
lntestine and ercretlonr) should b€ dlsposed ln black bag (general
Peripheral nerve dlsposed in black bag (general wegtesr; ercept dressings from
Prostate wastesl; except dresslngs from lnfected or surykal wounds, and
Skeletal muscle lnfocted or surgical wounds, and the ltcms heavlh soiled with
Testis the ite]m heavily soiled with blood or other body fluids.
No detectable Thyroid gland blood or othcr body fluids ,
infectivity Blood
Tears
Nasal mucous
Saliva
Sweat
Serous exudate
Milk
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Urine
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Patient isolated for hiohlv lnlectlous dlseoses ( Manage used disposable PPE and all other patient care items
confirmed and suspected) e.g. Ebola, Smallpox, as Hazardous Medical Waste and dispose in the yellow bag.
,
Anthrax and other diseases decided by the
infection controlteam to be a highly infectious
diseases
Patient isolated for suspected pulmonaryTB Manage used disposable PPE and all other patient care items
as
Hazardous Medical Waste and dispose in the yellow bat.
Patient isolated for confirmed ioholiye ,B; Manage used disposable PPE and all other patient care items
Eg. Open pulmonory TB, Loryngeal T8, extru as Hazardous Medical waste and dispose in the yellow bag.
pu I mono ry droin ing inle dion
Patient isolated for conffrmed non:infectiye TB: All wastes should b€ disposed in black bat (teneral wastes);
eg. Non- Open pulmonary TB, Peritoneal TB with no except dressings from infected or surgical wounds, and the
drain, TB from non- draining infection Items heavily soiled with blood or other body fluids .
Patient isolated for not hirhlv infectlous All wastes should be disposed in blacl bat ( general wastes);
communicable disea* eg. HlN1, MERS CoV, n ercept dressints from infected or surgical wounds, and the
corona 2019, and other respiratory viruses items heavily soiled with blood or other body fluids
Meosles ( Confimed ond suspected ) Manage used disposable PPE and other patient care items for
measles patients as Hazardous Medical Waste and dispose in
the yellow ba8.
All PPEs from patient isolated for infection other than what was mentioned in the above table should be disposed
in black bag ( those heavily ( dripping ) soiled with blood or other fluids
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Hazard-
lnfectiou Cytotoxic
Patient care Related Waste Sharp Black
s Waste Waste Comments
Items Items Bag
Adaptic
Adult armboards
Alcohol swab
Angiocath (with needle)
Antimicrobial skin cleanser
kit
Applicator e.B. CHG
Applicator
Arterial catheter(without
needle)
Bag water soluble
Bandage
Bandage stretch
Bandaids strip
Bedpan
Bile bag with drainage Drain contents
into hopper or
toilet
Biohazard Transport bag
Bite stick
Blood /Blood products
tubing and bags
Blood gas analyzer
cartridge container
Blood gas syringes with
needle
Body Lotion
Brown bag paper
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Butterfly needle
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Gastrostomy Tube
Gauze
Gel intrasite
Gloves
Gowns
Heel protector
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Hemovac drain Drain contents
into hopper or
toilet
Hypodermic needle
lrrigation tray/basin
container & piston syringe
dishes / trays
lV cannula needle
lV cannula w/ extension
piece
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Paper towels
PCA tubing
Penrose drain
Pressure monitor
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Dressing
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Sanitizer Air
Scalpel
5CD stocking knee sleeve
Scissors
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Silk tape
Slippers
Soap
Soap Dish
Spinal needle
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Please Note:
. This is not a complete list of patient care related waste items: Any concerns contact
lnfection Control Team.
. ltems contaminated (i.e. Dripping) with blood or body fluids must be disposed into
yellow bag.
[abelint requirements
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Ministry of Health
BIO HAZARDOUS
Or Program facility
General lnformation
Generated At
Location
Sealed
Type
Date (D/M/Y)
Time
Weisht (Ks)
Collected for disposal
Date (D/M/Y)
Time
Destin a tio n
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2. Specification for labeling "Sharps" Container
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DO NOT FrLL ABOVE THtS 1rNE.................7s%...
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Origin Pr m facil
General lnformation
Generated At
Location
Sea led
Type
Date (D/M/Y)
Time
Weight (Kg)
collected for disposal
Date (D/M/Y)
Time
Destination...........
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