Lab Safety Flashcards

(35 cards)

1
Q

What type of hazards are there in a lab?

A
  • Physical
  • Chemical
  • Biological
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2
Q

What are the rules for lab?

A
  • Safety first priority
  • No eating, drinking, smoking, applying cosmetics, or handling contact lenses
  • No horseplay
  • Wear PPE
  • Needle not recapped, bent, cut, broken, removed from syringes, or manipulated by hand
  • Minimize formation of droplets, spatters, splashes, and spills
  • Clean spills promptly
  • Clean/decontaminate all surfaces
  • Inform COC of accidents, exposures, or unsafe procedures
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3
Q

What are Universal Precautions?

A
  • Infection control strategy to reduce the risk of disease transmission
  • Introduced by CDC in response to HIV epidemic in 1985
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4
Q

Blood and other potentially infectious material is treated as infected by what until proven otherwise?

A
  • HIV
  • Hep C
  • Hep B
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5
Q

When should personal protective barriers be used when exposure to blood or body fluids may occur?

A

All the time

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6
Q

Who publishes guidelines that most agencies have adopted?

A

CDC

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7
Q

Universal Precautions apply to what?

A
  • Blood
  • Tissue
  • Semen
  • Other bodily fluids (9 additional fluids)
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8
Q

Universal Precautions do not apply to what?

A
  • Feces
  • Nasal secretions
  • Sputum
  • Sweat
  • Tears
  • Urine/vomit unless they contain blood
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9
Q

What are some general rules for wearing PPE with infectious waste safety precautions?

A
  • Specialized clothing/equipment must be worn
  • General work clothes are not considered PPE
  • All PPE must be removed and hands washed prior to leaving work area
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10
Q

What does PPE include with infectious waste safety precautions?

A
  • Gloves
  • Gowns, aprons, lab coats
  • Eye protection/face shields
  • Caps
  • Shoes
  • Covers
  • Masks
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11
Q

What are some general guidelines for gloves as part of PPE?

A
  • Worn when possibility of contact with infectious material may happen
  • Worn when person’s hands are abraded or active dermatitis present
  • Disposable gloves (usually latex/vinyl) are appropriate size
  • Replace ASAP when broken/contaminated
  • No washing/decontaminating disposable gloves
  • Hypoallergenic gloves for people with allergies
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12
Q

When are Gowns, Aprons, and Lab coats to be worn?

A

When a procedure has the ability to generate splashes of potentially infected substances or hazardous chemicals

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13
Q

What are general guidelines for Eye protection as part of PPE?

A
  • Worn whenever splashes may occur
  • Face shields must be chin length
  • Goggles must have solid side shields
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14
Q

What is the governing instruction for lab safety requirements and procedures

A

CLIP DoD Instruction 6440.02

- Clinical Laboratory Improvement Program

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15
Q

What are the federal regulations pertaining to lab safety?

A
  • OSHA Act of 1970
  • National Institute for Occupational Safety and Health (NIOSH)
  • Code of Federal Regulations (CFR)
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16
Q

What are the Code of Federal Regulations?

A
  • Annually revised compendium of federal laws in the US published in Federal Register
  • Regulations pertaining to transportation of hazardous waste
17
Q

What does each state have in regard to lab safety?

A
  • Occupational Safety and Regulations

- Department of Health and Human Services & Medical Waste Management Program

18
Q

What is the purpose of state Occupational Safety and Health regulations?

A

Protects works and the public from safety hazards

19
Q

What is the purpose of state Department of Health and Human Services and Medical Waste Management Program?

A

Protect the public and the environment from potential infectious exposure to disease causing agents

20
Q

What are medical departments on ships considered?

A

Non-fixed Medical Treatment Facilities

21
Q

What does CLIP certification allow?

A

Testing of clinical samples for utilization in diagnosis patients

22
Q

How often is CLIP inspection and who performs it?

A
  • Every 2 years

- Performed by Medical Laboratory Officer or appointed Lab Tech from hospital within AOR

23
Q

CLIP records must include what?

A
  • Quality control on samples, test kits, and analyzers
  • Log on refrigerator/freezer temperatures
  • Maintenance logs for equipment maintained by biomed
24
Q

Can ships request a technical assist visit from AOR’s hospital?

25
What are the two instructions from BUMED in regards to lab?
- BUMED 6280.1 Series Management of Infectious Waste | - NAVEDTRA 14295 Series, Chap 19
26
What is another instruction pertaining to lab used by armed forces?
Status of Forces Agreement (SOFA)
27
What is pertinent info to SOFA?
- Agreement between a host nation and military forces | - When the two rules contradict, go with the more strict rule
28
What is considered non-infectious waste pertain to?
- Medical waste that does not contain enough pathogen to be harmful - EX: * Disposable products such as diapers and tissue paper * Bedpans, Urinary catheters, Nasogastric tubing * Containers rinsed free of regulated body fluids
29
What are the guidelines for Infectious Storage?
- Mark storage room exterior with Biohazard and Authorized personnel only sign - Storage room should be near treatment/transport site and lockable - Keep clean/free of pests/rodents - Limit storage to 7 days
30
What are the guidelines for Infectious waste disposal ashore?
- Comply with local, state, and federal laws and/or SOFA - Package, treated, and labeled - Monitoring system to include * Date * Time * Amount * Type * Disposition
31
What are the guidelines for overboard discharge of Infectious waste disposal afloat?
One of the following must be basis for discharge: - Endangers health/safety - Creates unacceptable nuisance - Compromise of combat readiness
32
What are the conditions for overboard discharge of Infectious waste disposal afloat?
- CO's approval - Must be greater than 50 miles offshore - Properly packaged and weighted for negative buoyancy - Entries made in the ship's deck log and medical journal indicating: * Date * Time * Ship's location * Number of bags
33
What do you do with unused medical supplies?
- Handled, stored, and disposed of as infectious | - Recycle
34
What are the materials needed for decontamination?
- Gloves - Gown/lab coat - Goggles/face shield - Absorbent materials (Spill kit) - Disinfectant approved by EPA for shipboard use
35
What are the procedures for decontamination?
- Countertops should be decon'ed with approved disinfectant - Infectious waste spills should be decon'ed by applying appropriate disinfectant - If broken tube/glass, use absorbent material and then mechanical means - Dispose of waste properly