Laboratory Safety Flashcards by Marcos Flores

What do laboratory policies aimed to providing for everyone?

A Safe and healthful working environment

How well did you know this?

Not at all

Perfectly

How must used needles NOT be handled?

recapped, bent, cut, broken, removed from syringes, or manipulated by hand.

How well did you know this?

Not at all

Perfectly

An appropriate germicide is used to clean surfaces that have been exposed to ___

blood or bodily fluids

How well did you know this?

Not at all

Perfectly

This is an infection control strategy designed to reduce the risk of disease transmission introduced by the CDC

Universal Precaution

How well did you know this?

Not at all

Perfectly

Why were universal precautions introduced by the CDC?

In response to the HIV epidemic in 1985

How well did you know this?

Not at all

Perfectly

All blood and other potentially infectious materials are treated as if infected with which blood borne pathogens?

Hepatits B (HBV)
Hepatitis C (BCV)
Human Immunodeficiency Virus (HIV)

How well did you know this?

Not at all

Perfectly

What should be used at all time when for tasks where exposure to blood or body fluids may occur?

Personal Protective Barriers (Equipment)

How well did you know this?

Not at all

Perfectly

What agency publishes guidelines that most agencies have adopted?

The Center for Disease Control

How well did you know this?

Not at all

Perfectly

Blood
Semen
Tissue

All apply to universal precautions

How well did you know this?

Not at all

Perfectly

Specialized clothing or equipment worn by a person to protect against a hazard?

Personnel Protective Equipment (PPE)

How well did you know this?

Not at all

Perfectly

What is included in PPE?

Gloves. Gowns. Aprons
Lab Coats. Eye Protection
Face Shields.
Caps.

How well did you know this?

Not at all

Perfectly

When should gloves be replaced?

As soon as practical when contaminated, torn, punctured, or when ability to function as a barrier is compromised

How well did you know this?

Not at all

Perfectly

When are gowns, aprons, and lab coats worn?

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

How well did you know this?

Not at all

Perfectly

What is the appropriate length for face shields?

Chin Length

How well did you know this?

Not at all

Perfectly

When are eye protection and face shields meant to be worn?

Worn wherever potentially infectious or hazardous splashes can occur

How well did you know this?

Not at all

Perfectly

CLIP DoD Instruction 6440.02

Clinical Laboratory improvement Program

How well did you know this?

Not at all

Perfectly

Federal organizations

Occupational safety and health Administration (OSHA)
National Institute for Occupational Safety and Health (NIOSH)
Code of federal Regulations (CFR)

How well did you know this?

Not at all

Perfectly

This organization was created by the Occupational Safety and Health Act of 1970. It is the U.S. Department of Labor and is responsible for developing and enforcing workplace safety and health regulations.

Occupational Safety and Health Administration (OSHA)

How well did you know this?

Not at all

Perfectly

It is in the Department of Health and Human Services and is an agency established to help assure safe and healthful working conditions for working men and women by providing research, info, education, and training in the field of occupational safety and health.

National institute for Occupational Safety and Health (NIOSH)

How well did you know this?

Not at all

Perfectly

What is NIOSH responsible for?

Code of federal regulations

This is an annually revised compendium of all federal laws of the United Staes published in the Federal Register

Code of Federal Regulations

What does the CFR have regulations pertaining to?

The transportation of Hazardous waste. There are fines and penalties if violated.

Designed to protect the public and the environment from potential infectious exposure to disease causing agents. Each state has programs to regulate the generation, holding treatment, and disposal of medical waste.

Department of Health and Human Services and Medical Waste Management Program

Medical departments aboard ships are considered Non-Fixed Medical Treatment facilities and those with laboratory capabilities must maintain what type of certification?

CLIP

Clinical Laboratory Improvement Program certification

What does clip certification allow for Non-Fixed MTFs the capability of preforming?

Allows the testing of clinical samples for utilization in diagnosing patients

How often are CLIP inspections performed and who is able to conduct them?

Every two years Performed by a Medical Laboratory Officer or appointed Laboratory Technician from hospitals in the Area of responsibility

Which hospital would inspect ships in Yokosuka, Japan

Naval Hospital Yokosuka

What records must be maintained by a Non-Fixed MTF?

- Quality control on samples - Log of refrigerator and freezer temperatures - Maintenance logs for equipment maintained by biomed

What is the Navy's version of OSHA?

NAVOSH

What instruction covers Management of Infectious Waste?

BUMEDINST 6280.1

This is an agreement between a host nation and military forces. When a host nation's rules and the Navy's rules conflict, always go with the more strict rule.

Status of Forces Agreement | SOFA

Medical waste that does not contain enough pathogen to be harmful and is treated as general waste.

Non-infectious

What is the criteria for non-infectious waste?

- Disposable products like diapers and used tissue. (Not originating form gyno surg ward) - Containing very small amounts of blood or other bodily fluids - Bedpans, catheters, and NG tubes that have been emptied of their contents

Solid or liquid waste containing potential pathogens in sufficient numbers and virulence to cause disease in susceptible hosts.

Infectious Waste

Criteria for Infectious waste

1) Liquid or semi-liquid blood 2) Contaminated items that would release blood or infectious materials 3) Items caked in dried blood 4) Contaminated sharps 5) Pathological or microbiological waste containing blood / infectious materials 6) Regulated body fluids

What are included in regulated body fluids?

1) Blood and blood components 2) Pleural fluids 3) Amniotic fluid 4) Synovial fluid 5) peritoneal fluids 6) Pericardial fluid 7) CSF 8) Semen 9) Dialyzate

objects or devices having acute rigid corners, edges, or protuberances capable of cutting or piercing

Sharps

Where / when is waste segregated?

At the point of origin

How are infectious waste/regulate waste handled?

Double bagged, goose-necked, and secured with heavy tape

How are bags of infectious waste labeled?

Labeled with name, address, and phone number of originator. Must have BIOHAZARD symbol

What type of container are sharps maintained?

Rigid, puncture-resistant, leak proof container

When are sharps containers taken out of service?

After 90 days, when it is 3/4 full, or if a foul odor is detected

Infectious waste storage is limited to how many days?

7 Days

What is the criteria for Infectious waste storage?

- Marked storage room exterior with Biohazard and Authorized Personnel Only - Storage room should nor be near treatment or transport site and lockable - Kept clean and free of pests/rodents - Emptied every seven days

What is the criteria for waste disposal ashore?

- Comply with local, state, federal, and/or Status of Forces Agreements (SOFA) - Packaged, treated, and labeled - Monitored and logged

What is the criteria for waste disposal afloat? (overboard)

The infectious waste must - Endanger health or safety - Create unacceptable nuisance - Compromise of combat readiness

What are the conditions when waste can be disposed afloat (overboard)

- CO's approval - Must be greater than 50 nautical miles from shore - Must be properly packaged and weighted for negative bouyancy - Must be entered in the ship's deck log and medical journal

List the items in the decontamination kit?

- Gloves - Gown/Lab Coat - Googles/Face Shield - Absorbant Materials - Disinfectant approved by EPA for shipboard use (Diluted bleach 10%)

How are infectious waste spills cleaned?

Disinfectant