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What types of safety hazards are there in the lab?
Biological, Sharps, Chemical, Radioactive, Electrical, Fire/Explosive, and Physical
What agencies are involved in developing guidelines?
Centers for Disease Control and Prevention (CDC)
Occupational Health and Safety Administration (OSHA)
Clinical Laboratory Standards Institute (CLSI)
Monitors infections in the facility (tracking the infection)
Infection control
Primary objective of biological safety is preventing the completion of the “____ __ _________”
Chain of infection
What are the Standard Precautions (SP)?
Hand hygiene, Gloves, mouth, nose, and eye protection, and gowns
Patient care-equipment, environmental control, and linen
What are examples of occupational health and blood-borne pathogens?
HIV, Hep B, Hep C
Exposure through blood, other infectious materials
Needlesticks, contaminated sharps, contact with broken skin
What does PEP stand for and what does exposure mean?
Post-Exposure Prohylaxis
Exposed to blood or bodily fluids
Gloves are a substitute for hand hygiene
False
Fluid resistant lab coats must be worn completely buttoned, gloves pulled over wrist cuffs
True
When working with specimens wear a lab coat, when leaving ALWAYS remove the lab coat
True
Never centrifuge uncapped specimens
True
Closed-toed shoes that cover the entire foot are optional
False
What is the primary method of infection transmission?
Hand Contact
Urine can be poured down the sink with no splashes, afterwards sink must be flushed with water
True
When sanitizing use a daily _:_ sodium hypochlorite (household bleach) flush. It must be protected from light or else it will degrade (used on countertops)
1:10
Decontamination is used for
Contaminated non-disposable equipment
Blood spills
Areas that process blood and bodily fluids
Wiping a mop or spill is okay
False, instead, use absorbent powder or paper towels and disinfect the area with bleach or phenol solution
What objects are Sharp hazards?
Needles, Lancets, Broken glassware
A sharps container is:
Puncture-resistant
Leak proof
Conveniently located in work area
In the event of Chemical Contact:
1.Flush 15 minutes with water ONLY
2.Seek medical attention
3.Know location of eyewash and showers
4.Remove contaminated clothing immediately
Always add acid to water, never water to acid
True
Labs must have __ available
Safety Data Sheet (SDS)
Chemicals must be disposed by not following SDS directions
False, chemicals MUST be disposed by follwing SDS directions
Sinks and drains must be flushed with large amounts of water
True
Always observe for frayed cords and report overloads
True
What type of plug are the equipment’s grounded with?
Three-prong, it provides a safe path for excess electricity
What do we do in the event of electric shock?
Do not touch the person being shocked
Remove/turn off electrical source
Turn off circuit beaker
Unplug equipment
Move person away from the source using wood or glass
____ ____ must be posted in hospitals as part of compliance with several safety and accreditation standards
Evacuation routes
What does the R in RACE stand for?
Rescue: anyone in danger
What does the A mean in RACE?
Alarm: activate
What does the C mean in RACE?
Close affected area doors
What does the E stand for in RACE?
Extinguish/Evacuate: if possibly, or exit
What does the P in PASS stand for?
Pull the pin
What does the A stand for in PASS?
Aim at the base of fire
What does the first S in PASS stand for?
Squeeze handles
What does the final S stand for in PASS?
Sweep nozzle side to side
During clinical chemistry lab, a tech spills a small
amount of a corrosive reagent on the counter. While cleaning
it up, she is not wearing gloves or a lab coat. Another tech
enters and comments on the strong odor, but no chemical
spill is reported. Later, the tech who cleaned it up reports
irritation on their hand and forearm
1.What safety violations occurred in this scenario?
2.What type of PPE should be worn when handling chemical reagents?
3.Why is it critical to report chemical spills immediately, even when small ones?
4.What procedures should be followed when a spill occurs?
Gloves and lab coat were not worn, spill incident was not reported to supervisor
Gloves, lab coat, possible eye or face protection
To ensure the lab’s protocol is followed for spills, avoid further harm and contamination, follow first aid guide on SDS, provide follow up care for exposure
Follow lab safety policy and SDS instructions, may need to call housekeeping, may use a chemical spill kit, etc