17-1 Flashcards
What is the first priority when handling infectious materials?
Safety
All blood and other potentially infectious materials are treated as if infected with what blood borne pathogens?
Hep B
Hep C
HIV
Laboratory policies aim to provide a _______.
safe and healthful environment
Universal precautions apply to:
Blood
Tissue
Semen
Other body fluids
Universal precautions DO NOT apply to:
- Feces
- Nasal secretions
- Sputum
- Sweat
- Tears
- Urine
- Vomit
PPE include:
- Gloves
- Gowns, Aprons, and Lab Coats
- Eye Protection, and Face Shields
- Caps
- Shoes
- Covers
- Masks
Gowns, aprons, or lab coats shall be worn when a procedure has the ability to generate _______.
splashes of potentially infectious substances
Occupational Safety and Health Administration (OSHA) was created by
Occupational Safety and Health Act of 1970
OSHA’s mission is:
- enforcing standards
- training, outreach, education
- partnerships
- continual improvement
National Institute for Occupational Safety and Health (NIOSH) was created by
Occupational Safety and Health Act of 1970
What are NIOSH’s responsibilities:
- Reduce injuries
- Surveillance
- Increase prevention
- Training
Who regulates transportation of Hazardous waste?
Code of Federal Regulations
(CFR)
What instruction is CLIP?
DoD INST 6440.02
What Non-fixed MTFs must maintain CLIP certifications?
ship’s medical dept
What instruction is Management of Regulated Medical Waste?
BUMEDINST 6280.1
What is CLIP?
Clinical Laboratory Improvement Program
How often is the CLIP inspection?
every 2 years
What 3 record logs must be maintained for CLIP?
- quality control log
- temperature log
- maintenance log
What 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 _________.
SOFA
the stricter rule
What is Medical waste that does not contain enough pathogen to be harmful and is treated as general waste?
Non-infectious waste
Non-infectious waste criteria:
- Diapers and used tissue paper
- Non post-partum or gynecological waste
- small amounts of blood or bodily fluids
- Disposable products like bedpans, urinary catheters, and NG tubing, emptied of their contents & not bloody
- Containers free of body fluids
Liquid or solid waste containing potential pathogens that can cause disease.
Infectious waste
Infectious waste criteria:
1) Blood or other potentially infectious material
2) Contaminated items that would release blood if compressed
3) Items caked with dried blood
4) Contaminated sharps
5) Pathological or microbiological waste
9 Regulated body fluids are:
- Blood
- Pleural fluid
- Amniotic fluid
- Synovial fluid
- Peritoneal fluid
- Pericardial fluid
- CSF
- Semen
- Dialysate
Sharps may include but are not limited to:
(1 Needles
(2 Blades
(3 Slides
(4 Coverslips
(5 Contaminated broken glass
(6 Glassware or plastic ware
Segregate waste at ______
point of origin
Infectious/Regulated Waste is placed in what color bag?
red
Biohazard bags are emptied ______.
daily
Infectious waste/regulated waste bags are secured how?
- double bagged
- goose-necked
- secured with heavy tape
Bags must be labeled with what 4 things?
- name
- address
- phone number of originator
- biohazard symbol
Sharps are placed in:
rigid, puncture-resistant, leak proof containers
The sharps container must be
labeled with a biohazard sign or be red in color
Containers must be labeled with what 3 things?
- name
- address
- phone number of originator
The sharps container is taken out of service when?
- after 90 days
- 3/4 full
- foul odor
The container must have what 2 dates written?
marked on the outside in ______
date opened & date closed
in indelible marker
Mark storage room exterior with ?
Biohazard and Authorized Personnel Only signs
Storage room should be near ___________
and _________.
treatment or transport site
lockable
Infectious Waste can be stored up to:
7 days
Infectious Waste Storage must comply with:
local, state, federal, and SOFA
Monitoring system must include what 5 things?
- Date
- Time
- Amount
- Type
- Disposition
What are the 3 criteria for overboard discharge of infectious waste:
- endangers health or safety
- unacceptable nuisance
- compromise of combat readiness
What 4 Conditions to
overboard discharge infectious waste?
- CO’s approval
- < 50nm from shore
- weighted for negative buoyancy
- Entries in ship’s deck log and medical journal
What 4 things must be included in the deck log and medical journal?
- Date
- Time
- Ship’s location
- # of bags
Is unused medical supply disposed of as infectious waste?
yes
What 5 materials are used for decontamination?
- Gloves
- Gown/Lab Coat
- Goggles/face shields
- Absorbent Materials (Spill Kit)
- EPA approved Disinfectant
4 Decontamination procedures:
- Countertops decontaminated with approved disinfectant
- Infectious waste spills should be decontaminated
- contain spill by using absorbent material
- Dispose of waste properly
Are needles to be recapped?
No
Who do you inform of all accidents, exposures, or unsafe conditions?
CoC
What is an infection control strategy designed to reduce the risk of disease transmission, introduced by the CDC in response to the HIV epidemic in 1985?
Universal Precautions
Eye protection must be worn when _______
hazardous splashes can occur
Face shields must be what length?
chin length
Goggles must have
solid side shields
