CC PART 4 - LABORATORY BIOSAFETY Flashcards

1
Q

“The application of safety and containment measures (practices, equipment, facilities) to minimize or prevent exposure from infectious agents to the person handling it in the laboratory, the laboratory, the building occupants, the community, and the environment.”

A

LABORATORY BIOSAFETY

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2
Q

Which of the following statements regarding Biosecurity is TRUE?

a. protection and prevention of unauthorized possession, loss, theft, misuse, diversion, and accidental or intentional release if biological agents.
b. framework that describes the use of specific practices, training and safety equipment.
c. refers to specially designed buildings to protect the worker, community, and environment from an accidental exposure or unintentional release of infectious agents and toxins.
d. intentional release or dissemination of biological
agents.

A

a. protection and prevention of unauthorized possession, loss, theft, misuse, diversion, and accidental or intentional release if biological agents.

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3
Q

Anything that alters the structural component of the laboratory

A

EXPOSURE CONTROL PLANS

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3
Q

Putting cabinets, divisions, or anything that alters the structural component of the lab

A

Engineering Controls

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4
Q

(4) EXPOSURE CONTROL PLANS

A
  1. Exposure Evaluation
  2. Engineering Controls
  3. Work Practice Controls
  4. Administrative oversight of the program
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5
Q

Basis for creation or revision of policies

A

RECORD KEEPING LOGBOOK

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6
Q

Must include the following:
1. Type and Brand of device involved in the incident
2. Location of the incident
3. Description of the incident

A

RECORD KEEPING LOGBOOK

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7
Q

Blood Borne Pathogen that can be transmitted by contact with environmental surfaces?

A

Hepatitis B

○ HBV blood stain can in surfaces for two weeks, requires household bleach to remove it

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8
Q

Disinfectant used in cleaning spills of blood or body fluids?

A

Answer: freshly prepared 10% solution of sodium hypochlorite (household bleach).

○ Let the bleach soak up first for 30 mins to 1hr before removing or blotting with paper

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9
Q

ROUTE OF ENTRY FOR OCCUPATIONALLY ACQUIRED BLOODBORNE PATHOGENS?

A

Percutaneous exposure or
Contamination of non-intact skin or mucous membrane (eyes, nose, mouth)

○ Rule of 3 during needlestick injury
○ 0.3% chance of acquiring HIV
○ 3% chance of acquiring Hepatitis C
○ 30% chance of acquiring Hepatitis B

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10
Q

An MLT student sticks himself with a dirty needle while performing phlebotomy on a combative patient. What should he do?

A

Follow the Laboratory’s exposure control plan. Purge the puncture site with slight pressure then immediately thoroughly wash
soap and water then apply 70% alcohol, inform the supervisor and complete an incident report.

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11
Q

An approach to infection control to which all human blood, tissue and most fluids are handled as if known to be infectious for the HIV, Hepatitis B, and other Blood Borne Viruses.

A

UNIVERSAL PRECAUTION

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12
Q

The concept of treating all blood and body fluids as capable of transmitting infectious diseases is?

a. safe practice standards
b. infection control
c. universal precautions
d. safety protocol

A

c. universal precautions

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13
Q

Regulation that ensures that hazard information is properly
communicated to employees.

A

HAZARD COMMUNICATION

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14
Q

Ability to cause harm

A

Hazard

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15
Q

Likelihood that a hazard will occur

A

Risk

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16
Q

Reduce or eliminate occupational exposure to hazardous chemicals.

A

CHEMICAL HYGIENE PLAN

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17
Q

● Establish laboratory work methods and safety policies.
● Provide supervision and guidance to employees.
● Provide safety information, training, PPE, and medical surveillance to employees

A

EMPLOYER’S RESPONSIBILITY

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18
Q

● Provide and maintain equipment and laboratory facilities that are free of recognized hazards and adequate for the tasks required.
● Maintain clean PPE used by more than one person
● Provision of Exposure Control Plan

A

EMPLOYER’S RESPONSIBILITY

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19
Q

● Know and comply with the established laboratory safe work practices.
● Have a positive attitude toward supervisors, coworkers, facilities, and safety training.

A

EMPLOYEE’S RESPONSIBILITY

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20
Q

● Be alert and give prompt notification of unsafe conditions
or practices to the immediate supervisor and ensure that unsafe conditions and practices are corrected.
● Engage in the conduct of safe work practices and use of PPE.

A

EMPLOYEE’S RESPONSIBILITY

21
Q

● Statement hazard
● Hazard Class
● Safety Precautions
● NFPA code
● Fire Extinguisher Type
● Safety instructions
● Formula weight
● Lot Number

A

APPROPRIATE SIGNS AND LABELING OF REAGENT

22
Q

Practice of safety in the laboratory involves?
a. The heads and supervisors only
b. The laboratory aids in handling the laboratory wastes
c. Everyone working in the laboratory
d. The medical technologists doing the tests

A

c. Everyone working in the laboratory

23
Q

● Safety Showers
● Eyewash stations
● Fire extinguishers
● Fire Blankets
● Spill kits First aid supplies
● Mechanical Pipetting devices

A

SAFETY EQUIPMENT

24
Q
  1. Wet hands
  2. Lather with soap
  3. Scrub all the different parts of the hands
  4. Rinse
  5. Towel dry
  6. Turn faucet off with towel
A

HAND WASHING PROCEDURE

25
Q

What is the most important step for interrupting the chain of infection?

A

Turn faucet off with towel

26
Q

● Required to contain and expel
noxious and hazardous fumes from chemical reagents

A

Fume Hood

26
Q

How many seconds should handwashing be done?

A

30 secs

26
Q

Remove particles that may be
harmful to employees working with potentially infectious biologic specimens.

A

Biosafety Cabinet

27
Q

What procedure is done in doffing but not in donning?

A

Handwashing

28
Q

It should be visually inspected for
blockages by putting a piece of
tissue paper at the good opening to indicate airflow direction

A

Fume Hood

29
Q

What is the biosafety level of the following:

a. COVID19 –
b. Monkeypox –
c. Ebola –

A

a. COVID19 – BSL 2
b. Monkeypox – BSL 3
c. Ebola – BSL 4

30
Q

BIOSAFETY LEVELS

Organisms that do not cause disease in humans

A

Level 1

31
Q

BIOSAFETY LEVELS

● Common bacteria
● Ex: staphylococcus

A

Level 2

32
Q

BIOSAFETY LEVELS

Ex: Ebola, smallpox

A

Level 4

33
Q

BIOSAFETY LEVELS

Ex: tuberculosis, francisella, SARS

A

Level 3

34
Q

The _________ the BSC class, the ________ air circulates

A

The higher the BSC class, the lesser air circulates

35
Q

Basic teaching, research

GMT

None; open bench work

A

Basic – Biosafety Level 1

36
Q

Primary health services; diagnostic services, research

GMT plus protective clothing, biohazard sign

Open bench plus BSC for potential aerosols

A

Basic – Biosafety Level 2

37
Q

Containment - Special diagnostic services, research

As Level 2 plus special clothing, controlled access, directional
airflow

BSC and/or other primary devices for all activities

A

Biosafety Level 3

38
Q

Class III BSC, or positive pressure suits in conjunction with Class II BSCs, double-ended autoclave
(through the wall), filtered air

A

Maximum containment - units
Biosafety Level 4

38
Q

Dangerous pathogen

As Level 3 plus airlock entry, shower exit, special waste disposal

A

Maximum containment - units
Biosafety Level 4

39
Q

● Clean bench
● Air re-circulates but it escapes making the user not well protected or vulnerable

A

CLASS I

40
Q

● Filtrable agents: Virus
○ Size: < 0.3 um (not filtered by
the biosafety cabinet)

A

CLASS I

41
Q

● Has both exhaust HEPA and supply HEPA

A

CLASS II

42
Q

the one that filters the air that comes out

A

Exhaust HEPA

43
Q

the one that filters the air that re-circulates

A

Supply HEPA

44
Q

● Glass panel on class II biosafety
cabinet only opens up to ___ inches

A

Glass panel on class II biosafety
cabinet only opens up to 8 inches

CLASS II

45
Q

● No air is recirculated
● Has a glove compartment and
Negative air pressure

A

CLASS III

46
Q

What biosafety cabinet is used for COVID-19 sample processing?

A

Class II Type B2