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
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
HAND WASHING PROCEDURE
25
What is the most important step for interrupting the chain of infection?
Turn faucet off with towel
26
● Required to contain and expel noxious and hazardous fumes from chemical reagents
Fume Hood
26
How many seconds should handwashing be done?
30 secs
26
Remove particles that may be harmful to employees working with potentially infectious biologic specimens.
Biosafety Cabinet
27
What procedure is done in doffing but not in donning?
Handwashing
28
It should be visually inspected for blockages by putting a piece of tissue paper at the good opening to indicate airflow direction
Fume Hood
29
What is the biosafety level of the following: a. COVID19 – b. Monkeypox – c. Ebola –
a. COVID19 – BSL 2 b. Monkeypox – BSL 3 c. Ebola – BSL 4
30
BIOSAFETY LEVELS Organisms that do not cause disease in humans
Level 1
31
BIOSAFETY LEVELS ● Common bacteria ● Ex: staphylococcus
Level 2
32
BIOSAFETY LEVELS Ex: Ebola, smallpox
Level 4
33
BIOSAFETY LEVELS Ex: tuberculosis, francisella, SARS
Level 3
34
The _________ the BSC class, the ________ air circulates
The higher the BSC class, the lesser air circulates
35
Basic teaching, research GMT None; open bench work
Basic – Biosafety Level 1
36
Primary health services; diagnostic services, research GMT plus protective clothing, biohazard sign Open bench plus BSC for potential aerosols
Basic – Biosafety Level 2
37
Containment - Special diagnostic services, research As Level 2 plus special clothing, controlled access, directional airflow BSC and/or other primary devices for all activities
Biosafety Level 3
38
Class III BSC, or positive pressure suits in conjunction with Class II BSCs, double-ended autoclave (through the wall), filtered air
Maximum containment - units Biosafety Level 4
38
Dangerous pathogen As Level 3 plus airlock entry, shower exit, special waste disposal
Maximum containment - units Biosafety Level 4
39
● Clean bench ● Air re-circulates but it escapes making the user not well protected or vulnerable
CLASS I
40
● Filtrable agents: Virus ○ Size: < 0.3 um (not filtered by the biosafety cabinet)
CLASS I
41
● Has both exhaust HEPA and supply HEPA
CLASS II
42
the one that filters the air that comes out
Exhaust HEPA
43
the one that filters the air that re-circulates
Supply HEPA
44
● Glass panel on class II biosafety cabinet only opens up to ___ inches
Glass panel on class II biosafety cabinet only opens up to 8 inches CLASS II
45
● No air is recirculated ● Has a glove compartment and Negative air pressure
CLASS III
46
What biosafety cabinet is used for COVID-19 sample processing?
Class II Type B2