Ch 1 Lab Safety Flashcards

1
Q

Laboratory policies aim to provide:

A

A safe and healthful environment for everyone

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2
Q

First priority when handling infectious materials

A

Safety

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3
Q

Needles are not to be:

A

Recapped, bent, cut, broken, removed from syringes, or otherwise manipulated by hand

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4
Q

Clean spills:

A

Promptly and properly

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5
Q

Clean and decontaminate all surfaces exposed to blood and body fluids with an appropriate:

A

Germicide

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6
Q

Inform _______ of all accidents, exposures to unsafe conditions

A

Chain of command

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7
Q

An infection control strategy designed to reduce the risk of disease transmission

A

Universal Precautions

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8
Q

Introduced by the CDC in response to the HIV epidemic in 1985

A

Universal precautions

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9
Q

All blood and other potentially infectious materials are treated as if infected with blood borne pathogens, including:

A

Hepatitis B

Hepatitis C

HIV

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10
Q

Should be used at all times for all tasks where exposure to blood or body fluids may occur

A

Personal protective barriers

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11
Q

Publishes guidelines that most agencies have adopted

A

CDC

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12
Q

Universal precautions apply to:

A

Blood

Tissue

Semen

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13
Q

Universal precautions do not apply to:

A

Feces

Nasal secretions

Sputum

Sweat

Tears

Urine or vomit (unless they contain blood)

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14
Q

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

A

Personal Protective Equipment (PPE)

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15
Q

What must be done to PPE prior to leaving the work area?

A

PPE must be removed

Hands must be washed

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16
Q

Worn when the person’s hands are abraded, or active dermatitis is present

A

Gloves

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17
Q

Disposable gloves are usually:

A

Latex or Vinyl with appropriate size

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18
Q

Replace gloves when:

A

The ability to function as a barrier is compromised

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19
Q

Worn when a procedure has the ability to generate splashes of potentially infectious substances or hazardous chemicals

A

Gowns

Eye protection

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20
Q

Goggles must have:

A

Solid side shields

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21
Q

Face shields must be:

A

Chin length

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22
Q

DoD Instruction 6440.2

A

Clinical laboratory Improvement Program (CLIP)

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23
Q

In the U.S. Department of Labor and responsible for developing and enforcing workplace safety and health regulations

A

Occupational Safety and Health Administration (OSHA)

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24
Q

OSHA was created by:

A

Occupationally Safety and Health Act of 1970

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25
Q

National Institute for Occupational Safety and Health (NIOSH) was created by:

A

Occupational Safety and Health Act of 1970

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26
Q

U.S. 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, information EDUCATION, and TRAINING in the field of occupational safety and health”

A

National Institute for Occupational Safety and Health (NIOSH)

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27
Q

NIOSH’s responsibilities include:

A

Code of Federal Regulations

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28
Q

An annually revised compendium of all federal laws of the United States published in the Federal Register

A

Code of Federal Regulations (CFR)

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29
Q

Has regulations pertaining to the transportation of Hazardous waste, and if violated there are fines and penalties

A

Code of Federal Regulations (CFR)

30
Q

Each State has their own:

A

Occupational Safety and Health Regulations

Department of Health and Human Services & Medical Waste Management Program

31
Q

Protects workers and the public from safety hazards by enforcing occupational and public safety laws

A

Occupational Safety and Health regulations

32
Q

State programs that regulate the generation, handling, storage, treatment, and disposal of medical waste by providing oversight for the implantation of the Medical Waste Management Act

A

Department of Health and Human Services & Medical Waste Management Program

33
Q

Non-Fixed MTFs with laboratory capabilities must maintain:

A

Clinical Laboratory Improvement Program (CLIP) Certification

34
Q

Allows the testing of clinical samples for utilization in diagnosing patients

A

CLIP certification

35
Q

CLIP Inspection occurs every:

A

2 years

36
Q

CLIP inspections can be performed by:

A

Medical Laboratory Officer OR Appointed Laboratory Technician from the Area of Responsibility (AOR)

37
Q

CLIP inspection

Records must be maintained to include the following:

A

Quality control on samples, test kits and analyzers

Log of refrigerator and freezer temperatures

Maintenance logs for equipment maintained by Biomed

38
Q

Ships should request what prior to a Medical Readiness Inspection to help become compliant

A

Technical Assist visit from the AOR’s hospital

39
Q

The Navy’s version of OSHA

A

NAVOSH

40
Q

BUMEDINST 6280.1

A

Management of Infectious Waste

41
Q

NEVEDTRA 14295 Chapter for Laboratory

A

19

42
Q

An agreement between a host nation and military forces

A

SOFA

43
Q

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

A

Non-infectious waste

44
Q

Disposable products like diapers and used tissue paper
-Containing very small amounts of blood or other bodily fluids

Disposable products like bedpans, urinary catheters, NG tubing, which are emptied of contents that are NOT bloody

Containers rinsed-free of regulated body fluids

A

Non-infectious waste

45
Q

Liquid or solid waste containing potential pathogens in sufficient numbers and virulence to cause disease in susceptible hosts exposed to the waste

A

Infectious (Regulated) waste

46
Q

Regulated body fluids

A

Blood

Pleural

Amniotic

Synovial

Peritoneal

Pericardial

CSF

Semen

Dialysate

47
Q

How can you dispose of regulated body fluids?

A

Flushed in the toilet or the hopper

48
Q

Objects or devices that have acute rigid corners, edges, or protuberances capable of cutting or piercing

A

Sharps

49
Q

Sharps can include

A

Needles

Blades

Slides

Coverslips

Contaminated broken glassware/plastic ware

50
Q

Segregate waste at:

A

Point of Origin

51
Q

Placed in standard trashcans and discard via regular trash procedures

A

General, normal or non-infectious waste

52
Q

Placed in orange biohazard bags

A

Infectious/Regulated Waste

53
Q

Biohazard bags are emptied:

A

Daily

54
Q

How are biohazard bags tied?

A

Double bagged, Goose-necked, secured with heavy tape

55
Q

Biohazard bags must be labeled with:

A

Name

Address

Phone number

56
Q

Sharps are placed in a:

A

Rigid, Puncture-resistant, leak proof container

57
Q

The sharps container must have what sign or what color?

A

Biohazard sign or be red in color

58
Q

Sharps containers must be labeled with:

A

Name

Address

Phone number

Date opened and closed on outside with indelible marker

59
Q

The sharps container is taken out of service after:

A

90 days

3/4 Full

Foul Odor detected

60
Q

Infectious waste storage should be labeled with:

A

Biohazard and Authorized Personnel Only signs

61
Q

Storage room should be near:

A

Treatment or transport site and lockable

62
Q

Limit infectious waste storage to:

A

7 days

63
Q

Disposal of infectious waste Ashore, comply with:

A

Local, state, federal, and/or Status of Forces Agreements (SOFA)

64
Q

Disposal ashore should be packaged, treated, and labeled.

Monitoring system to include:

A

Date

Time

Amount

Type

Disposition

65
Q

One of the following criteria must be met for overboard discharge:

A

Endangers health or safety

Creates unacceptable nuisance

Compromise of combat readiness

66
Q

What conditions must be met for overboard discharge?

A

CO’s Approval

> 50 nautical miles from shore

Negatively buoyant

Entries made into ship’s deck log and medical journal

67
Q

Overboard discharge

Entries made in the ship’s deck log and medical journal must include:

A

Date

Time

Ship’s location

Number of bags

68
Q

What should you do with unused medical supplies?

A

Handled, stored, and disposed of as infectious

Recycled

69
Q

Materials needed for decontamination procedures

A

Gloves

Gown/lab coat

Goggles/face shields

Absorbent material (spill kit)

EPA disinfectant (Vesphene or 10% Bleach)

70
Q

Spill involved broken glass

A
  1. Contain spill with absorbent material

2. Mechanical means to dispose of glass