Controls, PPE, and Standard Precautions Flashcards
List the 5 engineering controls. (5)
- Readily accessible hand washing facilities
- Self-capping needles
- Biohazard bags and containers
- Biohazard cabinets
- Autoclaves
List the 7 general guidelines for safe work practices. (7)
- Observe biohazard symbols on containers, equipment, and in work areas (WHMIS)
- Cover open cuts and scratches with a waterproof covering
- Practice good hand washing at appropriate times
- Discard sharp objects (needles, lancets, broken glass, etc) into puncture-proof containers → needles cannot be bent, broken, or recapped
- Tie back long hair
- Wear PPE appropriately (eg. closed toe shoes)
- All accidents which involve injury or biological containment must be reported in writing to the lab supervisor within 24hrs of the accident
List 2 ways to reduce the risk of infection dye to aerosols. (2)
- Wear a face shield, gloves, arm protection, and an apron
2. Centrifuge tubes with caps on and close centrifuge lid properly
What are work practice controls? (1)
Work Practice Controls → performing procedures involving blood and body fluids safely to minimize aerosols
List 5 housekeeping controls. (5)
- Maintain written schedules for sanitation and decontamination
- Use mechanical safety devices to clean up broken glass
- Use chemical spill kits to clean up chemical spills
- Discard biohazard waste appropriately
- Discard all sharps into puncture-proof, leak-proof sharps container
What do standard precautions describe? (1)
Standard precautions → a set of procedures for dealing with patients under the assumption that every direct contact with body fluids is infectious
What is standard precautions based on? (1)
Based on all patients being potentially positive for blood-borne pathogens such as Hep-B and HIV
List 7 aspects that should be provided to all lab workers under standard precautions. (7)
- Assistance in evaluating work procedures and developing safe work procedures
- Pre-placement medical examinations and immunizations
- Safety equipment in the lab consistent with prescribed precautions
- Training in the proper use of safety equipment
- Periodic medical exams
- Emergency procedures after an accidental exposure, which should include the awareness of a known infective status of source patient
- Post-accident follow-up and counseling
What does the body substance precautions (BSP) state? (1)
Body substance precautionss → all specimens, fluids, tissues, smears, blood, serum, plasma, swabs, etc must be considered potentially infectious
List as many substances that standard precautions DO NOT APPLY to as possible. (8)
- Feces
- Nasal secretions
- Sputum
- Saliva
- Sweat
- Tears
- Urine
- Vomit
Under what condition must substances which ARE NOT normally under standard precautions treated as potentially infectious? (1)
If the substance has visible blood within it
List as many infectious materials as possible (body fluids). (12)
- Semen
- Vaginal secretions
- Pericardial fluid
- Cerebrospinal fluid
- Synovial fluid
- Pleural fluid
- Amniotic fluid
- Any body fluid that is visibly contaminated with blood
- All body fluids in situations where it is difficult or impossible to differentiate between body fluids
- Any unfixed tissue or organ from a human (other than skin), living or dead
- HIV
- Blood, organs, and other tissues from experimental animals infected with HIV, HBV (hepatitis B), or other infectious materials
What should be done immediately after removal of gloves? (1)
WASH THOSE HANDS
What are 4 things you must not do with a contaminated needle? (4)
DO NOT
- Recap
- Bend
- Broken
- Resheathed by hand
What 7 pieces of information MUST be on the supplier label of a controlled product? (7)
- Name → chemical name, common name, generic name, or trade name
- Name of supplier
- Reference to MSDS/SDS
- Hazard symbols → WHMIS
- Border
- Risk phrases
- Precautionary measurest
- First Aid Measures