LAB SAFETY Flashcards

1
Q

What is BUMEDINST 6280.1?

A

Management of Regulated Medical Waste

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2
Q

What is a potentially dangerous place where chemical, physical, and biological hazards exist?

A

Laboratories

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3
Q

What is the first priority when handling infectious materials?

A

Safety

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4
Q

True or False

Needles are not to be recapped, bent, cut, broken, removed from syringes, or otherwise manipulated by hand.

A

True

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5
Q

Who should you inform of all accidents, exposures or unsafe conditions?

A

Chain of Command

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6
Q

What is an infection control strategy designed to reduce the risk of disease transmission, introduced by the Centers of Disease Control (CDC) in response to the HIV epidemic in 1985?

A

Universal precautions

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7
Q

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

A
  1. Hep B
  2. Hep C
  3. HIV
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8
Q

True or False

Personal protective barriers should be used at all times for all tasks where exposure to blood or body fluids may occur.

A

True

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9
Q

Who publishes guidelines that most agencies have adopted in response to universal precautions?

A

The Centers for Disease Control (CDC)

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10
Q

Universal precautions apply to what?

A
  1. Blood
  2. Semen
  3. Tissues
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11
Q

Universal Precautions do not apply to what?

A
  1. Feces
  2. Nasal secretions
  3. Sputum
  4. Sweat
  5. Tears
  6. Urine or vomitus unless they contain blood
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12
Q

Health care workers face a significant risk as a result of occupational exposure to
blood borne pathogens, including what?

A
  1. Hep B

2. HIV

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13
Q

Universal precaution caution must be taken when handling what?

A

Infectious waste

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14
Q

What is specialized clothing or equipment worn by a person to protect against a hazard?

A

Personal Protective Equipment (PPE)

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15
Q

True or False

General work clothes are considered PPE

A

False

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16
Q

True or False

All PPE must be removed and hands must be washed before leaving the work area.

A

True

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17
Q

True or False

Gloves should be worn when the person’s hands are abraded or active dermatitis is present.

A

True

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18
Q

What should be worn when a procedure has the ability to generate splashes of
potentially infectious substances or hazardous chemicals?

A

Gowns, Aprons, and Lab Coats.

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19
Q

What shall be worn wherever potentially infectious or hazardous splashes
can occur?

A

Eye protection and face shields

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20
Q

How long should face shields be?

A

Chin length

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21
Q

What are some examples of additional PPE that can be worn?

A
  1. Caps
  2. Shoes
  3. Covers
  4. Masks
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22
Q

What is CLIP DoD Instruction 6440.02?

A

Clinical Laboratory Improvement Program (CLIP)

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23
Q

OSHA was created by what and when?

A

Occupational Safety and Health Act of 1970.

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24
Q

What is apart of the U.S. Department of Labor and is responsible for developing and enforcing workplace safety and health regulations?

A

Occupational Safety and Health Administration (OSHA)

25
Q

In addition to OSHA what was also created by the Occupational Safety and Health Act of 1970?

A

National Institute for Occupational Safety and Health (NIOSH)

26
Q

What is an agency that was established to help assure “safe and healthful and 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)

27
Q

What is an annually revised compendium of all federal laws of the United States published in the Federal Register?

A

Code of Federal Regulations (CFR)

28
Q

True or False

Only some states have their own Occupational Safety and Health regulations?

A

False

Every state has them

29
Q

What department and program has the purpose of protecting the public and the environment from potential infectious exposure to disease causing agents, each state has programs to regulate the generation, handling, storage, treatment, and disposal of medical waste by providing oversight for the implementation of the Medical Waste Management Act?

A

Department of Health and Human Services & Medical Waste Management Program

30
Q

True or False

Medical Departments aboard ships are considered Non-Fixed Medical Treatment Facilities

A

True

31
Q

True or False

Medical Departments aboard ships with laboratory capabilities do not have to maintain a Clinical Laboratory Improvement Program (CLIP) certification

A

False

32
Q

How often does a CLIP inspection occur?

A

Every 2 years

33
Q

Who performs the CLIP inspection?

A

Medical Laboratory Officer or appointed Laboratory Technician from hospitals in the Area of Responsibility (AOR)

34
Q

What is the Navy’s version of OSHA?

A

NAVOSH

35
Q

What is an agreement between a host nation and military forces?

A

SOFA

When a host nation’s rules and the Navy’s rules conflict, always go with the more strict rule.

36
Q

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

A

Non-infectious

37
Q

Non-infectious waste includes thing like what?

A
  1. Disposable products like diapers and used tissue paper (Not originating from post-partum suites or gynecological surgical
    wards.)
  2. Disposable products like bedpans, urinary catheters, and nasogastric
    (NG) tubing, which have been emptied of their contents (as long as the
    contents were not bloody).
  3. Containers rinsed-free of regulated body fluids.
38
Q

What is liquid or solid waste containing potential pathogens in sufficient numbers and virulence to cause disease in susceptible hosts exposed to the waste?

A

Infectious Waste

39
Q

Is this considered regulated waste?

Liquid or semi-liquid blood or other potentially infectious material

A

Yes

40
Q

Is this considered regulated waste?

Contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed.

A

Yes

41
Q

Is this considered regulated waste?

Items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling.

A

Yes

42
Q

Is this considered regulated waste?

Contaminated sharps

A

Yes

43
Q

Is this considered regulated waste?

Pathological or microbiological waste containing blood or other
potentially infectious materials

A

Yes

44
Q

What are the regulated body fluids?

A
  1. Blood and blood components
  2. Pleural fluids
  3. Amniotic fluids
  4. Synovial fluids
  5. Peritoneal fluids
  6. Pericardial fluids
  7. CSF
  8. Semen
  9. Dialysate
45
Q

What are objects or devices having acute rigid corners, edges, or protuberances
capable of cutting or piercing?

A

Sharps

46
Q

True or False

You should segregate waste at the point of origin

A

True

47
Q

What kind of waste is placed in standard trashcans and discarded via regular trash procedures?

A

General, normal or non-infectious waste

48
Q

What colored biohazard bags is infectious/regulated waste placed in?

A

red or orange biohazard bags

49
Q

How must biohazard bags be labeled?

A

name, address, and phone number of originator along with biohazard symbol

50
Q

What kind of container are sharps placed in ?

A

rigid, puncture-resistant, leak proof container

51
Q

How must sharps containers be labeled?

A
  1. Biohazard sign
  2. Red in color
  3. name, address and phone number of originator
52
Q

When must sharps containers be taken out of service ?

A
  1. 90 days
  2. 3/4 full
  3. foul odor
53
Q

What dates are written on the outside of the sharps containers?

A
  1. Opened date

2. Closed date

54
Q

How long should you limit storage of infectious waste?

A

7 days

55
Q

Disposal of infectious waste ashore must comply with what?

A

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

56
Q

What criteria must be the basis for overboard discharge of infectious waste afloat?

A
  1. Endangers health or safety
  2. Creates unacceptable nuisance
  3. Compromises combat readiness
57
Q

What conditions must be met for the over board discharge of infectious waste afloat ?

A
  1. CO approval
  2. Must be greater than 50 nautical miles from shore
  3. Must be properly packaged and weighted for negative buoyancy
58
Q

What entries must be made in the ships deck log and medical journal for overboard discharge of infectious waste ?

A
  1. Date
  2. Time
  3. Ship’s location
  4. Number of bags