LAB SAFETY Flashcards
What is BUMEDINST 6280.1?
Management of Regulated Medical Waste
What is a potentially dangerous place where chemical, physical, and biological hazards exist?
Laboratories
What is the first priority when handling infectious materials?
Safety
True or False
Needles are not to be recapped, bent, cut, broken, removed from syringes, or otherwise manipulated by hand.
True
Who should you inform of all accidents, exposures or unsafe conditions?
Chain of Command
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?
Universal precautions
All blood and other potentially infectious materials are treated as if infected with
blood borne pathogens, including what ?
- Hep B
- Hep C
- HIV
True or False
Personal protective barriers should be used at all times for all tasks where exposure to blood or body fluids may occur.
True
Who publishes guidelines that most agencies have adopted in response to universal precautions?
The Centers for Disease Control (CDC)
Universal precautions apply to what?
- Blood
- Semen
- Tissues
Universal Precautions do not apply to what?
- Feces
- Nasal secretions
- Sputum
- Sweat
- Tears
- Urine or vomitus unless they contain blood
Health care workers face a significant risk as a result of occupational exposure to
blood borne pathogens, including what?
- Hep B
2. HIV
Universal precaution caution must be taken when handling what?
Infectious waste
What is specialized clothing or equipment worn by a person to protect against a hazard?
Personal Protective Equipment (PPE)
True or False
General work clothes are considered PPE
False
True or False
All PPE must be removed and hands must be washed before leaving the work area.
True
True or False
Gloves should be worn when the person’s hands are abraded or active dermatitis is present.
True
What should be worn when a procedure has the ability to generate splashes of
potentially infectious substances or hazardous chemicals?
Gowns, Aprons, and Lab Coats.
What shall be worn wherever potentially infectious or hazardous splashes
can occur?
Eye protection and face shields
How long should face shields be?
Chin length
What are some examples of additional PPE that can be worn?
- Caps
- Shoes
- Covers
- Masks
What is CLIP DoD Instruction 6440.02?
Clinical Laboratory Improvement Program (CLIP)
OSHA was created by what and when?
Occupational Safety and Health Act of 1970.
What is apart of the U.S. Department of Labor and is responsible for developing and enforcing workplace safety and health regulations?
Occupational Safety and Health Administration (OSHA)
In addition to OSHA what was also created by the Occupational Safety and Health Act of 1970?
National Institute for Occupational Safety and Health (NIOSH)
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.”?
National Institute for Occupational Safety and Health (NIOSH)
What is an annually revised compendium of all federal laws of the United States published in the Federal Register?
Code of Federal Regulations (CFR)
True or False
Only some states have their own Occupational Safety and Health regulations?
False
Every state has them
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?
Department of Health and Human Services & Medical Waste Management Program
True or False
Medical Departments aboard ships are considered Non-Fixed Medical Treatment Facilities
True
True or False
Medical Departments aboard ships with laboratory capabilities do not have to maintain a Clinical Laboratory Improvement Program (CLIP) certification
False
How often does a CLIP inspection occur?
Every 2 years
Who performs the CLIP inspection?
Medical Laboratory Officer or appointed Laboratory Technician from hospitals in the Area of Responsibility (AOR)
What is the Navy’s version of OSHA?
NAVOSH
What is an agreement between a host nation and military forces?
SOFA
When a host nation’s rules and the Navy’s rules conflict, always go with the more strict rule.
Medical waste that does not contain enough pathogen to be harmful is treated as
general waste is considered what?
Non-infectious
Non-infectious waste includes thing like what?
- Disposable products like diapers and used tissue paper (Not originating from post-partum suites or gynecological surgical
wards.) - 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). - Containers rinsed-free of regulated body fluids.
What is liquid or solid waste containing potential pathogens in sufficient numbers and virulence to cause disease in susceptible hosts exposed to the waste?
Infectious Waste
Is this considered regulated waste?
Liquid or semi-liquid blood or other potentially infectious material
Yes
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.
Yes
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.
Yes
Is this considered regulated waste?
Contaminated sharps
Yes
Is this considered regulated waste?
Pathological or microbiological waste containing blood or other
potentially infectious materials
Yes
What are the regulated body fluids?
- Blood and blood components
- Pleural fluids
- Amniotic fluids
- Synovial fluids
- Peritoneal fluids
- Pericardial fluids
- CSF
- Semen
- Dialysate
What are objects or devices having acute rigid corners, edges, or protuberances
capable of cutting or piercing?
Sharps
True or False
You should segregate waste at the point of origin
True
What kind of waste is placed in standard trashcans and discarded via regular trash procedures?
General, normal or non-infectious waste
What colored biohazard bags is infectious/regulated waste placed in?
red or orange biohazard bags
How must biohazard bags be labeled?
name, address, and phone number of originator along with biohazard symbol
What kind of container are sharps placed in ?
rigid, puncture-resistant, leak proof container
How must sharps containers be labeled?
- Biohazard sign
- Red in color
- name, address and phone number of originator
When must sharps containers be taken out of service ?
- 90 days
- 3/4 full
- foul odor
What dates are written on the outside of the sharps containers?
- Opened date
2. Closed date
How long should you limit storage of infectious waste?
7 days
Disposal of infectious waste ashore must comply with what?
local, state, federal, and/or Status of Forces Agreements (SOFA)
What criteria must be the basis for overboard discharge of infectious waste afloat?
- Endangers health or safety
- Creates unacceptable nuisance
- Compromises combat readiness
What conditions must be met for the over board discharge of infectious waste afloat ?
- CO approval
- Must be greater than 50 nautical miles from shore
- Must be properly packaged and weighted for negative buoyancy
What entries must be made in the ships deck log and medical journal for overboard discharge of infectious waste ?
- Date
- Time
- Ship’s location
- Number of bags
