Lab Safety

Question 1

What type of hazards are present in the laboratory?

Answer 1

Chemical, physical, and biological hazards

Question 2

What is the first priority when handling infectious materials?

Answer 2

Safety

Question 3

Who do you inform of all accidents, exposures, and unsafe conditions?

Answer 3

Chain of Command

Question 4

An in an infectious control strategy designed to reduce the risk of disease transmission?

Answer 4

Universal Precautions

Question 5

Who introduced Universal Precautions and why?

Answer 5

Center for Disease Control, in response to the HIV epidemic (1985)

Question 6

What are the three blood borne pathogens mentioned that we treat all blood as having?

Answer 6

Hep B (HBV) 
Hep C (HCV) 
HIV

Question 7

What fluids do Universal Precautions apply to?

Answer 7

Blood
Tissue
Semen
Other body fluids (there are 9 others)

Question 8

Universal Precautions DO NOT apply to:

Answer 8

Feces
Nasal Secretions 
Sputum 
Sweat 
Tears 
Urine or vomitus (unless they contain blood)

Question 9

When should gloves be worn?

Answer 9

When a person may have contact with a potentially infectious material

When hands are abraded or active dermatitis is present

Question 10

What material are gloves usually made out of?

Answer 10

Latex or Vinyl

Question 11

Face shields must be what length?

Answer 11

Chin length

Question 12

“Goggles must have _________ “

Answer 12

solid side shields

Question 13

Federal Governing Bodies and Guidelines:

Answer 13

OSHA
NIOSH
CFR

Question 14

What created OSHA?

Answer 14

Occupational Safety and Health Act of 1970

Question 15

What Department of the US does OSHA belong to?

Answer 15

US department of labor

Question 16

Which Federal Governing Body: Sets and enforces standards, provides training, outreach and education, establishes partnerships, and encourages continual improvement in workplace safety and health?

Answer 16

Occupational Safety and Health Administration

Question 17

This Federal governing body is in the US department of Health and Human Services?

Answer 17

National Institute for Occupational Safety and Health (NIOSH)

Question 18

Which governing body assures “safe and healthful working conditions for working men and women by providing research, information education, and training the field of occupational safety and health”?

Answer 18

NIOSH

Question 19

Some responsibilities of this Federal governing body include: research to reduce injuries and illnesses in high priority areas, implementing a system of surveillance, increasing prevention activities, and providing occupational safety community with information, training, and capacity to prevent injuries.

Answer 19

NIOSH

Question 20

These guidelines are divided into 50 titles, divided into chapters, and subdivided into parts covering specific regulatory areas: What are they called?

Answer 20

Code of Federal Regulations (CFR)

Question 21

The Code of Federal Regulations has fines and penalties for violating what?

Answer 21

regulations pertaining to the transportation of Hazardous Waste.

Question 22

What is the CA Health and Safety Code, sections 1176000-118360?

Answer 22

Medical Waste Management Act

Question 23

Purpose of the Department of Health and Human Services and Medical Waste Management Program:

Answer 23

to protect the public and the environment from potential infectious exposure to disease causing acts, disseminated through the states for handling, storage, treatment and disposal of medical waste through implementation of the Medical Waste Management Act

Question 24

What type of regulations protect works and the public from safety hazards by enforcing occupational and public safety laws?

Answer 24

Occupational Safety and Health regulations

Question 25

What is the Clinical Laboratory Improvement Program (CLIP) instuction?

Answer 25

CLIP DOD Instruction 6440.02

Question 26

CLIP only applies to which types of Non Fixed Medical Treatment Facilities?

Answer 26

Those with laboratory capibilites

Question 27

What allows for the the testing of clinical samples for utilization in diagnosing patients?

Answer 27

CLIP

Question 28

How often is the CLIP Certification inspection?

Answer 28

every 2 years

Question 29

Who performs the CLIP certification inspection?

Answer 29

Medical Laboratory Officer or appointed Laboratory Technicians from the AOR

Question 30

What are some of the records that must be maintained for CLIP (although more may be required)?

Answer 30

Quality Control on samples, test kits and analyzers Log of refrigerator and freezer temperatures Maintenance logs for equipment maintained by biomed

Question 31

What is the Navy's version of OSHA?

Answer 31

NAVOSH

Question 32

What are the two BUMED instructions associated with infectious waste?

Answer 32

BUMED 6280.1 Series Management of Infectious Waste | NAVEDTRA 14295 Series, Chapter 19

Question 33

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

Answer 33

SOFA

Question 34

What happens when a host nations rule and the Navy's rules conflict?

Answer 34

Always go with the stricter rule

Question 35

Which waste criteria is medical waste that does not contain enough pathogen to be harmful and is treated as general waste?

Answer 35

Non Infections

Question 36

What are some criteria for Non Infectious Waste?

Answer 36

disposable products (diapers, tissue) products from post partum suites/GYN surgery wards small amounts of blood (band aids) disposable products emptied of their contents (bedpans, catheters, NG tubing...) as long as there is no blood

Question 37

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

Answer 37

Infectious Waste

Question 38

What are the regulated body fluids?

Answer 38

``` Blood and blood components Pleural fluids amniotic fluid synovial fluid peritoneal fluid pericardia fluid CSF Semen Dialysate ```

Question 39

Where should you segregate waste?

Answer 39

point of origin

Question 40

How is non infectious waste discarded?

Answer 40

via regular trash procedures

Question 41

How do you dispose of biohazard bags?

Answer 41

double bagged, goose necked, and secured with heavy tape. labeled with name, address, and phone number of originator along with biohazard symbol.

Question 42

What should sharps be placed in?

Answer 42

in a rigid, puncture resistant leak proof container

Question 43

When must sharps containers be taken out of service?

Answer 43

90 days, 3/4 full, or if a foul odor is detected.

Question 44

what are the two dates that must be on the outside of a sharps container in indelible marker?

Answer 44

date opened and date closed

Question 45

criteria for infectious waste storage:

Answer 45

marked with Biohazard and Authorized Personnel Only signs near treatment or transport site and lockable limit storage to 7 days.

Question 46

Who must you comply with when dealing with hazardous waste ashore?

Answer 46

local, state, federal, and/or SOFA

Question 47

Criteria for overboard discharge?

Answer 47

Endangers health or safety creates unacceptable nuisance compromise of combat readiness

Question 48

What are the CONDITIONS for overboard discharge?

Answer 48

CO approval greater than 50 miles negative buoyancy Ships Deck Log and Medical Journal with: Date, Time, Ships location, number of bags