LABORATORY SAFETY Flashcards
_____ are potentially dangerous places where chemical, physical and biological hazards exist.
Laboratories…..
what is the first priority when handling infectious materials?
Safety
Inform the what 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.
-All blood and other potentially infectious materials are treated as if infected with blood borne pathogens, including:
(a) Hepatitis B (HBV).
(b) Hepatitis C (HCV).
(c) Human Immunodeficiency Virus (HIV).
Universal Precautions:
Universal precautions apply to:
(a) Blood.
(b) Tissue.
(c) Semen
(d) Other body fluids (there are an 9 additional fluids that are applicable).
Universal precautions do not apply to:
(a) Feces.
(b) Nasal secretions.
(c) Sputum.
(d) Sweat.
(e) Tears.
(f) Urine or vomitus unless they contain blood.
True/False
General work clothes are considered PPE.
FAlse
not
True/False
General work clothes are considered PPE.
False
not
True/False
All PPE must be removed and hands must be washed before leaving the work area.
True
What is the Clinical Laboratory Improvement Program (CLIP) instruction?
CLIP DoD Instruction 6440.02
All blood and other potentially infectious materials are treated as if infected with blood borne pathogens, to include:
(a) Hepatitis B (HBV).
(b) Hepatitis C (HCV).
(c) Human Immunodeficiency Virus (HIV).
Medical departments aboard ships are considered Non-Fixed Medical Treatment Facilities, those with laboratory capabilities must maintain a __________________ certification. This certification allows the testing of clinical samples for utilization in diagnosing patients.
Clinical Laboratory Improvement Program (CLIP)
CLIP Inspection: Usually occurs every ________. Performed by a _________________ or a __________ from hospitals in the Area of Responsibility (AOR)
- two years
- Medical Laboratory Officer or appointed Laboratory Technician
What records must be maintained in the lab?
a) Quality control on samples, test kits and analyzers.
b) Log of refrigerator and freezer temperatures.
c) Maintenance logs for equipment maintained by biomed
True/False
Ships may request a technical assist visit from AOR’s hospital prior to Medical Readiness Inspections or for help to become compliant
True
The Navy’s version of OSHA
NAVOSH
BUMED: Bureau of Medicine and Surgery lab safety references
1) BUMED 6280.1 Series Management of Infectious Waste
2) NAVEDTRA 14295 Series, Chapter 19.
What is an agreement between a host nation and military forces.
SOFA
SOFA: When a host nation’s rules and the Navy’s rules conflict, what do you use?
always go with the more strict rule
What governmental body
- An annually revised compendium of all federal laws of the United States published in the Federal Register.
- This has regulations pertaining to the transportation of Hazardous waste, and if violated there are fines and penalties.
Code of Federal Regulations (CFR)
Non-infectious Medical waste that does not contain enough pathogen to be harmful is treated as _______
general waste
Infectious or Non infectious
Disposable products like diapers and used tissue paper.
a) Not originating from post-partum suites or gynecological surgical wards.
b) Containing very small amounts of blood or other bodily fluids (e.g., Band-aids).
Non infectious
Infectious or Non infectious
Containers rinsed-free of regulated body fluids.
Non infectious
infectious or Non infectious
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).
Non infectious
infectious or Non infectious
Liquid or solid waste containing potential pathogens in sufficient numbers and virulence to cause disease in susceptible hosts exposed to the waste.
infectious
This is criteria for what?
(1 Liquid or semi-liquid blood or other potentially infectious material.
(2 Contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed.
(3 Items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling.
(4 Contaminated sharps
(5 Pathological or microbiological waste containing blood or other potentially infectious materials.
Regulated waste
Regulated/Nonregulated body fluids? (a Blood and blood components. (b Pleural fluids (c Amniotic fluid (d Synovial fluid (e Peritoneal fluid (f Pericardial fluid (g CSF (h Semen. (i Dialysate
Regulated
True/False
Regulated body fluids should not be flushed in the toilet or the hopper.
False
They can be flushed
Biohazard bags are emptied how often?
Daily
Infectious/Regulated Waste is placed in what color bags?
red or orange biohazard bags
Biohazard Bags must be labeled with what?
name, address, and phone number of originator along with biohazard symbol.
Infectious Waste Storage is limited how long?
7 days
The sharps container is taken out of service after _____ days when it is _____ full or if _______________
90 days
3/4 Full
foul odor detected
Ashore Waste disposal Monitoring system will include:
1) Date
2) Time
3) Amount
4) Type
5) Disposition
What criteria is the basis for requesting overboard discharge of infectious waste?
One of these
a) Endangers health or safety.
b) Creates unacceptable nuisance.
c) Compromise of combat readiness.
What the conditions for overboard discharge
a) CO’s approval
b) Must be greater than 50 nautical miles from shore.
c) Must be properly packaged and weighted for negative buoyancy.
d) Entries must be made in ship’s deck log and medical journal
What entries must be made in ship’s deck log and medical journal
(1 Date.
(2 Time
(3 Ship’s location
(4 Number of bags
What are some disinfectants approved by Environmental Protection Agency and for shipboard use
vesphene, diluted bleach 10%
