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Laboratory > Laboratory Safety > Flashcards

Laboratory Safety Flashcards

1
Q

What activities are prohibited inside a lab?

A

Eating, drinking, smoking, applying cosmetics, handling contacts.

No 🐴 play.

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2
Q

Lab personnel should take care during procedures to minimize the formation of what?

A

Droplets, spatters, splashes, spills of blood or bodily fluid.

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3
Q

Inform the chain of command of all…

A

Accidents, exposures, unsafe conditions.

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4
Q

Universal Precautions were created by the CDC in response to what?

A

The HIV epidemic in 1985.

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5
Q

All blood and body fluids must be treated as if infected by?

A

Blood borne pathogens such as Hep B, Hep C and HIV

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6
Q

Universal Precautions apply to what?

A

Blood

Tissue

Semen

Other bodily fluids (there are 9 additional fluids)

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7
Q

Universal Precautions do not apply to what fluids?

A

Feces

Nasal secretions

Sputum

Sweat

Tears

Urine or vomit unless they contain blood

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8
Q

What two conditions are healthcare workers at increased risk of?

A

Hep B and HIV

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9
Q

What type of clothing is not considered PPE?

A

General work clothes

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10
Q

What are the components of PPE?

A

Gloves

Gowns, aprons and lab coats

Eye protection and face shields

Other equipment:

  • Caps
  • Shoes
  • Covers
  • Masks
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11
Q

What are some additional situations where gloves must be worn?

A

If the persons hands are abraded or active dermatitis is present.

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12
Q

When should gowns, aprons or lab coats be worn?

A

When a procedure has the ability to generate splashes of infectious substances or hazardous chemicals.

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13
Q

Face shields and goggles should be designed to do what?

A

Cover the chin

Goggles must have solid sides.

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14
Q

When was the Occupational Safety and Health Administration act established?

A

1970

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15
Q

This entity is under the Department of Labor and is responsible for developing and enforcing workplace safety and health regulations

A

OSHA

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16
Q

This organization was created by the Occupational Safety and Health Act of 1970 and is under the Department of Health and Human Services

A

National Institute for Health and Human Services

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17
Q

This organization’s mission is to assure safe and healthful working conditions by providing research, information, education and training in the field of occupational safety and health.

A

NIOSH

18
Q

This organization is responsible for implementing a system of surveillance for major workplace illnesses, injuries, etc.

A

NIOSH

19
Q

The Code of Federal Regulations is reviewed how often?

A

Annually. It is a compendium of all federal laws of the US published in the Federal Register.

20
Q

What are the occupational safety organizations at the state level?

A

California Division of Occupational Safety and Health

Public Health Department

Department of Health and Human Services and Medical Waste Management Program

Occupational Safety and Health Regulations

21
Q

What is the instruction number for the Navy’s Clinical Laboratory Improvement Program?

A

DODINST 6440.02

22
Q

What entities must maintain a CLIP certification?

A

Medical departments aboard ships with laboratory capabilities.

They are considered “non fixed MTFs.”

23
Q

CLIP inspections occur how often? Who performs them?

A

Every two years.

A medical laboratory officer or appointed lab tech in the AOR.

24
Q

CLIP records must be maintained and include what information?

A

Quality control on samples, test kits and analyzers.

Log of refrigerator and freezer temps.

Maintenance logs for all equipment maintained by Bio Med.

25
Q

What two BUMED instructions/references govern Navy labs?

A

BUMEDINST 6280.1 Management of Infectious Waste

NAVEDTRA 14295 Ch. 19

26
Q

When a SOFA between a host nation and military force’s rules conflict, whose rules do you go with?

A

The stricter rule.

27
Q

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

A

General waste.

28
Q

General waste criteria includes:

A

1) Disposable products like diapers and used tissue paper.
2) Does not originate from post-partum suites or gynecological surgical wards.
3) Contains very small amounts of blood/bodily fluids.
4) Disposable products like bedpans, urinary catheters, and NG tubes that have been emptied of their contents (and didn’t contain blood).
5) Containers rinsed free of regulated body fluids.

29
Q

This is a liquid or solid waste containing potential pathogens in sufficient numbers and virulence to cause disease.

A

Infectious waste.

30
Q

Infection waste criteria includes:

A

1) Liquid or semi liquid blood/fluid.
2) Contaminated items that would release blood/fluid in a liquid/semi liquid state if compressed.
3) Items caked with dried blood or fluids that can release these materials during handling.
4) Contaminated sharps.
5) Pathological or microbiological waste containing blood or other infectious material.

31
Q

What are the regulated body fluids?

A

Blood and blood components

Pleural fluids

Amniotic fluid

Synovial fluid

Peritoneal fluid

Pericardial fluid

CSF

Semen

Dialysate

32
Q

T/F: Regulated body fluids can be flushed down the toilet or hopper.

A

True

33
Q

Where should waste be segregated and what are the disposal procedures?

A

Point of origin.

General waste is placed in standard trash cans and discarded via normal procedures.

Infectious or regulated waste is placed in red biohazard bags and discarded daily.

34
Q

How are biohazard bags secured?

A

Double bagged, goose necked, secured with heavy tape.

35
Q

Biohazard bags must be labeled with:

A

Name, address, phone number of originator along with the biohazard symbol.

36
Q

Where are sharps placed and how are they labeled?

A

In a rigid, puncture resistant, leak proof container.

Must have a biohazard label or be red.

Labeled with name, address and phone number of originator.

Date opened and closed on the outside in indelible marker.

37
Q

When must sharps containers be taken out of service?

A

90 days.

3/4 full.

If a foul odor is detected.

38
Q

What are the requirements for infectious waste storage, and how long can it be stored?

A

Mark exterior with Biohazard and Authorized Personnel Only

Be near treatment or transport site and lockable.

Clean and free of pests and rodents.

Limit storage to 7 days.

39
Q

Disposal ashore requires monitoring procedures to include:

A

Date

Time

Amount

Type

Disposition

40
Q

Disposal afloat requires one of the following criteria to be met for overboard discharge.

A

1) Endangers health or safety.
2) Creates unacceptable nuisance.
3) Compromise of combat readiness.

41
Q

The following conditions must be met for disposal overboard:

A

CO’s approval.

Greater than 50nm from shore.

Properly packaged and weighted for negative buoyancy.

Entries made in the deck log and medical journal indicating:

  • Date
  • Time
  • Ship’s location
  • Number of bags
42
Q

How do you handle and dispose of unused medical supplies?

A

As infectious.

Laboratory (4 decks)

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