Laboratory Safety

Question 1

What activities are prohibited inside a lab?

Answer 1

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

No 🐴 play.

Question 2

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

Answer 2

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

Question 3

Inform the chain of command of all…

Answer 3

Accidents, exposures, unsafe conditions.

Question 4

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

Answer 4

The HIV epidemic in 1985.

Question 5

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

Answer 5

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

Question 6

Universal Precautions apply to what?

Answer 6

Blood

Tissue

Semen

Other bodily fluids (there are 9 additional fluids)

Question 7

Universal Precautions do not apply to what fluids?

Answer 7

Feces

Nasal secretions

Sputum

Sweat

Tears

Urine or vomit unless they contain blood

Question 8

What two conditions are healthcare workers at increased risk of?

Answer 8

Hep B and HIV

Question 9

What type of clothing is not considered PPE?

Answer 9

General work clothes

Question 10

What are the components of PPE?

Answer 10

Gloves

Gowns, aprons and lab coats

Eye protection and face shields

Other equipment:

• Caps
• Shoes
• Covers
• Masks

Question 11

What are some additional situations where gloves must be worn?

Answer 11

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

Question 12

When should gowns, aprons or lab coats be worn?

Answer 12

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

Question 13

Face shields and goggles should be designed to do what?

Answer 13

Cover the chin

Goggles must have solid sides.

Question 14

When was the Occupational Safety and Health Administration act established?

Answer 14

1970

Question 15

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

Answer 15

OSHA

Question 16

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

Answer 16

National Institute for Health and Human Services

Question 17

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.

Answer 17

NIOSH

Question 18

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

Answer 18

NIOSH

Question 19

The Code of Federal Regulations is reviewed how often?

Answer 19

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

Question 20

What are the occupational safety organizations at the state level?

Answer 20

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

Question 21

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

Answer 21

DODINST 6440.02

Question 22

What entities must maintain a CLIP certification?

Answer 22

Medical departments aboard ships with laboratory capabilities.

They are considered “non fixed MTFs.”

Question 23

CLIP inspections occur how often? Who performs them?

Answer 23

Every two years.

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

Question 24

CLIP records must be maintained and include what information?

Answer 24

Quality control on samples, test kits and analyzers.

Log of refrigerator and freezer temps.

Maintenance logs for all equipment maintained by Bio Med.

Question 25

What two BUMED instructions/references govern Navy labs?

Answer 25

BUMEDINST 6280.1 Management of Infectious Waste NAVEDTRA 14295 Ch. 19

Question 26

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

Answer 26

The stricter rule.

Question 27

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

Answer 27

General waste.

Question 28

General waste criteria includes:

Answer 28

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.

Question 29

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

Answer 29

Infectious waste.

Question 30

Infection waste criteria includes:

Answer 30

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.

Question 31

What are the regulated body fluids?

Answer 31

Blood and blood components Pleural fluids Amniotic fluid Synovial fluid Peritoneal fluid Pericardial fluid CSF Semen Dialysate

Question 32

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

Answer 32

True

Question 33

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

Answer 33

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.

Question 34

How are biohazard bags secured?

Answer 34

Double bagged, goose necked, secured with heavy tape.

Question 35

Biohazard bags must be labeled with:

Answer 35

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

Question 36

Where are sharps placed and how are they labeled?

Answer 36

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.

Question 37

When must sharps containers be taken out of service?

Answer 37

90 days. 3/4 full. If a foul odor is detected.

Question 38

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

Answer 38

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.

Question 39

Disposal ashore requires monitoring procedures to include:

Answer 39

Date Time Amount Type Disposition

Question 40

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

Answer 40

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

Question 41

The following conditions must be met for disposal overboard:

Answer 41

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

Question 42

How do you handle and dispose of unused medical supplies?

Answer 42

As infectious.