Laboratory Safety Flashcards
kills all forms of microbial life
sterilization
destroys pathogenic organisms
Disinfection
removal of pathogenic microorganisms
Decontamination
Sterilization, disinfection, and decontamination are affected by?
Organic load
Type of organism present
Concentration and exposure time
Physical and chemical nature of the surface
Temperature
pH
Humidity
Presence of biofilm
What are the methods of sterilization
Incineration
Moist heat
Dry heat
Filtration
Ionizing (gamma) radiation
Chemicals
Temp for Incineration
870-980 degrees
what method of sterilization has the safest method
Incineration
Methods capable of destroying prions and infective proteins
Incineration
Steam under pressure
Moist heat
Temp for moist heat
121 and 132 degrees
the fastest and simplest method of sterilization
Moist heat
An example of moist heat
Autoclave
How long does dry heat sterilization typically require for effective sterilization?
1.5-3 hours
What temperature range is used for dry heat sterilization?
160-180 degrees
What types of materials are suitable for sterilization using dry heat?
Glasswares
Oil
Petrolatum
Powders
which has higher temperature? Moist heat or dry heat
Dry heat
What types of substances can be sterilized using filtration?
Antibiotic solutions, toxic chemicals, radioisotopes, vaccines, and carbohydrates
What type of membrane is used for liquid filtration and how is it operated?
Cellulose acetate or cellulose nitrate membrane with vacuum
What type of filter is used for air filtration
High efficiency particulate air (HEPA) filter
what is HEPA particle size efficiency ?
(0.3 μm)
HEPA means
High efficiency particulate air
What type of sterilization is suitable for disposable items?
Ionizing (gamma) radiation
What is the most common chemical used for sterilization in gaseous form?
Ethylene oxide
What sterilization method is suitable for HEPA filters, metals, and nonmetal devices such as medical instruments?
Vapor-phase hydrogen peroxide
What is another chemical sterilization method besides vapor-phase hydrogen peroxide?
Hydrogen peroxide gas plasma
What are the Physical methods of disinfection
Boiling
Pasteurizing
Nonionizing radiation
What type of disinfection method uses 100°C for 15 minutes?
Boiling
What temperature and duration are used for boiling to disinfect vegetative bacteria?
100°C for 15 minutes
What temperature and duration are used for pasteurizing to eliminate food pathogens?
70°C for 30 minutes
What type of nonionizing radiation is used for disinfection?
UV light
What is the purpose of pasteurizing at 70°C for 30 minutes?
To eliminate food pathogens
What kind of bacteria are targeted by boiling at 100°C for 15 minutes?
Vegetative bacteria
What are the chemical methods of disinfection
Alcohols
Aldehydes
Halogens
Peracetic acid
Hydrogen peroxide
Quaternary ammonium
Phenolics
What concentration range of alcohol is effective for disinfection?
60-90% ethyl or isopropyl alcohol solution
Which aldehydes are used as disinfectants and how long do they take to be sporicidal?
Formaldehyde and Glutaraldehyde (sporicidal in 3-10 hours)
What chemical is used for surface disinfection of surgical instruments?
Peracetic acid
What concentration of hydrogen peroxide is used for disinfecting inanimate objects?
3% hydrogen peroxide
Which disinfectant is commonly used on bench tops or other surfaces?
Quaternary ammonium compounds
What type of phenolics is used for disinfection, and what is a common example?
Derivatives of carbolic acid (phenol);
example: Amphyl
What is a widely used antiseptic
Iodine
What concentration of alcohol is used as an antiseptic?
70% alcohol
What concentration of silver nitrate is used as an antiseptic?
1% silver nitrate
What labeling system is used to identify hazardous chemicals in the workplace?
National Fire Protection Association (NFPA) label
What is the purpose of a chemical hygiene plan?
To provide guidelines on proper labeling of chemical containers
What document provides detailed information about the safety and handling of chemicals?
Material Safety Data Sheets (MSDSs)
What is required for chemical safety training in the workplace?
Written chemical safety training and retraining programs
What is the primary function of fume hoods in a laboratory?
To protect against chemical odor
They protect against chemical odor,
but they are not HEPA-filtered to trap
pathogenic microorganisms
Fume hood
Are fume hoods HEPA-filtered to trap pathogenic microorganisms?
No
NFPA diamond: Blue
Health hazard
NFPA diamond: Red
Fire hazard
NFPA diamond: white
special hazard
NFPA diamond: yellow
Instability / reactivity hazard
What types of materials does a Type A fire extinguisher protect against?
Trash, wood, paper
What type of fires is a Type B fire extinguisher used for?
chemical fires
What kind of fires does a Type C fire extinguisher address?
Electrical fires
In case of a fire remember the ____ acronym
RACE
Race acronym means
Rescue
Alarm
Contain
Extinguish
What year did the CDC introduce Universal Precautions?
1987
What were Universal Precautions introduced by the CDC in 1987 aimed at reducing?
The risk of HBV transmission in clinical laboratories and blood banks
What do Standard Precautions, established in 1996, state about blood and body fluids?
All blood and body fluids from every patient should be treated as potentially infectious
Which body fluid is excluded from the Standard Precautions guidelines?
Sweat
Which guidelines apply to clinical laboratories and blood banks regarding infection risk?
Universal Precautions and Standard Precautions
In what year were Standard Precautions established?
1996
What symbol should be prominently displayed on laboratory doors and equipment containing infectious material?
Biohazard symbol
Its primary purpose is to To protect workers from aerosol exposure to infectious disease agents
Biological Safety Cabinet (BSC)
How is air sterilized in a Biological Safety Cabinet?
By heat, UV light, or most commonly, by passage through a HEPA filter
The classifications of Biological Safety Cabinets based on
the containment levels
What BSC class, Allows room air to pass in and sterilizes only the exhausted air
Class I BSC
BSC Class: operates under negative pressure.
Class I
What BSC class Sterilizes air that flows over the infectious material and the exhausted air
Class II
True or false:
Class II A recirculates 75% of the air into the work area, while Class II B exhausts air inside the building and is used for hazardous materials.
False,
Class II A- 70%
Class II B- exhaust outside
What BSC class has the most protection to the worker
Class III
BSC Class: Vertical laminar flow BSC
BSC Class II
What class II :self-contained, 70% of the air is recirculated into the work area
Class II A
What Class II : exhaust air is discharged outside the building, radioisotopes,
toxic chemicals, or carcinogens
Class II B
What BSC class : Completely enclosed and have negative pressure
Class III
what mask to be used for procedures generating airborne and droplets
FFP3 respirator
What prophylaxis is recommended in the event of exposure to Hepatitis B?
Hepatitis B virus immunoglobulin (HBIG) or HBV booster immunization
what are the classification of biologic agents based on hazard
Biosafety level 1,2,3,4
BSL level : Agents with no known potential for infecting healthy people that are well defined and characterized
BSL-1
BSL level: Bacillus subtilis and Naegleria gruberi
BSL-1
Which biosafety level is most commonly sought in clinical specimens
BSL-2
BSL level : HIV, HBV, and Salmonella
BSL-2
BSL level : Organisms unlikely to be encountered in routine clinical laboratories
BSL-3
Example of organism handled at BSL-3
Mycobacterium tuberculosis
Coxiella burnetii
mold stages of fungi
How are materials suspected of containing Biosafety Level 3 (BSL-3) organisms primarily transmitted?
By infectious aerosol
What biosafety level involves handling exotic agents that are high risk and cause life-threatening disease?
Biosafety Level 4 (BSL-4)
What are examples of agents that require Biosafety Level 4 (BSL-4) containment?
Marburg virus and Congo-Crimean hemorrhagic fever
What type of containment is required for procedures at Biosafety Level 4 (BSL-4)?
Maximum containment, typically performed under a Class III Biological Safety Cabinet (BSC)
Which biosafety level includes agents such as the Marburg virus?
Biosafety Level 4 (BSL-4)
Which biosafety level would handle Congo-Crimean hemorrhagic fever virus?
BSL-4