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Clinical Chemistry Laboratory > Laboratory Safety and Regulations > Flashcards

Laboratory Safety and Regulations Flashcards

1
Q

OSHA means _____

A

Occupational Safety and Health
Administration

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2
Q

CLSI means _____

A

Clinical and Laboratory Standards
Institute

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3
Q

CDC means _____

A

Centers for Disease Control and
Prevention

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4
Q

CAP means _____

A

College of American Pathologists

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5
Q

TJC means _____

A

The Joint Commission

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6
Q

The Joint Commission is formerly _____

A

JCAHO

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7
Q

An agency within the U.S. Department of Labor to set levels of safety and health for all workers in the United States

A

OSHA

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8
Q

A nonprofit organization that sets voluntary consensus standards for all areas of clinical laboratories

A

CLSI

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9
Q

A Federal agency that carries out mandated public health laws and reporting requirements

A

CDC

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10
Q

An agency that provides accreditation and proficiency testing for laboratories

A

CAP

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11
Q

An independent, not-for-profit organization that accredits and certifies health-care organizations and programs in the United States

A

TJC

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12
Q

What is/are the source for the chemical type of laboratory hazard?

A

Preservatives and reagents

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13
Q

What is/are the possible injury for the chemical type laboratory hazard?

A

Exposure to toxic carcinogen
Caustic agents

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14
Q

What is/are the source for the sharps type of laboratory hazard?

A

Needles, lancets, and broken glass

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15
Q

What is/are the possible injury for the sharps type of laboratory hazard?

A

Cuts
Punctures
Blood-borne pathogen exposure

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16
Q

What is/are the source for the electrical type of laboratory hazard?

A

Ungrounded or wet equipment
Frayed cords

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17
Q

What is/are the possible injury for the electrical type of laboratory hazard?

A

Burns or shock

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18
Q

What is/are the source for the fire/explosive type of laboratory hazard?

A

Bunsen burners
Organic chemicals

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19
Q

What is/are the possible injury for the fire/explosive type of laboratory hazard?

A

Burns
Dismemberment

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20
Q

What is/are the source for the physical type of laboratory hazard?

A

Wet floors
Heavy boxes
Patients

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21
Q

What is/are the possible injury for the physical type of laboratory hazard?

A

Falls
Sprains or strains

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22
Q

What is/are the source for the radiation type of laboratory hazard?

A

Equipment and radioisotopes

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23
Q

What is/are the possible injury for the radiation type of laboratory hazard?

A

Radiation exposure

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24
Q

What is/are the source for the biological type of laboratory hazard?

A

Infectious agent

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25
Q

What is/are the possible injury for the biological type of laboratory hazard?

A

(Infections) - Bacterial, Fungal, Viral, or Parasitic

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26
Q

Identify the Risk Factor:

Includes pathogens on the hands of medical personnels, invasive procedures (intubation, indwelling vascular lines, urine catheterization)

A

Iatrogenic Risk Factors

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27
Q

Identify the Risk Factor:

Contaminated airconditioning systems, contaminated water systems, staffing and physical layout of the facility

A

Organizational Risk Factor

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28
Q

Identify the Risk Factor:

Severity of illness, underlying state of the patient and length of stay

A

Patient Risk Factor

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29
Q

List down the Potential Hazards:

A
  1. Electric shock, toxic vapors, compressed gases, flammable liquids, radioactive material, and corrosive substances
  2. Mechanical trauma
  3. Poisons
  4. Inherent risks of handling biologic materials
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30
Q

List down the Primary Cause of Accidents:

A
  1. Unsafe Acts (not always recognized by personnel)
  2. Unsafe Environmental Conditions
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31
Q

First rule of self protection is _____

A

Alertness at all times

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32
Q

Safety begins with the recognition of hazards
and is achieved through:

A
  1. Application of common sense
  2. Safety-focused attitude
  3. Good personal behavior
  4. Good housekeeping in all laboratory work and storage areas
  5. Continual practice of good laboratory technique
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33
Q

Preventive Measures:

A
  • Annual safety reviews
  • Safety drills
  • General consciousness
  • Appropriate orientation to safety rules
  • Safe work environment
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34
Q

Heat sterilization time and temperature

A

250 degree Celsius for 15 minutes

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35
Q

Preferred amount and time of Ethylene Oxide for inactivation:

A

450/500 mg/L at 55 to 60 degree Celsius

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36
Q

Percentage of Glutaraldehyde for inactivation

A

2% Glutaraldehyde

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37
Q

Percentage of Hydrogen peroxide for inactivation

A

10% Hydrogen peroxide

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38
Q

Safety showers must deliver how many gallons of water per minutes?

A

30-50 gallons

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39
Q

Safety showers deliver 30 - 50 gallons of
water per minute at _____

A

20-50 pounds per square inch (psi)

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40
Q

Expel noxious and hazardous fumes from chemical reagents

A

Fume Hoods

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41
Q

How do we check the airflow direction?

A

By placing a tissue paper at the opening of the hood

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42
Q

This is done to locate no flow or turbulent areas in the working space

A

Smoke Testing

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43
Q

Remove particles that may be harmful to the employee who is working with potentially
infectious biologic specimens

A

Biosafety Cabinet

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44
Q

All Clinical Laboratory should have:

A

Chemical Hygiene Plan
Exposure Control Plan
Copy of MSDS

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45
Q

Disinfect the spill site using approved disinfectant or _____ using appropriate contact time

A

10% bleach

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46
Q

Identify the Category of Exposure:

Daily exposure to blood and body fluids

A

Category I

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47
Q

Identify the Category of Exposure:

Regular exposure to blood and body fluids

A

Category II

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48
Q

Identify the Category of Exposure:

No exposure to blood and body fluids

A

Category III

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49
Q

How many Categories of Exposure is there?

A

Three Categories of Exposure

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50
Q

In the NFPA Labeling System, what color designates flammability?

A

Red

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51
Q

Red color in the NFPA Labeling System indicates _____

A

Flammabiliy

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52
Q

In the NFPA, what color indicates Health Hazard?

53
Q

Blue color in the NFPA Labeling System indicates _____

A

Health Hazard

54
Q

In the NFPA, what color indicates Reactivity Level?

55
Q

Yellow color in the NFPA Labeling System indicates _____

A

Reactivity Level

56
Q

In the NFPA, what color indicates Special Considerations/Personal Protection?

57
Q

White color in the NFPA Labeling System indicates _____

A

Special Considerations/Personal Protection

58
Q

Communicates chemical hazard
information through the use of
colors, numbers and letters of the
alphabet

A

Hazardous Materials Identification
System (HMIS)

59
Q

Identify if HMIS or NFPA:

Intended to be used by employers and
workers

60
Q

Identify if HMIS or NFPA:

Intended to be used by emergency response personnel

61
Q

Identify if HMIS or NFPA:

Bar shape

62
Q

Identify if HMIS or NFPA:

Diamond shape

63
Q

Identify if HMIS or NFPA:

Covers both acute and chronic health
hazards

64
Q

Identify if HMIS or NFPA:

Only covers acute health hazards

65
Q

Identify if HMIS or NFPA:

Shows recommended PPE

66
Q

Identify if HMIS or NFPA:

Used to display other special hazards

67
Q

SDS Section 1

A

Identification

68
Q

SDS Section 2

A

Hazard Identification

69
Q

SDS Section 3

A

Ingredient Information

70
Q

SDS Section 4

A

First Aid Procedures

71
Q

SDS Section 5

A

Fire-fighting Procedures

72
Q

SDS Section 6

A

Accidental-release Measures

73
Q

SDS Section 7

A

Handling and Storage

74
Q

SDS Section 9

A

Exposure Controls and Personal Protection

75
Q

SDS Section 10

A

Stability and Reactivity

76
Q

SDS Section 11

A

Toxicological Information

77
Q

SDS Section 12

A

Ecological Information

78
Q

SDS Section 13

A

Disposal Consideration

79
Q

SDS Section 14

A

Transport Information

80
Q

SDS Section 15

A

Regulatory Information

81
Q

SDS Section 16

A

Other Information, Including Date of Preparation or Last Revision

82
Q

Identify the Section on SDS:

Identification

83
Q

Identify the Section on SDS:

Hazard Identification

84
Q

Identify the Section on SDS:

Ingredients Information

85
Q

Identify the Section on SDS:

First Aid Procedures

86
Q

Identify the Section on SDS:

Fire-fighting Procedures

87
Q

Identify the Section on SDS:

Accidental-release Measures

88
Q

Identify the Section on SDS:

Handling and Storage

89
Q

Identify the Section on SDS:

Exposure Controls and Personal Protection

90
Q

Identify the Section on SDS:

Physical and Chemical Properties

91
Q

Identify the Section on SDS:

Stability and Reactivity

A

Section 10

92
Q

Identify the Section on SDS:

Toxicological Information

A

Section 11

93
Q

Identify the Section on SDS:

Ecological Information

A

Section 12

94
Q

Identify the Section on SDS:

Disposal Considerations

A

Section 13

95
Q

Identify the Section on SDS:

Transport Information

A

Section 14

96
Q

Identify the Section on SDS:

Regulatory Information

A

Section 15

97
Q

Identify the Section on SDS:

Other Information, Including Date of Preparation or Last Revision

A

Section 16

98
Q

The temperature at which sufficient vapor is given off to form an ignitable mixture with air

A

Flash Point

99
Q

Injurious to the skin or eyes by direct contact or to the tissue of the respiratory and gastrointestinal tracts if inhaled or ingested

A

Corrosive Chemicals

100
Q

Spontaneously explode or ignite or that evolve heat or flammable or explosive gases

A

Reactive Chemicals

101
Q

Radiation monitoring utilizes film badge or survey meter. The maximum permissible dose is _____

A

5000 mrem/year whole body

102
Q

A test that involves wiping laboratory surfaces with moistened absorbent material and the radiation contained in each wipe is counted

A

Wipe Test/Leak Test

103
Q

Compressed Gases Hazards

A

Danger of Fire
Explosion
Asphyxiation
Mechanical Injuries

104
Q

Identify the Class of Fire:

Ordinary combustible: Wood, Paper, Cloth, etc

105
Q

Identify the Class of Fire:

Flammable Liquids/Gasses and Combustible Petroleum Products

106
Q

Identify the Class of Fire:

Energized Electrical Equipment, Motors, Switches

107
Q

Identify the Class of Fire:

Combustible/Reactive Metals (Mg, Na, K)

108
Q

Identify the Class of Fire:

Detonation

109
Q

What type of Fire Extinguisher is used for Class A type of Fire?

A

ABC Dry Chemical
Halotron
Water
Foam

110
Q

What type of Fire Extinguisher is used for Class B type of Fire?

A

ABC Dry Chemical
BC Dry Chemical
Purple K
Carbon Dioxide
Halotron
Foam

111
Q

What type of Fire Extinguisher is used for Class C type of Fire?

A

ABC Dry Chemical
BC Dry Chemical
Purple K
Carbon Dioxide
Halotron

112
Q

What type of Fire Extinguisher is used for Class D type of Fire?

A

Dry Powder

113
Q

What type of Fire Extinguisher is used for Class K type of Fire?

A

Wet Chemical

114
Q

_____ requires that all health-care institutions post evacuation routes and detailed plans to follow in the event of a fire

A

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO)

115
Q

The “R” in the RACE acronym means _____

116
Q

The “A” in the RACE acronym means _____

117
Q

The “C” in the RACE acronym means _____

118
Q

The “E” in the RACE acronym means _____

A

Extinguish

119
Q

How to operate the Fire Extingusiher?

A

PULL pin
AIM noozle
SQUEEZE trigger
SWEEP noozle

120
Q

Most widely used cryogenic fluids (liquefied gases) in the laboratory

A

Liquid Nitrogen

121
Q

Help eliminate bumping/boil over when liquids are heated

A

Glass Beads

122
Q

Enumerate the Hierarchy of Controls from the Most Effective to the Least Effective

A

Elimination
Substitution
Engineering Controls
Administration Controls
Personal Protective Equipment

123
Q

Completely remove the hazard from the workplace or the process, thus eliminating the risk entirely

A

Elimination

124
Q

Replace the hazardous material, process, or equipment with a safer alternative.

A

Substitution

125
Q

Implement physical modifications to the workplace or equipment to isolate workers from the hazard or reduce
exposure.

A

Engineering Controls

126
Q

Develop and implement safety policies, procedures, and training to reduce the likelihood of exposure to hazards.

A

Administrative Controls

127
Q

Provide workers with appropriate PPE, such as gloves, respirators, or protective clothing, to protect against the identified hazard.

A

Personal Protective Equipment (PPE)

128
Q

What is the 4 Basic Waste Disposal Technique?

A

Flushing down the drain
Incineration
Landfill burial
Recycling

129
Q

Special waste from health care facilities

A

Medical Waste

Clinical Chemistry Laboratory (2 decks)

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