Lan Safety Flashcards
SAFETY AGENCIES & ORGANIZATIONS
(5)
● U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA)
● Clinical and Laboratory Standards Institute (CLSI)
● CDC, part of the U.S. Department of Health and Human Services (DHHS), Public Health Service
● College of American Pathologists (CAP)
● The Joint Commission (The Joint Commission on Accreditation of Healthcare Organizations)
OSHA
U.S. Department of Labor’s Occupational Safety and Health Administration (OSHA)
(CLSI)
Clinical and Laboratory Standards Institute
(DHHS)
CDC, part of the U.S. Department of Health and Human Services, Public Health Service
(CAP)
College of American Pathologists
(The Joint Commission on Accreditation of Healthcare Organizations)
The Joint Commission
OSHA
What public law?
Public Law 91-596
OSHA
Public Law 91-596
Enacted by US Congress in
1970
OSHA Goals
Goals: Provide all employees with a safe work environment
OSHA (Occupational Safety and Health Administration)
(2)
✓ Inspection
✓ Accreditation
Establish lab work methods & safety policies
Employer’s responsibility
Provide supervision & guidance to employees
Employer’s responsibility
Provide safety info, training, PPE & medical surveillance to employees
Employer’s responsibility
Provide & maintain equipment & lab facilities that are adequate for the tasks required
Employer’s responsibility
Know & comply with the established lab work safety methods
EMPLOYEE’S RESPONSIBILITIES
Have a positive attitude toward supervisors, coworkers, facilities & safety training
EMPLOYEE’S RESPONSIBILITIES
Give prompt notification of unsafe conditions or practices to the immediate supervisor and ensure that unsafe conditions and practices are corrected
EMPLOYEE’S RESPONSIBILITIES
Engage in the conduct of safe work practices and use of PPE
EMPLOYEE’S RESPONSIBILITIES
OSHA’S 3 LINE OF DEFENSE
Engineering Controls
Administrative and Work Practice Controls
Personal Protective Equipment
Eliminate the hazard or isolate workers from the source through engineered controls.
Engineering Controls
Change the way people work through administrative and work practice controls.
Administrative and Work Practice Controls
Protect workers with personal protective equipment.
Personal Protective Equipment
HIERARCHY OF CONTROLS
ESEAP
1) Elimination
2) Substitution
3) Engineering controls
4) Administrative controls
5) PPE
Physically remove the hazard
Elimination
Replace the hazard
Substitutions
Isolate people from the hazard
Engineering controls
Change the way people work
Administrative contorls
Protect the worker with Personal Protective Equipment
PPE
Do you need to use a blade?
ELIMINATION
Can you use a safer blade?
SUBSTITUTION
Does a human have то do the cutting?
ENGINEERING CONTROLS
Can the worker use a safer
cutting method?
ADMINISTRATIVE CONTROLS
Worker should use cut-resistant gloves.
PPE
remove the hazard from the workplace or create a barrier between the worker and the hazards
Engineering controls
Engineering controls example
installing physical barriers such as bullet-resistant enclosures
Engineering controls (12)
- Puncture-resistant containers
- Safety needles
- Biohazard bags
- Splash guards
- Volatile liquid carriers
- Centrifuge safety buckets
- Biological safety cabinets
- Fume hoods
- Mechanical pipetting devices
- Computer wrist/ arm pads
- Sensor-controlled sinks
- Foot/knee/elbow-controlled faucets
○ Protects the worker = least effective
○ Ex. Gloves, Goggles, Face Mask, Lab Gowns
PPE
○ Change the way people work
○ More on documents = policies & procedures/practices that provides safer methods
○ Ex. Curfews during the Pandemic
Administrative Controls
○ Isolate people from the hazards
○ Focused more on building structures
○ Can involve machines to do the work
○ Ex. Barriers used against COVID-19
Engineering Controls
○ Use a safer alternative & replace the hazard
○ Ex. Replace knife w/o handle to a knife w/ a handle
Substitution
○ Physically remove the hazard
○ Ex. Replace knife w/ blender to cut something
Elimination
● Remove the hazard from the workplace
● Create a barrier between the worker and the hazard
● Ex. Installing physical barriers such as bullet-resistant enclosures
ENGINEERING CONTROLS
Color
Infectious waste which requires disposal by incineration
YELLOW
Color
Infectious waste which may be treated to render it safe prior to disposal or alternatively it can be incinerated
ORANGE
Offensive/hygiene waste which may be landfilled in permitted or licensed sites
YELLOW & BLACK
Color
Non hazardous medicinal waste, which requires incineration in a suitably permitted facility
GREEN
Color
Cytotoxic or cytostatic which must be incinerated in a licensed or permitted facility
PURPLE
Color
Domestic waste which does not contain sharps, medicinal waste
or infectious materials
BLACK
Non-infectious dry waste
Black
Non-infectious wet waste (kitchen, dietary, etc.)
Green
Infectious & Pathological waste
Yellow
Chemical waste including those w/ heavy metals
Yellow and Black Band
Radioactive waste
Orange
Sharps & pressurized containers
Red
Fume Hoods
● No filtration of air
● Exhausts chemical fumes outside the laboratory
● Suitable for chemical and non-sterile work
● Never used for infectious agents
● HEPA filtration of air intake and exhaust
● Recirculates filtered air in to laboratory
● Ensure sterility
Biosafety Cabinets
● NO Sample protection
● YES Operator protection
Fume hood
● YES Sample protection
● YES Operator protection
Biosafety cabinets
Does not contain sharps, medicinal waste, or infectious material.
Black
Ex. Fruit Peels, Liquid Containers
Green
Ex. Blood/Urine samples & their containers, Gloves, Face Mask
Yellow
Offensive/hygiene waste w/c may be landfilled in permitted or licensed sites
Yellow w/ Black
Commonly seen in the nuclear medicine department
Orange
● Cytotoxic/cytostatic waste
● Must be incinerated in a suitable permitted facility
Purple
Sharps & Pressurized containers (Vacutainer Tubes, Needles, Lancets, Broken Glass)
Red
● Prevents splashes from the sample
SPLASH GUARDS
● Prevents blood from spilling or being aerosolized
CENTRIFUGE SAFETY BUCKETS
Free-flowing air w/ pathogens can contaminate samples. Not used for culturing bacteria
Fume hoods
Culturing, planting of bacteria, processing of sputum, urine
BIOLOGICAL SAFETY CABINET
● Better than the normal bulb pipettes w/c are more difficult to use.
MECHANICAL PIPETTING DEVICES
● Ergonomic hazard controls that will prevent ergonomic injury to the employee
COMPUTER WRIST ARM PAD
● Eliminates the need to touch sources of contamination = commonly seen in surgery dept.
SENSORY-CONTROLLED SINKS & FOOT\KNEE\ELBOW CONTROLLED FAUCETS
● Used when chemicals splash the eyes
EYEWASH STATION
● Know properties of chemicals found inside to prevent unwanted reactions
CHEMICAL STORAGE CABINET
● Used when fire/chemicals get on the employees’ clothes/body.
SAFETY SHOWERS
are those that modify workers’ work schedules and tasks in ways that minimize their exposure to workplace hazards
Administrative controls
Administrative controls
Examples
○ Developing a chemical hygiene plan
○ Developing SOP for chemical handling
○ Warning alarms
○ Labeling systems
○ Trainings
(general procedures/policies that mandate measures to reduce or eliminate exposure to hazard)
Work practice controls
Work practice controls
Examples
● Hand washing after each patient contact
● Cleaning surfaces with disinfectants
● Avoiding unnecessary use of needles and sharps and not recapping
● Red bag waste disposal
● Immunization for hepatitis
● Job rotation to minimize repetitive tasks
● Orientation, training, and continuing education
● No eating, drinking, or smoking in laboratory
● Warning signage
Hand washing procedure
Wet hands with water
apply enough soap to cover all
hand surfaces
Rub hands palm to palm
right pa’m over left dorsum with interlaced fingers and vice versa
palm to palm with fingers interlaced
backs of fingers to opposing palms with fingers interlocked
rotational rubbing of left thumb clasped in right palm and vice versa
rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa
Rinse hands with water
dry thoroughly with a single use towel
use towel to turn off faucet
..and your hands are safe
PERSONAL PROTECTIVE EQUIPMENT
• Gloves
• Lab Gown
• Eyewash Stations
• Protective Eyewear
• Face Shield
• Face Mask
• Safety Shower
• Appropriate Footwear (No Slippers)
HAZARD CLASSIFICATION
Biological
Fire
Electrical
Chemical