Lectures 1-3 Flashcards
Universal precautions:
Set of precautions that assume all patients are positive for blood borne pathogens (1985)
Body substance isolation procedures:
Same as universal precautions, but applies to all body fluids (1987)
Five steps of standard precautions:
- Education (training for safe handling)
- Hand washing
- PPE
- Decontaminate surfaces
- Safe handling/disposal of contaminated materials
Isolation precautions (contact):
-C. diff, norovirous
-gown + gloves
Isolation precautions (droplet):
> 5 microns
-mumps, influenza
-mask, goggles, face shield
Isolation precautions (airborne):
< 5 microns
-tuberculosis, chicken pox
-gown, gloves, goggles, N95
Donning PPE order:
-HH
-Gown
-Mask
-Eyewear
-Gloves
Doffing PPE order:
-Gloves
-Gown
-HH
-Eyewear
-Mask
-HH
Proper glove removal:
Glove-to-glove
Skin-to-skin
Small spills:
< 10mL
-Cover with paper towels
-Pour disinfectant from outside in
-Wait 30 min
-Remove towels with forceps
-Repeat
Large spills:
> 10mL
-Hold breath and move away
-Inform others
-Wait 10-30 min
-Follow small spill procedure
Spills in centrifuge:
-Turn off
-Don PPE
-Wait 30 min
-Remove all broken items & place in disinfectant
-Place unbroken specimens in disinfectant
-Disinfect bowl
-Dispose of cloths
-Remove sealed bucket to BSC (unless something broke, then autoclave it all)
Spills in a BSC:
-Fan on
-Pour disinfectant to dilute 10 fold
-Wait 30 min
Spill kits contain:
-Additional PPE
-Towels + spill sock
-Container for disposal of contaminated spill kit items
-Forceps
-Disinfectant
-Autoclavable dust pan + brush
-Heavy duty polyethylene bags
-Activated charcoal
-Acid + caustic neutralizers
-Mercury vacuum/spill kit
Leaking specimens:
-Rejected unless irretrievable
-Inform others
-Don PPE
-Place in tray in large ziplock & move to BSC
-Perform small spill procedure where specimen was
-In BSC use paster pipette to transfer specimen to clean container
-If requisition is contaminated place in plastic until copied
-After transfer flood tray + contents with disinfectant for several hours then autoclave
General chemical storage:
-Keep secure
-Minimize quantities kept in lab
-Use unbreakable/shatterproof containers
-Store hazard liquids where spills can be contained
-Keep large containers on low shelves
-Store liquids below eye level
-Separate chemicals by reactivity class and flammability
-Keep current inventory list
Classes of fire:
-Class A: combustible solids (paper, wood)
-Class B: liquid fuels (organic solvents, oil)
-Class C: electrical
-Class D: flammable metals (Na, K)
Types of fire extinguishers:
-Carbon dioxide: class B+C
-A-B-C dry chemical: class A+B+C
-Water: class A
-Class D dry chemical: class D
PASS technique:
Pull
Aim
Squeeze
Sweep
Emergency fire procedures:
-Alert others
-Call fire department/institutional emergency line
-Evacuate lab and close door
-Pull nearest alarm
-Exit building
-If exit not possible enter designated refuge area, close door, place wet towels around openings and inform someone of your location
-Only use extinguishers on small fires
-Never use fire blanket, only stop drop and roll
Needle stick injuries:
-Clean exposed area with soap + water
-Use eyewash station on mucous membranes
-Avoid chemicals/antiseptics
-Don’t milk wound
-Allow free bleeding then cover lightly
-Identify source/patient/sample code & report to supervisor immediately
-Follow internal procedures
Hand washing technique:
-Wet hands
-Apply soap
-Lather entire hands for 15sec minimum
-Dry hands
-Use paper towel to close tap
-Dispose of paper towel