Professional Documents
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QUICK FACTS
1. CMO no. 14 s. 2006 consists of policies, standards and guidelines for medical technology education.
2. A Medical Technology student graduate at the age of 20 can take the board exam.
3. TAT (Turn Around Time) starts upon the receipt of the request.
4. A Medical Technologist shouted and insulted his co-worker infront of the interns; he violated the Code of Ethics.
5. Upon your arrival at the laboratory, you’ve noticed that one of the lights is busted, you have to make an incident
report about it.
6. Revocation of license is associated with unanimous vote.
7. Suspension of license is associated with majority vote.
8. The one who approved the Board of Examiners is the President of the Philippines.
9. The implementation of RA 5527 was in June 21, 1969.
1. Examination of tissues, secretions and excretions of the human body and body fluids by various electronic,
chemical, microscopic, bacteriologic, hematologic, serologic, immunologic, nuclear, and other laboratory
procedures and techniques either manual or automated;
2. Blood banking procedures and techniques;
3. Parasitologic, Mycologic and Microbiologic procedures and techniques;
4. Histopathologic and Cytotechnology; provided that nothing in this paragraph shall inhibit a
duly registered medical laboratory technician from performing histopathologic techniques and procedures.
5. Clinical research involving patients or human beings requiring the use of and/or application of medical
technology knowledge and procedures;
6. Preparations and standardization of reagents, standards, stains and others, provided such reagents, standards,
stains and others are exclusively for the use of their laboratory;
7. Clinical laboratory quality control;
8. Collection and preservation of specimens;
Provided, That any person who has passed the corresponding Board examination for the practice of a profession
already regulated by existing law, shall not be subject to the provisions of the last four preceding paragraphs if
the performance of such acts or services is merely incidental to his profession.
b. Pathologist - A duly registered physician who is specially trained in methods of laboratory medicine, or the
gross and microscopic study and interpretation of tissues, secretion and excretions of the human body and its
functions in order to diagnose disease, follow its course, determine the effectivity of treatment, ascertain cause of
death and advance medicine by means of research.
c. Medical Technologist - A person who engages in the work of medical technology under the supervision of a
pathologist or licensed physician authorized by the Department of Health in places where there is no pathologist
and who havingpassed the prescribed course (Bachelor of Science in Medical Technology/Bachelor of Science in
Hygiene) of training and examination isregistered under the provision of this Act.
d. Medical Laboratory Technicians - A person certified and registered with the Board as qualified to assist a
medical technologist and/or qualified pathologist in the practice of medical technology as defined in this Act.
e. Accredited Medical Technology Training Laboratory - A clinical laboratory, office, agency, clinic, hospital or
sanitarium duly approved by the Department of Health2 or its authorized agency.
f. Recognized School of Medical Technology - Any school, college, or university which offers a course in Medical
Technology approved by the Department of Education in accordance with the requirements under this Act, upon
recommendation of the council of medical technology education.
g. Council - The council of medical technology education established under this Act.
h. Board - The Board of Examiners for Medical Technology established under this Act.
SECTION 14 ~ Inhibition Against the Practice of Medical Technology.- No person shall practice or offer to
practice medical technology as defined in this Act without having previously obtained a valid certificate of registration
from the Board provided that registration shall not be required of the following:
a. Duly registered physicians.
b. Medical technologist from other countries called in for consultation or as visiting or exchange professors to colleges or
universities: Provided, they are only practicing the said function.
c. Medical technologists in the service of the United States Armed Forces stationed in the Philippines rendering services as
such for members of the said forces only.
Report CARD
- Recommend required subjects
- Certify students for internship
- Accreditation of schools of MT and training clinical lab.
- Refresher course program (formulate and recommend)
- Determine the number of students to be admitted in the school
be licensed with the Department of Health in accordance with R.A. No. 4655 and 1517;
h. To prescribe the qualifications and training of medical technologists as to special fields of the profession and
supervise their specialty examination conducted by the professional organization of medical technologists
accredited by the Professional Regulation Commission;
i. To classify and prescribe the qualification and training of the technical staff of clinical laboratories as to: Medical
Technology; Medical Technologist; Senior Medical Technologist; Medical Technologist and Medical Laboratory
Technician.
SECTION 12 ~ Removal of Board Members
SECTION 20 ~ Oath Taking
SECTION 21 ~ Issuance of Certificate of Registration ID
- 4 Signatures [Chairman, (2) Members, PRC Chairperson]
SECTION 22 ~ Fees
SECTION 23 ~ Refusal to Issue Certificate
I - Incurable communicable disease
C – Criminal offense not less than 6 years
U – Unsound mind
L – Less than 21 years
SECTION 24 ~ Administrative Investigation – Revocation or Suspension of Certificates
HEARING (Investigation)
MedTech Board will do the Tribunal and it is composed of 1 legal officer and 2 MTB members
2 out of 3 votes – Majority vote
3 out of 3 votes – Unanimous vote
*GROUNDS FOR SUSPENSION AND REVOCATION
• 3P’s
Practicing without Pathologist
Practicing without license
Practicing using other MT license
• 3F’s
Faking lab result
Fail to display COR in the lab
Faking COR
• Negligence
• Malpractice
• Degrading act
SECTION 25 ~ Appeal
FROM SUSPENSION TO REVOCATION
---did not surrender license within 30 days
Appeal within 15 days at the PRC, after 15 days, decision will be final
SECTION 26 ~ Reinstatement, Reissue, or Replacement of Certificates
SECTION 28 ~ Roster of Medical Technologists
SECTION 29 ~ Penal Provisions
*Non-MedTech graduate working for 8 years in lab or MT graduate working for 3 years in lab are allowed to take the
board exam and be given a license (before submission of RA 5527)
*Last day of submission 20 days before the exam
RA 1517 RA 7719
*Voluntarism
Immunochromatography GC-MS
- Drug analysts
Qualified Drug Analyst:
RMT
Pharmacist
Chemist
Chemical Engineer
- Training
- Reference lab for drug testing
- CHAIN OF CUSTODY – tracking where about of the samples
- CHALLENGE TEST:
Spx (+) Court Order Submit Original Spx EAMC (repeat test)
Specimen Retention:
- 5 days for (-) specimen
- 15 days for (+) specimen
TERMINOLOGIES:
Clandestine laboratory – secret lab / manufacturing facilities
Den / Dive / Resort – storage facilities / warehouse
Coddler – protector
PDEA – Philippine Drug Enforcement Agency
PENAL PROVISIONS
ILLICIT DRUGS PENALTY
10 grams of: opium, morphine, heroin, cocaine,
marijuana resin oil, designer drugs Life imprisonment
500,000 – 10,000,000
50 grams of shabu
CDTL –
Pathologist,
Licensed Chemist
Failed to dispose
within 48 hrs.
(10years)
QUALIFICATIONS:
• At least 40 years old
• With a valid license
• Familiar with the principles and methods of the PRC
• At least 5 years executive / management experience
FUNCTIONS:
• Administer and conduct licensure exam of the various profession
• Authorize to require refresher course
• Monitor the performance of schools in licensure examinations
• Approve and release board exam results and issue certificate of registration (COR)
• Recommend to the President the names of professionals for the appointment of the various boards
PROFESSIONAL REGULATORY BOARD (e.g. MTB)
• Regulate and monitor the practice of their respective professions
• Administer investigation
- The decision of the PRB shall become final after 15 days from the receipt of notice
• Prepare the syllabi of exams
• Prepare questions based on these syllabi
• Score and rate the exam and submit to PRC within 10 days from the last day of exam
• Serve as the CPE council
• CONTINUING PROFESSIONAL EDUCATION
- CPE council - MTB
- CPE providers
- Required number of CPE Units for all professions / 3 years
60 for BS – Licensed
30 for BS – Non licensed
- Required number of CPE Units for MT / 3 years
90 – Licensed
60 – Non Licensed
45 – Licensed in province
RA 6969 - Toxic Substances, Hazardous Wastes and Nuclear Waste Control Act of 1990
This act seeks to protect the public health and environment from unreasonable risks posed by these substances
Authorized agencies: DENR (Department of Environment and Natural Resources) and PNRI (Philippine
Nuclear Research Institute)
RA 7719 (AO no. 8 s. 2008) National Blood Services Act of 1994 May 5, 1994
2.
Beloved PAMET
From various lands races and places
with grateful hearts we blend our voices
This day to our beloved. PAMET
from whence unity and love cometh.
4. PANUNUMPA NG PROPESYONAL
Ako, si (Pangalan), ng (Tirahan) ay taimtim na nanunumpa na itataguyod ko at ipagtatanggol ang
Saligang Batas ng Pilipinas, na ako ay tunay na mananalig at tatalima rito; na susundin ko ang mga batas, mga
utos na legal, at mga atas na ipinahayag ng mga sadyang itinakdang may kapangyarihan ng Republika ng
Pilipinas; at kusa kong babalikatin ang pananagutang ito, na walang ano mang pasubali o hangaring umiwas.
Taimtim pa rin akong manunumpa na sa lahat ng panahon at pook na kinaroroonan ay mahigpit akong
manghahawakan sa mga etikal at tuntuning propesyonal ng mga (Propesyon) sa Pilipinas, at marapat kong
gagampanan ng buong husay sa abot ng aking makakaya ang mga tungkulin at pananagutang iniatang sa isang
itinakdang (Propesyon).
Kasihan Nawa ako ng Diyos.
5. PRC OFFICIALS
PRC Chairman Hon. Teofilo S. Pilando, Jr.
PRC Commissioners Hon. Angeline T. Chua Chiaco
Hon. Yolanda D. Reyes
6. The Secretary of Health (Filipino: Kalihim ng Kalusugan) is the Cabinet of the Philippines member in charge of
the Department of Health. The current Secretary is Janette Garin.
7. CODE OF ETHICS
As I enter into the practice of Medical Technology, I shall:
Accept the responsibilities inherent to being a professional.
Uphold the law and shall not participate in illegal work.
Act in a strict spirit of fairness to all and in a spirit of brotherhood toward other members of the profession.
Accept employment from more than one employer only when there is no conflict of interest.
Perform my task with full confidence, absolute reliability and accuracy.
Share my knowledge and expertise with my colleagues.
Contribute to the advancement of the professional organization and other allied health organizations.
Restrict my praises, criticisms, views and opinions within constructive limits.
Treat any information I acquired in the course of my work as strictly confidential.
Uphold the dignity and respect of my profession and conduct myself a reputation of reliability, honesty and
integrity.
Be dedicated to the use of clinical laboratory science to promote life and benefit mankind.
Report any violations of the above principles of the professional conduct to authorized agency and
to the ethics committee of the organization.
To these principles, I hereby subscribe and pledge to conduct myself at all times in a manner befitting the
dignity of my profession.
Note:
~The Ethics Committee of PAMET (Philippine Association of Medical Technologists) is the one who regulates
the Code of Ethics.
~The original Code of Ethics was established in August 9, 1968.
~The revised Code of Ethics was established in March 7, 1997.
~The word “precision” is NOT stated in the Code of Ethics!
LABORATORY MANAGEMENT
I. Management Process
A. Management of Planning
Henri Fayol
- proposed that the management process is a continuum of functions that the manager must perform to
ensure smooth operations of an organization.
Peter Ducker
- established the four basic management operations:
1. Planning
2. Organization
3. Directing
4. Controlling
Four main function
Planning - “work out in advance”
- thinking and analyzing portion of the management process
Organizing - gather together the necessary resources and people
- develop an organizational structure for putting the plan into action
Directing - leading where one sees the day-to-day tasks necessary to ensure smooth running of lab
Controlling - measurement and feedback mechanism of objectives
- checking up the goals established during the planning phase
- determines the success or failure and identify needed for modification
MANAGEMENT APPROACH
• Scientific Approach
• Systematic approach
• Phases of Management
• Bureaucratic Approach
• Rule centered
• Behavioral Approach
• Performance and Interpersonal approach
• System Approach
• Continuous process of interacting itself and environment
• Organization as an OPEN SYSTEM
Principles of Leadership
1. Command responsibility
a. Respondent superior – the leader is responsible for the action of his subordinates
b. Respondent inferior – the individual is responsible for his own actions
2. Unity of command – is having only one superior or one boss
Pygmalion effect
- which holds that people are expected to act in the way they are expected to act by their leaders.
McGregor Theory
Theory X – managers believe that people are inherently lazy and dislike work, with no ambition and must be
coerced into performing their duties by constant supervision.
Theory Y – managers believe that work is a natural part of life and people have high degree of ingenuity and
creativity
- Self learners
- Seek responsibility for their performance
- Exercise self-control
Theory Z
States that the managers assumed that people are self-controlled and self-regulated, characteristics of
workers contained in theory Y and that productivity and rewards are not the only objectives but issues such
as the quality work is crucial to their motivation
Leadership Styles
1. Autocratic – self centered
2. Democratic – shared authority
3. Bureaucratic – structure oriented
4. Laissez faire – permissive type
5. Charismatic- attraction seeker
Management of Change
• Comprehensive, cyclic, and structured approach for transitioning individuals, groups, and organizations from the
current state to a future state with intended business benefits
Process of Change
• Formulating the change
• Planning the change
• Implementing the change
• Managing the change
• Sustaining the change
ADDITIONAL NOTES:
1. Purpose - Not to show how precisely we can predict the future, but rather to uncover the things we must do
today in order to have future
2. Strategies - Strategies donate a general program of action implying commitment of emphasis and resources
to attain broad objectives.
3. Policies - are general statements of understanding which guide, or channel thinking and action in decision
making.
4. Procedures - are plans that is establish a required method of handling future activities
- are truly guides to action, rather than to thinking, and they detail the exact manner in which a certain
activity must be accomplished
5. Rules - are required actions chosen from among alternatives. It requires that a specific and definite action can
be taken or not with respect to a situation
6. Programs - are complex goals, policies, procedures, task, assignments, steps to be taken, resources to be
employed and other elements necessary to carry out a given course of action
7. Budget - is a statement of expected results expressed in numerical terms
8. Departmentalization – grouping together of related activities to expedite the production process
- Involves concept of specialization
9. Decentralization - Process of having the decision-making process close to those who are actually performing
the work
10. Scalar Principle - involves concept of chain-of-command and career ladder.
11. Span control - number of individuals one person can effectively supervise within the limits of specific work
conditions
12. Exception principle - allows the manager and staff to do their job without having to check with a
supervisor about every details
13. Staffing - the setting of a long term goals and objectives for the number and types of personnel needed to
meet the labor requirements of the laboratory
14. Scheduling - matching the people presently working in the laboratory with current workload requirements
15. Division of work – willingness to work
16. Authority and responsibility – is the right to be respected by the people; One should be responsible in
doing the task assigned to him/her.
17. Chain of command – Scalar arrangement of persons to whom responsibility passes in a hierarchical level
18. Centralization – the leader has the power to fully control the people under him
19. Communication – ability to communicate effectively ( supervisor-subordinate )
20. Stability – is to maintain position and not to be dismiss without reason
21. Remuneration of personnel – refers to the salary or fringe benefits
22. Equity and justice – everybody must be treated equally
23. Esprit d’ corps – establishing a spirit of camaraderie and cooperation; establishing a good working
relationship.
• A quality management system can be defined as “coordinated activities to direct and control an
organization with regard to quality.”
-ISO
-CLSI
Quality Concepts
“Quality is like love, one knows what it is, but no one knows exactly how to describe or measure it”.
- To develop a plan to assess and ensure the quality of the services delivered by the laboratory, the manager
must have a full understanding of both the history and philosophy of quality as well as knowledge of specific
statistical technique and their application to the laboratory.
- the supervising pathologist should insure that the quality control program is organized for
periodic review or every major portion of the clinical laboratories and that the program can be documented
for the inspector.
QUALITY CONTROL
in the laboratory can be divided into major types
1. Internal Quality control
Precision of laboratory tests
Based on the results of control specimen/patient’s specimen
2. External Quality control
Accuracy of laboratory tests
Proficiency testing/EQAP (D.M. #86 s. 2000)
Interlaboratory performance
WESTGARD RULES
James O. Westgard
He propounded the MULTI-RULE SYSTEM in the evaluation of the quality control data in
the medical laboratory particularly the multi-ranged controls used in clinical chemistry.
(1) 1 2S RULE – the run is accepted when both control result are within 2SD limits from the
mean value
(2) 2 3S RULE – the run is considered out of control when one of the control results
exceeds the 3SD limits
(3) 2 2S RULE – the run is rejected when both controls exceeds the mean value 2SD or the
mean 2SD limits
(4) R 4S RULE – the run is rejected when both controls exceed mean value 2SD limits and
one exceeds the mean 2SD limit or when the range of a group of controls exceeds 4SD
(5) 4 1S RULE – the run is rejected when four consecutive control results exceed the mean
1SD or the mean 1SD
(6) 10x RULE – the run is rejected when at least 10 consecutive control results fall on the
same side of mean
Running Controls
• QC materials?
• Standard solution
• Contains a known concentration of analyte and used to calibrate an assay method or to verify
instruments calibration
• Blank solution
• Used to read out any absorbance caused by reagent or specimen
• Types:
• Test/serum blank
• Reagent blank
• Water blank
• In general, monitoring of analytic methods is done by assaying stable control samples and comparing the
observed values with the expected values
(2) TREND
a systematic drift in one direction away from the established mean
(3) DISPERSION
control or sample values that are widely scattered in an unusual and unexplained pattern around
the control chart
(4) SHIFT
A sudden switch of data points to another area of the control chart away from previous mean
CONCEPT ERROR
1. RANDOM ERROR
- an error that may occur at any time and place within the production process
- indicate inaccuracy
- need only to be closely monitored for possible occurrence
2. SYSTEMATIC ERROR
- an error that occur in a constant direction or pattern
- indicate imprecision
- occur in predictable direction
- need immediate remedial action
MISTAKES
- in addition to analytical factors that introduce bias and random variability into the analytical procedure,
laboratory analyses are also subject to MISTAKES.
SOME TYPES OF LABORATORY MISTAKES
1. Obtaining the specimen from the wrong patient
2. Specimen mix up
• Specimens labeled with wrong accession number
• Sera transferred to mislabeled tubes
• An improper cup number was recorded when a specimen was removed from the auto analyzer samples
wheel to insert an emergency specimen and all specimen on the wheel assigned false values
3. Incorrect chart readings
• Incorrect reading of auto analyzer peak
• Incorrect read off from the standard curve
• Read off from the standard curve assigned to wrong specimen
4. Dilution and calculation errors
• Analyst forgot to correct results for dilution
• Samples diluted be first shift technologist were analyzed by a second shift technologist who was not
informed of the prior dilution
• A newly employed analyst thought a 1 to 2 dilution meant 1 volume of serum and 2 volume of diluents
rather than 1 volume of each
5. Reagents and standards solution
• Distilled water rather than buffer was used to prepare a reagent
• pH meter standardized with wrong buffer
• Reagent contamination
• New reagent used without checking against old reagent
6. Instrument problems
• Slow clock used for a times reaction
• Recorder not properly warmed up; blank reading unstable
• Broken balance used to weigh out standards
7. Others
• Specimen left at room temperature by first shift technologist to be analyzed by second shift technologist ;
second technologist did not report for work and specimens were not analyzed until the next day
• Analyst calculated results mentally rather than drawing a standard curve or calculating a factor, the
results were grossly incorrect
• Initial computer print out was incorrect, and subsequent corrected print out was ignored
• network of computers
• incorporate all aspects of the informational needs of laboratory and its customers
• from the intake of requests and processing of workflow to the delivery of results
COMPONENTS OF COMPUTER
1. hardware - physical components of the computer
• Input
• Output
• storage
2. software - instructions in human language into machine language
1. Information system - collection and integration of various pieces of hardware and software and the human
resources that meet data collection, storage, processing and report generations needs of an organization
2. Network - The set of interconnected computers that through hardware and software technology work
cooperatively for the purpose of information and application program exchange
The practice of safety should be uppermost in the minds of all persons working in the laboratory.
The role of the individual
1. Must always be responsible for his/her safety
2. Must follow the rules and use equipment properly
3. Ensure that the workplace is safe
The role of the employer
1. Make sure that the employees have proper training, support, equipment, workload, resources and
environment
2. Ensure that the workplace is safe
Structural Requirements:
Safety factors should considered in the design and layout of the building
1. Entrance and exit route
2. Blockage of hallways and doors
3. Location of springklers and fire extinguishers
4. Storage of flammable materials
5. Ventilation system
The following must be considered in the floor plan layout and workplace design
1. Separate clinical and administrative offices from areas with hazardous materials
2. There should be a system in the delivery and storage of potentially hazardous materials
3. There should be a proper ventilation system
4. Accessibility of special safety equipment fume hoods and first aid stations
HAZARDS IN THE LABORATORY
I. Biological Hazards
II. Sharp Hazards
III. Chemical Hazards
IV. Radioactive Hazards
V. Electrical Hazards
VI. Fire/Explosive Hazards
VII. Physical Hazards
I. Biological Hazards
- infectious materials
- caused by microorganisms
- to prevent infection, one must how organisms are transmitted
Chain of Infection
1. Source – location of potentially harmful organism
Prevention:
- Handwashing
- Biohazardous waste disposal
- Decontamination
2. Transmission
- direct contact
- inhalation of infected materials
- ingestion
Prevention:
- Handwashing
- Personal protective equipment
- aerosol prevention
- sterile equipment
3. Host
- becomes another source
Prevention:
- standard precaution
- immunization
- OSHA guidelines
- healthy lifestyle
Blood borne pathogens – any material that could possibly become contaminated with blood; must be
treated as having potential to carry a pathogen transmitted by blood
Methods of compliance / Protective Measure and Procedure
1. Adoption of universal precaution policy
2. Engineering and work practice controls
3. Personal protective equipment
4. Housekeeping techniques
Universal Precaution
• Barrier protection
• Gloves
• Face Protection
• Protective Body clothing
• Wash hands
• Avoid accidental injuries
• Proper disposal
Engineering and Work practice controls
1. There must be hand-washing facilities in the workplace
2. Eating, drinking, applying cosmetics are not allowed in the laboratory
PPE
1. Gloves
2. Eye and face protection
3. Protective body clothing
Housekeeping Technique
1. Maintain cleanliness in the worksite
2. Follow OSHA’s guidelines in cleaning and decontaminating work surfaces.
3. Follow guidelines in collection, storage and disposal of waste and sharps
Sharp Hazards
- needles, lancets, broken glassware
Possible injuries: cuts, puncture or blood borne exposure
Chemical Hazards
Right to know regulations
1. OSHA – the agency responsible for developing and enforcing regulations governing safety in the workplace.
2. Material Safety Data Sheets – a document required by OSHA detailing safety information about each hazardous
substance
Information included in an MSDS
a. Physical and mechanical characteristics
b. Fire and explosion potential
c. Reactivity potential
d. Health Hazards
3. Separate the victim from the live wire by using nonconductors like wood and plastic
4. Protect victim from clinical shock by covering him with coat until help arrives
FIRE/EXPLOSIVE HAZARDS
What to do in case of fire
Rescue – rescue anyone in immediate danger
Alarm – activate the institutional fire alarm system
Contain – close all doors and potentially affected areas
Extinguish – attempt to extinguish the fire, if possible
Fire Fighting Strategies
1. Construction
a. Building structure
b. Fire resistant construction material
c. Lay out plan for entrance and exits
d. Storage of flammable materials
Flammable chemicals should be stored in safety cabinets and explosion proof refrigerators. Gas cylinders
should be located away from heat
2. Fire Fighting Equipment
a. Fire resistant building materials
b. Automatic sprinklers
c. Self closing doors
d. Fire gydrants
e. Fire extinguisher
f. Fire blankets
g. Materials that can be used to prevent fire
Types of fire and fire extinguisher
CLASS FIRE TYPE / CATEGORY EXTINGUISHING MATERIAL
Medical Waste
• Any solid waste that is generated in the diagnosis, treatment, or immunization of human beings or animals
• blood-soaked bandages
• Culture dishes and other glassware
• discarded surgical gloves/ surgical instruments
• Discarded needles used to give shots or draw blood
• Cultures, stocks, swabs used to inoculate cultures
• Removed body organs
• Discarded lancets
Proper Disposal of Laboratory Waste
Laboratory Wastes
1. Chemical waste –
A. If the chemical waste is not hazardous – dispose in trash or in sink
B. Regulated hazardous waste
1. If the waste can be neutralized or destroyed neutralize first, then dispose in the sink
2. If the can not be neutralized – collect in hazardous waste containers, then contact licensed disposal company
3. Radioactive Waste
A. If the half life of the radioactive waste is < 90 days
- decay in storage
- dispose in trash or in sink
B. Half life - > 90 days
- contact licensed disposal company
3. Biological Waste
A. Sharps – contact licensed disposal company
B. Animal carcasses – should be incinerated
C. Infectious waste – blood, blood products, pathology waste products and microbiological waste.
- should be autoclaved or incinerated before the waste is disposed in color coded container with
biohazard symbol, or in sink
• BLUE-biohazard/health hazard
• RED- flammables
• YELLOW- reactive
• WHITE- other information about the substance