OLFU SPECIAL DIAGNOSTICS PROCEDURES LEC 1 2021 – 2022
2nd Semester RMT 2023 Instructor: Prof. Rose Dyane F. Nunag, RMT, MPH TRANS 1 SPDX311 Date: February 16, 2022 LEC
Outline Main goal: provide all employees with a safe work
At the end of the session, the student must be able to learn: environment I. Laboratory Safety Safety is a federal law A. Laboratory Biosafety 1. OSHA 2. OSH Act in 1970 B. Types of Safety Hazards B. Types of Safety Hazards 1. Sharps 2. Radioactive Type Source Possible Injury 3. Electrical Biologic Infection agents Bacterial, fungal, viral, or 4. Physical parasitic infections 5. Chemical Sharps Needles, lancets, Cuts, punctures, or blood- Chemical Hygiene Plan broken glass borne Chemical Labeling Chemical Preservatives and Exposure to toxic, Chemical Handling Chemical Spills Handling reagents carcinogenic or caustic 6. Fire agents National Fire Protection Association (NFPA) Radioactive Equipment and Radiation exposure Types of Fires and Fire Extinguisher radioisotopes 7. Biological Electrical Ungrounded or Burns or shock II. Standard Precaution wet equipment; A. Specimen Processing frayed cords B. Disposal of Biological Waste 1. Decontamination Fire/ Open flames, Burns or dismemberment 2. Sterilization explosive organic, 3. Disinfection chemicals 4. Antiseptic Physical Wet floors heavy Falls, sprains, or strains 5. Sanitation boxes, patients C. Hand washing
I. LABORATORY SAFETY Table 1. 0: Types of Safety Hazards
Bring protected from injury
All clinical lab personnel are exposed daily to potential hazards. 1. Sharps
A. Laboratory Safety Includes: needles, lancets, and broken glassware
Must be disposed of in a puncture-resistant, leak-proof container with the biohazard symbol. Containment principles, technologies and practices that are The biohazard sharp containers should not be overfilled and implemented to prevent unintentional exposure to biological must always be replaced when the safe capacity mark is agents or their inadvertent release. reached. To contain hazardous or infectious materials that are being Alternative: FDA cleared container transparent or clear ⅔ held in the lab. full.
1. Occupational Safety and Health Administration (OSHA)
A US-regulatory agency that ensures safe and healthful working conditions for workers by setting and enforcing standards and by providing training, outreach, education and assistance (Occupational Health and Safety Act in 1970) Written manuals that define specific safety policies and procedures for all potential hazards are required in laboratories. Guidelines for developing these written policies and procedures are provided in several Clinical and Laboratory Standards Institute (CLSI) documents. conduct on-site inspections determine whether an employer is complying with the mandatory standards primary agency that ensures safety of workers Figure 1. 0: Sharps require the laboratory to have written manuals or SOP (it differs from every lab)
2. Occupational Health and Safety Act in 1970
2. Radioactive Hazards primary law that protects the workers procedures using radioisotopes Public law 91-596 The radioactive symbol must be displayed on the doors of all was enacted by the U.S. Congress in 1970 areas where radioactive material is present.
PAGALING, GILLIAN JOY C.
Laboratory Safety and Hazards OLFU SPECIAL DIAGNOSTICS PROCEDURES LEC 1 2021 – 2022 nd 2 Semester RMT 2023 Exposure Instructor: to radiation Prof. Rose during pregnancy Dyanea danger presents F. Nunag, to RMT, MPH TRANS 1 SPDX311 Chemical labels must now include five specific elements: the fetus. Date: February 16, 2022 1. Product identifier LEC Dosimeter- device that records received radiation by 2. A signal word: danger or warning Radiological Technologists. They should wear this every 3. A hazard statement duty. The device is checked every year 4. Precautionary statements and pictograms There is a maximum allowable exposure to radiation 5. Supplier identification X-Ray room is full of lead that prevents leakage of radiation Pregnant women wear Lead Gown or Lead Belt
3. Electrical Hazards
The danger of water or fluid coming in contact with
equipment is greater in the laboratory setting. Equipment should not be operated with wet hands. Monitor electrical equipment closely (frayed cords and overloaded circuits). All electrical equipment must be grounded with three- pronged plugs.
4. Physical Hazard
Avoid running in rooms and hallways.
Watch for wet floors. Bend the knees when lifting heavy objects. Keep long hair pulled back. Avoid dangling jewelry. Maintain a clean, organized work area. Closed-toed shoes 5. Chemical Hazard Chemical Hygiene Plan OSHA Rule: Chemical Hygiene Plan (CHP) Safety policies and procedures for all hazardous chemicals used in the laboratory. By developing and using a comprehensive CHP, chemical Figure 1. 1: Sample Label hazards are minimized, and the laboratory becomes a safe environment in which to work. Figure 1. 2: Hazard Symbols Employee “right to know” requires chemical manufacturers, importers, and distributors to provide safety data sheets (SDSs). Safety Data Sheets - aka MSDS or Material Safety Data Chemical Handling Sheets, required by OSHA (revised into user friendly by General rules: dividing it to 16 sections) Section 1 -11 required for chemicals Safety Data Sheet (SDS) Content Areas Section Content 1 Identification 2 Hazard Identification 3 Composition/Information on Ingredients 4 First-Aid Measures 5 Firefighting Measures 6 Accidental Release Measures 7 Handling and Storage 8 Exposure Controls/Personal Protection 9 Physical and Chemical Properties 10 Stability and Reactivity 11 Toxicologic Information 12 Ecologic Information (nonmandatory) 13 Disposal Considerations (nonmandatory) 14 Transport Information (nonmandatory) 15 Regulatory Information (nonmandatory) 16 Other Information
Table 1. 1: Safety Data Sheet (SDS) Content Areas
Chemical Labeling
PAGALING, GILLIAN JOY C.
Laboratory Safety and Hazards OLFU SPECIAL DIAGNOSTICS PROCEDURES LEC 1 2021 – 2022 2nd Semester RMT o 2023pipetting Prohibiting Instructor: by mouthProf. or theRose sniffingDyane F. Nunag, RMT, MPH of chemicals TRANS 1 SPDX311 o Date: February 16, 2022 Appropriate use of PPE (gloves, gowns & goggles) LEC o A fume hood or safety cabinet
Chemical safety tips include:
o Never grasp a reagent bottle by the neck or top o Always add acid to water Types of Fires and Fire Extinguishers o Safety equipment: eyewash and shower Fire Type Extinguishing Type / Extinguisher Material Composition of Fire Chemical Spills & Disposal Class A Wood, paper, Class A Water First aid: flush the area with large amounts of water for at clothing least 15 minutes, then seek medical attention Class B Flammable Class B Dry chemicals, Contaminated clothing should be removed as soon as organic carbon dioxide, possible chemicals foam, or halon Chemical spill kits: PPE, nonreactive absorbent material, and Class C Electrical Class C Dry chemicals, bags for disposing of contaminated materials carbon dioxide, Chemical disposal differs according to the chemical type, the foam, or halon amount to be discarded and local laws Class D Combustible None Sand or dry Chemicals often are diluted adequately or neutralized such metals powder that disposal in the sewer system is satisfactory. Class ABC Dry Chemicals Class K Grease, oils, Class K Liquid designed fats to prevent splashing and cool the fire. 6. Fire Hazard National Fire Protection Association (NFPA) National Fire Protection Association (NFPA) 704-M Hazard Identification System Table 1. 2: Types of Fires and Fire Extinguishers a bright, color-coded labels are divided into quadrants: o health (blue) Figure 1. 4: RACE & PASS Acronym o flammability (red) o reactivity (yellow) o any special considerations (white) 7. Biological Hazard
any patient specimen or body substance is considered
infectious Chain of Infection – a continuous link in the transmission of harmful microorganisms between a source and a susceptible host.
II. LABORATORY SAFETY
Figure 1. 3: Hazard Symbols
PAGALING, GILLIAN JOY C.
Laboratory Safety and Hazards OLFU SPECIAL DIAGNOSTICS PROCEDURES LEC 1 2021 – 2022 2nd Semester RMT 2023 Instructor: Prof. Rose Dyane F. Nunag, RMT, MPH TRANS 1 SPDX311 Date: February 16, 2022 LEC