Hematology%20425,%20Safety

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Hematology 425, Safety

• Russ Morrison
• September 8, 2006

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Safety Overview

• Biohazardous Environment
• Highly Regulated
• CAP, JCAHO, AABB, FDA, OSHA
• Periodic Inspections/citations/fines
• Protect employees as well as employer by knowing
  and following the regulations

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Laboratory Safety Program

• Goal is to prevent accidents and
  laboratory-acquired infection (personal,
  workgroup, community)
• Designated Safety Officer
• Education of Staff
• Initial education of new staff
• Ongoing education of personnel
• Incorporation of education into daily work
  practices

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Universal Precautions
FDA, JCAHO

• 1991, OSHAA issued the Occupational Exposure to
  Bloodborne Pathogens standard universal
  precautions (standard precautions SP)
• Standard precautions require that all human
  blood, body fluids, and tissuues be treated as if
  infectious required practice in all human
  laboratory settings.

CAP OSHA
AABB
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Standard Precautions (SP)

• Apply to
• Blood, semen, vaginal secretions, cerebrospinal
  fluid, synovial fluid, pleural fluid or any fluid
  with visible blood, any unidentified fluid,
  unfixed slides, microhmatocrit clay, and saliva.
• Treats all such samples as if they contain
  bloodborne pathogens whether known to be infected
  or not

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Bloodborne Pathogens

• Pathogenic microorganisms that, when present in
  human blood/fluids, can cause disease
• Examples include HBV, HIV, HCV, others

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Safety Practices Required by SP

1. HANDWASHING
2. NO eating, drinking, smoking, etc
3. Hands, pens, etc must be kept away from
   mouth/mucous membranes
4. Food/drink not in same refrigerator as samples
5. No mouth pipetting
6. Safe manipulation/disposal of sharps

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Safety Practices Required by SP

• Processes that produce aerosols require
  shield/goggles
• Personal protective clothing/equipment
• (scrubs,lab coats,gloves,shields)
• Protective clothing must remain
• Bagging of samples/specimens
• Decontamination of contaminated surfaces

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Other Safe Work Practices, SP

• Daily decontamination of work space
• Soiled clothing left in the work place
• HBV vaccination
• Education
• Waste Management

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Additional Laboratory Occupational Hazards

• Fire
• Chemical Exposure
• (MSDS required for chemical inventory)
• Appropriate sorting and storage of chemicals
• Electrical Hazard
• Needle (sharps) Punctures

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Case Study / Review Questions

• Further questions may be directed to Andy Noyes,
  SVH Laboratory Safety Officer