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Safety in The Laboratory

Medical Laboratory
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0% found this document useful (0 votes)
42 views67 pages

Safety in The Laboratory

Medical Laboratory
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPT, PDF, TXT or read online on Scribd
You are on page 1/ 67

Safety In The

Laboratory

Occupational Safety and


Health Act of 1970 (OSHA)
was enacted to ensure a
safe and healthy work
environment in all work
places
1
Safety In The
Laboratory
 In labs these include provision of:
 Warning labels

 Suitable protective clothing

 Exposure control procedures

 Training and education

programs

2
Biohazards
 Biohazard ‘a special term’
used to denote infectious
materials/agents that pose
potential health risks through
 Direct infection or the

environment

3
Biohazards
 Can occur during

Specimen collection

Specimen handling

Specimen transportation

Specimen analysis

4
Biohazards
 Specimen is transported in
plastic leak-proof bags
 Amber colored bags are

used for light sensitive


analytes

5
Biohazards
 Biological infections can be
caused by
 Accidental aspiration of

infectious material
 Accidental contact with

infected needles (needle


sticks) or syringes
6
Biohazards
 In the US, 600,000 to
1,000,000 needle stick
injuries in a year (last
available figures)
 HIV – post exposure
prophylaxis

7
Biohazards
 Animal bites
 Sprays from syringes

 Centrifuge accidents

(breakages or spills)

8
Other Sources of Lab
Infections
 Cuts or scratches from
contaminated glassware
 Cuts from instruments used

during surgery or autopsy


(including animal)

9
Other Sources of Lab
Infections
 Spilling or spattering of
pathogenic materials on lab
surfaces or equipments

10
Biohazard Tags
 ALL potentially
hazardous/infectious material
should be properly labeled
 The label for a container

should state the date and


content

11
Biohazard Symbol

12
Biohazard Symbol
Symbol is used to indicate
the presence of biohazards

13
Blood-borne-pathogens
OSHA has mandated that
the program “Occupational
Exposure to Bloodborne
Pathogens” must be
implemented in the lab (to
reduce the risk of infection)

14
Blood-borne-
pathogens
The Clinical and
Laboratory Standards
Institute(CLSI) - a non-profit
educational organization has
issued guidelines to protect
laboratory personnel from
infection with blood-borne
diseases
15
Blood-borne-pathogens
 CLSI is the new name for
‘The National Committee for
Clinical Laboratory
Standards (NCCLS)’

16
Precautions for
Specimen- Borne
Infections
Clinical/research lab staff
should treat all
specimens as potentially
infectious

17
Precautions for
Specimen- Borne Infections
 Handle all specimens as if

they contain hepatitis B virus


or human immunodeficiency
virus (HIV) – the virus that
causes AIDS
 Hepatitis B vaccine – 3X for

full immunization; Hep. A X 2


shots 18
Precautions for
Specimen- Borne Infections
Not all patients with such
diseases will be identified
before sample collection.
USE STANDARD
PRECAUTIONS

19
Precautions for Specimen-
Borne Infections
 Avoid direct contact with
body fluids e.g. spills,
splashes, etc.
 Avoid contact with objects

that may be contaminated


with body fluids e.g. test
tubes, pipettes etc.
20
Precautions for Specimen-
Borne Infections
 The Center for Disease
Control and Prevention
(CDC) has classified
biological agents into 3
categories according to
their bioterrorism potential

21
Bioterrorism Agents
 Three categories

Category A includes: Anthrax,
Botulism (old terminology - levels 3
& 4)

Category B includes: Brucellosis,
Salmonella (old terminology - levels
1 & 2)

Category C – emerging pathogens
22
Biosafety Levels
 The Public Health Service
has biosafety levels 1, 2 & 3
which are used to denote
the relative risk that may
be present in the work area
 Level 1 has the least risk

23
Biosafety Rules
 What are they?

24
Biosafety Rules
 They are:
 Never mouth-pipette

 Treat infectious fluids

carefully to prevent spills


and minimize aerosol

25
Biosafety Rules
 Use needles, lancets,
scalpels and other
“sharps” with care to
prevent self-inoculation
and injury
 Do Not Recap Needles

26
Biosafety Rules

www.amershamhealth-us.com/. ../needleguard.html

Needle with retractable guard


Many other types available
27
Biosafety Rules
 Dispose of “sharps” in special
leak and puncture-proof
containers (including broken
glassware)
 Use protective equipment

 Lab coats, goggles, face

shields and gloves are Personal


Protective Equipment (PPE)
28
Biosafety Rules
 Wear two pairs of gloves if
necessary
 Wash hands often after:

 All lab activities

 Removing gloves

 Immediately after contact

with infectious material


29
Biosafety Rules
 Wash hands for at least 15
seconds and dry thoroughly
 Waterless antiseptics –

alcohol based hand rub


 Apply to palm and rub until
hands are dry

30
Biosafety Rules
 Decontaminate work
surfaces before and after
use – wipe up any spills
immediately
 Never eat, drink, store food

or smoke in the lab


31
Decontamination
What substances are used
for
disinfection/decontaminatio
n?

32
Decontamination
 Sodium hypochlorite
(liquid household bleach) at
0.5% is used
 Stronger solution is used for

spills of biological material

33
Decontamination
 Contaminated reusable
laboratory ware can be
cleaned with 3% phenol
detergent before autoclaving
 Disinfection – removal of

pathogenic organisms but


may not remove bacterial or
other spores
34
Decontamination
 Substances Used to
Disinfect Spills & Spots
 Small Spills - Small spills

to work surfaces (bench


tops), floors or in biosafety
cabinets must be
addressed immediately by:
35
Decontamination
1. Placing absorbent
material over the spill and
add a solution of 1:10
dilution of household bleach
2. After about 10 minutes
remove the absorbent
material and discard (in a
biohazard container)
36
Decontamination
3. Wipe the surface with
additional disinfectant
4. If there is broken glass,
mechanical pick-up aids
should be used to prevent
cuts
5. Dispose of all materials in
biohazard container 37
Decontamination
 Large Spills or Known
Contaminated Material
 Attempt to contain the spill

(avoid personal injury)


 Advise colleagues and

supervisor of the problem


 Cordon-off (secure) the area
38
Decontamination
 Absorb as much of the liquid
spill as possible
 Flood area with 1:5 dilution

of bleach
 Fresh dilution of bleach

should be made at least


weekly
39
Decontamination
 Note – Bleach is less
effective in the presence of
protein
 Remove as much (e.g.

blood) as possible before


adding the bleach
40
Decontamination
Sterilization – all
microorganisms including
bacterial spores are killed
or destroyed

41
Decontamination
 Autoclave – uses
pressurized steam to destroy
microorganisms.
 Pressurized steam is hotter

than boiling water and kills


bacteria much faster

42
Chemical Hazards
 OSHA has also set standards
for minimizing Exposures to
Hazardous Chemicals
 To ensure lab workers are

fully aware of the hazards of


certain chemicals

43
Occupational Safety & Health
Administration (OSHA)
 Control of infectious, chemical
and radioactive waste is
regulated by OSHA & Food and
Drug Administration (FDA)
 Nuclear Regulatory Commission

(NRC) regulates the disposal of


radioactive materials

44
Examples of
Chemical Hazards
 Sulphuric acid - may cause
blindness or burns on the
skin
 Acetic acid – very caustic,

continuous inhalation of
vapor can lead to bronchitis
45
Examples of
Chemical Hazards
 Hydrochloric acid – avoid
inhalation of vapor, causes
burns on contact with skin
 Sodium hydroxide –

extremely hazardous to
eyes, skin or mucous
membranes; causes burns
46
Examples of Chemical
Hazards
Phenol – causes caustic
burns

47
Warning Labels For
Hazardous Chemicals
 The National Fire Protection
Association has hazard
identification system
 Red label – indicates

flammability hazard

48
Warning Labels For
Hazardous Chemicals
 Blue - indicates possible
health hazard
 White - indicates special

hazard (e.g. radioactivity,


special biohazards)

49
Warning Labels For
Hazardous Chemicals
 Yellow = Reactivity
 W(with line) = water-reactive

50
Warning Labels For
Hazardous Chemicals
Numbers 4 to 0 indicate
severity of hazard
 4 = extremely

hazardous
 0 = no hazard

51
www.dehs.umn.edu/ hwd/nfpa.html

52
www.westone.wa.gov.au/ toolboxes/aquaculture/u...

53
Fire Safety
 Annual training in the use of
safety equipment is
mandatory
 Fire extinguisher must be

placed in each laboratory as


well as -
54
Fire Safety
 Safety showers
 Fire blankets

55
Fire Extinguishers
 Labeled according to the class of
fire
 A-B-C can be used to extinguish
classes A, B and C fires
 Class A – ordinary combustible
 Class B – flammable liquids
 Class C – Electrical equipment

56
www.firesystems.net/inspections/portable-fire

57
Material Safety Data
Sheets (MSDS)
The signs and symptoms of
exposure to hazardous
chemicals are contained in
the MSDS
 Chemical manufacturers

and suppliers are required


to provide MSDS to users
58
Material Safety Data
Sheets
MSDS must be sent with
each shipment

59
Material Safety Data
Sheets
Information about each
chemical MSDS provides:
 Hazards

 Signs and symptoms of

exposure
 Guidelines for safe handling,

storage and disposal 60


Laboratory Waste
Disposal
Labs must be compliant
with OSHA standards for
“wastes disposal program”
and CLSI guidelines on
“management of clinical lab
wastes”

61
Laboratory Waste
Disposal
 Biohazardous waste
materials must be placed
in appropriate biohazard
waste bags or containers
 Sharps put in sharps

containers
62
Laboratory Waste
Disposal
 Some hazardous or
infectious materials will be
autoclaved before disposal

63
Some Other Safety
Rules
 Know the location of fire
extinguishers, fire blankets,
fire exits, safety shower and
eyewash areas
 Be aware of open flames

e.g. bunsen burners

64
Some Other Safety
Rules
 Mercury is poisonous e.g.
mercury from a broken
thermometer
 Mop up all water spills on floor
– avoid accidents from slipping

65
Some Other Safety
Rules
 Always pour acid into
water for dilution
(against side of container to
prevent splashing) Never
pour water into acid
 Do not open centrifuges

before they have stopped


66
SAFETY
 Summary
 Safety is the responsibility of
all who work in the
laboratory/industry/institution
s (in what ever capacity)
 Follow the guidelines/protocol

– result a safe working


environment for all.
67

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