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3 reasons laboratories take safety seriously
- Morale of team
- Expense to company
- Compliance with regulations
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OSHA stands for? What is their standard for BBPs?
- Occupational Safety and Health Administration
- Standard Precautions
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What are the three mandated controls w/ basic purpose?
- Engineering: contain the hazard
- PPE: barrier around worker
- Work practice: how the task should be performed
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4 ways hospitals prevent nosocomial infections
- Frequent handwashing
- Hepatitis B vaccine
- Flu vaccine
- No acrylic nails
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Exposure control plan vs Infection Control Manual
- ECP: Employer's written plan in case of exposure
- ICM: Policies/procedures for how to avoid exposure
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Basic responses to exposure (nose/mouth/skin, needlestick/cut, eyes)
- NMS: wash with lots of water
- NC: soap and water
- E: irrigate using eyewash station
- all are followed by medical evaluation
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How do you properly use sharps container?
- Close and dispose when 3/4 full
- Label and color code appropriately
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CDC data on risk of infection after exposure (HBV, HCV, HIV)
- HBV: 6-30% (or 0 with vaccine)
- HCV: 1.8%
- HIV: 0.3%
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What is the summary of standard precautions (4 things)
- Treat all fluids as infectious
- Practice standard precautions in all situations with potential for contact
- Wash hands frequently
- No personal cell phones in lab
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3 programs for knowledge of chemical hazards in lab
- California Hazard Communication Program: "right to know"
- Emergency Preparedness Program:what to do when there IS a spill/release
- Chemical Hygiene Plan: regulations or SOP
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4 resources for Chemical hazard info
- Manufacturer's labels
- Lab-specific procedures
- Training
- Material Safety Data Sheets (MSDS)
- *MSDS prepared my mfgr
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What is proper labeling of chemicals?
- Manufacturer's labels: name of chemical, hazards (NFPA diamond), name/address of mfgr
- Secondary container: name of checmical, hazards (NFPA diamond), name of preparer, date prepared
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Describe the NFPA diamond (start at top, clockwise)
- Flammability: red
- Reactivity: yellow
- Special hazards: white, spelled out
- Health: blue
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NFPA means
National Fire Protection Agency
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List 6 work practice controls
- Do not taste/smell chemicals
- Do not wear contacts near toxic vapors
- Pour at counter-height
- Do not store chemicals up high
- Do not store incompatibles together
- Strap compressed gas tanks
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What are the specifics to know about disposing of hazardous waste?
- California Code of Regulations (CCR) Title 22: describes what is/isn't hazardous waste
- Place in separate safety cans
- Accumulation date: cradle to grave
- Container must be labeled w/ contents
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AKA Ergonomic-related disorders
Cumulative Trauma Disorders
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Acronym for what to do in case of a fire
- R: rescue those in immediate danger
- A: activate fire alarm and report
- C: confine fire by closing all doors
- E: extinguish (if possible)
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4 types of extinguishers, type of fire
- A: paper
- B: flammable liquids
- C: electrical
- Haylon: all-purpose
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Fire extinguisher acronym
- P: pull
- A: aim
- S: squeeze
- S: sweep
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Types of latex allergy w/ symptom type.
- Irritant contact dermatitis: on contact
- Allergic contact dermatitis: spreads after contact (~poison oak)
- Latex allergy: severe reaction up to anaphylaxis
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alternate to latex
nitrile
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federal law dictates all clinical labs have a ___ license
CLIA: clinical laboratory improvement amendment
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What types of clinical labs don't need to be licensed?
research, teaching, forensic, veterinary, or government
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Who determines test complexity? What are the levels of complexity?
- FDA
- waved (simple)
- Providr performed microscopy procedures (PPMP)
- moderate complexity
- high complexity
mod/high - inspected every 2 years, must be licensed, complete proficiencies
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