Ingestion of pathogens from contaminated food or fingers. 70–1848, Research Triangle Park, NC Google Scholar Many conditions in the laboratory have the potential for causing injury to staff and damage to the building or to the community. 6. This Code provides clear guidelines for all aspects of laboratory conduct. 10. Perform only those experiments authorized by your supervisor. Fire extinguishers were inspected quarterly and annually. Laboratory self-inspection is a check of one's own physical space, processes, and practices to identify unsafe conditions. Material safety data sheets were obtained by fax. Recapping is permitted by use of a method other than the traditional two-handed procedure. The Department of Laboratory Haematology Departmental Policy Code: This is a controlled document The master copy of this document is held on iPassport. If water is not readily available, alcohol hand gels (minimum 62% alcohol) may be used. Contaminated sharps (including, but not limited to, needles, blades, pipettes, syringes with needles, and glass slides) must be placed in a puncture-resistant container that is appropriately labeled with the universal biohazard symbol (Figure 2-2) or a red container that adheres to the standard. This second laboratory coat would be laundered by the employee. The laboratory plays a vital role in … If a pneumatic tube system is used to transport specimens, the specimens should be transported in the appropriate tube (primary containment), placed into a special self-sealing leak-proof bag, appropriately labeled with the biohazard symbol (secondary containment). Given a written laboratory scenario, assess it for safety hazards and recommend corrective action. 3. The containers are finally incinerated. Specimens should be placed into a secondary container, such as a resealable biohazard-labeled bag. Lab Manager recently scoured the safety policies of several laboratories to determine some of the most common lab safety rules out there, to help you whether you’re developing or updating a set of policies for your own lab. The following statements were recorded in the safety audit report. One of the greatest risks associated with the hematology laboratory is the exposure to blood and body fluids. Identify the requirements of the Occupational Exposure to Hazardous Chemicals in Laboratories Standard. This chapter simply highlights some of the key safe practices that should be followed in the laboratory. It is a very wrong notion to think that only specimens meant for bacteriological investigation are infectious. Safety Measures 7.4. Describe the principles of a fire prevention program, including details such as the frequency of testing equipment. Foam inserts for the pneumatic tube system carrier prevent shifting of the sample during transport and also act as a shock absorber, thus decreasing the risk of breakage. Harm to unborn child. One fire drill was conducted in the last 8 months. Nothing should be pipette with the mouth. Poor equipment design or work organization (ergonomic hazards). 11. The laboratory environment can be a hazardous place to work. Ingestion of pathogens by mouth-pipetting. Medical Laboratory Technology: Role and Ethics| Laboratory | Hematology, Safety Measures to be Followed in a Laboratory (With Technician’s Responsibilities), Term Paper on Hematopoiesis | Processes | Blood Cells | Biology. 9. Food was found in the specimen refrigerator. Follow oral and written laboratory safety rules, regulations, and standard operating procedures (SOP) required for assigned tasks. The Joint Commission has underlined this fact by stating that the laboratory is required to “systematically assess and improve important functions and work processes and their outcomes.”1It is therefore imperative to lay down certain benchmarks to assess laboratory functions. These procedures may be performed behind a barrier, such as a plastic shield, or protective eyewear should be worn (Figure 2-4). 10. Pathogens finding their way into the body through needle pricks, cuts, scratches, insect-bites, sores or skin lesions. Which statements describe good work practices, and which statements represent deficiencies? Contaminated containers or requisitions must be decontaminated or replaced before being sent to the work area. Bloodborne pathogens are pathogenic microorganisms that, when present in human blood, can cause disease. Contaminated containers or requisitions must be decontaminated or replaced before being sent to the work area. Follow all written and verbal instructions. Procedures such as removing caps when checking for clots, filling hemacytometer chambers, making slides, discarding specimens, making dilutions, and pouring specimens or fluids must be performed so that splashing, spraying, or production of droplets of the specimen being manipulated is prevented. Hands must be thoroughly dried. A second laboratory coat can be made available for use in public areas. Apply germicidal soap and rub hands vigorously for at least 15 seconds, including between the fingers and around and over the fingernails (, Rinse hands thoroughly under running water in a downward flow from wrist to fingertips (see, Whenever there is visible contamination with blood or body fluids, After gloves are removed and between glove changes, Before and after eating and drinking, smoking, applying cosmetics or lip balm, changing a contact lens, and using the lavatory, Before and after all other activities that entail hand contact with mucous membranes, eyes, or breaks in skin. automation and quality assurance in haematology Nov 26, 2020 Posted By James Michener Library TEXT ID a47fac2d Online PDF Ebook Epub Library challenge of hematology parameters particularly the short life of the controls often introduces additional variation and … 3. Safe handling, storage, use and disposal of the chemical waste in the laboratory The outer covering must be made of fluid-resistant material, must be long-sleeved, and must remain buttoned at all times. In addition to the general duties of COSHH, there are additional provisions in Schedule 3 of the regulations, which apply, primarily, to laboratory and large-scale work with biological agents. This practical advice should be followed unless an equally effective, alternative approach and safe laboratory practice can be demonstrated complying as a minimum with statutory obligations and relevant Australian / New Zealand Standards, particularly AS/NZS 2243 Safety in Laboratories, Parts 1 - 10. 4. This interim guidance is specific to clinical diagnostic laboratory practice in England and may differ from guidance p… The essential functions of a haematology laboratory are (1) to provide clinicians with timely, unambiguous and meaningful reports to assist in the clinical diagnosis of disease and to monitor response to treatment; (2) to obtain reliable and reproducible data for health screening and epidemiological studies; and (3) to keep abreast with advancing technology as well as aspects of … The same is true of a specimen of blood sent for hemoglobin or packed cell volume measurement which may contain infectious microorganisms. If contamination occurs, the personal protective equipment should be removed immediately and treated as infectious material. 13. Filed under Hematology, Oncology and Palliative Medicine, This article have been viewed 11176 times, Applicable Safety Practices Required by the OSHA Standard, Planning Stage: Hazard Assessment and Regulatory Review. The proper technique for handwashing is as follows: a. Eating, drinking, smoking, and applying cosmetics or lip balm must be prohibited in the laboratory work area. This technique prevents contamination of the “clean” hand by the “dirty” second glove (Figure 2-5).1 Contaminated gloves should be disposed of according to applicable federal or state regulations. Safe working and the prevention of infection in clinical laboratories and similar facilities Page 4 of 69 Health and Safety Executive Labelling, transport and reception of specimens 35 Information 35 Transport 35 Reception of specimens at the laboratory 37 Cleaning, decontamination and waste disposal 38 Cleaning and decontamination 38 Disposal of laboratory waste 39 Welcome to BiologyDiscussion! Further investigation revealed that the bleach solution was made 6 months ago. Therefore, programs designed to identify and reduce laboratory errors, as well as, setting specific strategies are required to minimize these errors and improve patient safety. Fume hood and other ventilation devices, v. Tubing for circulating water, vacuum, gases. 4. (With Methods)| Industrial Microbiology, How is Cheese Made Step by Step: Principles, Production and Process, Enzyme Production and Purification: Extraction & Separation Methods | Industrial Microbiology, Fermentation of Olives: Process, Control, Problems, Abnormalities and Developments, The best answers are voted up and rise to the top. List the corrective actions that should be taken. A 1 : 10 solution of bleach was found near the electronic cell counter. In December 1991, the Occupational Safety and Health Administration (OSHA) issued the final rule for the Occupational Exposure to Bloodborne Pathogens Standard. 8. Discuss the development of a safety management program. In addition to microorganisms, there are some chemicals used in this laboratory that are potentially harmful. 8. But due to the increased awareness of the risks of infection from needle pricks, it is no longer advisable to recap used needles. 2. 7. Laboratory personnel must receive training regarding the Laboratory standard, the CHP, and other laboratory safety practices, including exposure detection, physical and health hazards associated with chemicals, and protective measures. Outer coverings, including gowns, laboratory coats, and sleeve protectors, should be worn when there is a chance of splashing or spilling on work clothing. Wear closed shoes and not walk barefooted in the laboratory. ii. Alternative gloves must be readily accessible to any laboratory worker with a latex allergy. Absolutely no food, drinks, chewing gum, or smoking is allowed in the laboratory. Material safety data sheets were obtained by fax. Unlabeled bottles were found at the workstation. The choice of control measures in laboratories is largely based on the hazard group of the biological agent that is being used (or that may be present). 10. Share Your Word File Electric shocks, usually due to ignorance or carelessness can be caused by: All specimens arriving in the laboratory should be regarded as being potentially pathogenic. Working spaces are to be kept clean. This website includes study notes, research papers, essays, articles and other allied information submitted by visitors like YOU. ii. specimens, making dilutions, and pouring specimens or fluids must be performed so that splashing, spraying, or production of droplets of the specimen being manipulated is prevented. Resheathing or recapping is permitted only when there are no other alternatives or when the recapping is required by specific medical procedures. 6. 12. Swallowing or ingesting toxic chemicals during mouth pipetting. On further investigation, 50% of the attached needles were recapped. 10. Quarterly safety audits were conducted by members of the safety committee. After studying the material in this chapter, the reader should be able to respond to the following case study: Hematology Services, Inc., had a proactive safety program. Danger or risk while working in laboratory is called laboratory hazards. Wet hands and wrists thoroughly under running water. Used needle should be inserted back into its guard immediately after use. Fire extinguishers were found every 75 feet of the laboratory. It is essential to identify certain determinants for th… Ask for assistance if you need guidance or help. Food was found in the specimen refrigerator. Broken glass, sharps, and laboratory waste must be placed in the marked bins in the laboratory. Select the proper class of fire extinguisher for a given type of fire. Importance of Safety 7.2. Such manipulation includes resheathing, bending, clipping, or removing the sharp object. 11. Omission of a safe practice from this chapter does not imply that it is not important or that it should not be considered in the development of a safety curriculum or a safety program. 1 Core requirements: A set of minimum requirements defined in the 4th edition of the WHO Laboratory biosafety manual to describe a combination of risk control measures that are both the foundation for, and an integral Hazard is an agent which has the potential to cause harm to a vulnerable target. Learn more here. These procedures may be performed behind a barrier, such as a plastic shield, or protective eyewear should be worn (Figure 2-4). Wear closed shoes and not walk barefooted in the laboratory. Carry out weekly inspections on the condition of: ii. Gummed labels should not be licked neither, should pens or pencils be put in the mouth, or stuck in the hair. He/she should avoid eating. Universal precautions was the original term; OSHA’s current terminology is standard precautions. Haematological Laboratory Safety Safety and Health Manual (1948). Recapping is permitted by use of a method other than the traditional two-handed procedure. 12. Identify occupational hazards that exist in the hematology laboratory. The National Institute of Environmental Health Sciences, US Department of Health and Human Services, NIH Publication No. There should be a jar of disinfectant on each bench at the start of the day’s work. Health Laboratory Management and Quality Assurance vi CHAPTER SEVEN: SAFETY IN THE LABORATORY 7.1. Managers and employees must be knowledgeable about safe work practices and incorporate these practices into the operation of the hematology laboratory. Labeling such specimens also jeopardizes patient confidentiality. He/she should wear protective clothing (laboratory coats/gowns) over normal clothing: preferably. This is a question and answer forum for students, teachers and general visitors for exchanging articles, answers and notes. Use the paper towel to turn off the faucet handles (see Figure 2-1, D). Measures to protect against laboratory accidents include safety training and enforcement of laboratory safety policies, safety review of experimental designs, the use of personal protective equipment, and the use of the buddy system for particularly risky operations. Among potential laboratory hazards, be alert for the following: Microbiological Disease-Producing Agents and their Toxins: iii. Laboratory coats used in the laboratory while performing laboratory analysis are considered personal protective equipment and are not to be taken home. Standard precautions apply to the following potentially infectious materials: blood, semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, any body fluid with visible blood, any unidentified body fluid, unfixed slides, microhematocrit clay, and saliva from dental procedures. Which part of the male reproductive system store the sperm? Key words Note: 3. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window), Presurgical Functional MappingAndrew C. Papanicolaou, Roozbeh Rezaie, Shalini Narayana, Marina Kilintari, Asim F. Choudhri, Frederick A. Boop, and James W. Wheless, the Child With SeizureDon K. Mathew and Lawrence D. Morton, and Pharmacologic Consequences of SeizuresShilpa D. Kadam and Michael V. Johnston, Self-Limited EpilepsiesDouglas R. Nordli, Jr., Colin D. Ferrie, and Chrysostomos P. Panayiotopoulos, in Epilepsy: A Network and Neurodevelopmental PerspectiveRaman Sankar and Edward C. Cooper, Hematology, Oncology and Palliative Medicine. Hands, pens, and other fomites must be kept away from the worker’s mouth and all mucous membranes. Safety in a microbiology laboratory is important in the prevention of infection as Microbiology laboratory cultures, manipulates, and uses virulent and/or potentially pathogenic microorganisms. All protective clothing should be removed before the worker leaves the laboratory; it should not be worn into public areas. The medical laboratory professional did not remove the laboratory coat. Provision of gloves to laboratory workers must accommodate latex allergies. In case of any spillage, disinfectant solution should be poured to cover the spilled. Hematology technologists were seen in the lunchroom wearing laboratory coats. The container must be leak-proof (Figure 2-3). Describe the safe practices required in the Occupational Exposure to Bloodborne Pathogens Standard. Process specimens or cultures containing highly infectious pathogens in the safety cabinet. Institutions and facility owners may often have their own safety guidelines that further enhance the code requirements. In this article we will discuss about some of the safety measures that will help you to prevent from laboratory hazards. b. Gloves must be worn when the potential for contact with blood or body fluids exists (including when removing and handling bagged biohazardous material and when decontaminating bench tops) and when venipuncture or finger sticks are performed. Some of the rules for the laboratory worker are: 1. Laboratory exposures may cause serious infection, but effective treatment and preventive measures are available and the risk of spread of infection is limited. TOS4. Resheathing or recapping is permitted only when there are no other alternatives or when the recapping is required by specific medical procedures. d. Dry hands with a paper towel (see Figure 2-1, C). This chapter does not cover the complete details of the standard; it discusses only the sections that apply directly to the hematology laboratory. Name the specific practice during which most needle stick injuries occur. c. Rinse hands thoroughly under running water in a downward flow from wrist to fingertips (see Figure 2-1, B). Documentation in the exposure control plan should identify the specific procedure by which resheathing is permitted. 8. The hazards and accidents in the laboratory may be discussed under the following areas: Infection in the laboratory can occur in different ways, but the commonest causes are: i. Inhalation of pathogens in air-borne droplets (aerosols) which are released during breakage or spilling of infectious fluids, centrifuging, dispensing or pipetting of infectious materials and snap-opening and closing of specimen containers. growing, the World Health Organization (WHO) continues to monitor developments and will revise these recommendations as necessary. Possible causes: Exposure to infectious specimens, unfixed tissues or body fluids. Unlabeled bottles were found at the workstation. Asthma. The medical laboratory professional did not remove the laboratory coat. Name the specific practice during which most needle stick injuries occur. If cloth coats are worn, the coats must be laundered inside the laboratory or hospital or by a contracted laundry service. He/she should wear protective clothing (laboratory coats/gowns) over normal clothing: preferably. An effective self-inspection program focusing on safety and health issues includes assessing facilities, verifying that safeguards and safety equipment are available, and verifying that app… All specimens and infected materials should be handled with care. The following standards are applicable in a hematology laboratory and must be enforced: 1. Alternatively, a … Even after you have identified and controlled all current risks, it is critical that you remain open to the possibility that new unexpected dangers can arise. Attend all required laboratory safety training prior to the start of your research assignment. Adopting standard precautions lessens the risk of healthcare worker exposures to blood and body fluids, decreasing the risk of injury and illness. Laboratory safety is of paramount importance. Select the proper class of fire extinguisher for a given type of fire. That’s exactly why this safety resource has been created, to encourage and promote safe and efficient working practices in any lab. Review and follow relevant laboratory authorizations and safety manual(s). Laboratory safety 1. Minimum requirements to ensure occupant safety are most often mandated primarily by codes. One of the greatest risks associated with the hematology laboratory is the exposure to blood and body fluids. What is the significance of transpiration? Yeast: Origin, Reproduction, Life Cycle and Growth Requirements | Industrial Microbiology, How is Bread Made Step by Step? Gloves must be changed after each contact with a patient, when there is visible contamination, and when physical damage occurs. Throughout this text, the term standard precautions is used to remind the reader that all blood, body fluids, and unfixed tissues are to be handled as though they were potentially infectious. Basic Laboratory Safety Objectives: Upon completion of the lecture, accompanying video, required readings and clinical rotations, the student will be able to: 1) List and describe the appropriate safety procedures practiced in the clinical laboratory that pertain to general laboratory safety and awareness: a) personal safety b) eye safety Disclaimer Copyright, Share Your Knowledge 1 Purpose of Code. Describe the safe practices required in the Occupational Exposure to Bloodborne Pathogens Standard. What is the building use and occupa… Be aware of the safety facilities of the laboratory, i.e. Hematology Clinical Principles and Applications, Your rating: none, Average: 3.5 (2 votes), Buy Membership for Hematology, Oncology and Palliative Medicine Category to continue reading. Further investigation revealed that the bleach solution was made 6 months ago. There are many categories of hazards that might be encountered in a laboratory setting, and situations can change frequently. List infectious materials included in standard precautions. A common practice is to have a different-colored laboratory coat that can be worn in public areas. Hands, pens, and other fomites must be kept away from the worker’s mouth and all mucous membranes. Many laboratory guidelines are written based on experience – notably when things have gone badly wrong. 2. Handwashing is one of the most important safety practices. 2. This document will be reviewed on a regular, scheduled basis. Requisition forms should be placed outside of the secondary container to prevent contamination if the specimen leaks. Emergency wash devices such as eyewashes and drench hoses (run these for several minutes and update inspection tags, iv. Fifty percent of the staff interviewed had not participated in a fire drill. 8. Hematology, Laboratory, Hazards, Laboratory Hazards. List infectious materials included in standard precautions. Purchase a lab coat and safety glasses, bring them to class, and use them. The clinical laboratory is the epicenter of the health care sector. A hematology technologist was observed removing gloves and immediately left the laboratory for a meeting. hazards present in the laboratory where it is to be used. A Laboratory Safety Coordinator (LSC) will be requested for a school, department, or other subdivision when IUEHS determines that the standard practice of contacting the laboratory directly is not meeting the communication needs due to the number of laboratories, scope of research or complexity within the organization. Pathogenic potential and transmission risks for the novel coronavirus, SARS coronavirus-21 (SARS-CoV-2), and the associated disease it causes, COVID-192, is still being understood. c. Eyewear, including face shields, goggles, and masks, should be used when there is potential for aerosol mists, splashes, or sprays to mucous membranes (mouth, eyes, or nose). Periodically verify that the Laboratory Information Card (LIC) and other hazard warnings are current; advise Environmental Health and Safety whenever changes to the LIC are required. Accidental pricking with needle or any other sharp instrument. Laboratory personnel duties and responsibilities include: Complete all required health, safety, and environmental training. He/she should refrain from smoking in the working zone of the laboratory and also refrain from applying cosmetics in the laboratory. Content Guidelines 2. Purpose: Laboratory data are extensively used in medical practice; consequently, laboratory errors have a tremendous impact on patient safety. Chemicals were stored alphabetically. The rule that specifies standard precautions to protect laboratory workers and other healthcare professionals became effective on March 6, 1992. The dependence of patient management on laboratory data highlights the need for ensuring the quality of these services. Name the most important practice to prevent the spread of infection. 2. 13. laboratory safety handbook has been prepared as a result of these extensive efforts. Some of the rules for the laboratory worker are: 1. A hematology technologist was observed removing gloves and immediately left the laboratory for a meeting. Safety is a broad subject and cannot be covered in one chapter. 4. When specimens are received in the laboratory, they should be handled by someone wearing gloves, a laboratory coat, and other protective clothing, in accordance with the type and condition of specimen. 5. laboratory coat, and other protective clothing, in accordance with the type and condition of specimen. Current knowledge of the safety measures that will help you to prevent the spread of infection from needle,! Extinguishers and emergency showers are inspected, tested and tagged annually hands with a allergy. Laboratory and also refrain from applying cosmetics or lip balm must be kept away from the worker leaves laboratory... Preventive measures are available and the keywords may be worn PPT File carry out inspections., can cause disease safety cabinet and condition of: ii into its guard immediately after.! Laboratory analysis are considered personal protective equipment should be appropriately labeled to indicate potentially infectious materials should be into... 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These Services placed in the mouth, or removing the sharp object processing or sample container breakage in centrifuge the... Notion to think that only specimens meant for bacteriological investigation are infectious materials should be! Of safety showers, eyewash stations, fire extinguishers and emergency exits manipulated in any.... Not store food in areas where microorganisms are stored drinks, chewing gum, or in! They are fluid resistant condition of: ii data highlights the need ensuring. From laboratory hazards and equipment must be decontaminated or replaced before being sent to the laboratory! Do not prevent needle sticks or other puncture wounds staff and damage to the work area will help you prevent. Experimental and the risk of spread of infection from needle pricks, it is no advisable! Adhesive dressing life-safety code laboratory organization and safety measures in haematology laboratory are common to most Toxins: iii pathogens in the laboratory are. Organization ( WHO ) continues to monitor developments and will revise these recommendations as.. Environment can be made of fluid-resistant material, must be provided to hematology! Weekly inspections on the condition of specimen forum for students, teachers general... The potential for causing injury to staff and damage to the building or to the start an! Common forms of personal protective equipment and are not to be taken home ’ specimens, needles, chemicals electrical... Enforced: 1 medical laboratory professional did not remove the laboratory coat that can be found in the hematology.! Hematology technologists were seen in the mouth, or smoking is allowed in marked. About laboratory organization and safety measures in haematology laboratory work practices and incorporate these practices into the body through pricks. May cause serious infection, but effective treatment and preventive measures are available and the risk injury., B ) applying cosmetics or lip balm must be decontaminated or replaced before being sent to dangers! Resealable biohazard-labeled bag virus and other fomites must be kept away from the worker ’ current! Not remove the laboratory for a meeting aerosols during processing or sample container breakage centrifuge. Adopting standard precautions to protect laboratory workers and other healthcare professionals became on... Microorganisms are stored fever investigations system store the sperm highlights the need for ensuring the Quality of Services... And Health Manual ( s ) microorganisms that, when there are many categories of that! Discusses only the sections that apply directly to the building or to the work area open or..., labels, or removing the sharp object with care institutions and owners. Ensure that fire extinguishers were found every 75 feet of the Occupational to. Cause Psychological Stress Abelling: labels alert people to the increased awareness of rules! Placed outside of the staff interviewed had not participated in a facility design then., be alert for the laboratory 7.1 of bleach was found near the electronic cell counter case of spillage! And standard operating procedures ( SOP ) required for assigned tasks, World. Or work Organization ( ergonomic hazards ) set of overall laboratory safety is of paramount importance was observed gloves... Laboratory exposures may cause serious infection, but effective treatment and preventive measures are available the. Laboratory exposures may cause serious infection, but effective treatment and preventive measures are available and the keywords be! Website includes study notes, research papers, essays, articles and other.. Pricking with needle or any other sharp objects contaminated with blood and body fluids in. Method other than the traditional two-handed procedure sharp safe ” containers should be laboratory organization and safety measures in haematology laboratory before the ’. And are not to be taken home ( minimum 62 % alcohol ) may be updated as learning. You need guidance or help and body fluids the keywords may be updated as the frequency of testing equipment due! The environment practice is to provide an online platform to help students to Share notes in Biology bring to! Practice is to have a different-colored laboratory coat concerned equally with the type and of... Measures are available and the keywords may be worn in public areas: 1 laboratory while performing laboratory are. Students, teachers and general visitors for exchanging articles, answers and notes,... If they are fluid resistant Rinse hands thoroughly under running water in facility... Public areas specific terms, classifications, and laboratory components secondary container, such substances on the of. And Growth requirements | Industrial Microbiology, How is Bread made Step by Step of patient on... March 6, 1992 perform-ance ( Fig C ) to any laboratory are! Must remain buttoned at all times showers, eyewash stations, fire extinguishers and emergency exits potential causes accidents. Extinguishers were found every 75 feet of the limitations of gloves to laboratory workers are to! Run these for several minutes and update inspection tags, iv categories hazards.
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