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Accidents can happen anytime, anywhere especially in a information, training, of unsafe conditions or

laboratory setting. It is important to have proper training personal protective practices to the
and be aware of the potential dangers that may threaten equipment, and medical immediate supervisor
surveillance to and ensure that unsafe
a lab personnel’s life. employees conditions and practices
are corrected
LABORATORY SAFETY
 Legal responsibility of the employer as well as Provide and maintain Engage in the conduct
moral obligation of the employee equipment and of safe work practices
laboratory facilities that and use of the personal
are adequate for the protective equipment
Can be achieved by having: tasks required
 Common sense
 Safety focused attitude
 Good personnel behavior
 Good housekeeping
Signage and Labelling
 Practice of good lab techniques

Recognition of hazard

 Electric shock
 Toxic vapors
 Compressed gases
 Flammable liquids
 Radioactive materials
 Corrosive substances
 Mechanical trauma
 Poisons
 Biological materials

EMPLOYER'S EMPLOYEE'S o Statement of the hazard


RESPONSIBILITY RESPONSIBILITY o Precautionary measures
o Specific hazard class
o First aid instructions for internal/external
Establish laboratory Know and comply with contact
work methods and the established
laboratory work safety o Storage code
safety policies
methods o Safety code
o Personal protective gear and equipment
needed
Provide supervision and Have a positive attitude
guidance to employees toward supervisors, co-
o In house prepared reagents and solutions
workers, facilities and should be labelled in a standard manner with
safety training the chemical identity, concentration, hazard
warning, special handling, storage conditions,

Provide safety Give prompt notification


date prepared, expiration date, and preparer’s - Enforces regulations it issues about
initials. transporting all types of hazardous
materials
 e.i. transport of laboratory specimen
THE LAW AND SCIENCE OF LABORATORY SAFETY
FDA
OSHA
(Food and Drug Administration)
(Occupational Safety and Health Administration)
• - Approves new medicines and medical
- A federal agency that aims to assure safe and
devices for safe after use
healthy working conditions for workers by setting
safety standards and by providing training, • e.i. Toxicology, transfusion medicine,
outreach education, and assistance. apheresis

• “Occupational Safety And Health Act of


1970” – the act governs safety in all
types of workplaces including
laboratories.

• OSHA requirements with the greatest


day- to -day impact for laboratories are
the following:

• Recording and reporting workplace


accidents, injuries, or illnesses

• Hazard Communication Standard –


specifying how workers must be made
aware of hazardous materials in the
workplace

• Standards for chemical hygiene,


including occupational exposure to
hazardous chemicals in the laboratories
NFPA
• Bloodborne Pathogens standard – intended
to minimize the risk of exposure to
bloodborne pathogens
Developed a color coded system NFPA 704
EPA
( Environmental Protection Agency)
(National Fire Protection Association)
• -Enforces regulations under the Clean Air
Act, the Resource Conservation and
Recovery Act, and other environmental Color of the diamond in the NFPA label indicates
statutes hazard:
• e.i ventilation. Air contamination, disposal • Red= flammable. Store in an area for
of hazardous waste flammable reagents.
DOT • Blue= health hazard. Toxic if inhaled,
(Department of Transportation) ingested, or absorbed through the skin.
Store in a secure area.
• Yellow= reactive and oxidizing reagents. • Fire extinguishers
May react violently with air, water, or other
• Fire blankets
substances. Store away from flammable and
combustible materials. • Decontamination of Spills
• White= corrosive. May harm skin, eyes, or - Regardless of what type of spill, PPE must be used:
mucous membranes. Store away from red, fluid-resistant cover gown & facial protection
blue, and yellow-coded reagents.
-Heavyweight, puncture-resistant utility gloves are
• The numeric ratings indicate degree of recommended
hazard: 4=extreme; 3=severe; 2=moderate;
1=slight; and 0=none -Rubber boots or waterproof shoe covers if the spill
is large

-If the spill contains broken glass, these should be


SAFETY EQUIPMENT removed first w/ tongs & forceps or brush & dustpan
• Personal Protective Equipment (PPE) -If the spill contains culture media, site should be
covered completely w/ absorbent materials. After 10
• Safety showers
mins, cleanup procedures can be started
- Green-and-white sign above the safety shower &
-Generally, bleach is used to soak & disinfect spills
eyewash locations is helpful in locating them in an
emergency

-Must be w/in 100ft. and w/in a 10s walk of caustic First aid supplies
and corrosive chemicals
• All employees must be trained in first aid &
-Water should be moderately warm or lukewarm for at a minimum, must know:
the full 15-minute cycle
a) the location of the first aid kit

b) how to stop bleeding by direct pressure w/ a


gauze over the wound

c) Emergency numbers

d) Cardiopulmonary Resuscitation (CPR)

• In addition, first aid kit must be available w/in


• Eyewash stations the laboratory, in a clearly marked box or
cabinet
- Must be w/in 100ft. and w/in a 10s walk of caustic
• Mechanical pipetting devices
and corrosive chemicals
• Fume hoods- designed to limit exposure to
-Flush the eye from the inside corner of the eye
hazardous fumes, vapor, or gas
outward
   -Required to expel noxious and hazardous
-Stations must be capable of providing a minimum of
fumes from chemical reagents
15 minutes of hands-free flushing capacity.
   -remove particles that may be harmful to the
-Water pressure should be gentle
employee who is working with infective biologic
-Water from eyewash station should be cultured specimens
every 6 months
• Chemical storage equipment
     -Safety carriers When to use: When directly working w/ Px who
may be immune-compromised.
     -Safety cabinets

     -Explosion proof refrigerators

PERSONAL PROTECTIVE EQUIPMENT  N-95 

• Laboratory Gowns What it filters: Particles as small


as 0.1u (microns) such as TB
- Primary protection to prevent skin exposure from
chemical or specimen (blood and other body fluids) When to use: Interaction w/ Px
splash or spill known or suspected of having
-Must be a bit loose, available as reusable or aactive TB Culturing TB spx
disposable depending on laboratory application
• Cartridge purifying 
-Aprons are not substitutes for lab gowns but
What it filters: Organic vapors
provide extra protection when fluid contamination is
likely (i.e. during autopsy) such as xylene or formaldehyde 

-SHOULD NOT BE WORN OUTSIDE THE LAB!!! When to use: When ppm (parts
per million) of a hazardous chemical is
Use and storage When to change or above the action level for that chemical
replace
• Footwear
Worn at all times while Changed when soiled
in lab work areas  -Comfortable

“In-use” gowns hung Replaced when -Non Slip soles


on designated hooks in damaged
work area -Must cover the entire foot

-Must be made of material that will not allow


Clean lab gowns stored
in cabinets or closet blood, body fluids or chemicals to soak through

• Safety Goggles

• Work shield

BIOLOGICAL SAFETY
• Mask
• Hazards
- Used when performing laboratory procedures w/
- Observe universal precaution. Treat every
potential of splashes or sprays of infectious materials
patient specimen as potentially infectious.
and aerosol potential
- All blood samples of patient with high risk
• Surgical mask 
should be processed with strict precaution.
What it filters: Bacteria 
Hazards Preventive
measures

Physical harm Use only explosion


from shock or proof equipment in
burns hazardous
- Specimen container should remain “capped” attire
atmospheres.
during centrifugation.
- Observe proper
- Any blood spills must be cleaned up and Danger from Be particularly
storage and careful
fire due to heat when operating high-
disinfected immediately. disposal
and sparks voltage equipment
- Individuals with any wounds or abrasions wear produced
finger cots/gloves handling blood specimens. Use only properly
grounded equipment
- Get Immunization (3-prong plug).
Check for “frayed”
electrical cords.

- Report any
malfunctioning or
CHEMICAL SAFETY
equipment producing a
Hazards Preventive “triangle” for prompt
repair
measures
Do not work on “live”
electrical equipment.
- Toxic and - Know the nature
- Never operate
poisonous of the chemical electrical equipment
used with wet hands.
- Flammable and
combustible - Mechanical -Know the exact
pipetting aids location of the
- Corrosive
must always be electrical control panel
- Reactive used for the electricity to
your work area.
- Carcinogenic Pipettes-used to - Use only approved
measure or extension cords and do
transfer volume not overload circuits.
- Have a periodic
of liquid. preventive
maintenance performed
- Observe basic
on equipment.
rule “acid to
water”- heat is
released, solution ELECTRICAL SAFETY
may boil and acid
may splash

- Chemical spills
containment

- Use safety cans,


fume hood and
cabinets

- Wear proper
- Read all labels and instructions carefully.

FIRE SAFETY - Use the personal safety equipment that is provided.

Hazards Preventive - For the safe handling, uses, and disposal of


measures chemicals, learn their properties and hazards.

- Learn emergency procedures and become familiar


-Flammable/ - Keep flammable
combustible chemicals substances in separate with the location of fire exits, fire extinguishers,
rooms. blankets, and so on.

- Be careful when transferring chemicals from


- Electric hazard - Use fire-resistant
container to container always add acid to water
building products.
slowly.
- Use explosion proof LABORATORY WASTE
refrigerators.
• Laboratory waste are materials used to
- Perform procedures
sustain laboratory operations that are
that result in highly
combustible reactions no longer needed and should be
under water or in a discarded and disposed. They are
vacuum chamber. generally classified into hazardous and
non-hazardous wastes

CARDINAL SAFETY RULES OF THE CLINICAL


LABORATORY

• Good personal behavior/habits

- Wear proper attire and protective clothing.

- Tie back long hair. Characteristics of Hazardous Waste


- Do not eat, drink, or smoke in the work area. Only • Explosivity and Reactivity
in the backroom.
This includes waste that is unstable and reacts
- Never mouth pipette. violently when exposed to chemical change,
- Wash hands frequently. waste that releases toxic fumes when mixed
with water and even explode under extreme
• Good housekeeping
conditions, and waste capable of detonation
- Keep work areas free of chemicals, dirty glassware, and explosive decomposition at standard
and so on. temperature and pressure.
- Store chemicals properly. • Corrosivity
- Label reagents and solutions. This includes waste that needs to be separated
- Post warning signs. from other wastes, waste that may react with
heavy metals to produce toxic contaminates,
• Good laboratory technique and corrode steel waste containers, and
- Do not operate new or unfamiliar equipment until aqueous substances with pH <2 or pH >12.5.
you have received instruction and authorization.
• Toxicity LABORATORY WASTE MANAGEMENT

Toxic waste that is harmful to humans and also • Incineration


the environment as it stimulates the leaching of
This is the most acceptable means of waste
materials from a landfill into the surround
disposal. Incinerators are complex devices that
groundwater.
contain secondary equipment such as burners,
• Ignitability scrubbers, electrostatic precipitators, and
filters.
This includes waste that can cause a fire during
routine waste disposal and storage conditions, • Microwave Treatment, Autoclaving,
ignitable gas from flammable mixture at 13% or Plasma-based Systems, and Irradiation
less concentration, and solid substances that
• Sterilization
may cause fire through friction or absorption of
moisture. • Sewer Systems
• Infectious waste Proper Hazardous Waste Disposal
Procedures
These are wastes suspected to contain
pathogenic microorganisms. Hazardous wastes are to be placed in a
compatible, nonleaking container, with a
• Pathological wastes
nonleaking sealable lid. It should contain
These wastes include human and animal the following information:
tissues, organs, body parts (excluding teeth,
laboratory name (department or division)
hair, finger nails), and body fluids that are
labels “Caution-Toxic” and “Hazardous Wastes”
removed during autopsy, biopsy, surgery or
identification of components
other medical procedure. hazard information
• Chemical wastes concentration
Content
These are discarded solids, liquids, and gaseous Quantity
chemicals from laboratory procedures, and number of containers.
include laboratory reagents. • Labeling of Waste

• Radioactive wastes Label all waste bottles properly as


“Hazardous Wastes,” which are the only
These are wastes that contain radioactive acceptable words. Labels of old containers
substances, such as chemical reagents. should be completely removed or defaced.
• Biomedical wastes • ·Segregation of Waste
The wastes generated in diagnostic Segregate laboratory wastes as chemical
laboratories, including pathology laboratories, wastes, pathological wastes, biological
are considered biochemical wastes. wastes, and radioactive wastes. The wastes
should be separated based on chemical
compatibility in order to prevent violent
chemical reaction. 
Acids, bases, and organic wastes should compatible with the waste and the
not be stored in the same cabinet as this contents; in the laboratory and not in
may lead to accidental mixing, explosion, or hallways, floor drains, or the sink; and
even fire. Mixing of incompatible chemicals taken the stockroom for disposal,
in the same waste container such as nitric where it should be properly labeled
acid and ethyl alcohol will cause an with its full chemical name- for
explosion. example, not as “ROR” but as “ether”-
and with the approximate percentage
of each component listed.
• Storage of Wastes
• Biochemical wastes should be
Do not store wastes in a fume hood where segregated based on their categories
reactions take place as this may trigger a and their source of generation: patient,
violent reaction or might cause a fire. Do care activity areas, diagnostic services,
not use metal cans for storing wastes since operating rooms, delivery rooms,
they might corrode in a short time; instead treatment rooms, and so on. Biomedical
use polyethylene containers. Containers for wastes must be collected within 24
flammable waste should be stored in an hours and the biomedical waste
explosion-resistant solvent cabinet. management and handling rules should
be adhered to when doing so.
• Capping Waste Bottles
Common Errors Encountered in Handling
Waste bottles should be capped to prevent Hazardous Laboratory Wastes
the release of contents.
• Failure to label the waste container.
• Accumulation of Excessive Wastes
• Improper labeling of the waste
Only one waste container of each type container.
should be in the laboratory. If an organic
waste bottle is full, it should be sent to the • Failure to close/seal the waste
stockroom for disposal. container.

• Improper segregation of the wastes.

• Improper storage of the wastes.

Guidelines for Segregation of Waste in the • Using an improper waste container.


Laboratory
• Accumulation of too much waste.
• Do not store the following wastes close
to each other: acids and bases; organic
materials and acids; cyanides, sulfides,
arsenic compounds, and acids;
powdered or reactive metals and
combustible materials; and mercury,
silver, and ammonium compounds.

• · Waste containers should be solid, with


no cracks, rust , or deterioration;

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