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MLS 108 (LAB) – Parasitology (PRELIM)

L1: Laboratory Safety ❖ Wear closed shoes (not slippers with socks).
❖ Do not allow visitors inside the laboratory.
❖ This laboratory in Parasitology deals with the actual ❖ Take off your gown and gloves before going out from
study of parasites. Varied laboratory exercises will the laboratory area.
be performed by the student designed to challenge ❖ Always refer to the professor when not certain in the
their critical thinking and research capability in operation of machines or apparatus and chemicals.
laboratory science
❖ Chemicals and biological specimens will still be Plagiarism
used, therefore, it is imperative to follow the
universal precautions and strictly adhere to the ❖ No plagiarism at anytime.
following guidelines: ❖ You are required to properly cite, using the APA
❖ Read the whole procedure of the assigned format, any literature used to answer the questions
experiment. This will help you save time and effort. or in support to the results, observations and
❖ You are expected to be active and participative in all conclusions.
of the exercises. ❖ Even if you will be working in two’s or group, the final
output, including the tables or graphs should not be
❖ Unnecessary going out from the laboratory area similar with your partner or group mate.
should be avoided. ❖ Consider your own findings very important.
❖ Maintain cleanliness all the time.
➢ Make it a habit to clean the bench area before Example of APA format
and after work.
➢ Wipe spillage of chemicals and specimens
promptly.

Specimens & Apparatuses

❖ Spillage of blood or other body fluids should be


treated with Lysol or bleach solution.
❖ Used syringes, cotton, tissues or papers should be Output
placed in a plastic.
❖ Needles and other sharps should be placed in a ❖ Graphs and tables must be properly labeled. They
puncture-proof receptacle with cover and must be described in text without necessarily
disinfectant. repeating what is found in these tables and graphs.
❖ All specimen used in the procedure should never be ❖ Your final output should contain the following parts:
left in the sink or locker. It must be treated with Result, Discussion (which support your answers to
bleach solution before discarding. questions), Conclusion, and References.
❖ It must be typewritten in short size bond paper,
single space and should contain your name, title of
Protocol the activity, and the date when it is performed.
❖ Put 1 inch margin on all sides.
Observe the protocol for laboratory safety. ❖ Final output must be neat and edited with correct
❖ Always wear your laboratory gown. It is emphasized spelling and grammar.
that for hygienic purposes, you bring your own gown ❖ Follow a thorough reporting. Make it clear and
and maintain its neatness. concise. Please use the format which the professor
❖ Before doing any laboratory procedure put on a pair will provide to you.
of gloves and goggles. ❖ Deadline for the submission of every laboratory
❖ Do not ever practice mouth pipetting. output is on the next laboratory period.
❖ Eating (this includes gum or candy) or drinking is not
allowed inside the laboratory.
❖ No playing inside the laboratory.
❖ Avoid using dangling jewelries during our laboratory
period.
MLS 108 (LAB) – Parasitology (PRELIM)

SAFETY IN THE LABORATORY ➢ Chain of infection = requires a continuous link


➔ The clinical laboratory contains a variety of safety between a source, a method of transmission, and a
hazards, many of which are capable of producing susceptible host
serious injury or life-threatening disease. ○ Source – the location of potentially harmful
➔ To work safely in this environment, laboratory microorganisms, such as a contaminated clinical
personnel must learn what hazards exist, the basic specimen or an infected patient.
safety precautions associated with them, and finally ○ Microorganisms from the source are transmitted
apply the basic rules of common sense required for to the host.
everyday safety.
Mode of Transmission
Type of Safety Hazards
1. Direct contact (e.g. , the host touches the patient,
TYPE SOURCE POSSIBLE specimen, or a contaminated object)
INJURY 2. Inhalation of infected material (e.g., aerosol droplets
from a patient or an uncapped centrifuge tube)
biological Infectious Bacterial, 3. Ingestion of contaminated food and water
agents fungal, viral, or 4. Through an animal
parasitic
infections 5. Through an insect vector

sharp Needles, Cuts, punctures,


lancets, and or blood-borne ● Once the chain of infection is complete, the infected
broken glass pathogen host then becomes another source able to transmit
exposure the microorganisms to others.
● In the clinical laboratory, the most direct contact with
chemical Preservatives Exposure to
and reagents toxic the source of infection is through contact with patient
carcinogenic, or specimens, although contact with patients and
caustic agents infected objects also occurs.
● Preventing completion of the chain of infection is a
radioactive Equipment and Radiation primary objective of biological safety.
radioisotopes exposure
● Proper handwashing and the wearing of Personal
electrical Ungrounded or Burns or shock Protective Equipment (EPE)
wet equipment ○ of major importance in the laboratory
and frayed
cords 1987 – CDC instituted Universal Precautions (UP)

Universal Precautions
fire/ explosive Bunsen burners Burns or
➢ all patients are considered to be possible carriers of
and organic dismemberment
chemicals blood-borne pathogens. Recommends:
a. wearing of gloves when collecting or handling
physical Wet floors, Falls, sprains, or blood and body fluids contaminated with blood
heavy boxes, strains b. wearing face shields when there is danger of
and patients blood splashing on mucous membranes
c. disposing of all needles and sharp objects in
puncture-resistant containers.
Biological Hazards
➢ The health-care setting provides abundant sources ➔ CDC excluded urine and body fluids not visibly
of potentially harmful microorganisms. contaminated by blood from UP, although many
➢ These microorganisms are frequently present in the specimens can contain a considerable amount of
specimens received in the clinical laboratory. blood before the blood becomes visible
➢ Understanding how microorganisms are transmitted
(chain of infection) is essential to preventing
infection.
MLS 108 (LAB) – Parasitology (PRELIM)

Body Substance Isolation (BSI) likely to generate splashes or sprays of blood, body
➢ Not limited to blood-borne pathogens and considers fluids, secretions, or excretions.
all body fluids and moist body substances to be ➔ Select a gown that is appropriate for the activity and
potentially infectious. the amount of fluid likely to be encountered.
➢ Personnel should wear gloves at all times when ➔ Remove a soiled gown as promptly as possible and
encountering moist body substances wash hands to avoid the transfer of microorganisms
➢ Disadvantage: it does not recommend hand to other patients or environments.
washing following the removal of gloves unless
visual contamination is present. 5. Patient-care equipment:
➔ Handle used patient-care equipment soiled with
1996 – the CDC combined the major features of UP and blood, body fluids, secretions, and excretions in a
BSI and called the new guidelines Standard Precautions. manner that prevents skin and mucous membrane
exposures, contamination of clothing, and transfer of
Standard Precautions microorganisms to other patients or environments.
1. Handwashing: ➔ Ensure that reusable equipment is not used for the
➔ Wash hands after touching blood, body fluids, care of another patient until it has been cleaned and
secretions, excretions, and contaminated items, reprocessed appropriately.
whether or not gloves are worn. ➔ Ensure that single-use items are discarded properly.
➔ Wash hands immediately after gloves are removed,
between patient contacts, and when otherwise 6. Environmental control:
indicated, to avoid transfer of microorganisms to ➔ Ensure that the hospital has adequate procedures
other patients or environments. for the routine care, cleaning, and disinfection of
➔ Washing hands may be necessary between tasks environmental surfaces, beds, bedrails, bedside
and procedures on the same patient to prevent equipment, and other frequently touched surfaces
cross-contamination of different body sites. and ensure that these procedures are being
followed.
2. Gloves:
➔ Wear gloves (clean, nonsterile gloves are adequate) 7. Linen:
when touching blood, body fluids, secretions, ➔ Handle, transport, and process linen soiled with
excretions, and contaminated items. blood, body fluids, secretions, and excretions in a
➔ Put on gloves just before touching mucous manner that prevents skin and mucous membrane
membranes and non-intact skin. exposures and contamination of clothing and that
➔ Change gloves between tasks and procedures on avoids the transfer of microorganisms to other
the same patient after contact with material that may patients and environments.
contain a high concentration of microorganisms.
➔ Remove gloves promptly after use, before touching 8. Occupational health and blood-borne pathogens:
non-contaminated items and environmental ➔ Take care to prevent injuries when using needles,
surfaces, and before going to another patient, and scalpels, and other sharp instruments or devices;
wash hands immediately to avoid transfer of when handling sharp instruments after procedures;
microorganisms to other patients or environments. when cleaning used instruments; and when
disposing of used needles.
3. Mask, eye protection, and face shield: ➔ Never recap used needles, or otherwise manipulate
➔ Wear a mask and eye protection of a face shield to them using both hands, or use any other technique
protect mucous membranes of the eyes, nose, and that involves directing the point of a needle toward
mouth during procedures and patient-care activities any part of the body; rather, use either a one-handed
that are likely to generate splashes or sprays of “scoop” technique or a mechanical device designed
blood, body fluids, secretions, and excretions. for holding the needle sheath.
➔ Do not remove used needles from disposable
4. Gown: syringes by hand, and do not bend, break, or
➔ Wear a gown (a clean, non-sterile gown is adequate) otherwise manipulate used needles by hand.
to protect skin and to prevent soiling of clothing ➔ Place used disposable syringes and needles, scalpel
during procedures and patient-care activities that are blades, and other sharp items in appropriate
MLS 108 (LAB) – Parasitology (PRELIM)

puncture-resistant containers, which are located as Personal Protective Equipment (PPE)


close as practical to the area in which the items were ❖ Gloves (sterile and non-sterile, powdered and
used, and place reusable syringes and needles in a unpowdered, latex and nonlatex)
puncture-resistance container for transport to the ❖ Fluid-resistant gowns
reprocessing area. ❖ Eye and face shields
➔ Use mouthpieces, resuscitation bags, or other
ventilation devices as an alternative to
mouth-to-mouth resuscitation methods in areas
where the need for resuscitation is predictable.

9. Patient Placement
➔ Place a patient who contaminates the environment
or who does not (or cannot be expected to ) assist in
maintaining appropriate hygiene or environment
control in a private room.
➔ If a private room is not available, consult with
infection control professionals regarding patient
placement or other alternatives.

Occupational Exposure to Blood-borne Pathogens


Standard

❖ A law monitored and enforced by OSHA


❖ Requiring all employees to practice UP/Standard
Precautions
❖ Providing laboratory coats, gowns, face and
respiratory protection, and gloves to employees, and
laundry facilities for non-disposal protective clothing.
❖ Providing sharps disposal containers and prohibiting
recapping of needles.
❖ Prohibiting eating, drinking, and smoking, and
applying cosmetics in the work area.
❖ Labeling all biohazardous material and containers.

❖ Providing free immunization for HBV.


❖ Establishing a daily disinfection protocol for work
surfaces.
❖ Disinfectant of choice:
➢ SODIUM HYPOCHLORITE – for blood-borne
pathogens
➢ household bleach diluted 1:10
❖ Providing medical follow-up for employees who have
been accidentally exposed to blood-borne
pathogens.
❖ Documenting regular training in safety standards for
employees.

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