DEPARTMENTAL SAFETY ISSUES - SAFETY TECHNOLOGIST / INFECTION CONTROL PRACTITIONER

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Section: Orientation For Technologists Manual Policy # MI\ORIEN\03\03\v01 Page 1 of 2 Subject Title: Departmental Issues - Technologist/Infection Control Practitioner Issued by: LABORATORY MANAGER Original : July 3, 2002 Approved by: Laboratory Director Revision : December 28, 2003 Review : DEPARTMENTAL SAFETY ISSUES - SAFETY TECHNOLOGIST / INFECTION CONTROL PRACTITIONER 3. Departmental Issues- Technologist/Infection Control Practitioner Area/Competency 3.1 Employee has read the Manual and reviewed it with the Officer 3.2 Employee has met with Infection Control Practitioner and is aware of policies regarding Body Substance Precautions and Needle Stick Injuries 3.3 Employee has reviewed fire safety issues: Nature of fire alarm Location of pull stations Location and types of extinguishers Location of fire blanket Departmental evacuation procedures REACT/RACE Phone 5555 3.4 Employee has reviewed emergency codes 3.5 Employee has reviewed WHMIS and location of MSDS sheets 3.6 Employee has reviewed appropriate Personal Protective Equipment Employee Officer/ICP

Policy # MI\ORIEN\03\03\v01 Page 2 of 2 Area/Competency 3.7 Employee has reviewed Spill Policy to include chemical and biological spills and spill kits 3.8 Employee has reviewed appropriate disinfection and disposal practices 3.9 Employee has reviewed proper use and location of the following: Biological safety cabinets Centrifuges Eye Wash Emergency Showers 3.10 Employee has reviewed safe laboratory practices to include reduction of aerosols 3.11 Employee has reviewed workplace ergonomic issues to include: Workstation design Lifting to avoid back injury 3.12 Employee has reviewed location and hours of Occupational Health 3.13 Employee has reviewed location of MSH Emergency Department for first aid Employee Officer/ICP

Policy # MI\ORIEN-QUIZ\01\v01 Page 1 of 3 Section: Orientation For Technologists Subject Title: Orientation Quiz - Manual Issued by: LABORATORY MANAGER Original : July 3, 2002 Approved by: Laboratory Director Revision : Review : Orientation Quiz 1. What is the fire evacuation procedure for this floor? 2. What types of fire are Class A, Class B, and Class C extinguishers used for? 3. What types of extinguishers are in the laboratory?

Policy # MI\ORIEN-QUIZ\01\v01 Page 2 of 3 4. What does Code Red stand for? 5. Check the MSDS for Acetone and record the following: (a) type of hazard: (b) PPE required: (c) First aid measures: (d) Incompatibilities: 6. How would you clean up a significant biological spill?

Policy # MI\ORIEN-QUIZ\01\v01 Page 3 of 3 7. List three procedures that create aerosols: 8. How can you protect yourself from aerosols? 9. How are sharps disposed of? 10. How are needles disposed of?

Policy # MI\ORIEN-QUIZ\01\v01 Page 1 of 2 Section: Orientation For Technologists Manual Subject Title: Orientation Quiz - Answers Issued by: LABORATORY MANAGER Original : July 3, 2002 Approved by: Laboratory Director Revision : Review : Orientation Quiz Answers 1. If there is an evacuation fire alarm, everyone needs to leave the building immediately. Know the locations of the fire exits. They are marked EXIT. At Mount Sinai Hospital the evacuation alarm rings at 60 beats per minute, while at the Michener Institute, evacuation is required whenever an alarm is sounded. turn off the biological safety cabinets and other equipment as required if it is safe to do so do not take the elevators walk down the steps in single file on the outside of the stairwell to the main level for Mount Sinai Hospital, meet at the Murray Street entrance for the Michener Institute, meet across the street from the main entrance or in Schatz hall during inclement weather 2. Class A for combustible sources such as wood, paper and cloth Class B for flammable liquids such as gases and greases Class C for electrical sources such as instruments and computers 3. Class A Class ABC 4. Fire 5. (a) flammable and irritant (b) labcoat, proper gloves, goggles if splashing is possible, vent hood (c) for skin or eye contact, flush the area with plenty of water for 15 minutes; for inhalation, remove to fresh air; for ingestion, do not induce vomiting (vomiting may occur spontaneously); for all exposures seek medical attention as required (d) incompatible with concentrated nitric and sulfuric acid mixtures, oxidizing materials, chloroform, alkalis, chlorine compounds, acids

Policy # MI\ORIEN-QUIZ\01\v01 Page 2 of 2 6. A biological spill that does not involve splashing or the generation of aerosols can be cleaned up immediately. Always use gloves when cleaning spills. Cover the spill with paper towels and pour 1% hypochlorite gently over the paper towels, working from the outside to the inside. after 30 minutes, the paper towels are picked up with forceps and discarded into a yellow biohazard bag. Use forceps to pick up any glass which is placed into a sharps container. the area is then swabbed with fresh disinfectant For a larger spill, use the spill control kit located in the media room. Place the appropriate number of spill control pillows and/or spill control socks to prevent spreading and absorb the spill. if a spill results in aerosols being created, one should move away from the area for 15 to 20 minutes to allow aerosols to settle before cleaning up the spill disinfect as above spill control pillows/socks are discarded in yellow biohazard bags 7. centrifugation, tissue grinders, stomachers, vortex, lyophilization, popping off Vacutainer tops, dropping a specimen, expulsion of the last drops from a pipette, flaming a loop 8. open centrifuge buckets, vortexed tubes etc. in the biological safety cabinet avoid popping off rubber stoppers and work inside the biological safety cabinet use automatic pipetting devices use micro-incinerators to flame loops use appropriate personal protection equipment such as labcoats, gloves, safety goggles, splash shields use safe work place practices 9. Place contaminated sharps objects (plastic pipette, glass slides, etc.) into the milkshake container on bench which is then discarded into double biohazard bags in the cardboard boxes that are sealed and removed for incineration. 10. Needles are discarded into designated puncture resistant biohazard sharps containers. Do not recap needles.