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Questions and Answers

Why is it essential to understand and implement laboratory safety protocols in a clinical microscopy setting?

  • To help microscopists work efficiently, reducing the time spent on each sample preparation.
  • To reduce the overall cost of laboratory operations by minimizing waste and conserving resources.
  • To ensure all microscopic results are accurate and free from contamination, leading to reliable diagnoses.
  • To prevent exposure to potentially infectious materials, protecting healthcare workers and preventing environmental contamination. (correct)

In the event of a chemical spill in the clinical microscopy lab, what is the MOST immediate and crucial step to take?

  • Dilute the chemical with water to reduce its concentration and potential harm.
  • Evacuate the area and alert other personnel to the spill, following established protocols for spill management. (correct)
  • Immediately clean up the spill with paper towels to prevent it from spreading.
  • Neutralize the chemical with the appropriate neutralizing agent to minimize its reactivity.

What is the PRIMARY reason for using personal protective equipment (PPE) in a clinical microscopy laboratory?

  • To create a barrier between laboratory personnel and potential hazards, minimizing the risk of exposure. (correct)
  • To improve the aesthetic appearance of laboratory personnel.
  • To ensure compliance with hospital dress code policies.
  • To increase the efficiency of laboratory procedures by streamlining movement.

Why is proper waste segregation crucial in a clinical microscopy laboratory?

<p>To minimize the risk of contamination and ensure appropriate disposal of hazardous materials, preventing environmental and health hazards. (C)</p> Signup and view all the answers

What is the BEST approach to take if you notice equipment is malfunctioning during your clinical microscopy work?

<p>Immediately discontinue use, report the issue to the appropriate personnel, such as a supervisor or maintenance, and follow their guidance. (D)</p> Signup and view all the answers

Why is it important to avoid grabbing the glove at the top and turning your hand when removing gloves?

<p>This action can lead to skin contamination if the outer glove surface touches the skin. (A)</p> Signup and view all the answers

What is the primary reason for healthcare providers and lab personnel to adopt proper glove removal techniques as a habit?

<p>To minimize the risk of self-contamination due to frequent glove changes. (A)</p> Signup and view all the answers

What is the MOST effective way to evaluate your glove removal technique to ensure you are not contaminating yourself?

<p>Cover the gloves with Glo Germ or chocolate sauce before removal and check for contamination afterward. (B)</p> Signup and view all the answers

How can cuts, rips, and tears in the cuticles of the fingers increase the risk of contamination?

<p>They provide entry points for microorganisms, increasing the likelihood of infection. (B)</p> Signup and view all the answers

Which of the following is an example of a potential physical hazard in a laboratory setting?

<p>Slipping on a wet floor (B)</p> Signup and view all the answers

In the context of laboratory safety, what is the PRIMARY purpose of identifying potential hazards?

<p>To implement appropriate control measures and minimize risks (B)</p> Signup and view all the answers

What is a key consideration when using the 'beaking' method for glove removal to prevent contamination?

<p>Avoiding contact between the dirty glove and the skin. (D)</p> Signup and view all the answers

What is the MOST appropriate action to take immediately after removing gloves, regardless of the removal technique used?

<p>Wash hands thoroughly with soap and water. (B)</p> Signup and view all the answers

A researcher is working with a new chemical compound and wants to assess potential hazards. What is the FIRST step they should take?

<p>Consult the SDS and relevant literature to understand the compound's properties and potential hazards. (C)</p> Signup and view all the answers

A lab worker accidentally splashes a corrosive chemical on their skin, even though they were wearing gloves. What is the MOST important IMMEDIATE action?

<p>Remove contaminated clothing and rinse the affected area with copious amounts of water for at least 15 minutes. (D)</p> Signup and view all the answers

A researcher wants to modify an experimental protocol due to time constraints. What is the MOST appropriate course of action?

<p>Consult with colleagues and supervisors to assess potential risks and obtain approval before implementing the modification. (A)</p> Signup and view all the answers

In a laboratory setting, what is the PRIMARY goal of biosafety practices?

<p>To prevent unintentional exposure to biological agents or their inadvertent release. (B)</p> Signup and view all the answers

Which of the following scenarios BEST exemplifies the importance of proper PPE in a laboratory?

<p>A student wears safety goggles and a lab coat while handling a potentially splashing corrosive liquid. (D)</p> Signup and view all the answers

A researcher finds an unlabeled container of clear liquid in the lab. What is the SAFEST course of action?

<p>Treat the container as hazardous waste, properly dispose of it, and ensure proper labeling procedures are followed in the future. (B)</p> Signup and view all the answers

What is the MOST critical component of a comprehensive laboratory safety program?

<p>A culture of safety where hazard recognition, risk assessment, and adherence to safe practices are prioritized by all personnel. (D)</p> Signup and view all the answers

A researcher is designing a new experimental setup. Which of the following considerations is MOST relevant to minimizing physical hazards?

<p>Implementing engineering controls, such as machine guards, to prevent contact with moving parts. (B)</p> Signup and view all the answers

Which scenario represents a failure to adhere to proper laboratory safety protocols?

<p>A lab technician eats lunch at their workstation while working with open containers of chemicals. (A)</p> Signup and view all the answers

How can one MINIMIZE the risk of inhalation when working with volatile chemicals?

<p>Working in a well-ventilated area or using a fume hood. (B)</p> Signup and view all the answers

What is the MOST significant ergonomic consideration when using pipettes for extended periods?

<p>Minimising the force required for tip ejection and plunger activation. (D)</p> Signup and view all the answers

According to the information provided, which strategy would be MOST effective in reducing the risk of Repetitive Strain Injury (RSI) when performing prolonged pipetting?

<p>Taking frequent breaks and utilising pipettes with low activation and ejection forces. (C)</p> Signup and view all the answers

A researcher is experiencing thumb fatigue after prolonged use of a pipette with a tip ejection force of 5 kg. Considering the study recommendations, what immediate action should they take?

<p>Switch to a different task that does not involve repetitive hand movements. (C)</p> Signup and view all the answers

What is the MOST relevant implication of understanding lateral pinch strength in the context of laboratory work?

<p>Evaluating the force required to open containers and operate equipment. (B)</p> Signup and view all the answers

If a lab worker needs to pipette continuously for 4 hours, what strategy aligns BEST with the recommendation to stay under 30% of maximum strength levels?

<p>Use an electronic pipette with adjustable force settings and take frequent short breaks. (C)</p> Signup and view all the answers

Which factor is least relevant when assessing the likelihood of an undesirable event during a risk assessment involving biological agents?

<p>The current stock market trends and financial stability of the research institution. (A)</p> Signup and view all the answers

In a laboratory setting, what aspect of the physical infrastructure is most critical for mitigating risks associated with biological agents?

<p>The type of facility, presence of engineering/safety controls, type of equipment used, function/reliability of ventilation systems. (D)</p> Signup and view all the answers

A laboratory is working with a biological agent known to transmit through direct mucosal contact and inhalation. Which of the following control measures would be most effective in reducing the risk of exposure?

<p>Providing comprehensive training on proper laboratory techniques. (C)</p> Signup and view all the answers

When selecting control options for laboratory safety, what is the correct order of priorities?

<p>Feasibility, effectiveness, permanence. (A)</p> Signup and view all the answers

What is the primary purpose of conducting a risk assessment before handling biological agents in a laboratory?

<p>To determine the likelihood of an undesirable event. (B)</p> Signup and view all the answers

A researcher is assessing the risk of working with a newly identified virus. Which factor related to the virus would be most important to consider in the risk assessment?

<p>The virus's potential routes of transmissions (direct mucosal contact, inhalation, ingestion, injection). (B)</p> Signup and view all the answers

Why is it important to include provisions for protecting workers during non-routine operations in a hazard control plan?

<p>Workers are less experienced with non-routine tasks, increasing risk. (D)</p> Signup and view all the answers

A laboratory is located in an area where a specific fungal pathogen is endemic. How should this endemicity influence the laboratory's risk assessment and safety protocols?

<p>The laboratory should implement enhanced surveillance and control measures to prevent the introduction of new strains. (B)</p> Signup and view all the answers

Beyond initial implementation, what steps should employers take to maintain the effectiveness of hazard control measures?

<p>Regular inspections, evaluations, and preventive maintenance. (A)</p> Signup and view all the answers

Which of the following factors most significantly influences the choice of a decontamination method?

<p>Degree of contamination and type of contaminant. (D)</p> Signup and view all the answers

Which administrative control is most effective in minimizing the risks associated with handling sharps in a laboratory setting?

<p>Implementing policies and training programs on the safe use and disposal of sharps. (C)</p> Signup and view all the answers

What distinguishes sterilization from disinfection as a decontamination method?

<p>Sterilization eliminates all microbial life, while disinfection eliminates nearly all pathogenic microorganisms. (D)</p> Signup and view all the answers

A laboratory is planning to amplify a biological agent through culturing. What is the most important consideration during the risk assessment process?

<p>The potential for increased aerosol generation during culturing. (B)</p> Signup and view all the answers

Before establishing a decontamination procedure, what is the MOST important action to take?

<p>Determining the type, concentration, and location of the microorganism. (D)</p> Signup and view all the answers

What is the significance of assessing the 'life stage/form of the biological agent' during a risk assessment?

<p>Different life stages may exhibit varying levels of virulence or resistance. (B)</p> Signup and view all the answers

How does the existence of standard operating procedures (SOPs) contribute to risk mitigation in a laboratory working with biological agents?

<p>SOPs provide a standardized framework for safe handling and containment practices. (D)</p> Signup and view all the answers

Which of the following is LEAST important when selecting a suitable disinfectant?

<p>The color of the disinfectant. (C)</p> Signup and view all the answers

A laboratory spill involves a known concentration of Gram-negative bacteria. What is the MOST critical factor in selecting an appropriate liquid chemical disinfectant?

<p>The disinfectant's effectiveness against Gram-negative bacteria. (B)</p> Signup and view all the answers

In implementing a new hazard control plan, when should serious hazards be addressed?

<p>First. (B)</p> Signup and view all the answers

What initial step should be taken before selecting decontamination control options?

<p>Soliciting workers' input on feasibility and effectiveness. (B)</p> Signup and view all the answers

Flashcards

Laboratory Safety

Following safety regulations to minimize risks in the lab.

Clinical Microscopy

Using microscopes to examine clinical samples for diagnosis.

Safety Regulations

A set of rules in place to protect laboratory workers from harm or infection.

Dr. Geraldine B.

The person responsible for teaching or leading in a lab.

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Clinical Samples

The study and testing of a patient's bodily fluids or tissues to aid in diagnosis.

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Electrical Safety Rules

Rules designed to minimize risk of electrical shock and burns.

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Personal Protective Equipment (PPE)

Specialized clothing/equipment worn for protection against hazards.

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"Beaking" Glove Removal Method

A glove removal method minimizing skin contact with the dirty glove surface.

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Compromised Cuticles

Cuts or tears that may increase the risk of contamination.

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Potential Hazards

Something that poses potential harm in the lab.

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Corrosives

Chemicals that can cause burns or corrosion upon contact.

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Flammable Chemicals

Chemicals that easily ignite and burn.

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Microorganism Resistance

The ability of microbes to withstand the effects of disinfectants.

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Importance of Lab Safety

To avoid unnecessary accidents and injuries in the lab.

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Safety Protocols

Following established guidelines and using personal protective equipment.

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Biosafety

Preventing accidental exposure to or release of biological agents.

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Bugs (in Biosafety)

Bacteria, viruses, microorganisms, and other potentially harmful biological entities.

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Routes of Chemical Entry

Contact: Chemical spill to unprotected eyes or skin. Ingestion: Absorption through the digestive tract. Inhalation: Absorption through the respiratory system.

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Chemical Hazards

Substances that can cause harm due to their chemical properties.

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Physical Hazards

Physical hazards include noise, projectiles, heating devices, slipping hazards, and moving machinery accidents.

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Biological Hazards

Biological hazards include microbes, plants, animals and genetically modified agents.

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Examples of Chemical Hazards

Reactives, Flammables, Toxins and Corrosives.

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Pre-Incident Events

Events that precede an actual incident.

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Risk Groups

Grouping risks based on their potential impact on individuals and the community.

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Risk Assessment

Evaluating the probability of an undesired event.

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Environmental Stability

A biological agent's ability to remain stable in the environment.

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Routes of Transmission

How a biological agent spreads (e.g., contact, inhalation).

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Agent Endemicity

Whether a biological agent is common in a region.

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Agent Life Stage/Form

A biological agent's variable forms or stages.

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Communicability

A biological agent’s capacity to spread from one host to another.

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Physical Infrastructure

Physical aspects of a lab that impact safety.

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Administrative Controls

Policies and training that affect lab safety.

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Biosafety Definition

Preventing unintentional exposure to biological agents or their inadvertent release.

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GHS Pictograms

Pictorial symbols on labels that quickly communicate specific hazards.

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Pipette Tip Ejection Force

The average force required to eject a pipette tip; ideally kept low.

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Blowout Force

Exceeds tip ejection force and may cause injury.

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New Pipette Designs

Reducing plunger activation and tip ejection forces to minimize strain.

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Disinfection

Eliminates nearly all pathogenic microorganisms, EXCEPT microbial spores.

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Sterilization

Eliminates ALL microbial life.

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Decontamination

Reduction of contamination using chemicals, heat, or radiation.

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Determining Contamination

Type and amount of microorganism present.

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Types of Microorganisms

Bacteria, viruses, fungi, bacterial spores, and algae

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Disinfectant Effectiveness Factors

Chemical composition, amount, concentration, contact time, and temperature.

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Worker Input

Workers' thoughts on practicality and effectiveness

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Control Selection

Most feasible, effective, and permanent solutions.

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Implementation

Hazard prevention and control measures implemented via a hazard control plan.

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Control Maintenance

Track progress, inspect controls for proper function, and perform maintenance.

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Study Notes

  • Laboratory safety involves recognizing/evaluating hazards, assessing risks, selecting appropriate PPE, and performing experimental work safely.

Importance of Laboratory Safety

  • To prevent accidents.
  • Protect personnel by wearing PPE and following protocols.
  • Inform others about deviations from protocols.

Biosafety

  • Aims to prevent unintentional exposure to/release of biological agents.
  • "Keep bugs away from people."
  • Involves safety precautions reducing a laboratorian's exposure risk including limiting work environment contamination, and safeguarding the community.

Concepts under Biosafety

  • Containment
  • Protocols
  • PPE
  • Proper waste management/safe disposal

Biosecurity

  • Aims to prevent unauthorized access, loss, theft, misuse, diversion, or release of microorganisms.
  • "Keep people away from bugs."

Elements to ensure biosecurity

  • Personnel reliability
  • Accountability
  • Information security
  • Response
  • Physical measures
  • Transport security
  • Management
  • Awareness

Importance

  • Most lab infections result from human factors rather than engineering control malfunctions.

Factors leading to potential and confirmed exposures to biological agents

  • Absence/improper use of PPE
  • Inadequate/ignored risk assessments
  • Lack of SOPs
  • Insufficiently trained personnel

Hazards

  • Chemical, physical, and biological.

Routes of Entry

  • Contact, ingestion, and inhalation.

Laboratory Signs and Symbols

  • Easily recognizable graphic labels representing general protocols/safety instructions in workplaces, establishments, or public spaces.

Globally Harmonized System (GHS) Pictograms

  • An internationally agreed system standardizing chemical hazard classification/communication.
  • Graphic images immediately showing the user what hazard exists.

Standard Operating Procedures (SOP)

  • Well-documented, validated, stepwise instructions for performing laboratory practices and procedures.
  • Safely, timely, and reliably in line with institutional policies, best practices, and regulations.

General Lab Safety Rules

  • Housekeeping, dress code, personal protection, chemical, and electrical safety rules.

Personal Protective Equipment (PPE)

  • Equipment/clothing providing a barrier against biological agents to minimize exposure.
  • Includes coats, gowns, suits, gloves, footwear, glasses/goggles, masks, and respirators.

"PPE in the Biological Lab" Video

  • Demonstrated lab coat importance while using a flame.
  • Fire extinguisher training shown as important.
  • Accidents can happen, maintain situational awareness during routine procedures.
  • Lab infections are often due to human factors.

Human factors in lab infections

  • Absence or improper PPE use
  • Inadequate/ignored risk assessments
  • Lack of SOPs
  • Insufficiently trained personnel
  • Proper training/adherence to protocols are vital for preventing infections.

"The Beaking Method" Video

  • Removes gloves efficiently and effectively.
  • Involves 10 steps, last step being washing hands with soap/water.
  • Focuses on infectious agent workers and their families/the world.

Microorganism Resistance to Disinfectants

  • Prions, bacterial spores (Bacillus subtilis, Clostridium species), mycobacteria, non-enveloped/small viruses, fungi, vegetative bacteria, and enveloped/medium-size viruses.

Risk Management Process

  • A continuous process to identify, assess, control, and monitor risks

Steps

  • Identify hazards/risks.
  • Evaluate risks.
  • Implement a risk mitigation plan as needed.
  • Evaluate control effectiveness.

Identify the Hazards and Risks

  • Identify activity/procedure hazards.
  • Examine each step of activity.

Determine Potential Hazards

  • Biological, chemical, physical hazards and their sources.

Determine Routes of Entry

  • Contact, Ingestion, Inhalation
  • Consider personnel, how the work is performed, who is doing work (what, where, how).
  • Identify possible failure points and consequences.

Evaluate the Risks

  • Risk evaluations should use set criteria.
  • Criteria involves likelihood and consequences of undesirable incidents.

Characterize the Risks

  • Assess based including Biological Agent Factors, Laboratory/Testing Environment Factors, Human Factors, Consequences of Risks.

Biological Agent Factors

  • Stability, transmission routes, endemicity, life stage

Lab Testing Environment Factors

  • Physical infrastructure and existing controls, type of facility, presence of engineering/safety controls, type of equipment used, function/reliability of ventilation systems. Procedural:

Human Factors

  • Employee competency and training, behavioral aspects.

Consequences of Risks

  • Infection severity including; virulence factors, high communicability, severity infection/disease.

Administrative Controls

  • Availability of vaccines, prophylaxis, therapeutic interventions, and emergency response procedures Host factors:
    • Health and immune status of staff.
    • Behavioral aspects: willingness to accept safe work procedures. Prioritize the Risks and Determine if Risks are Acceptable
  • Risks include risk reduction
  • Classify risks as acceptable, unacceptable.

Implement a Risk Mitigation Plan

  • A plan for unacceptable risks should be implemented.

Action Items in Hazard Prevention and Control

  • Employers are to provide information to investigate options for hazard control.
  • Select the most feasible controls
  • Address serious hazards first
  • Goal is to ensure affective long-term control of hazards
  • Once hazards are controlled, they must be implemented to the control plan
  • Ensure employers track, evaluate, and follow maintenance practices.

Hierarchy of Controls

  • Most to least effective order: Elimination, Substitution, Engineering Controls, Administrative Controls, PPE.

Supplementary Videos: LABORATORY SAFETY

Decontamination for Lab Safety

  • Eliminates most or all microorganisms depending on the level.
  • Disinfection eliminates nearly all pathogenic microorganisms except microbial spores
  • Sterilization eliminates ALL microbial life
  • Decontamination must be completed using chemical, heat, or radiation methods.
  • Choice of method depends on the degree of contamination along with the type and concentration of contaminates

Choosing a Decontamination Method

  • Determining the type, concentration, and location of microorganism assists with establishing a decontamination procedure
  • After determining the microorganism, you can choose the type of disinfectant Effectiveness of a disinfectant is dependent on factors:
    • Chemical composition, concentration, contact time, amount, temperature

Disinfecting with Liquid Chemicals

  • There are 3 levels of disinfect: low, intermediate, and high

Disinfecting with Gas

  • Gases used for closed equipment includes chlorine dioxide, ethylene oxide, vaporized H2O2, Paracetic acid

Disinfecting with Heat and Radiation

  • Includes wet or dry heat
  • Dry Heat: used for glass wares, set from 160-170 for 2-4 hours, not suitable for heat-labile materials Wet Heat: Also like an autoclave, which heats samples under high pressure to approx. 120*C for 30-60 min

Waste Disposal

  • Generators of hazardous waste requires regulating the disposal process.
  • The waste management systems must be devised before beginning research Each institution have have their own rules for waste disposal Proper Waste Disposal:
  • Efficient management is important.
  • Accomplish by using minor material and recycling.
  • Generated waste must be labeled, segregated, according to chemical compatibility and stored.
  • Other wise, sharps and glasses are disposed of in there corresponding container

Typical Laboratory Procedure

  • Reduces large amount of chemicals.
  • Waste Management:
    • Substitute chemicals.
    • Recycle solvents.
    • Wear proper PPE.
    • Collect chemical waste.
    • Affix labesl.
    • Use seperate containers.
    • When full, carefully move them to the designated area.

Sharps and glass waste

 - Dispose of needles in sharps .
 - Used pipittes get special containers.

Biosafety measures

  • Prevention of large-scale loss of biological integrity.
  • Protection against incidents.
  • Thousand of labs are working with infectious agents that allow contamination of the work space.

Biosafety levels

  • Diffenter labs have different biosafety levels
  • Level 1 works with least dangerous .
  • Level 4 works with the deadliest
  • Regardless, the basis of level 1 is protective

Basic Biosafety Rules

  • Standard lab safety
  • No contacts or drinks in the lab
  • PPE kit required.

PPE Equipment basics

  • Protect with clothing, or goo goo glasses.
  • Choices based on work.
  • Employees trained.

Microbes

  • Enclosed bacertria and pathogens can cause diseses.
  • saftey is careful storage

Antimicrobial agents

  • Kill by concentration, and contaiminatation of contact time

Beach and disinfection

  • Break labs, and contamination
  • Differentatiate between sterlization
  • No lab procedures and appropriate products

Best practice safety

  • Must wash hands before and after entering
  • Cannot store items in cabinet
  • Disinfect work surfaces before and after

Best practice fun fact

  • D value: Time required for a control agent to kill 90%

Disinfectants

  • Aseptic.
  • Affecting efficacy concentration is high

Working alone in the lab

  • Do not work alone.
  • Have emergency numbers.
  • Having a partner makes the labor danger free

Tips for the job

  • Responsible partner can see you and hear you.
  • Best practice s no danger with a friend.

Pipette saftey

  • Can have affects of ergonomics and can causes discomfort of the body.
  • Long hours of pipetting can result in discomfort, and body can be at long risk. Bench Setup

Be Aware of Posture with Working

  • Your back should make contact with the back of the work chair
  • Be very aware of the tools your using and how they should be set forth
  • If done improper the pipet set could cause a severe injury

Tips for lab practices

  • Try to utilize hand and arm and shoulder stretches during breaks with your partner

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