OSHA Safety Regulations on Medical Needles
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Questions and Answers

What is the first step for discarding the multisample needle?

  • Hold over the sharps container at a 110 degree angle
  • Remove from the vein (correct)
  • Unscrew the needle
  • Activate the safety feature
  • What angle should you hold the multisample needle over the sharps container?

  • 120 degrees
  • 100 degrees
  • 110 degrees
  • 90 degrees (correct)
  • How should the safety feature be activated on the multisample needle?

  • Using one hand (correct)
  • Using your foot
  • Using an external tool
  • Using both hands
  • What do you do after activating the safety feature?

    <p>Hold over the sharps container at a 90 degree angle</p> Signup and view all the answers

    What should you do with the needle after unscrewing it?

    <p>Allow it to fall into the sharps container</p> Signup and view all the answers

    Which of the following is not a correct step in discarding the multisample needle?

    <p>Hold the needle at a 90 degree angle over the sharps container</p> Signup and view all the answers

    In the process, how should the needle be held over the sharps container before unscrewing?

    <p>At a 90 degree angle</p> Signup and view all the answers

    When removing the needle from the vein, what should be done next?

    <p>Activate the safety feature</p> Signup and view all the answers

    What is the purpose of activating the safety feature using one hand?

    <p>To prevent needle stick injury</p> Signup and view all the answers

    What must be done last in the process of discarding a multisample needle?

    <p>Allow the needle to fall into the sharps container</p> Signup and view all the answers

    Study Notes

    Safety Features on Medical Equipment

    • OSHA regulations require safety features on needles to minimize the risk of accidental needlesticks.

    Evacuated Tube System (ETS)

    • The evacuated tube system is a closed system used for collecting blood samples.
    • It consists of a needle, a safety device holder, and an evacuated tube with a vacuum.
    • The system is preferred for collecting blood samples due to its efficiency and safety.

    CLSI Order of Draw

    • The CLSI standard GP41 recommends the following order of draw for ETS collection and filling tubes from a syringe:
      • Blood culture tube or bottles
      • Sodium citrate tube (e.g., light blue-top coagulation tube)
      • Serum tube with or without clot activator, with or without gel (e.g., red, red/gray mottled, or gold stopper)

    Tubes and Additives

    • Tubes have different colored stoppers to indicate the additive present.
    • Examples of additives and their uses:
      • EDTA (lavender top tube): prevents clotting, used for complete blood counts
      • Sodium fluoride (gray top tube): prevents glycolysis
      • Sodium citrate (light blue top tube): prevents clotting, used for coagulation studies
      • Potassium oxalate (gray top tube): prevents glycolysis
      • Heparin (green top tube): prevents clotting, used for plasma samples

    Trace Element Free Tubes

    • Royal blue top tubes are trace element/metal-free, used for tests such as arsenic, cadmium, chromium, copper, iron, lead, magnesium, manganese, mercury, selenium, and zinc.

    Evacuated Tubes and Tube Vacuum

    • Evacuated tubes are used with both open and closed systems.
    • Different sizes accommodate different volumes of blood.
    • Tubes are available in plastic and glass (most are made from polyethylene terephthalate PET).
    • Each tube has a color-coded top to indicate the additive present.

    Safe Use of Tourniquets and Isopropyl Alcohol

    • Tourniquets:
      • Use tight enough to restrict venous flow and not arterial blood flow.
      • Avoid pinching patients' skin in the buckle.
      • Place over thin clothing of elderly patients.
      • Place finger under buckle when tightening.
      • Loosen tourniquet before removing.
      • Ensure tourniquets are disinfected regularly.
      • Do not use to arrest bleeding.
    • Isopropyl Alcohol:
      • Keep away from heat and open flame.
      • Keep away from children or confused patients.
      • Containers should be correctly labeled and stored in a labeled poisons cupboard.

    Discarding Needles

    • Multisample Needle:
      • After removing from the vein, activate the safety feature (using one hand).
      • Hold over the sharps container at a 110-degree angle.
      • Unscrew the needle and allow it to fall into the sharps container.

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    Description

    Learn about the OSHA regulations on medical needles, focusing on safety features to minimize accidental needlestick injuries. This quiz covers the importance of safety features on medical equipment.

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