Safety requirements in a laboratory include: Safety Manual, Safety Equipment, Personal Protective Equipment (PPE), MaterialSafetyDataSheets (MSDS), Safety Training, Incident Reporting, Safety Audit, Safety Officer
Types of safety hazards:
Biologic hazards: infectious agents such as bacterial, fungal, viral, or parasitic infections
Sharps hazards: needles, lancets, broken glass leading to cuts, punctures, or bloodborne pathogen exposure
Chemical hazards: exposure to toxic, carcinogenic, or caustic agents
Radioactive hazards: radiation exposure
Electrical hazards: ungrounded or wet equipment, frayed cords leading to burns or shock
Fire/Explosive hazards: open flames, organic chemicals leading to burns or dismemberment
Physical hazards: wet floors, heavy boxes, patients leading to falls, sprains, or strains
Biologic hazards involve the Chain of Infection:
Transmission of microorganisms
Source: Specimen/Patient
Transmission through directcontact, inhalation, ingestion
Host
International Safety Guidelines and Regulations include:
Universal Precautions (UP) developed by CDC in 1987 for blood-borne pathogens (HIV, HBV, HCV)
Standard Precautions (SP) combining UP and BSI
Appropriate use of PPEs based on Biosafety Level of facility, specific tasks, or specimens handled in the laboratory
Hand hygiene through hand washing or alcohol-based antiseptic cleaners
Biologic waste disposal with biohazard symbol on waste containers and daily sodiumhypochloriteflush
Sharps hazards involve:
Needles, lancets, broken glass wares
Puncture-resistant containers conveniently located in work areas
Needle Prick Injuries Reporting & PEP procedures
Chemical hazards include:
Chemical spills requiring skin/eye contact flush with water and medical attention
Chemical Hygiene Plan with appropriate work practices, PPE, employee training
Chemical labeling with hazard labels and Material Safety Data Sheets (MSDS)
Radioactive hazards involve radioisotopes in the lab, with precautions for radiographers and pregnant individuals to avoid exposure
Electrical hazards require precautions such as not touching the person, removing the electrical source, turning off circuit breakers, and using nonconductive materials
Fire/Explosive hazards require evacuation routes, detailed plans, and the RACE protocol for rescue, alarm, containment, and extinguishing fires
Physical hazards include running in rooms and hallways, wet floors, lifting heavy objects, not pulling back long hair, avoiding dangling jewelry, not wearing open-toed shoes, and maintaining proper body positions