Health and Basic safety in a Clinic Lab Importance

  • Natalie Pigott

M1/D1: Explain and measure the dependence on health, security and safety requirements in a healthcare facility laboratory you have chosen

In the haematology laboratory, nearly every test being analysis has some type of pathogenic organisms. For this reason, it is essential that certain precautions are put in place in order to avoid the risk of disease and cross contaminants. One of these safety measures is the use of PPE or 'personal protecting equipment'. As a health and protection matter, all employees should discover the correct PPE in order to safeguard them from any potential dangers in the labs. Laboratory coats or aprons are one of these of PPE that must be provided to employees working in the laboratory. These should be worn at all times in the lab, especially if there is a chance of chemicals spilling or splashing onto work clothing. For example; blood or bodily fluids. The outer material of the coat should be made of a smooth resistant materials, have long sleeves and must stay buttoned at all times. If any type of contamination occurs then the lab overcoat should be removed immediately and cared for as infectious material. Lab coats worn as PPE should not be into general public or designated "clean" areas such as; bathrooms, staff rooms, offices and canteens whenever using potentially infectious materials or chemicals. If giving the lab then all jackets must be removed. In case a lab coat is required to be worn outside then a second clean cover, which includes not been subjected to any form of blood vessels or fluids should be provided in order to support this. Under no circumstances should lab coats be studied home to be cleaned out. They should also be changed about once every week in order to ensure sanitation. Within the lab, there must be a selected area provided for the handling of both "clean" and "dirty" lab coats. Although this only pertains to staff who remove their PPE and wear a clean lab coat outside of the labs. It is essential that all throw-away PPE is removed correctly. For example; any disposable PPE which is visibly polluted should be disposed of in the nearest biohazard bin. If an employee's own private clothing is contaminated then the clothing should be removed. The workplace should provide scrubs and showers for the staff and polluted clothing should be put in a plastic material handbag with the employee's name and team clearly written on it. This should then be taken to the nursing homes laundry service to become cleaned and therefore preventing infections.

Within the laboratory, employee's are also required to wear the correct eyes and face safety when there is a potential exposure risk to them because of the use of natural or chemical hazards. If a biohazard face shield is inaccessible, a bench shield could be utilized as an alternative. When undertaking responsibilities such as; warming flasks and test tubes, using apparatus where the contents are under pressure, handling specimen samples or using certain chemicals, safeness goggles must be worn. If any blood vessels was to spill onto a worktop or counter-top within the labs then it can easily contaminate it. Contamination can be in the proper execution of either splashes, droplets of blood on work areas or poor working practice. In order to prevent contaminants, all work areas and areas should be washed correctly regarding procedures which may be set up.

With respect to hazardous chemicals, blood vessels and bodily substance precautions gloves must be worn and removed before leaving the labs. Gloves must be able to accommodate laboratory employees and also require a latex allergy and solution gloves must be readily available for many who do. After handling one test, gloves must be removed and replaced with a clean set before handling anything else. This helps to prevent contaminants within the laboratory. Gloves must be worn at all times when;

  • Handling bloodstream, body liquids or hazardous chemicals
  • Cleaning equipment
  • Performing veni-puncture
  • Touching a patient's non-intact skin
  • Cleaning up spills of blood vessels, body liquids or chemical substance substances

If gloves touch blood, fluids or get torn then they must be replaced. and hand health procedures must be performed. When taking away gloves, hands must be washed immediately after and gloves disposed of correctly. When removing PPE such as gloves, there are specific techniques that must definitely be utilized by employees to be able to prevent contamination of themselves or other things. One way this can be done is by grasping the cuff of the gloves and pulling the gloves inside out whilst pulling it from the submit order to avoid contact with your skin.

When finished with disposable gloves, they must be positioned in a non biohazard bin and really should not be washed or reused. If they're visibly polluted with blood or other fluids they should be located in a biohazard bin once removed. Health insurance and safety requirements may be improved in order to help decrease the risk of combination contaminants or the spread of infection. For instance; one manner in which this could be done would be by changing laboratory coats more regularly. This may be every other day rather than once a week. Another improvement that may be made is more indications and posters across the lab to be able to remind personnel to wash their hands after handling samples and also before and after using throw-away gloves. Within the laboratory, there should be at least to spillage kits encase a spillage does occur. This then means that personnel can deal with it quickly and effectively rather than needing to remember to get yourself a spillage kit if it is not near by. Before personnel leave the labs to go home, they must change their clothes in order that they do not run the chance of carrying infection to their homes and around their own families where it can be easily disperse. Especially to small children, elderly, pregnant female and the ones already sick. This will apply to all personnel within the lab, even if the clothes they are wearing are under a laboratory coat.

Arrangements must be placed set up within all organisations in order to control all aspects of health and safety including a prepared written statement with their health and safety policy. This affirmation should consist of their aim to provide and keep maintaining a safe and healthy working environment, and also to also enlist the support of employees towards attaining these ends. It will also include detailed responsibilities in the organisation and the plans for ensuring health and safety in the workplace. It will also discuss the strategies set up for keeping and guaranteeing employees' health insurance and safety. Spillage kits should be produced available to personnel in the lab in the event that a mishap occurs and specimens spill out of their containers. If this is to occur, employees should placed on gloves and obtain the spillage equipment. Using the appropriate material out of this, the spillage should be protected. For no reason should a mop be used to clean up spillages as this would only further the risk of cross contaminants and allow the problem to spread further. Only authorised staff should maintain the lab anytime. A key fob access system should be used to ensure that no unauthorised personnel has access in to the lab. Authorised personnel must check their key fobs to be able to uncover the entrance doors and gain access in to the labs. Intercoms are another effective way in keeping unwanted people out of the labs. For instance; if someone was to neglect or did not have an integral forward to the lab then they would need to use the intercom to be able to talk to staff. Personnel inside would then be able to see the person on a camera and verbally talk to them. This can then help staff to make an informed decision as to whether they grant them usage of the laboratory. Insurance firms these measures set up, it ensures that only authorised staff have access to and from the labs. That is essential as there are a lot of potentially harmful chemicals, biohazards and confidential information contained and stored within the lab.

Before any samples arrive at the labs, staff must ensure they have obtained tracking bed linens. On these bed linens there must be information regarding each patients name and how many samples of each colour tube to expect. Once the samples arrive at the labs, they are really removed from their bags in the plastic boxes. If the boxes are opened, biohazard carriers should be present. These will be assigned one per patient with urine as an exception as it is normally packaged in its own bag. There should also be a in depth piece of newspaper which include information such as; the patient's order number and the many tests their sample require. Upon the removal of the examples, test pipe racks should be there to place the samples in after the technologist has validated that both orders and the tracking sheet match. Following this, samples are established by using the computer system. This confirms that the samples arrived effectively and their collection times are keyed into the computer system. Brands are then printed and located onto samples carefully in order to avoid covering previous brands that may have been present on the tubes. The sample tubes are cross checked out for another time with the traffic monitoring sheet before both are kept and stored for a specified the perfect time to ensure patient confidentiality.

Bibliography

http://www. pathology. med. umich. edu/Safety Manual/PPE Last. pdf

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