Specimen Processing and Handling: (continued) Procedure Process Step Potential Hazards Initial Risk Control (Mitigation) Residual Level Risk Level Perform specimen integrity and Specimen is not Moderate Required: Low ensures that specimen is labeled received in a Specimen Follow written Processing/Handling policy. properly with 2 patient identifiers. biohazard bag. Wear PPE: lab coat, gloves and additional eye Processing/ Follow specimen rejection policies Specimen is leaking. protection when is a risk for a splash Handling as necessary. Outside of specimen or spray. Process specimen, centrifuging or was contaminated Specimens with a request for Mycobacteria splitting specimen as necessary. during collection. or fungal culture are split or processed in Distribute specimen for in-house Specimen is received a Class II BSC. testing or packages specimen for in a syringe with an Specimens with a request for Mycobacteria shipment to testing reference lab. attached needle. or fungal culture are centrifuged in Store any remaining specimen Specimen tube breaks covered cups/carriers and the centrifuged appropriately. during centrifugation cups/carriers are opened in a Class II BSC. creating a spill and an Additional Protection - Preferred: aerosol risk. Process all specimens in a BSC. Specimen is spilled Use gauze or bio-wipe to cover cap when during processing. uncapping specimen. Specimen is splashed Wear additional PPE: N-95 respirator/PAPR or sprayed into and a disposable gown if patient is known mouth, mucous or suspected of having an infectious membrane or onto disease transmitted by aerosols or non-intact skin during droplets (i.e. TB, MERS, SARS, avian uncapping, or pouring, influenza, mumps, measles, etc.). or pipetting aliquots Additional Protection - Alternative: to split the specimen. Process specimens behind a safety shield/face shield and wear eye protection. Comments: Specimen Processing and Handling: (continued)
Specimen Processing and Handling: (continued) Procedure Process Step Potential Hazards Initial Risk Level Control (Mitigation) Residual Risk Level Perform Specimen Processing/ Handling specimen integrity and ensures that specimen is labeled properly with 2 patient identifiers. Follow specimen rejection policies as necessary. Process specimen, centrifuging or splitting specimen as necessary. Distribute specimen for in-house testing or packages specimen for shipment to testing reference lab. Store any remaining specimen appropriately. Specimen is not received in a biohazard bag. Specimen is leaking. Outside of specimen was contaminated during collection. Specimen is received in a syringe with an attached needle. Specimen tube breaks during centrifugation creating a spill and an aerosol risk. Specimen is spilled during processing. Specimen is splashed or sprayed into mouth, mucous membrane or onto non-intact skin during uncapping, or pouring, or pipetting aliquots to split the specimen. Moderate Required: Follow written Processing/Handling policy. Wear PPE: lab coat, gloves and additional eye protection when is a risk for a splash or spray. Specimens with a request for Mycobacteria or fungal culture are split or processed in a Class II BSC. Specimens with a request for Mycobacteria or fungal culture are centrifuged in covered cups/carriers and the centrifuged cups/carriers are opened in a Class II BSC. Additional Protection - Preferred: Process all specimens in a BSC. Use gauze or bio-wipe to cover cap when uncapping specimen. Wear additional PPE: N-95 respirator/PAPR and a disposable gown if patient is known or suspected of having an infectious disease transmitted by aerosols or droplets (i.e. TB, MERS, SARS, avian influenza, mumps, measles, etc.). Additional Protection - Alternative: Process specimens behind a safety shield/face shield and wear eye protection. Low Comments: Specimen Processing and Handling: (continued)
171025-Final-Revised-Risk-Assessment-Tool.docx