SAFE OPERATING PROCEDURE Discipline of Pathology ROOM 260, W502/3, W504, W505, 506, 508, 510, 512, 518, 542, 550, 554, 561, 565, 577 JOB / TASK: Sharps Written By: S Kum Jew Date: 14/08/09 Signature: Consulted: Murat Kekic Review Date: 14/08/10 Signature: Performed By: Honours students, PhD students, technical staff, or other authorised personnel who have had prior training in these techniques. RISKS: Sharps comprise hypodermic syringes, glass pasteur pipettes, small plastic pipette tips, scalpel blades, broken glass, microtome blades and knives. These can cause cuts or puncture wounds and may be contaminated with blood or body fluids, microbiological materials, toxic chemicals or radioactive materials. RISK CONTROLS AND PERSONAL PROTECTIVE EQUIPMENT REQUIREMENTS: Cut resistant gloves, latex gloves, mask, safety goggles, lab coat, surgery gown, enclosed footwear, respirator Immunisation – Hepatitis A and B, tetanus, TB Decontamination – 70% ETOH, Cavicide, Betadine, Sodium hyperchloride, Approved hand washing technique MSDS METHOD: Wear appropriate PPE All used sharps should be disposed into a rigid, lockable puncture proof container that should be positioned close to the working area to avoid carrying the item over a long distance. Hypodermic needles should not be resheathed prior to disposal into a sharps container. Large clean uncontaminated broken glass should be wrapped and disposed of into the industrial waste bins outside of Blackburn building. Small chipped, cracked or broken glass can be disposed of into a sharps container. Solid microtome blades should be handled carefully and the operator must wear enclosed shoes. When using or sharpening the microtome knife, distractions should be avoided. When removing or transporting the blade, it must always be carried in a box holder. Prior to using a microtome or cryostat, training must have taken place. Refer also to the Laboratory Waste Management Plan –Blackburn Building – March 2006. First Aid For any accident involving blood, wash the injured area immediately with soap and water and then report the incident immediately to your supervisor or staff member in charge of the area or class where the accident occurs. For needlestick injuries involving blood, proceed to the University Health Service (in office hours), or nearest hospital casualty department (for example, Royal Prince Alfred Hospital or Westmead Hospital). This should be done without delay so the incident can be assessed and treatment offered within 24 hours if warranted. For other possible chemical contaminants, usually wash the site immediately with water but refer to a MSDS for neutralizing the chemical. See also NSW Health Department Policy Directive 2005_311 (27 January 2005): Management of Health Care Workers Potentially Exposed to HIV, Hepatitis B or Hepatitis C and NSW Needlestick Hotline: 1800 804 823 Post Injury Management Involves assessment of the risk of infection based on type of injury, type of instrument and source of blood or body fluid; vaccination status; blood tests – immediate (for baseline), at 3 months and at 6 months; treatment and counselling Refer “Guidelines for Disposal of Sharps” http://www.usyd.edu.au/ohs/policies/ohs/sharps.shtml Refer “Guidelines for Disposal of Glass” http://www.usyd.edu.au/ohs/policies/ohs/glass.shtml Refer “Clinical and Related Wastes – Guidelines for Management” http://www.usyd.edu.au/ohs/policies/ohs/clnwaste.shtml Refer “Policy on First Aid” http://www.usyd.edu.au/ohs/policies/ohs/firstaid.shtml Refer to “Laboratory Waste Management Plan – Blackburn Building – March 2006” This SOP does not necessarily cover all possible hazards associated with this technique and should be used in conjunction with other references. It is designed to be used as an adjunct to teaching safety procedures and to act as a reminder to users prior to proceding with the technique.