Phlebotomy

Safety

Biologic Hazards

• Diseases, infections• Chain of infection

– Source– Host – Mode of transmission- direct– indirect– droplet/aerosol– vehicle-ingestion– vector– Portal of entry/exit– Susceptible host

Protection from biological hazards

• Hand washing• Isolation – strict- gown, gloves, mask• respiratory- mask• enteric- gown, gloves• drainage/contact- gown, gloves• standard/universal- if exposed• protective/reverse- all• On= gown, mask, gloves• Off= gloves, mask, gown• Pg. 39 chart

Modes of Transmission

• Direct

• Indirect

• Droplet

• Vehicle

• Vector

• Airborne

Isolation for phlebotomy

• Take in what needed only, no tray

• Take 2 sets

• Can’t bring things out of room

• Double bag blood-except reverse isolation

Protection for employees

• Exposure plan

• CDC- Center for disease control

• OSHA- Occupational Safety & Health Administration- pg. 48

• Needle Safety Act

• Post exposure prophylasis

Sharp hazards

• Never recap

• Needless systems

• Self sheathing needles

• Biohazard boxes 2/3 full

• Don’t put hands in

• Fill out incident report immediately if stuck

Chemical Hazards

• All chemicals hazardous- always assume

• If contact flush with h2o

• Know eye stations and shower placement

• Do not mix chemicals

• Add chemical to water

• MSDS- Material safety data sheet

Radioactive hazards

• Know symbol

• If pregnant avoid area

• If frequently working there wear a monitoring device

Electrical Hazards

Fire

• R

• A

• C

• E

• P

• A

• S

• S

Physical Hazards

• Protect back

• Prevent falls

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