Operational- While there are no specific guidelines from OSHA regarding the re-use of tourniquets, single use non-latex tourniquets are currently recommended for phlebotomy use and should be disposed of after each venipuncture. These tourniquets reduce cross contamination between patients and health care workers. If a tourniquet is soiled with blood, it should not be cleaned for re-use.
Operational- When discarding lab instrumentation that becomes inoperable you must take into account local disposal requirements for biohazard materials. The analyzer must be decontaminated per the manufacturers guidelines and any sharp objects or parts removed. Once this step has been completed, contact your local biohazard waste disposal facility to see if the instrument can be placed in a dumpster or if there are other disposal requirements.
Operational- Hand held squirt bottles are not acceptable devices for potential splashes in the eye. The only acceptable device is an eye wash station plumbed into a sink. In the event of a splash, the safety device must be able to be operated hands free and irrigate the eyes for 15 minutes.
Regulatory-If you have two non-waived analyzers that perform the same testing, you must perform proficiency testing on both analyzers. COLA requires their labs to report the proficiency testing results on the main instrument to the PT provider. You must perform a self evaluation using the same PT samples on the back up instrument. It is important to note that the PT samples must not be tested on the back up analyzer until after you have submitted the first instruments results to your PT provider.
Operational-OSHA requires employers to track certain work place injuries such as splashes or needle sticks on OSHA 300 series logs. Currently these logs are kept on site and not sent to OSHA unless requested. Beginning January 2017, OSHA will require electronic submission of these forms annually. Employers with greater than 250 employees will submit form 300, 300A and 301. Employers with less staff will only need to submit form 300A. The injury data could be posted to the OSHA website.