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Subject: Re: [DCHAS-L] CHAS Fall Professional Workshop series

Date: Jun 29, 2024 05:59 UTC

Author: Stephen Stepenuck <sstepenuck**At_Symbol_Here**NE.RR.COM>

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Subject: Re: [DCHAS-L] [EXT] Re: [DCHAS-L] Hydrogen peroxide sterilization - safe?

Date: Jul 1, 2024 15:27 UTC

Author: Catherine Situma <cns0013**At_Symbol_Here**AUBURN.EDU>

From: Elliot Stein <eliotstein**At_Symbol_Here**MSN.COM>

Subject: [DCHAS-L] Fw: [DCHAS-L] Carpet in labs

Date: Jun 29, 2024 15:16 UTC

Reply-To: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU>

Message-ID: <BL3P221MB0663B6D580A9028C5DDD29F6DBD12**At_Symbol_Here**BL3P221MB0663.NAMP221.PROD.OUTLOOK.COM>

In-Reply-To: <CA+ebjJBA=6ccAsDsKQWSjeG=vDPZSMWExiiQA+vnMzi42CFgCg**At_Symbol_Here**mail.gmail.com>

Demystify: 
Alex,

You state your laboratory is in your Radiology Department.  The healthcare environment is highly regulated a fact which previous commentators have not mentioned. Joint Commission on the Accreditation of Hospitals (JCAHO), CDC/NIH, state and local health departments have infection control regulations for patient treatment areas as well as areas directly contiguous to patient treatment areas.  They also have emergency and fire code requirements. You might wish to find out what classification the laboratory in your radiology department has relative to this. 

You do not state what chemicals are used in the radiology lab.  A 2020 article published in Appl Occup Environ Hyg. 2002 Feb; 15(2):203-8, doi:10.1080/1047322003011700 https:​//pubmed.ncbi.nlm/.nih.gov/10675978/ states that "A variety of chemicals are used in medical imaging as developers and fixer ingredients, germicides and cleaning agents. Glutaraldehyde, a potent sensitizer, may cause occupational skin and respiratory diseases in exposed individuals. Poor ventilation, unsafe practices, and lack of hazard recognition may contribute to occupational asthma and other respiratory disease in susceptible medical imaging personnel."  

For laboratories in general the CDC/NIH Biosafety Manual  is not only a guide but often times written into organizational procedures.  Specific discussion regarding floor surfaces can be found in the CDC/NIH, Biosafety in  Microbiological and Biomedical Laboratories (BMBL), 6th Edition,  June 2020, Section D, Laboratory Facility, p. 48-49, "Floors are slip-resistant, impervious to liquids, and resistant to chemicals. Flooring is seamless, sealed, or poured with integral cove...Seams, floors, walls, and ceiling surfaces are sealed. Spaces around doors and ventilation openings are capable of being sealed to facilitate space decontamination...".  If your radiology department lab receives NIH grant money following the CDC/NIH BMBL is a requirement. The CDC/NIH guide is usually for labs handling etiological agents (e.g., hospital clinical labs such as Microbiology/Virology or research labs) . However, are contaminated potentially infectious equipment (e.g., endoscopes) brought to this lab for decontamination in germicides such as glutaraldehyde where a spill could contaminate a floor surface with carpet? 

I am sure your University of Washington hospital (clinic?) is accredited.  Look at JCAHO infection control, fire safety and emergency management requirements. Many JCHO fire regulations are covered by NFPA 99 - National Fire Protection Association (NFPA) Healthcare Facilities Code.  They are binding.  A violation will potentially lead to a lower JCAH rating which can result in loss of accreditation with lower reimbursement rates or potential closure of part of a facility or the entire facility.  If you are referring to an outpatient facility the three major accrediting bodies are: The AAAHC (Accreditation Association for Ambulatory Health Care), the AAAASF (American Association for Accreditation of Ambulatory Surgery Facilities), and JCAHO (Joint Commission on Accreditation of Healthcare Organizations).   

All hospitals have a Hospital Safety Committee and Infection Control Committee.  Additionally, a large university affiliated hospital (which may include ambulatory treatment facilities, independent clinics, etc. as part of a medical center) may have other safety committees (e.g., Laboratory Safety, Biosafety, etc.).  Depending upon activities being performed in the Radiology Lab you have many potential advocates. 

Elliot Stein 



From: ACS Division of Chemical Health and Safety <DCHAS-L**At_Symbol_Here**Princeton.EDU> on behalf of Larry Unger <larryunger**At_Symbol_Here**GMAIL.COM>
Sent: Wednesday, June 26, 2024 12:15 PM
To: DCHAS-L**At_Symbol_Here**Princeton.EDU <DCHAS-L**At_Symbol_Here**Princeton.EDU>
Subject: Re: [DCHAS-L] Carpet in labs
 
Alex:

A few simple suggestions.  Find out if your department has an actual safety committee.  If it is non-functional, then get one started.  The university should have a committee for campus safety and security.  Try to find it and get it involved.  If no committees are obvious, then find the campus fire marshall.  The fire marshall should be coordinating almost all safety issues on campus.  Many years ago, I served on the chem department safety committee and the chair of the department did not want to put "safety glasses required" signs on student labs.  One call to the fire marshall and the signs were up.  Your project is somewhat more expensive, but most universities have channes to employ, you just have to get to the right ones.

On Wed, Jun 26, 2024 at 10:44 AM Alex Hagen <fischera**At_Symbol_Here**uw.edu> wrote:

We have a lab in our radiology department that stores and uses chemicals in space with carpeting. They have also conducted lead soldering in that space in the past. We state in our laboratory safety manual that carpet is not allowed in labs and we have noted this issue on all of their inspection reports, but they have said that they will not prioritize this unless there is a state or federal regulation that we can point to. We have explained that the manual is an institutional policy document, but that doesn’t seem to mean much to them. Does anyone here know of a regulation that specifically addresses this issue?

 

ALEX HAGEN

fischera**At_Symbol_Here**uw.edu / www.ehs.washington.edu

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