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OCCUPATIONAL SAFETY AND HEALTH
Instructions on labor protection for the personnel of pathological departments and morgues
Occupational Safety and Health / Standard instructions for labor protection Safe Operation 1. General requirements for labor protection 1.1. Persons who are at least 18 years old, have a medical education, have undergone special training in occupational safety, a medical examination and on-the-job training, have a certificate for the right to perform this type of work, and have group I are allowed to work independently in pathology departments and morgues (hereinafter referred to as departments). on electrical safety. The admission of personnel to work is issued by order of the institution with the assignment of personnel to category "A". 1.2. Personnel working in departments must comply with internal labor regulations, fire safety rules and these instructions 1.3. Personnel must undergo a mandatory pre-employment examination and periodic medical examinations at least once every 12 months. 1.4. When operating morgue departments, personnel must use sanitary clothing, sanitary footwear, safety equipment, soap, and a towel. 1.5. When operating morgue departments, hazardous production factors are:
1.6. The personnel of the mortuary departments are obliged to:
1.7. The administration of the institution is obliged to uninterruptedly provide department employees with sanitary clothing, special clothing, safety shoes and other safety devices. 1.8. About every accident related to production, the victim or eyewitness is obliged to immediately notify the head of the department and conduct an investigation of the accident. 2. Labor protection requirements before starting work 2.1.Turn on ventilation. 2.2. Wear the required sanitary clothing and, if necessary, other PPE. When working in a section and when cutting out biopsies, you must have a different gown, which is removed upon completion of work. Cutting biopsy and sectional material should be done wearing an apron and rubber gloves. 2.3. All sanitary clothing and footwear used during autopsies of corpses must be stored in a separate closet in the presection or sectional room. 3. Labor protection requirements during work 3.1. Autopsy of the corpses of persons who died from especially dangerous infections must be carried out in strict accordance with special instructions. The number of persons must be strictly limited. 3.2. Excision of biopsy and sectional material should be carried out in a special room equipped with a fume hood, or, if there is none, in a pre-section room. For cutting, there should be a special table covered with stainless steel, marble or thick glass and a special set of tools just for these purposes. 3.3. Fixation of the material should be carried out in a fume hood, and its storage in a special fixation room equipped with effective ventilation. The material remaining after cutting should be stored as an archive in a 10% formaldehyde solution in a well-closed, labeled container. Archival materials whose shelf life has expired are stored in special containers or subject to burial after cutting. 3.4. Autopsies of corpses of those who died from especially dangerous infections are carried out in a separate isolated room with autonomous ventilation. After opening, the room is thoroughly disinfected. All instruments, equipment, uniforms and underwear of personnel are also subject to disinfection. Draining blood serum and all other waste must be disinfected at the autopsy site in accordance with the requirements of the sanitary regime. 3.5. Dressing a corpse should not be done in a corpse storage facility or sectional room, but only in a room specially designated for this purpose. 3.6. When working with toxic substances, you should wear rubber gloves, safety glasses, and, if necessary, a gas mask. Filling vessels with toxic substances, concentrated acids and alkalis should be done using a siphon or special pipettes with a rubber bulb. 3.7. Toxic substances must be stored in laboratories in specially designated rooms in a separate locked metal cabinet or safe. Particularly poisonous substances, such as sublimate, are stored in a specially designated internal compartment of the safe. The keys and seal for this premises must be kept by the person responsible for the storage and distribution of toxic substances. 3.8. Packaging, crushing, weighing and measuring toxic substances is carried out in a fume hood in devices and utensils specially designated for this purpose. Pouring formaldehyde, strong acids and preparing solutions from them should be done in a fume hood. Washing and processing of utensils that have been used in work with toxic substances must be done separately from other utensils. 3.9. Volatile substances should be stored in boxes and jars, closed with ground stoppers, and opened only at the time of direct use in work. 3.10. Acids and reagents should be stored in glass containers with ground-in stoppers on the lower shelves of cabinets, separate from reagents and paints. 3.11. When diluting strong acids, to avoid splashing, the acid should be poured into water, and not vice versa. 3.12. After working with a microtome, you must immediately remove the knife from the microtome and place it in a case for permanent storage. Leaving a knife in a microtome or carrying it around the laboratory without a case is prohibited. 3.13. Heating devices must be located away from explosive and flammable substances, on stands made of fireproof material. 3.14. Cylinders with compressed gases must have safety caps. Cylinders should not be placed in places exposed to direct sunlight; they should be located near heating devices, heating devices and in contact with electrical wires. The distance from the radiator and other heating devices to the cylinders must be at least 1 m, and from other heat sources with open fire - at least 5 m. The cylinders must be carefully secured in a vertical position. Cylinders should be moved on special stretchers or special carts so as not to collide the cylinders with other objects. Gas must be released from the cylinder through a reducer designed exclusively for this gas. The valve opens slowly. You cannot stand in front of the gearbox in the direction of the valve fitting axis while opening the cylinder valve. When the cylinder is emptied, an excess pressure of at least 0,5 kg per cmXNUMX must remain in it. 3.15. Department personnel are prohibited from:
4. Labor protection requirements in emergency situations 4.1. In the event of an accident, personnel must notify the head of the department and act according to the situation. 4.2. In the event of a short circuit or break in the power supply systems, turn off the mains switch in the room and call the person responsible for operating the equipment in the departments. 4.3. In case of electric shock or other injuries, act according to the instructions for providing first aid to victims of electric current. 4.4. If a fire occurs, call the fire brigade; before the fire brigade arrives and meets, extinguish the fire using primary fire extinguishing agents. 4.5. In the event of breakdowns in the communication systems of water supply, sewerage, heating and ventilation that impede the performance of technological operations, stop work until the accident is eliminated, inform the head of the department and take measures to eliminate the consequences of the accident. 4.6. In the event of a power outage or a burning smell, the personnel must turn off the equipment and electrical appliances and call an electrician. 4.7. When spilling non-toxic reagents, it is enough to wipe the surface of the table with a rag, holding it with rubber gloves, then rinse the rag well, wash the table and gloves with water. 4.8. If alkali is spilled, then it must be covered with sand or sawdust, then remove the sand or sawdust and fill the area with highly diluted hydrochloric or acetic acid. Remove the acid with a rag, wash the table and gloves with water. If acid is spilled, then it must be covered with sand, then the soaked sand should be removed with a shovel and covered with soda, then the soda should also be removed and the area should be washed with plenty of water. Solutions for neutralizing concentrated acids and alkalis must be on the rack during the entire working time. 5. Labor protection requirements at the end of work 5.1. After finishing work, wash your hands thoroughly, and, if appropriate, brush your teeth and rinse your mouth. It is necessary to clean your work areas, close and place in a fume hood all utensils containing volatile and flammable substances. 5.2. After finishing work, tools, gloves and a table with a board on which the cutting is made should be thoroughly washed with water and treated with a disinfectant solution. 5.3. Every day, after the autopsy and toileting of the corpse, the dissecting table, small table, instruments, scales, sinks, organ baths, grates, and floors are thoroughly washed with cold, then hot water, and disinfected with a 5% chloramine solution. The sectional room is ventilated and irradiated with a bactericidal lamp for 3 hours. Reuse of rubber gloves is allowed only after they have been sterilized. Complete cleaning of the section and corpse storage is carried out at least once a month using a 3-5% chloramine solution or a 2,5% clarified bleach solution when washing, as well as after opening the corpses of infectious patients. 5.4. In the event of an accident, personnel are required to turn off the main power switch of the office and then proceed depending on the situation:
5.5. If a person gets caught under moving parts of equipment or apparatus, free the victim and provide first aid.
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