SOP â Malaria Microscopy - NVBDCP

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ii)Accident reportingQuality Assurance of Malaria Diagnostic tests date and time of accident. sequence of events leading to accident. the waste involved in accident. assessment of the effects of the accident on human health and theenvironment. emergency measures taken. steps taken to alleviate the effects of accidents. steps taken to prevent the re-occurrence of such an accident.Date: ____________Place: ___________Signature: ________Designation: ________Bio-safety managementIt is the responsibility of the laboratory supervisor (the person who has immediateresponsibility for the laboratory) to ensure the development and adoption of a biosafetymanagement plan and a safety operations manual.The laboratory supervisor should ensure that regular training in laboratory safety isprovided. Personnel should be required to read the SOPM on safety and a copy ofthis manual should be available in the laboratory.6.3.2.2 Effective sterilization and disinfection• Definitions(i)(ii)(iii)Sterilization: Complete destruction of all living microorganisms includingspores.Disinfection: Destruction of vegetative forms of organisms which mightcause disease.Disinfectant: An effective all purpose disinfectant is sodium hypochloritesolution with concentration of at least 1.0%. There are other disinfectants alsolike lysol,For purpose of disinfection, disposal and recycling, all the articles may be divided intothree categories:i) Disposables: Soak the material overnight in a strong solution ofdisinfectant before disposing. 1% Sodium hypochlorite / 1% calciumhypochlorite, 10% solution of formalin or 3% lysol may be used asdisinfectant.ii) Reusable articles contaminated with morbid material: Discard thematerial into a jar containing disinfectant solution. Let them remain in thissolution overnight. Drain off the disinfectant. Transfer the material to a metalpot or tray with cover. Pour water and boil for 15 min. Cool and drain off thewater. Pass on the articles for washing. Current procedures used forsterilisation, ie. Continuous boiling for 20-30 minutes or autoclaving areadequate. Autoclave monitoring is done by using chemical indicator strips.Syringes and needles should never be disinfected by chemical disinfectants.iii) Material containing clinical specimen: Direct on site incineration orautoclaving followed by incineration at a distant site.SOP – Malaria Microscopy© Copyright to Dte. NVBDCP Only. Any modification are prohibited
Quality Assurance of Malaria Diagnostic tests6.3.2.3 Safe disposal of biomedical waste• DefinitionsBiomedical Waste is defined as unwanted trash generated during diagnosis, treatment orimmunization of human beings, during research activities or testing of biologicals.Laboratories are major source of biomedical waste. These are:(i)(ii)(iii)(iv)(v)(vi)Biologicals / blood/ red cells / body fluids, etc.: Blood samples collectedand stored to use as red cell panel, serum and plasma.Expired: contaminated, deteriorated or any condition of infectious biologicalmaterial generated for disposal.Biotechnology waste: Materials generated as waste from the kit like anyreagent buffers, diluents, etc.Sharp waste: Glass slides, cover slips, needles, glass, Pasteur pipettes, testtubes, scalpels and blades, etc.Solid waste: other than waste sharps:- Rapid strips, combs, cards, plasticvials, pipette tips, cotton, tissue paper and filter paper contaminated withblood during generated during QC testing.Liquid waste: Generated from laboratory during testing, from washing,cleaning and disinfecting activities.• ManagementManagement of biomedical waste and disposal in any laboratory that deals with biologicaltesting in terms of quality control and quality assurance applies to all who generate, collect,receive, store, dispose or handle biomedical waste in one or other form. It should be theduty of every person handling the bio-medical waste to ensure that such waste is handledwithout any adverse effect to human health and environment.It is the responsibility of the laboratory personnel to:(i)(ii)(iii)recognize the type of biomedical waste generated in the laboratory,segregation, packing, storage and transportation (category 1-9) and followtreatment and disposal as prescribed in the schedule. [Ref. The Gazette ofIndia, Extraordinary, Part II-Sec.3 (ii)].implement waste management in compliance with the prescribed standards.make sure that no waste is left untreated and it should not be kept storedbeyond a period of 48 hours.• Treatment and disposal recommendations for management of bio-medicalwaste arei. place all bio-hazardous waste (apart from sharps) in specially designated colourcoded waste containers, separately from non-infectious waste.ii. all bio-medical waste containers / bags should bear biohazard symbol.iii. autoclave all infectious solid waste in leak-proof containers e.g. autoclavable,colourcoded plastic bags, before disposal in yellow bags and send to incineratorfacility or incinerate within the laboratory, if feasible. Do not dispose infectiousmaterial in landfills.iv. collect all sharps in puncture proof containers and then in blue / white transluscentbags.v. maintain documentation of waste generated during testing, separately for liquidand solid waste and treatment given and means of their disposal, regularly.SOP – Malaria Microscopy© Copyright to Dte. NVBDCP Only. Any modification are prohibited
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