Laboratory Safety Coordinator Meeting - Boston University · Laboratory Safety Coordinator Meeting...

Laboratory Safety Coordinator Meeting

October / November2010

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Laboratory Safety Coordinator Meeting

Goals

October / November 2010

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To communicate often and to address issues of concern as identified by Lab Safety Coordinators.

To provide information on institutional and regulatory changes that impact labs at BU / BMC.

To provide resources, support and expertise as part of a partnership with Lab Safety Coordinators.


Agenda

Office of Research Compliance Culture of Safety Laboratory Safety Coordinator Responsibilities Research Information Management System Research Occupational Health Program Research Safety Initiatives Future Meetings Questions and Discussion

Laboratory Safety Coordinator Meeting October / November 2010

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Office of Research Compliance


4www.bu.edu/orc

http://www.bu.edu/orc/�


http://www.bu.edu/orc�

Culture of Safety

=Everyone

is Responsible


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Culture of Safety Initiatives


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Intended to be a core value at every level. “Safety” added to Performance Evaluations. Includes expectation that training is provided and that those

required attend all sessions. Includes changes to the way compliance committees and

Environmental Health & Safety operate. Includes appointment of Chief Safety Officer and Safety

Committee for the National Emerging Infectious Diseases Laboratories (NEIDL).

Includes appointment of Laboratory Safety Coordinators and development of building-specific Emergency Coordinators


How does that apply to Laboratories


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Includes:• Clinical Labs, Research Labs, Teaching Labs

Working with:• Biological, Chemical, Radioactive Materials

Regulated by:• Grant requirements, Committee approvals,

Hazardous Materials regulations. Located in:

• Boston University, Boston Medical Center owned, leased or otherwise controlled space.


Laboratory Safety Coordinator ResponsibilitiesWhy are you here?

Designated by the PI to act and oversee that safety practices are implemented in the lab’s daily operations.

Authorized to represent the PI in matters related to the implementation of laboratory and worker safety.

Serves as the primary laboratory contact with EHS for issues related to safety (i.e. biological chemical, fire & general safety, controlled substance, etc.)

Take positive actions to help reduce the potential for accidents and incidents associated with laboratory operations.

Inform laboratory personnel and/or students of the safety hazards associated with their work.

Instruct all laboratory personnel and students in safe work methods.

Report all accidents, near misses, or safety concerns to the PI and EHS.


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Laboratory Safety Coordinator Responsibilities

Why are you here?

Ensure that appropriate SOPs are established and lab personnel and students are appropriately trained and follow them.

Work with EHS to determine best safe practices and procedures.

Work with EHS to ensure that lab personnel and students complete all required safety trainings in a timely manner.

Ensure that all deficiencies identified by EHS or outside regulatory inspectors are addressed and corrected within the time required.

Participate in the incident review process. Stop operations that are in clear violation of the safety

requirements, approved SOPs, or may potentially result in injuries or potential exposures.


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Research Information Management System Log into RIMS

http://www.bu.edu/rims Click on “Login” and enter your BU username and Kerberos password

You will then be directed to your PI’s RIMS homepage


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http://www.bu.edu/rims�


Research Information Management System


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Information about the PI Includes office and lab information, and

emergency contact information Declare your activities

Activities related to research

Identify your personnel List of all personnel in the lab

Identify your locations List of the lab locations

Lab Snapshot: PDF of above information

Ensure that the PI Profile is complete and accurate. A complete and accurate profile will help you fill out protocols quickly and manage laboratory compliance efficiently:


Designed as a integrated compliance system for activities that require tracking and/or reporting of:

Permitting (e.g. use of biological agents, animals, etc.) Material Inventories (e.g. chemicals, radioactive materials, etc.) Personnel Training (e.g. safety orientation, refresher, etc.) Safety Related Equipment Data (e.g. types, quality assurance, etc.) Locations of Use or Storage (e.g. space suitability, security) Procedures Performed (e.g. types of experiments, special agency

reportable procedures, etc.)



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PI Centered PI is defined in a flexible way to be a research PI, manager, other

Integrated for a given person i.e. all activities are connected

Each basic grouping dictates other conditions e.g. materials used dictates location, equipment, training, etc.

Single data source i.e. once data entered it is reused for all other needs

Ties permit to funding source



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RIMS

A person Helped by funding, Does work With some material Involving personnel In various locations Using equipment To perform various procedures


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In Production as of October 2010 Laboratory Safety Inspections Chemical Inventories Training (Phase-I) Radioisotope Permit Biological Use Authorization (IBC) Permit

In Development Tie-ins to other systems Training (Phase-II) Animal Use Authorization (IACUC) Permit Lab Animal Information System



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Background

ROHP Website Log into

www.bu.edu/rohp Get Access to:

Hazardous Materials Information Sheets

Emergency Contacts

Forms Information for

Researchers Training Contact Us

Research Occupational Health Program


http://www.bu.edu/rohp�



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What is ROHP?

Program specifically focused on laboratory and research faculty, staff, students and the administrative staff that support labs. ROHP is a resource and service charged with providing:

Contacts

Communication

Compliance




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Background

Began Operations on February 5, 2010 Medical Center ROHP currently on Yawkey 4.

Permanent clinic under construction on Evans-8 Charles River ROHP - Will be providing services on

CRC at 930 Comm. Ave. Occupational Health Center effective November, 2010. 24 hour phone number: 617-414-7647 (ROHP) Fax Number: 617-977-8788 Information and Services: www.bu.edu/rohp


http://www.bu.edu/rohp�



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Core Requirements

Pre-placement Surveillance Ongoing Surveillance Liaison and Reporting Training Program Management

What We Do Not Do




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Staffing Led by Thomas H. Winters, MD and Occupational Health Officer and supported by: Experts from labs that can provide risks to be assessed with individual medical evaluations. Medical Center expertise in Emergency Medicine and other aspects of clinical care. Kathy Scanlon, NP, Sandra Reno, RN and Clinical Leader, Elaine LaRoche, Department Coordinator, Al Gabrielli, Program Management




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Pre-placement Surveillance Initial Health Questionnaire

Establish baseline medical history Medical and immunization history Occupational Exposure and Risk Assessment

Respiratory Questionnaires Physical Examinations and Testing Mental Health Screenings (NEIDL only) Drug Screens (NEIDL only) Immunizations, Vaccines, and Titers

Indicates HIPAA protected information and results, maintained by medical professionals only




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Initial Health Questionnaire Process: Forms available on-line at www.bu.edu/rohp/forms

Microsoft Word Format Complete and Save on local hard drive Sections 2 (Occupational Exposure) and 3 (Risk

Assessment) should be completed with the assistance of PI or manager

Submit to [email protected] or fax to 617-977-8788 ROHP will review questionnaire and schedule follow-up

medical services (if required)


mailto:[email protected]�



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Medical Clearance: Immediate Clearance

ROHP review of questionnaire indicates no further testing required

ROHP provides medical clearance notice to HR (new employee) or directly to researcher and supervisor

Further Testing Required ROHP contacts researcher to schedule appointments for

testing Based on review of all test results, ROHP determines

whether researcher is “Medically Cleared” Medical and Immunization History, and all Test Results are

protected by HIPAA




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Ongoing Surveillance Annual Questionnaires Annual Respiratory Questionnaires Annual or Bi-Annual Testing (Tb) Additional Physical Examinations or testing if prompted by

your responses to the questionnaire Monthly Committee Protocol Reviews (if required) High Hazard Agent or Material Status


Research Occupational Health ProgramExamples of Surveillance Requirements


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Surveillance Components

Research Animal Care EHS ON-CALL

BSL 1 BSL 2 BSL 3 LASC IACUC Non-NEIDL

NEIDL

Initial Questionnaire X X X X X X X

Resp Questionnaire X X X X X X X

Annual Questionnaire X X X X X X X

Mental Health Screen X

Drug Screen X

Physical Exam X X X

Hearing & Vision X X X

Spirometry X X X

EKG X X X

Lab Tests X X X

Imms, Vax, & Testing:

Tuberculosis NHP NHP m. TB or NHP

XX XX X X

Hep B Works with Human Blood, Tissue, Fluid or Cell Lines X X

Work Specific Agents X X X X X X




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Liaison and Reporting Role

Environmental Health and Safety Oversight Committees BMC Infection Control and Emergency Departments Local and National Public Health and Safety Agencies




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Training

Agent or Material Specific High Hazard Agents Oversight Committee Protocol Introductions

Biological, Chemical or other laboratory specific safety hazard



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Agent Cards Provided to

researchers working with any High Hazard Agents

Example using Tetrododoxin





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Program Management Focus on:

Link ROHP into Existing BU Processes Create new processes that do not exist today and integrate with

key groups Unhook ROHP from processes that do not work

Other Activities: Program consolidation across the campuses Fit and alignment of SOPs and Best Practices Establish communication linkages Trend Incidents and Outcomes and review / report monthly Establish comprehensive review of risks with EHS, Human

Resources, Risk Management and experts in lab operations


What We Do Not Do Workers’ Comp and Injury Management:

Ankle sprains, carpel tunnel, colds, back pain, medications, etc…

If an injury occurs, seek treatment at BMC OEM or CRC OHC

Report Injury to Supervisor and Supervisor Notifies ROHP. Why? ROHP would like the information to assess whether any

trends emerge that could indicate workplace safety issues or related to a prior exposure event


ROHP Triage and Referrals

ACTIVITYINCIDENT LOCATION CALL TRIAGE

ROHP MEDICAL CARE REFERRAL

ROHP OHC OEM BMC ED OTHER

Animal Bites or Scratches

CRC 1-617-414-ROHP X X

BUMC 1-617-414-ROHP X X

REMOTE 1-617-414-ROHP X

Lab Exposure(needlestick, glass cut, hazardous agent

CRC 1-617-414-ROHP X X

BUMC 1-617-414-ROHP X X

REMOTE 1-617-414-ROHP X

Injury Management(ankle sprains, slips, falls, back pain, falls, etc….)

CRC 1-617-353-6630 Inform X

BUMC 1-617-638-8400 Inform X


Performed 962 Encounters (employee visits)

93% BU; 7% BMC

14% BSL 1; 66% BSL 2; 2% BSL 3; 8% BSL 4; 10% Other

What We Have Done to Date



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Long-Term Goal:

Progressively lay foundation for becoming Nationally Recognized Center of Excellence for Occupational Health Programs supporting Research


Research Safety


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Research Safety Initiatives

What’s been done so far? Comprehensive Laboratory Inspection

Program New Occupational Health Program High Hazard Agent / Material Program


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What ‘s been done so far? RIMS – integrated compliance system Safety Resources

Safety Logbooks – Biological Safety, Chemical Safety and Radiation Safety Logbooks

Safety Centers – shelf space was designated for each laboratory Door Placards – laboratory door placards are standardized Laboratory Safety Labels/Signs – laboratory safety stickers are

standardized and color-coded. Laboratory Safety Coordinators


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What are the plans in the horizon? Meetings – establish quarterly meetings to discuss current issues,

common observations identified during inspections, program reviews, incidents or near misses and other pertinent information.

Training and Mentorship – EHS and LSC partnership for safety training and mentorship

Tools and Resources – identify and develop tools and resources Facilitate Communications – establish an electronic discussion board Peer Review – explore and establish a process for LSC peer review of

safety in labs. Suggestions and Feedbacks – establish an anonymous suggestions and

feedback line of communication


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Research Safety Partnership


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ROHP

IACUC

IBCHuman

Resources

Labs

LSC

RSC P.I. and Lab SafetyCoordinator

Research Compliance

And EHSStaff

BU/BMC Safety

REGULATORY AGENCIES


Office of Research Compliance


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http://www.bu.edu/orc/�


Future Meetings Will be quarterly or as needed.

Will be more specific to audience as determined appropriate with Laboratory Safety Coordinators

Will be more specific on issues including: Work approval processes that include all that work in labs. Committee structure and oversight High hazard material management Emergency Response and Evacuation Sustainability and Recycling related to labs Research Occupational Health Program Tool kit for lab safety coordinators.


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Questions and Discussion

Resources : www.bu.edu/ehs


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Kevin TuoheyExecutive Director, Research [email protected]

Ron MoralesDirector, ResearchSafety, [email protected]

Brian GoldTechnology Manager, Research [email protected]

Al GabrielliProject Manager, [email protected]

http://www.bu.edu/ehs�






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