Formaldehyde Overexposure to formaldehyde irritates the eyes, nose, throat, and skin. Formaldehyde can cause allergic reactions of the skin (dermatitis) and the lungs (asthma). Formaldehyde is a known cause of cancer in humans.

How to find out if

Some synonyms

you are working with formaldehyde

and trade names of formaldehyde products

Your employer must tell you if you are working with formaldehyde, and must train you to use it safely, under California's Formaldehyde Standard and the Hazard Communication Standard (see page 8). If you think you may be exposed to formaldehyde on the job, ask to see the Material Safety Data Sheets (MSDSs) for the products you are using. The MSDS must identify formaldehyde in Section 2, by the Chemical Abstract Service (CAS) number 50-00-0. Formaldehyde is commonly used as formalin, a mixture of 30-50% formaldehyde and 10-20% methyl alcohol in water. Formalin readily gives off irritating vapors with a strong odor.

formalin methaldehyde methanal methyl aldehyde methylene glycol methylene oxide oxomethane oxymethylene paraform paraformaldehyde

BFV Fannoform Formalith Formol Fyde Ivalon Karsan Lysoform Morbicid

How formaldehyde is

used and where it’s found Formaldehyde is used as a…

FACT SHEET

HESIS

FEBRUARY 2011 (revised)

• • • • •

disinfectant and sterilant,* fumigant, preservative, and in… embalming fluid, some keratin-based hair smoothing treatments.

* (other aldehydes used include glutaraldehyde and ortho-phthalaldehyde)

HAZARD EVALUATION SYSTEM & INFORMATION SERVICE California Department of Public Health Occupational Health Branch 850 Marina Bay Parkway, Building P, 3rd Floor, Richmond, CA 94804 510-620-5757 • www.cdph.ca.gov/programs/ohb

California Department of Public Health • California Department of Industrial Relations

It is used in making… • chemical resins • wrinkle-proof fabrics • rubber products • latex paints • dyes • plastics • paper products, and • cosmetics. It is found in… • insulation materials • plywood • particle board • adhesives • glues • paint primers, and • fingernail products. Any of these materials may give off formaldehyde vapors.

Liquid formaldehyde solutions contacting the eyes can damage the cornea, possibly causing blindness.

Formaldehyde is also present in combustion products, such as vehicle exhaust and tobacco smoke.

Lungs. High levels (5-30 ppm and higher) can severely irritate the lungs, causing chest pain and shortness of breath.

Some workers who

may have substantial exposure to formaldehyde

chemical and rubber workers embalmers laboratory workers health care workers clothing and textile workers furniture or wood product makers foundry workers insulation workers

H ow formaldehyde affects your body

Formaldehyde can affect you when you breathe its vapors or touch the liquid. Because formaldehyde reacts quickly with body tissues, it mainly affects the place of direct contact, such as the eyes, nose, and skin. The most common effect of overexposure is irritation of the eyes, nose, and throat.

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Eyes, Nose, and Throat. The eyes, nose, and throat are irritated by formaldehyde vapors at levels as low as about 0.3 part formaldehyde per million parts of air (0.3 part per million, or 0.3 “ppm" — see “Legal Exposure Limits"). This exposure can cause red, teary, burning eyes, sneezing and coughing, and sore throat. Some people have irritant symptoms at these very low exposure levels, while others can tolerate levels as high as a few ppm with little or no reaction.

Repeated exposure to formaldehyde can cause allergic asthma. Symptoms of asthma include chest tightness, shortness of breath, wheezing, and coughing. Formaldehyde's long-term effects on the lungs are not fully understood. Skin. Formaldehyde solutions can destroy your skin's natural protective oils, causing dryness, flaking, cracking, and dermatitis (skin rash). Skin contact can also cause an allergic reaction (redness, itching, hives, and blisters). As many as one in twenty workers who are regularly exposed to formaldehyde develop an allergic skin reaction. Cancer. Formaldehyde exposure can cause cancer of the nose and sinuses in humans, as well as some types of leukemia and lymphoma. Formaldehyde is regulated as a carcinogen by Cal/OSHA and Cal/EPA. Reproductive System. Formaldehyde’s effect on pregnancy and the reproductive system has been studied in both humans and in laboratory animals. Formaldehyde has been shown to decrease fertility and increase the risk of spontaneous abortion (miscarriage) in humans. In laboratory animals, formaldehyde can harm the developing fetus and damage sperm. In order to avoid risk to pregnancy and the reproductive system, HESIS recommends minimizing workplace exposures to formaldehyde prior to and during pregnancy.

Legal exposure limits

➤ Re-test ­ the air for formaldehyde each time there is a change that may result in new or additional exposure.

Permissible Exposure Limits. The Occupational Safety and Health Standards Board sets Permissible Exposure Limits (PELs) for the amounts of chemicals in workplace air. PELs are intended to protect the health of most workers who are exposed every day over a working lifetime.

➤ Determine ­ exposures promptly, if employees are

The PEL for formaldehyde is 0.75 part of formaldehyde per million parts of air (0.75 part per million, or 0.75 ppm). Legally, your exposure may be above the PEL at times, but only if it is below the PEL at other times, so that your average exposure for any 8-hour workshift is no more than 0.75 ppm.

➤ Notify ­ employees in writing within 15 days after

The Short-Term Exposure Limit (STEL) for formaldehyde is 2 ppm. Your average exposure during any 15-minute period must not exceed 2 ppm. Exposure at or above the STEL triggers special requirements. The Action Level for formaldehyde is 0.5 ppm averaged over an 8-hour period. Air monitoring, medical surveillance, and other special requirements are triggered at or above this level. Cal/OSHA's formaldehyde standard, California Code of Regulations, Title 8, Section 5217, contains many other specific requirements (see information on page 8).

Monitoring your exposure

To reduce your risk of developing health problems from exposure to formaldehyde, your employer must…

➤ Identify ­ employees who may be exposed at or above the action level or STEL.

➤ Test ­ the air to accurately determine how much formaldehyde each identified employee is breathing.

having formaldehyde-related respiratory or skin symptoms.

➤ Allow ­ employees or their designated representatives to observe any required exposure monitoring. receiving the exposure monitoring results. See the formaldehyde standard (information on page 8) for additional exposure monitoring requirements.

Tests for exposure and medical effects

Blood or urine tests. Formaldehyde does not stay in your body. No medical or laboratory test can accurately measure the amount of formaldehyde to which you have previously been exposed. There is no medical reason to do blood or urine tests for formaldehyde. Medical Surveillance. If you are exposed to formaldehyde at or above the action level or above the STEL, your employer must have a medical surveillance program to monitor effects on your health. Your employer also must…

➤ Provide ­ the medical surveillance program if you develop signs and symptoms of overexposure to formaldehyde, or if you are exposed to formaldehyde during an emergency.

➤ Provide ­ a medical disease questionnaire before assignment to jobs where exposures are at or above the action level or above the STEL, and promptly when you experience signs and symptoms that indicate overexposure to formaldehyde.

➤ Test ­ the air periodically if the first tests show that exposures are at or above the action level or STEL.

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➤ Ensure ­ a medical examination

Reducing exposure



• if evaluation of the questionnaire indicates that you may be at increased risk for health effects;



• a t the time you first start using a respirator (if you are required to wear one) and then once a year;

By law, employers must provide a safe and healthy workplace. Here are some ways employers and workers can work together to reduce exposures to formaldehyde. See the formaldehyde regulation for specific Cal/OSHA requirements (information on page 8).



• a s soon as possible if you are exposed to formaldehyde in an emergency.

Use safer substitutes whenever possible

➤ Provide ­ the medical exam at a reasonable time and place, at no cost to you, and without loss of pay.

➤ Have ­ a licensed physician or someone under

the physician’s supervision perform all medical procedures, including administration of the medical disease questionnaire.

➤ Hydrogen ­ peroxide-based solutions often can be used as disinfectants.

➤ Ethyl ­ alcohol, polyethylene glycol, or

phenoxyethanol can be used as fixatives or preservatives.

Ventilate the work area

➤ Provide ­ specific information about your job, and ➤ Install ­ professionally a copy of the formaldehyde standard and the appendices, to the health care provider.

➤ Provide ­ you with a copy of the physician’s written opinion within 15 days after receiving it.

Medical Removal. If you experience significant irritation of the eyes, throat, or lungs, or asthma-like symptoms such as chest tightness, shortness of breath, coughing, or wheezing, a physician must determine whether you need to be removed from exposure to formaldehyde. A physician must also evaluate skin irritation or skin allergies caused by products that contain at least 0.1% formaldehyde. See the Cal/OSHA formaldehyde regulation for other specific medical removal requirements including job transfer or job training with retention of current earnings, seniority and other benefits, and provisions for multiple physician review of evaluation results.

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designed ventilation systems to maintain formaldehyde exposures below legal exposure limits.

➤ Conduct ­ regular

maintenance on ventilation systems and ensure that they are functioning properly.

➤ Do ­ not allow ventilation systems to recirculate formaldehyde vapors. Use personal protective equipment

➤ Protective ­ clothing and equipment must be

provided at no cost to prevent skin and eye contact with liquids containing 1% or more formaldehyde. Employers must ensure that employees use it.

➤ ­Change rooms as specified in Title 8, Section 3367 must be provided for employees who are required to change from work clothes to protective clothing.

➤ Gloves ­ made of nitrile, neoprene, butyl rubber or polyethylene laminate protect against incidental hand or skin contact with formaldehyde. Gloves made of latex may not provide adequate protection and can cause allergic reactions.

➤ Chemical ­ resistant aprons protect against splashes to the body.

➤ Chemical ­ safety goggles protect eyes from splashes.

➤ Face ­ shields with chemical safety goggles protect the entire face from splashes.

➤ Respirators ­ should be used as specified in the

formaldehyde regulation, only if ventilation and other control methods are not effective or feasible. Employers also must comply with the Cal/OSHA Respiratory Protection Standard (Title 8, Section 5144).

Inform and train workers

➤ Explain ­ and discuss the formaldehyde regulation and MSDSs.

➤ Educate ­ employees about formaldehyde health hazards and symptoms of overexposure. Emphasize the importance of reporting symptoms early.

➤ Provide ­ eyewash facilities in areas where splashing may occur with solutions that contain 0.1% or more formaldehyde. Provide emergency showers in areas where solutions of 1% or more formaldehyde are used. Where both are required, locate them together within 10 seconds of the splash area (Title 8, Section 5162).

➤ Use ­ laboratory fume hoods when working

with open containers of formaldehyde and specimens preserved in formaldehyde.

➤ Label ­ all containers as specified in the formaldehyde regulation.

➤ Cap ­ storage containers immediately when formaldehyde is not in use.

➤ Do ­ not use formaldehyde on surfaces like carpets that can’t be cleaned easily. Minimize exposure from spills and contaminated material

➤ Instruct ­ employees on the use of safe work

➤ Perform ­ preventive maintenance on equipment

➤ Demonstrate ­ the proper use and maintenance

➤ Develop ­ procedures to contain spills,

➤ Explain ­ the purpose and limitations of

➤ Use ­ formaldehyde neutralization pads or sheets

➤ Instruct ­ employees on how to respond to

➤ Repair ­ all leaks and clean up spills promptly.

procedures.

of fume hoods and other local exhaust ventilation systems.

personal protective clothing and equipment and demonstrate how to use them properly. spills and emergencies, and on safe clean-up procedures.

and inspect frequently to detect leaks and spills. decontaminate work areas, and dispose of waste in work areas where spills may occur. where small spills or drips may occur on work surfaces. Ensure that employees are wearing suitable protective equipment and are trained.

➤ Conduct ­ drills on emergency procedures that

➤ Use ­ formaldehyde neutralization products

➤ Ensure ­ that employees understand the

➤ Promptly ­ remove contaminated material, such

include each employee’s specific duties. information and training.

Establish and use safe work procedures

➤ Identify ­ regulated areas where formaldehyde

concentrations exceed the PEL or the STEL. Post with signs required by the regulation, and limit access to persons trained on the hazards of formaldehyde.

that neutralize quickly and don’t generate hazardous by-products. as towels, clothing, and sponges from the work area.

➤ Ventilate ­ contaminated clothing and equipment

in properly labeled and established storage areas. Have only persons trained in formaldehyde hazards remove them.

➤ Place ­ contaminated waste and debris for

disposal in sealed, labeled containers that warn of formaldehyde hazards.

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SPECIFIC WAYS TO REDUCE EXPOSURES FOR VARIOUS INDUSTRIES FUNERAL

APPAREL AND TEXTILE

➤ Use ­ embalming fluid substitutes that contain

➤ Use ­ low formaldehyde-containing cross-linking

ethyl alcohol, polyethylene glycol, or phenoxyethanol. Be aware that embalming creams and drying and hardening powders may also contain formaldehyde.

➤ Use ­ embalming tables with local exhaust

ventilation that draws air down at the sides and carries it out of the room through ducts. These systems are sold for existing tables.

agents in textile manufacturing processes, when possible.

➤ Use ­ a roof exhaust fan or other ventilation

systems to remove formaldehyde vapors from stored apparel and to provide a continuous supply of fresh air.

➤ Use ­ small quantities for easy and safe handling. ➤ Use ­ personal protective equipment such as gloves, chemical safety goggles, face shields, and aprons. Airflow

To exhaust

Cross section as viewed from end of table

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MEDICAL AND HEALTH SERVICES ➤ Use ­ other sterilization methods, such as low

temperature plasma or autoclaving, instead of formaldehyde whenever possible.

➤ Use ­ nonformaldehyde disinfectants. Hydrogen peroxide-based solutions may be suitable.

➤ Use ­ formaldehydefree fixatives for histopathological procedures, when possible.

➤ Use ­ formaldehyde-based fixatives with the lowest concentration of formaldehyde possible.

➤ Incorporate ­ automatic dispensing systems to replace manual formaldehyde handling procedures, such as washing, disinfecting, or dispensing.

➤ Ensure ­ that hemodialysis drain line connections

are airtight to prevent formaldehyde vapors from escaping into treatment rooms.

➤ Spend ­ as little time as possible in areas where hemodialyzers are reprocessed.

➤ Conduct ­ work with open containers in laboratory fume hoods or using other local exhaust ventilation systems.

FOUNDRY AND FURNITURE

ELECTRONICS

➤ Convert ­ to low-emitting formaldehyde resins,

➤ Consider ­ switching to formaldehyde-free

when possible.

➤ Use ­ formaldehyde-free wood products. ➤ Provide ­ a continuous supply of fresh air where furniture is stored.

alternatives in printed circuit boards. Carbon, graphite, organic-palladium, tin-palladium, sodium hypophosphite electroless copper, and conductive polymer technology are examples.

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RESOURCES REGULATIONS THAT HELP TO PROTECT WORKERS ➤ Formaldehyde Standard. This comprehensive standard, California Code of Regulations (CCR), (Title 8, Section 5217) requires employers to take specific actions to protect workers from allergic reactions, irritation, and cancer that can result from exposure to formaldehyde. See www.dir.ca.gov/title8/5217.html.

➤ Hazard Communication Standard. Under this standard (Title 8, Section 5194), your employer must tell you if you are working with any hazardous substances, must train you to use them safely, and must make Material Safety Data Sheets available. See www.dir.ca.gov/title8/5194.html.

➤ Injury and Illness Prevention Program. Every employer must have an effective, written Injury and Illness Prevention Program (IIPP) that identifies a person with the authority and responsibility to run the program (Title 8, Section 3203). The IIPP must include methods for identifying workplace hazards, methods for correcting hazards quickly, health and safety training at specified times, a system for communicating clearly with all employees about health and safety matters (including safe ways for employees to tell the employer about hazards), and recordkeeping to document the steps taken to comply with the IIPP. See www.dir.ca.gov/title8/3203.html.

➤ Access to Medical and Exposure Records. You have the right to see and copy your own medical records, and any records of toxic substance exposure monitoring (Title 8, Section 3204). These records are important in determining whether your health has been affected by your work. Employers who have such records must keep them and make them available to you for at least 30 years after the end of your employment. See www.dir.ca.gov/title8/3204.html.

WHERE TO GET HELP ➤ HESIS. Answers questions about formaldehyde and other workplace hazards for California workers, employers, and health care professionals. Call 1-866-282-5516. HESIS also has many free publications available. To request publications, leave a message at (866) 627-1586, visit our website at www.cdph.ca.gov/programs/ohb, or write to HESIS at 850 Marina Bay Parkway, Building P, 3rd Floor, Richmond, CA 94804.

➤ National Institute for Occupational Safety and Health (NIOSH). Hazard Control 26 / Controlling Formaldehyde Exposures During Embalming: www.cdc.gov/niosh/hc26.html.

➤ California Division of Occupational Safety and Health (Cal/OSHA). Investigates workers’ complaints and answers questions about workplace health and safety regulations. Complainants’ identities are kept confidential. Contact the nearest Cal/OSHA Enforcement District Office. They are listed in the blue government section near the front of the phone book, under “State Government / Industrial Relations /Occupational Safety and Health /Enforcement" or visit their website at www.dir.ca.gov/DOSH.

➤ Other resources for employees may include your supervisor, your union, your company health and safety officer, your doctor, or your company doctor.

➤ Cal/OSHA Consultation Service. Helps employers who want free non-enforcement assistance to improve health and safety conditions. Employers can call 1-800-963-9424. To obtain a copy of this document in an alternate format, please contact: (510) 620-5757. (CA Relay Service: 800-735-2929 or 711). Please allow at least ten (10) working days to coordinate alternate format services.

Edmund G. Brown Jr., Governor State of California Diana S. Dooley, Secretary Health and Human Services Agency  ark B Horton, MD, MSPH, Director M Department of Public Health Marty Morgenstern, Secretary Labor and Workforce Development Agency John C. Duncan, Director Department of Industrial Relations

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JANE NORLING DESIGN

Gross  Anatomy  Laboratory  Rules  and  Regulations   Working  in  the  gross  anatomy  laboratory  is  a  privilege.    All  students,  faculty,  instructors,  and  staff  are  required   to  observe  the  following  rules  and  regulations:               1) The  willed  body  donors  will  be  treated  with  respect  at  all  times.     2) Students,  faculty,  instructors,  and  staff  will  treat  each  other  with  respect  at  all  times.     3) Human  remains  must  never  be  removed  from  the  lab.         4) Do  not  remove  donor  or  specimen  identification  tags.       5) The  gross  anatomy  laboratory  is  a  restricted  area.  Only  authorized  personnel  (students  enrolled  in   anatomy  and  authorized  faculty,  instructors  and  staff)  may  enter.  At  no  time  will  visitors  be   permitted  in  the  lab  without  an  academic  purpose  AND  the  permission  of  Dr.  Fisher,  the  Director  of   the  Gross  Anatomy  Laboratory.       6) The  doors  to  the  anatomy  lab  must  be  closed  and  locked  at  all  times.  Authorized  personnel  will  gain   access  to  the  lab  via  a  keycard  badge.     7) The  right  of  privacy  and  confidentiality  of  the  donors  must  be  respected  at  all  times;  students,   instructors,  staff,  and  authorized  visitors  are  prohibited  from  taking  photos  or  recording  video  in  the   lab.         8) Eating  (including  gum  or  hard  candy),  drinking,  and  smoking  are  not  permitted  in  the  lab.       9) Long  pants  and  closed-­‐toed  shoes  are  required  in  the  lab  at  all  times.  Shorts  and  open-­‐toed  shoes   are  not  permitted.  In  addition,  you  must  wear  the  provided  protective  sleeves,  apron,  nitrile  gloves,   and  safety  glasses  at  all  times  while  working  in  the  lab.  This  Personal  Protective  Equipment  (PPE)  is   used  to  prevent  contact  between  your  skin  and  eyes  and  the  preservative  fluids  and  other  donor   body  fluids.  If  any  of  your  PPE  becomes  torn  or  otherwise  unable  to  prevent  this  contact,  remove   that  item,  throw  it  away  and  replace  the  item  with  a  new  one  immediately.  Class  time  will  be   reserved  for  demonstration  of  proper  use  of  this  required  PPE.       10) If  handsaws,  surgical  saws,  or  mallets  and  chisels  are  being  used,  everyone  in  the  lab  must  wear   additional  PPE.  Instructors  who  are  operating  the  tools  must  wear  safety  goggles  and  N95  facemasks   and  all  other  individuals,  including  students,  must  wear  safety  goggles  and  surgical  masks;  in   addition,  if  surgical  saws  are  being  used,  everyone  in  the  lab  must  wear  earplugs.  Only  instructors   are  permitted  to  use  the  saws,  mallets,  and  chisels;  students  are  not  permitted  to  use  them.   Instructors  who  will  be  operating  this  equipment  must  be  medically  screened,  fit-­‐tested  and  trained   on  respirator  use.  Saws,  mallets,  and  chisels  are  typically  used  only  during  the  NAU  PA  &  PT/ASU   labs.     11) All  personal  protective  gear  (including  gloves)  must  be  removed  and  hands  washed  prior  to  leaving   the  lab.  Door  handles  should  never  be  touched  with  gloved  hands.  However,  during  an  emergency  

 

 

 

 

 

evacuation,  all  PPE  must  be  removed  prior  to  leaving  the  lab  but  hands  should  be  washed   elsewhere,  in  a  safe  location  (please  see  sections  14  and  23  for  more  information).       12) The  fume  levels  in  the  lab  are  monitored  to  ensure  that  they  are  within  safety  limits.  However,  we   recommend  that  those  who  are  pregnant  or  are  planning  to  become  pregnant  wear  a  P100   respirator  with  vapor  cartridges  in  the  lab.  Preliminary  studies  suggest  a  potential  link  between   exposure  to  organic  solvents  and  an  increased  risk  of  fetal  malformations  (JAMA,  1999,  Volume  281:   1106-­‐1109).  If  you  would  like  to  wear  a  respirator,  please  contact  Caleb  Heap,  the  Coordinator  of   the  Gross  Anatomy  Laboratory  ([email protected]).  Caleb  will  assist  you  in  the  process   of  getting  medically  screened,  fit-­‐tested  and  trained  on  respirator  use.  For  further  guidance,  please   consult  with  your  personal  physician.   13) Do  not  open  a  body  bag  at  a  slotted,  ventilated  table  until  the  3-­‐hour  timer  is  turned  on.  This  will   ensure  that  the  ventilation  at  that  table  is  running  at  100%  capacity.  To  confirm  that  a  table  is   running  at  full  capacity,  please  refer  to  the  gauge  at  the  foot  of  each  table.  If  the  table  is  operating   at  100%  capacity,  the  needle  will  lie  in  the  green  zone.  If  the  needle  is  in  the  yellow  or  red  zones,  zip   up  the  body  bag  immediately.  During  class  hours,  report  this  to  an  instructor;  after  class  hours,  call   Caleb  Heap  immediately  (602  827-­‐2303)  to  report  the  incident.  Only  these  individuals  are   authorized  to  check  for  obstructions  within  the  table  (e.g.,  paper  towels),  which  may  be  reducing   the  ventilation.  Students  are  not  permitted  to  disassemble  the  tables  to  check  for  obstructions.  One   minute  prior  to  the  expiration  of  the  3-­‐hour  time  period,  an  alarm  will  sound.  The  alarm  will  cease   when  the  3-­‐hour  limit  is  reached.  If  the  alarm  goes  off  and  work  is  ongoing  at  that  table,  the  timer   must  be  turned  on  again  to  reset  another  3-­‐hour  period  at  100%  capacity.  When  the  timer  is  off,  the   ventilation  at  that  table  is  running  at  50%  capacity  and  the  gauge  needle  will  lie  in  the  red  zone.   Class  time  will  be  reserved  for  demonstration  of  proper  use  of  these  tables.     14) If  you  are  working  in  the  lab  outside  of  class  time  and  there  is  a  power  outage,  please  zip  up  the   body  bag  at  that  table(s),  remove  all  PPE,  and  evacuate  the  gross  lab  immediately.  Proceed  to  the   sixth  floor  restroom  to  wash  your  hands  and  then  call  Caleb  Heap  (602  827-­‐2303)  to  report  the   incident.  Please  post  a  sign  on  the  main  lab  door  to  warn  other  users  that  the  laboratory  is  closed.   Class  time  will  be  reserved  to  demonstrate  an  emergency  evacuation  drill.     15) While  you  are  working  in  the  lab,  do  not  apply  lip  balm,  touch  your  face  or  make  any  other  direct   skin  contact  with  the  donor  or  items  and  surfaces  in  the  lab.  If  skin  contact  does  occur,  immediately   irrigate  the  area  in  the  sink  for  a  minimum  of  at  least  15  minutes.  In  extreme  cases,  when  a  large   area  of  skin  is  affected  and  the  area  cannot  be  thoroughly  irrigated  in  the  sink,  use  the  emergency   shower  located  outside  the  lab.  During  class  hours,  report  the  incident  to  an  instructor  immediately.   All  incidents  must  be  reported  (no  matter  how  minor),  entered  into  the  incident  log,  and   documented  with  an  incident  report.  After  completing  these  steps,  the  instructor  will  give  the   incident  report  to  Caleb  Heap.  If  the  incident  occurs  after  class  hours,  call  Caleb  Heap  immediately   (602  827-­‐2303).   16) If  fluid  splashes  into  your  eye,  rinse  it  out  thoroughly  at  one  of  the  eye  wash  stations.  Immediately   irrigate  your  eyes  with  copious  amounts  of  water  for  a  minimum  of  at  least  15  minutes,  while   holding  the  eyelids  open  and  rolling  the  eyes.  After  irrigation,  get  medical  care  as  soon  as  possible.  If   you  are  wearing  contact  lenses,  do  not  delay  irrigation  to  remove  your  lenses.  Irrigate  immediately   and  remove  your  lenses  when  it  is  practical.  During  class  hours,  report  the  incident  to  an  instructor  

 

 

 

   

 

 

immediately.  All  incidents  must  be  reported  (no  matter  how  minor),  entered  into  the  incident  log,   and  documented  with  an  incident  report.  After  completing  these  steps,  the  instructor  will  give  the   incident  report  to  Caleb  Heap.  If  the  incident  occurs  after  class  hours,  call  Caleb  Heap  immediately   (602  827-­‐2303).  Although  contact  lenses  are  permitted  in  the  gross  lab,  prescription  glasses  are   strongly  recommended  as  chemical  environments  may  represent  an  additional  hazard  to  contact   lens  wearers  due  to  possible  absorption.         17) If  you  develop  a  rash,  are  cut  or  otherwise  injured,  inform  an  instructor  immediately.  All  incidents   must  be  reported  (no  matter  how  minor),  entered  into  the  incident  log,  and  documented  with  an   incident  report.  After  completing  these  steps,  the  instructor  will  give  the  incident  report  to  Caleb   Heap.  If  the  incident  occurs  after  class  hours,  call  Caleb  Heap  immediately  (602  827-­‐2303).  Two  first   aid  cabinets  are  located  in  the  lab.  Always  wear  nitrile  gloves  when  assisting  someone  with  a  cut  or   other  injury,  as  you  may  be  exposed  to  potential  bloodborne  pathogens.   18) Handle  the  plastic  anatomical  models  and  skeletal  material  in  the  lab  with  care.  Please  put  on  a   clean  pair  of  gloves  when  handling  these  items.  Do  not  disarticulate  the  mounted  skeletons.  Do  not   remove  the  anatomical  models  and  osteological  material  from  the  lab.         19) The  use  of  cell  phones  or  other  communication  devices  is  not  permitted  in  the  lab.  If  cell  phones  or   pagers  need  to  be  turned  on  during  class  time,  you  must  set  them  to  vibrate  mode.  If  you  need  to   make  a  call,  please  leave  the  laboratory  to  do  so.  Before  leaving  the  lab,  you  must  remove  all  PPE   and  wash  your  hands.  All  communication  devices  are  prohibited  during  exams.                 20) The  use  of  portable  music  players  is  not  permitted  during  class.  You  may  use  these  devices  when   working  in  the  lab  after  hours;  however,  headphones  or  earbuds  must  be  worn  at  all  times.       21)  Each  lab  group  is  responsible  for  setting  up  their  lab  station  prior  to  class  and  cleaning  their  lab   station  at  the  end  of  class.  Please  arrive  in  a  timely  fashion  (at  least  10  minutes  prior  to  the  start  of   lab  for  medical  students)  to  set  up  your  station,  including  placing  the  dissection  tools  and  Netter   atlas  on  the  table  and  putting  on  your  protective  sleeves,  apron,  safety  glasses,  and  nitrile  gloves.  In   addition,  students  are  required  to  review  the  donor  chart  for  any  notes  recorded  during  the   previous  lab.  At  the  end  of  lab,  each  lab  group  is  responsible  for  cleaning  the  dissection  tools  with   soap  and  water,  cleaning  the  dissection  table,  body  bag,  lab  stools,  protective  sleeves,  and  aprons   with  the  disinfectant  provided,  cleaning  the  safety  glasses  and  goggles  with  the  lens  cleaners   provided,  and  returning  the  tools,  sleeves,  aprons,  safety  glasses  and  Netter  atlas  to  the  storage   bins.  In  addition,  prior  to  leaving  the  lab,  students  are  required  to  record  any  observed  variations,   pathologies,  or  evidence  of  surgery  in  the  donor  chart.     22) Each  lab  group  is  responsible  for  keeping  the  donor  properly  hydrated.  Keep  parts  of  the  donor  that   you  are  not  working  on  covered  at  all  times.  While  you  are  working,  spray  the  dissected  area  with   water  to  keep  the  tissues  hydrated.  At  the  end  of  each  lab,  moisten  the  dissected  area  with  water  or   wetting  solution  if  needed  and  wrap  the  exposed  area  with  skin  flaps  (secured  with  string)  or  paper   towels  saturated  with  water.  Zip  up  the  body  bag  at  the  end  of  each  lab  and  inform  an  instructor   immediately  if  a  bag  is  cut  or  damaged.     23) Maintain  a  clean  working  environment.  Do  not  let  fluid  accumulate  on  your  table  or  on  the  floor.  For   minor  spills  only,  wipe  up  spilled  fluids  immediately  using  paper  towels.  Do  not  attempt  to  clean  up  

 

 

           

 

   

minor  spills  unless  you  are  wearing  the  required  PPE  (e.g.,  protective  sleeves,  apron,  nitrile  gloves,   and  safety  glasses).  Class  time  will  be  reserved  to  demonstrate  the  proper  procedure  for  minor  spill   cleanup.  In  the  event  of  a  large  spill,  do  not  attempt  to  clean  it.  Instead,  remove  all  PPE  and   evacuate  the  lab  immediately.  Proceed  to  the  sixth  floor  restroom  to  wash  your  hands  and  then  call   Caleb  Heap  (602  827-­‐2303)  to  report  the  incident.  Please  post  a  sign  on  the  main  lab  door  to  warn   other  users  that  the  laboratory  is  closed.  As  noted  above  (in  section  14),  class  time  will  be  reserved   to  demonstrate  an  emergency  evacuation  drill.   24) If  fluid  needs  to  be  aspirated  from  the  body  cavity  of  a  donor  or  the  body  bag,  please  ask  an   instructor  or  Caleb  Heap  for  assistance.  Students  are  not  permitted  to  operate  the  vacuum  units  in   the  lab.     25) All  students  are  expected  to  study  a  number  of  donors  in  the  lab  to  appreciate  the  normal  range  of   variation  and  to  prepare  for  exams.  NAU  OT  students  are  not  permitted  to  dissect  and  ASU  students,   NAU  PA  and  PT  students,  and  UA  medical  students  are  only  permitted  to  dissect  at  their  assigned   table.  As  you  dissect,  fat  and  other  cadaveric  waste  will  accumulate.  Place  this  waste  in  the  plastic   container  that  is  provided  at  each  table.  When  the  container  is  full,  dispose  of  this  waste  in  the   designated  biohazard  containers  and  close  the  lid  on  the  container.  However,  keep  all  organs  and   skin  flaps  in  the  body  bag  with  the  donor-­‐do  not  dispose.       26) Non-­‐biological  waste  (e.g.,  gloves  and  paper  towels)  should  be  disposed  of  in  the  designated   biohazard  containers.     27) Take  care  when  using  scalpel  blades.  Make  sure  all  group  members  are  aware  of  the  location  of  the   blade(s)  on  the  table.  If  you  are  unsure  how  to  insert  or  remove  a  blade,  please  ask  an  instructor  for   help.  When  a  blade  gets  dull  and  at  the  end  of  each  lab,  place  used  blades  in  the  designated  sharps   containers;  take  care  when  transporting  the  blades  to  these  containers.  Class  time  will  be  reserved   for  demonstration  of  proper  blade  disposal  for  those  students  who  will  be  dissecting.     28) A  copy  of  these  rules  and  regulations  are  posted  in  the  gross  anatomy  laboratory.  For  more  details   on  lab  safety,  please  refer  to  the  Gross  Anatomy  Laboratory  Biosafety  Manual  and  MSDS  sheets  that   are  stored  in  the  lab.  MSDS  sheets  for  formaldehyde  products  can  also  be  found  online  at  the   manufacturer’s  website:  http://shop.dodgeco.com/materialsafetydatasheets.aspx     29) Any  individual  failing  to  comply  with  these  rules  and  regulations  is  subject  to  disciplinary  action   and/or  revocation  of  the  privilege  to  work  in  the  gross  anatomy  laboratory.   30) All  individuals  using  the  gross  anatomy  laboratory  will  acknowledge  their  understanding  of  these   rules  and  regulations  by  signing  the  first  page  of  the  Gross  Anatomy  Laboratory  Safety  Training   module.    

Formaldehyde

See www.dir.ca.gov/title8/5217.html. ➤ Hazard ... Embalming: www.cdc.gov/niosh/hc26.html. .... the Gross Anatomy Laboratory (calebheap@email.arizona.edu).

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