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Health and Safety, Laboratory Organisation and External and Internal Quality Assurance

Health and Safety, Laboratory Organisation and External and Internal Quality Assurance. Mark Orrell, Operations Manager for Cellular Pathology, NBT. Health and Safety.

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Health and Safety, Laboratory Organisation and External and Internal Quality Assurance

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  1. Health and Safety, Laboratory Organisation and External and Internal Quality Assurance Mark Orrell, Operations Manager for Cellular Pathology, NBT

  2. Health and Safety • Occupational health and safety is the discipline concerned with preserving and protecting human and facility resources in the workplace.

  3. Health and Safety • Common sense • Personal accountability • Know the risks • Follow SOPs • Use PPE – there for a reason • Don’t cut corners!

  4. Standard Operating Procedures • Any task has an SOP • Assures than each task is performed to the same standard each and every time • Training aid • Legal necessity

  5. Hazard v Risk • Hazard: A source of potential harm or damage, or a situation with potential for harm or damage. • Risk: The probability of harm or injury

  6. Risk Assessments • The identification and assessment of hazards • Identify • Eliminate if possible • Reduce risk to staff • Applies to any task • Biological, chemical, electrical, sharps, manual handling

  7. Other organisations • COSHH – Control of Substances Hazardous to Health • Using chemicals or other hazardous substances at work can put people's health at risk. So the law requires employers to control exposure to hazardous substances to prevent ill health. • ISO – International Standards Organisation • HTA – Human Tissue Authority • Ensuring that human tissue is used safely and ethically, and with proper consent.

  8. Trust Board Division of Surgery Division of Diagnostics and Therapies Division of Women and Children Biochemistry Cellular Pathology Haematology Lead Pathologist Lab Manager Consultant Pathologists Office Laboratory Mortuary JuniorPathologists

  9. Laboratory Organisation • Three staff groups • Medical • Technical (BMS, MTO, MLA, APT) • Clerical (A&C) • Medical HOD • Laboratory manager

  10. Medical line management • Medical Director • Divisional Clinical Lead • Pathology Clinical Lead • Pathologists • Trainees • Educational Supervisor

  11. Laboratory Organisation • Lab Manager • (technical, clerical & mortuary) • Safety Officer • Training Officer • Quality Manager • Line management

  12. External Quality Assurance • Diagnostic schemes (organ systems) • UKNEQAS • Assessments of both H&E production and special staining methods • Six assessment cycles per year • Criterion-based assessments using nationally agreed standards • Agreed range of stains/antibodies • National comparison

  13. Internal Quality Assurance • Signing out stains • Check everything! • Booking in • Cut up • Labels • Diagnosis • Typing • Authorising • It is everyone’s responsibility

  14. Summary • Health and Safety – each individual’s responsibility • Quality Assurance - each individual’s responsibility • Lab structure – to cover those areas outside the individual’s responsibility!

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