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Adowsk <br />qW 0 <br />b. Follow routine precautions for handling "sharps." <br />C. Handle specimens for culture or other laboratory examinations to <br />prevent contamination of the outside of the container. If visibly <br />or potentially contaminated, the outer surface of the specimen <br />container shall be decontaminated. <br />d. Place tissue specimens in fixative (10% formalin, ten times the <br />volume of the tissue) at the table. <br />3. Decontamination <br />a. Any spills of blood or body fluids shall be cleaned immediately <br />with tuberculocidal disinfectant or diluted bleach (1:10 household <br />bleach). <br />b. All work surfaces and areas adjacent to the work area shall be <br />cleaned, decontaminated and flushed with water. <br />C. All instruments shall be decontaminated and rinsed with water. <br />Alternatively, disposable instruments and "sharps" shall be dis- <br />posed of in a puncture -resistant container. <br />d. All contaminated disposable clothing and supplies shall be handled <br />as infectious waste. Reusable clothing shall be handled as infec- <br />tious linen. <br />e. If the autopsy reveals pathologic findings consistent with HIV, <br />HBV or other blood-borne infection, or if tissue containing M. <br />tuberculosis has been cut, the cryostat shall be defrosted and <br />decontaminated immediately with a tuberculocidal disinfectant. <br />Gloves and facial protetion shall be worn during this cleaning <br />procedure and extreme care taken when handling the microtome kni- <br />ves. Otherwise, the cryostat shall be decontaminated immediately <br />with 100% alcohol. <br />f. Housekeeping shall be notified to (1) provide a thorough, general <br />cleanup once the procedure is complete and the Autopsy Room <br />cleared, and (2) to clean and decontaminate the morgue refrigera- <br />tor and body pan after mortuary transport of the remains. <br />B. SURGICAL PATHOLOGY (All specimens to be considered potentially infectious) <br />1. Specimen Preparation <br />a. Specimens shall be placed into sealable leakproof containers and <br />fixative (10% formalin, at least 10 times the volume of tissue) at <br />the point of collection. <br />b. For transport, the primary container shall be placed into a secon- <br />dary, outer, leak -resistant container. <br />c. The pathology requisition shall be kept uncontaminated, preferably <br />in a plastic bag. Contaminated requisition slips are to be dis- <br />carded and replaced. <br />2. Barrier Precautions <br />The following protective devices are required for persons handling <br />surgical specimens: <br />a. Clothing that provides coverage from the wrists to neck and <br />ankles. 1. <br />b. Water -impervious gown or apron. <br />Section: 1.315 Page 2 of 4 <br />