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C. Gloves. Double gloves are to be worn by those who handle or dissect unfixed specimens. In addition, when large or bloody spe- cimens are handled, facial barrier precautions are to be followed. 3. Type of Specimens (The exterior of all specimen containers shall be considered contaminated.) a. Frozen Sections - Gloves shall be worn during frozen sections. b. Smears - Imprints, cytological smears, bone marrow preparations, and body fluid smears are considered contaminated until fixed or stained and covered. C. Routine Specimens - Routine specimens are to be fixed at the point of collection. Adequate fixation (volume of fixative) will be verified upon delivery to.pathology or at the time of gross des- cription. d. Body Fluids - Body fluids used to prepare smears or blocks are extremely hazardous. While handling large quantities of these fluids, protective clothing, gown/apron, double gloves and facial protection is required. In addition, if the risk of droplet dis- persal is high, the use of the biological safety cabinet is required. If available, safety centrifuge cups are to be used during these procedures. e. Other - Teeth, calculi, implants and foreign bodies shall be handled as tissues. Paraffin blocks and covered slides shall not be considered infectious. 4. Decontamination a. Any spills of blood or body fluids shall be cleaned immediately with tuberculocidal disinfectant or diluted bleach (1:10 household bleach). b. Large spills of formalin (>500 ml) shall be cleaned immediately with the appropriate spill cleanup kit. C. All work surfaces and areas adjacent to the work area shall be cleaned, decontaminated and flushed with water. d. All instruments shall be decontaminated and rinsed with water. Alternatively, disposable instruments and "sharps" shall be dis- posed of in a puncture -resistant container. e. All contaminated disposable clothing and supplies shall be handled as infectious waste. Reusable clothing shall be handled as infec- tious linen. f. The cryostat- shall be decontaminated with 100% alcohol after each day of use. g. The cryostat shall be defrosted, claned of accumulated trimmings and sections, and decontaminated with a tuberculocidal disinfec- tant once each month and after tissue with M. tuberculosis is cut. Gloves and facial protection shall be worn during this cleaning procedure and extreme care taken when handling the microtome kni- ves. 5. Tissue Waste Disposal a. Fixed anatomical/pathological specimens will be stored in -the pri- wary specimen container within the Histopathology laboratory until the case has been examined and reported out by,the Pathologist. - Section: 1.315 Page 3 of 4