Protocol for Formalin Spills
|From:||THERESA ROHR <email@example.com>|
We are anticipating a JCAHO inspection soon and are re-thinking how to best
meet the safety requirements for having formalin in different
areas/departments of our hospital. I was wondering if any of you have had
to revise older, existing protocols recently? Or if you have recently been
inspected and can give me an idea of what the expectations are now.
Pathology/Histology/Cytology seems well covered but there are problems with
Labor & Delivery, the Operating Room and the Emergency Room where cubes of
formalin are kept for the large specimens they are dealing with. We also
have the issue of Endoscopy, Minor OR and the Cancer Center where they
ordinarily keep the smaller, 15ml, prefilled bottles. The problems seem to
be storage, spill and ventilation.
I would appreciate any feedback.
Theresa Rohr, BA HT(ASCP)
Section Head, Histology
Nyack Hospital, NY
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