BSL- Biosafety Manual

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BSL- 2 BiosafetyManualBMS Teaching LaboratoriesBradley De Pons – Lab ManagerEnderis Hall B70, B76, B80, B86, B88, B90University of Wisconsin-Milwaukee08/10/2018

Rev. 08/2018ContentsContact List . 2Training . 3Teaching Laboratory Description . 4List of Approved IBC Protocols. 4Biological Agents/ Organisms Used In This Facility . 4BMBL BSL-2 Laboratory Criteria. 4Laboratory Signage . 9Biological Safety Cabinet. 10Sharps Disposal . 11Needle Recapping . Error! Bookmark not defined.Spill Response Protocol . 14Spills INSIDE Containment . 14Spills OUTSIDE Containment . 15Waste Decontamination and Disposal. 12VIII. EMERGENCY PROCEDURES . 16IX. Pathogen Exposure Control Plan . 17Engineering Controls . 17Administrative/ Work Practice Controls . 177Personal Protective Equipment (PPE) . 177Disinfection . 18Disposal . 188Accidental Spill . 188Exposure Response . 19References for More Biosafety Information . 20Appendix B: Biological Inventory . 21Appendix C: BSL-2 facility signage . 22Appendix D:BBP Plans and SOPs . 22Page 1 of 23

Rev. 08/2018Contact ListIn an emergency, contact: 911 or 414-229-9911 if on campusNameBrad De PonsDr. Elizabeth LiedhegnerFacilities ServicesDanielle RintalaKim AxtmanJennifer esManagementBiosafetyOfficerRadiationSafety OfficerLaboratorySafetyCoordinatorOffice Phone #(414)229-4499E-mail du(414)229-4742(414)588-4261rintala@uwm.edu(414) 430-7507axtman@uwm.edu(414) 430-7508herrigej@uwm.eduPage 2 of 23

Rev. 08/2018TrainingAll staff and students that expect to work unsupervised in the BMS teaching labs must reviewthis procedure, complete training by Lab Manager or PI, and fill out the BMS Teaching LabsBiosafety Manual Training Certificate/Annual Review Form, with a submission type of “InitialTraining Certification”. After initial training, procedure must be reviewed annually anddocumented with the Training Certificate/Annual Review Form, submission type “AnnualProcedure Review”.All personnel who work in the laboratory must receive adequate instruction from theirsupervisor prior to beginning work. Some training is required annually. Each lab will requiredifferent trainings. The UWM Department University Safety and Assurances provides trainingfor biosafety in the following: Biosafety Training (BSL-1 and BSL-2) (face-to-face and online)Bloodborne Pathogens training (online)Training on lab-specific techniques and demonstration of competency may also be requiredbefore work. This BMS Teaching Lab Biosafety Manual is specific to those utilizing the BMSteaching labs for instructional use, and any additional training needed for research work shallbe the responsibility of the specific PI or laboratory. Some work may require an occupationalhealth plan, including annual physicals, pulmonary function test and fit test for use of arespirator, vaccinations, serum testing, and/or other elements of a medical plan. Contact theBiosafety Program at (414) 588-4261 for guidance.Page 3 of 23

Rev. 08/2018Teaching Laboratories DescriptionThe Biomedical Sciences teaching labs consist of several laboratory and support rooms used forpreparation and administration of courses in both the undergraduate and graduate level in theDepartment of Biomedical Sciences. Course content includes work with human blood, bodyfluids, bacteria, and fungi. Access to the laboratories, support rooms, supplies, chemicals,equipment and technology is limited to those students and staff members that have beenauthorized access by the University of Wisconsin – Milwaukee, Department of BiomedicalSciences, and/or Laboratory Manager. Undergraduate and graduate students taking classeswith instruction are exempt from individual training on this procedure, but must be supervisedat all times by at least one staff member that has been trained in this and all appropriatelaboratory procedures.List of Approved IBC Protocols and their Risk AssessmentsN/ABiological Agents/ Organisms Used In This FacilityList all biological agents used in your facility here and clearly identify biohazards associated withthem and their risk group.Biological agents used and stored in the BMS teaching labs can be found on the BMS Labs StockCulture List, located on the Biomedical Sciences Labs website.BMBL BSL-2 Laboratory CriteriaBiosafety in Microbiological and Biomedical Laboratories (BMBL) 5th Edition, February 2009Centers for Disease Control and Prevention and National Institutes of HealthBiosafety Level 2 builds upon BSL-1. BSL-2 is suitable for work involving agents that posemoderate hazards to personnel and the environment. It differs from BSL-1 in that: laboratory personnel have specific training in handling pathogenic agents and aresupervised by scientists competent in handling infectious agents and associatedprocedures; access to the laboratory is restricted when work is being conducted; andPage 4 of 23

Rev. 08/2018 all procedures in which infectious aerosols or splashes may be created are conducted inBSCs or other physical containment equipment.The following standard and special practices, safety equipment, and facility requirements applyto BSL-2:Standard Microbiological Practices1. The laboratory supervisor must enforce the institutional policies that control access to thelaboratory.2. Persons must wash their hands after working with potentially hazardous materials andbefore leaving the laboratory.3. Eating, drinking, smoking, handling contact lenses, applying cosmetics, and storing food forhuman consumption must not be permitted in laboratory areas. Food must be stored outsidethe laboratory area in cabinets or refrigerators designated and used for this purpose.4. Mouth pipetting is prohibited; mechanical pipetting devices must be used.5. Policies for the safe handling of sharps, such as needles, scalpels, pipettes, and brokenglassware must be developed and implemented. Whenever practical, laboratory supervisorsshould adopt improved engineering and work practice controls that reduce risk of sharpsinjuries.Precautions, including those listed below, must always be taken with sharp items. Theseinclude:a. Careful management of needles and other sharps are of primary importance. Needlesmust not be bent, sheared, broken, recapped, removed from disposable syringes, orotherwise manipulated by hand before disposal.b. Used disposable needles and syringes must be carefully placed in conveniently locatedpuncture-resistant containers used for sharps disposal.c. Non-disposable sharps must be placed in a hard walled container for transport to aprocessing area for decontamination, preferably by autoclaving.d. Broken glassware must not be handled directly. Instead, it must be removed using abrush and dustpan, tongs, or forceps. Plastic ware should be substituted for glasswarewhenever possible.6. Perform all procedures to minimize the creation of splashes and/or aerosols.Page 5 of 23

Rev. 08/20187. Decontaminate work surfaces after completion of work and after any spill or splash ofpotentially infectious material with appropriate disinfectant.8. Decontaminate all cultures, stocks, and other potentially infectious materials before disposalusing an effective method. Depending on where the decontamination will be performed, thefollowing methods should be used prior to transport:a. Materials to be decontaminated outside of the immediate laboratory must be placed ina durable, leak proof container and secured for transport.b. Materials to be removed from the facility for decontamination must be packed inaccordance with applicable local, state, and federal regulations.9. A sign incorporating the universal biohazard symbol must be posted at the entrance to thelaboratory when infectious agents are present. Posted information must include: thelaboratory’s biosafety level, the supervisor’s name (or other responsible personnel), telephonenumber, and required procedures for entering and exiting the laboratory. Agent informationshould be posted in accordance with the institutional policy.10. An effective integrated pest management program is required.11. The laboratory supervisor must ensure that laboratory personnel receive appropriatetraining regarding their duties, the necessary precautions to prevent exposures, and exposureevaluation procedures. Personnel must receive annual updates or additional training whenprocedural or policy changes occur. Personal health status may impact an individual’ssusceptibility to infection, ability to receive immunizations or prophylactic interventions.Therefore, all laboratory personnel and particularly women of child-bearing age should beprovided with information regarding immune competence and conditions that may predisposethem to infection. Individuals having these conditions should be encouraged to self-identify tothe institution’s healthcare provider for appropriate counseling and guidance.Special Practices1. All persons entering the laboratory must be advised of the potential hazards and meetspecific entry/exit requirements.2. Laboratory personnel must be provided medical surveillance and offered appropriateimmunizations for agents handled or potentially present in the laboratory.3. Each institution must establish policies and procedures describing the collection and storageof serum samples from at-risk personnel.Page 6 of 23

Rev. 08/20184. A laboratory-specific biosafety manual must be prepared and adopted as policy. Thebiosafety manual must be available and accessible.5. The laboratory supervisor must ensure that laboratory personnel demonstrate proficiency instandard and special microbiological practices before working with BSL-2 agents.6. Potentially infectious materials must be placed in a durable, leak proof container duringcollection, handling, processing, storage, or transport within a facility.7. Laboratory equipment should be routinely decontaminated, as well as, after spills, splashes,or other potential contamination.a. Spills involving infectious materials must be contained, decontaminated, and cleaned upby staff properly trained and equipped to work with infectious material.b. Equipment must be decontaminated before repair, maintenance, or removal from thelaboratory.8. Incidents that may result in exposure to infectious materials must be immediately evaluatedand treated according to procedures described in the laboratory biosafety safety manual. Allsuch incidents must be reported to the laboratory supervisor. Medical evaluation, surveillance,and treatment should be provided and appropriate records maintained.9. Animals and plants not associated with the work being performed must not be permitted inthe laboratory.10. All procedures involving the manipulation of infectious materials that may generate anaerosol should be conducted within a BSC or other physical containment devices.Safety Equipment (Primary Barriers and Personal Protective Equipment)1. Properly maintained BSCs (preferably Class II), other appropriate personal protectiveequipment, or other physical containment devices must be used whenever:a. Procedures with a potential for creating infectious aerosols or splashes are conducted.These may include pipetting, centrifuging, grinding, blending, shaking, mixing,sonicating, opening containers of infectious materials, inoculating animals intranasally,and harvesting infected tissues from animals or eggs.b. High concentrations or large volumes of infectious agents are used. Such materials maybe centrifuged in the open laboratory using sealed rotor heads or centrifuge safety cups.2. Protective laboratory coats, gowns, smocks, or uniforms designated for laboratory use mustbe worn while working with hazardous materials. Remove protective clothing before leaving forPage 7 of 23

Rev. 08/2018non-laboratory areas (e.g., cafeteria, library, administrative offices). Dispose of protectiveclothing appropriately, or deposit it for laundering by the institution. It is recommended thatlaboratory clothing not be taken home.3. Eye and face protection (goggles, mask, face shield or other splatter guard) is used foranticipated splashes or sprays of infectious or other hazardous materials when themicroorganisms must be handled outside the BSC or containment device. Eye and faceprotection must be disposed of with other contaminated laboratory waste or decontaminatedbefore reuse. Persons who wear contact lenses in laboratories should also wear eye protection.4. Gloves must be worn to protect hands from exposure to hazardous materials. Glove selectionshould be based on an appropriate risk assessment. Alternatives to latex gloves should beavailable. Gloves must not be worn outside the laboratory. In addition, BSL-2 laboratoryworkers should:a. Change gloves when contaminated, integrity has been compromised, or when otherwisenecessary. Wear two pairs of gloves when appropriate.b. Remove gloves and wash hands when work with hazardous materials has beencompleted and before leaving the laboratory.c. Do not wash or reuse disposable gloves. Dispose of used gloves with other contaminatedlaboratory waste. Hand washing protocols must be rigorously followed.5. Eye, face and respiratory protection should be used in rooms containing infected animals asdetermined by the risk assessment.Laboratory Facilities (Secondary Barriers)1. Laboratory doors should be self-closing and have locks in accordance with the institutionalpolicies.2. Laboratories must have a sink for hand washing. The sink may be manually, hands-free, orautomatically operated. It should be located near the exit door.3. The laboratory should be designed so that it can be easily cleaned and decontaminated.Carpets and rugs in laboratories are not permitted.4. Laboratory furniture must be capable of supporting anticipated loads and uses. Spacesbetween benches, cabinets, and equipment should be accessible for cleaning.a. Bench tops must be impervious to water and resistant to heat, organic solvents, acids,alkalis, and other chemicals.Page 8 of 23

Rev. 08/2018b. Chairs used in laboratory work must be covered with a non-porous material that can beeasily cleaned and decontaminated with appropriate disinfectant.5. Laboratory windows that open to the exterior are not recommended. However, if alaboratory does have windows that open to the exterior, they must be fitted with screens.6. BSCs must be installed so that fluctuations of the room air supply and exhaust do notinterfere with proper operations. BSCs should be located away from doors, windows that canbe opened, heavily traveled laboratory areas, and other possible airflow disruptions.7. Vacuum lines should be protected with High Efficiency Particulate Air (HEPA) filters, or theirequivalent. Filters must be replaced as needed. Liquid disinfectant traps may be required.8. An eyewash station must be readily available.9. There are no specific requirements on ventilation systems. However, planning of newfacilities should consider mechanical ventilation systems that provide an inward flow of airwithout recirculation to spaces outside of the laboratory.10. HEPA filtered exhaust air from a Class II BSC can be safely re-circulated back into thelaboratory environment if the cabinet is tested and certified at least annually and operatedaccording to manufacturer’s recommendations. BSCs can also be connected to the laboratoryexhaust system by either a thimble (canopy) connection or a direct (hard) connection.Provisions to assure proper safety cabinet performance and air system operation must beverified.11. A method for decontaminating all laboratory wastes should be available in the facility (e.g.,autoclave, chemical disinfection, incineration, or other validated decontamination method).Laboratory SignageThe sign found in Appendix C is a required sign for all BSL-2 facilities. This door sign outside ofthe laboratory is posted by the PI and will be checked bi-annually by the Biological SafetyOfficer, who will do walk-throughs of buildings to make sure BSL-2 facilities are complying withthis requirement. Biosafety level 2 labs should have the following permanently-affixed decals:Biohazard symbol, “BSL-2” designation, Entry/ Exit Requirements, and emergency contacts.The specific agents worked with in the lab should not be listed, for biosecurity reasons. If anychanges need to be made to the sign, including emergency contacts, please log in and updatethe information online. The UWM Biosafety Program will post any changes to the sign and letpersonnel know.Page 9 of 23

Rev. 08/2018Standard Operating ProceduresBiological Safety CabinetThe biosafety cabinet (BSC) is the primary means of protecting students, staff members, theproduct, and the environment from biological hazards. All work with infectious agents shouldbe manipulated in the BSC, especially those practices which could generate aerosols. Using theBSC properly includes the following:1) Turn on cabinet fan 15 minutes before beginning work2) Disinfect the cabinet work surface with 70% ethanol or other disinfectant and wipesurfaces.3) Place supplies in the cabinet. Locate container inside the cabinet for disposal ofpipettes. (Movement of hands in and out of the cabinet to discard p

A laboratory-specific biosafety manual must be prepared and adopted as policy. The biosafety manual must be available and accessible. 5. The laboratory supervisor must ensure that laboratory personnel demonstrate proficiency in standard and special microbiological practices before working with BSL-2 agents. 6. Potentially infectious materials .

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