TABLE 5.
Selected functions reflective of required microbiology mitigation controls, with percent compliance among WCLN risk assessment survey respondents, 2016
| Required mitigation control | No. of qualified respondents | % compliance |
|---|---|---|
| Wear a lead gown when assisting with CT-guided: | ||
| Fine-needle aspiration | 39 | 59.0 |
| Bone marrow aspiration | 60 | 45.0 |
| Have a procedure for remediation of transit tube breakage | 96 | 70.8 |
| Document packaging/shipping certification for two laboratorians | 82 | 68.3 |
| Provide refresher packaging/shipping training (plus competency) every 2 yr | 82 | 62.2 |
| Split primary specimen for AFB/fungus culture in biosafety cabinet | 100 | 68.0 |
| Cover partially filled waste receptacles when not used | ||
| Nonmolecular, nonserologic assays | 98 | 82.7 |
| Direct microscopic examination | 89 | 65.2 |
| Screening cultures | 59 | 74.6 |
| Culture interpretation | 52 | 82.7 |
| Use freezer gloves for specimen storage | ||
| Specimen processing and handling | 95 | 42.1 |
| Nonmolecular, nonserologic assays | 97 | 52.6 |
| Screening cultures | 60 | 55.0 |
| Culture interpretation | 54 | 57.4 |
| Process specimens for direct microscopic examination in a biosafety cabinet when specimen also requires testing for AFB | 103 | 28.2 |
| Double-bag waste (direct microscopic examination) | 89 | 78.7 |
| Ensure that the sharps container does not exceed 2/3 vol (direct microscopic examination) | 89 | 79.8 |
| Use proper personal protective equipment (culture setup) | 93 | 84.9 |
| Follow written procedures (screening cultures) | 103 | 54.4 |
| Wear a laboratory coat (screening cultures) | 103 | 52.4 |
| Use proper personal protective equipment during culture retention (screening cultures) | 60 | 26.7 |