Coshh Risk Assessment Form

Southern Health &Social Care Trust POCTKETONE Pathology and Laboratory Service Page 1 of 3 POCT Date of Issue 16/05/2011

COSHH RISK ASSESSMENT FORM Control of Substances Hazardous to Health Regulations (N.I.) 2003

For information on the completion of the COSHH Assessment Form, please refer to the associated Guidance Notes, hazard/data sheets, product labels, etc.

All Southern CAH HOSPITAL DEPARTMENT/WARD ALL EXT NO. Trust 3709

1. LOCATION(S) OF USE All wards with Abbott Optium Xceed blood ketone meter.

2. BRIEF DESCRIPTION OF ACTIVITY IN AREA The Optium Xceed blood ketone meter is used with ketone control solutions and capillary blood to monitor blood ketone levels.

SUBSTANCES TO WHICH STAFF ARE EXPOSED IN CONNECTION WITH THE WORK ACTIVITY 3. (Refer to Guidance Notes to assist you when completing this section.) Substance Activity Duration Exposure Number Route frequency exposed of exposure Blood ketone test strips Assay of blood 10min 5/day 1 Skin, inhalation ketones Ingestion and eyes Medisense glucose and ketone Control of assay 5 min 2/day 1 Skin, inhalation control solutions of blood ketones Ingestion and eyes Blood Assay of blood 10min 5/day 1 Skin, inhalation ketones Ingestion and eyes

4. SUBSTANCE DETAILS Substance Hazard Physical Form Risk Phrases O.E.S. M.E.L Classification Applicable

Test strips Not hazardous A strip containing very small amounts of chemicals Blood Micro-organisms liquid Medisense Not hazardous liquid glucose and ketone control solutions

5. POTENTIAL HEALTH EFFECTS The test strips are not considered hazardous in the unused condition. When they are used with a specimen which is human source material they will become potentially infectious.

Measurement of blood ketones using Optium Xceed Controlled Document at: 03/05/2018 Southern Health &Social Care Trust POCTKETONE Pathology and Laboratory Service Page 2 of 3 POCT Date of Issue 16/05/2011

6. STAFF/PATIENTS/OTHERS WHO MAY BE EXPOSED INCLUDE ESTIMATED NUMBER JOB TITLES – Include own staff/other staff/patients/maintenance staff/others MALE FEMALE Authorised users at ward level. Medical and nursing staff 20 20

7. EXISTING CONTROL MEASURES PPE NECESSARY Uniform and/or gloves

8. DETAILS OF OCCUPATIONAL EXPOSURE MONITORING UNDERTAKEN (if applicable) None

9. DETAILS OF HEALTH SURVEILLANCE UNDERTAKEN (if applicable) none

10. CURRENT DISPOSAL ARRANGEMENTS Unused test strips may be disposed of in black domestic waste bins. Used test strips should be disposed of in a yellow clinical waste bin. Lancet devices used to collect capillary sample should be disposed of in a sharps bin. Unused control solution should be flushed down sink with water.

11. INFORMATION, INSTRUCTION AND TRAINING PROVIDED Standard operating procedure for use of Optium Xceed available on POCT section of trust intranet and QPulse. Trust health and safety policies. Material safety data sheets available on QPulse.

ESTIMATED RISK TO DATE OF COSHH 12. 13. HEALTH low ASSESSMENT 3/5/2011

14. RECOMMENDATIONS/ACTION REQUIRED (e.g. training requirements, provision of information/guidance to staff, development of safe systems of work, introduce LEV, relocate the work activity, improve general ventilation, enclose process, reduce the number of employees exposed, provision of personal protective equipment, etc) PERSON CO-ORDINATING RECOMMENDED DATE TO BE DATE IMPLEMENTATION OF REMEDIAL ACTION COMPLETED COMPLETED REMEDIAL ACTION

NAME OF COSHH ASSESSOR(S) SIGNATURE DATE Wilma Coffey 03/05/2011

NAME OF LINE MANAGER SIGNATURE DATE 12/05/2011 Derek McKillop

Measurement of blood ketones using Optium Xceed Controlled Document at: 03/05/2018 Southern Health &Social Care Trust POCTKETONE Pathology and Laboratory Service Page 3 of 3 POCT Date of Issue 16/05/2011

15. CIRCULATION AND REVIEW OF ASSESSMENT RECORD Circulation of assessment: (Please tick as applicable) Staff: yes Manager/supervisor: yes Other: electronic copy yes (Available to all staff) (E.g. file copy, contractor etc.) on intranet

REVIEW OF ASSESSMENT Next Review due: 16/05/2013 Reviewed by: Date Next Review due: Reviewed by: Date

For further assistance contact the Health and Safety Advisor, Craigavon Area Hospital, extension 2274

Measurement of blood ketones using Optium Xceed Controlled Document at: 03/05/2018