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Good Microbiological Practices and Procedures (GMPP) 6: workflow — Transcript

by World Health Organization (WHO) · 999 words · 168 segments · language en · Watch on YouTube

Full transcript

  1. 0:05the term workflow is used to describe
  2. 0:09how the laboratory is set up in two
  3. 0:11different work areas and the procedures
  4. 0:14and systems that enable the people in
  5. 0:16the facility to carry out their work
  6. 0:18efficiently and safely it's important
  7. 0:22that the workflow at the facility
  8. 0:24reduces the risk of staff being exposed
  9. 0:28to biological agents biological agents
  10. 0:32being released outside the laboratory
  11. 0:34and cross-contamination before any work
  12. 0:39begins in a laboratory facility a
  13. 0:42workflow plan should be in place the
  14. 0:45plan should be discussed with staff so
  15. 0:48that everyone understands their roles
  16. 0:50and responsibilities and how the work
  17. 0:52will be organized from receiving samples
  18. 0:55through to reporting results laboratory
  19. 1:00design and setup are important factors
  20. 1:03for good workflow the equipment and
  21. 1:06materials needed for particular tasks
  22. 1:08should be close at hand and there needs
  23. 1:11to be sufficient and well-organized
  24. 1:13space so that staff can work without
  25. 1:16getting in each other's way it's best
  26. 1:20practice to have a one-way flow of work
  27. 1:22for example an area at one end of the
  28. 1:25laboratory to receive samples which
  29. 1:28would lead into an area for initial
  30. 1:30processing then on to further analysis
  31. 1:33and checking of results and finally to
  32. 1:36disposal of waste
  33. 1:39it's important to note that different
  34. 1:42processing procedures can have adverse
  35. 1:44effects on each other for example the
  36. 1:47cultivation of live biological agents
  37. 1:50could contaminate samples being
  38. 1:52processed for PCR potentially creating
  39. 1:55false positive results so these types of
  40. 1:58processes should not be carried out in
  41. 2:00the same area within a laboratory
  42. 2:05separation of conflicting activities may
  43. 2:08be achieved by having designated areas
  44. 2:10on work benches these could be marked
  45. 2:13out using tape and labeled there are
  46. 2:17some activities that should ideally be
  47. 2:20carried out in separate laboratories or
  48. 2:22rooms
  49. 2:22examples include primary sample
  50. 2:25collection media and some reagent
  51. 2:30preparations molecular techniques such
  52. 2:34as PCR cultivation of biological agents
  53. 2:39and autoclaving where possible separate
  54. 2:46reagents and equipment should be used to
  55. 2:48avoid cross contamination
  56. 2:50for example separate dedicated bottles
  57. 2:53of a buffer solution should be used for
  58. 2:56work involving live cultures and
  59. 2:58molecular methods here a color coding
  60. 3:01system is being used to make
  61. 3:03identification easier ideally there
  62. 3:07should be enough storage space on
  63. 3:09shelving and in cupboards and drawers to
  64. 3:12keep the working areas clear organize
  65. 3:16the laboratory space so that any
  66. 3:18regularly used items such as spare boxes
  67. 3:22of pipette tips are stored in drawers or
  68. 3:25cupboards near to the work area avoid
  69. 3:29storing items on shelving above the
  70. 3:32microbiology work area as any dust that
  71. 3:35settles there can be dislodged and
  72. 3:37contaminate the work surface floors
  73. 3:41should not be used as storage areas and
  74. 3:44should be kept clear of everything
  75. 3:46except waste bins if they're needed
  76. 3:50before starting work the workspace
  77. 3:52should be clean and tidy if possible
  78. 3:56keep the surface clear of everything
  79. 3:58except the items needed to complete the
  80. 4:01task at hand and keep these items
  81. 4:03towards the back of the bench to ensure
  82. 4:06you have enough room to work at the
  83. 4:08front it's difficult to work well in a
  84. 4:14messy environment it can link to
  85. 4:17cross-contamination and accidents which
  86. 4:19may expose laboratory staff to
  87. 4:22biological agents work cannot flow
  88. 4:27smoothly without the right equipment and
  89. 4:29supplies there should be procedures in
  90. 4:32place to make sure that equipment is
  91. 4:34checked regularly and properly
  92. 4:36maintained supplies such as PPE reagents
  93. 4:46and stocks of biological agents and
  94. 4:48chemicals must be stored correctly a log
  95. 4:54and regular stock check must be in place
  96. 4:56to ensure there are enough supplies to
  97. 4:59do the work
  98. 5:07before starting any work the information
  99. 5:11received with the sample should be
  100. 5:13checked to ensure it is present and
  101. 5:15correct and has been logged into the
  102. 5:17system the sample should be clearly
  103. 5:20labeled to ensure it cannot be confused
  104. 5:23with other samples where multiple
  105. 5:28analyses are required on the same sample
  106. 5:30the procedures must be carried out in
  107. 5:33the right order and if any sub samples
  108. 5:36need to be taken from the primary sample
  109. 5:38this should be agreed before processing
  110. 5:40starts before processing the sample make
  111. 5:47sure that the workspace is available
  112. 5:49clean and tidy and that reagents and
  113. 5:52other supplies are prepared and close to
  114. 5:55hand
  115. 5:56sign-off may be required for certain
  116. 5:58procedures prior to moving on to the
  117. 6:01next phase of the work this will be
  118. 6:03useful for tracking the journey of the
  119. 6:05sample when you've finished the
  120. 6:08procedure you should tidy up and clean
  121. 6:11the area before moving on to the next
  122. 6:13process to avoid confusion and misplaced
  123. 6:17samples clear communication with
  124. 6:20colleagues will be required before
  125. 6:22sending the sample to a different
  126. 6:24Department some samples may require
  127. 6:28storage after processing some may go
  128. 6:31straight to waste disposal and some may
  129. 6:36be destroyed during sample processing
  130. 6:38for example DNA extraction for molecular
  131. 6:42analysis in any of these instances the
  132. 6:48fate of the sample should be recorded so
  133. 6:50that the sample journey through the
  134. 6:52facility can be tracked where samples
  135. 6:56need to be stored the type location and
  136. 6:59duration of storage should be agreed and
  137. 7:02recorded
  138. 7:08analyzing and reporting results of tests
  139. 7:11should be standardized to avoid
  140. 7:13confusion and miscommunication data and
  141. 7:17reports should be checked for potential
  142. 7:20errors before they are provided to the
  143. 7:22customer or service user data and
  144. 7:26reports should also be stored for an
  145. 7:29agreed period of time in case they need
  146. 7:31to be revisited and for auditing
  147. 7:34purposes good communications and
  148. 7:39sufficient numbers of well-trained staff
  149. 7:41are important factors at every stage of
  150. 7:44the process from design and planning
  151. 7:47through to delivering results if these
  152. 7:50important provisions are not properly
  153. 7:52implemented it's difficult to work
  154. 7:54safely and produce reliable results in
  155. 7:59summary good workflow includes a
  156. 8:02workflow plan that details what work
  157. 8:05will be carried out when and where it
  158. 8:08will be done and who will be responsible
  159. 8:12sufficient clean and tidy workspaces
  160. 8:17designated rooms or segregated areas for
  161. 8:21specific procedures appropriate storage
  162. 8:25of consumables and equipment
  163. 8:29a one-way flow of work to avoid
  164. 8:32cross-contamination of samples
  165. 8:35standardized methods sample tracking and
  166. 8:42clear communication between staff
  167. 8:51[Music]
  168. 8:56you

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