NPHL Packaging & Shipping Revisions

Transcription

1 NPHL Packaging & Shipping Revisions Karen Stiles, SM(ASCP) CM State Training Coordinator Assistant Chemical Terrorism Laboratory Coordinator Nebraska Public Health Laboratory

2 Revision OBJECTIVES: Objectives: Upon completion of this presentation, the participant will be able to: 1. Identify the two types of transport of broth or culture isolates to NPHL 2. Using classification guidelines for transport of hazardous pathogens to NPHL, choose appropriate packaging materials of transport for Category A and B. 3. Depending on location, select which of the two transport types to ship to NPHL. 4. Complete appropriate paperwork required for the type of transport used. 5. Confirm package is appropriately packaged and shipped according to the federal regulation of DOT to insure the package arrives at its destination intact. 6. Know who to contact for questions. 2

3 Why are these revisions Important? It s the law! To keep current with 49 CFR part To comply with Nebraska Title 173 Safety in case of damage, proper labels and documentation provide information that can be used for safe and effective cleanup. Failure to comply in all respects may be in breach, subject to legal penalties 3

4 Patient Specimens Defined as material collected directly from human and transported for diagnosis, disease treatment or prevention Includes excreta, secreta, blood & its components, tissue and tissue swabs, body parts, specimens in transport media Transwabs Blood culture bottles prior to growth Culture plates prior to growth 4

5 Patient Specimens No Changes to processing & shipping All patient specimens including preserved stools for Shiga Toxin positive E.coli can be shipped normally in biohazard bag and placed in courier cooler Does NOT require special NPHL Shipper 5

6 Broth or Culture Infectious substance containing pathogen intentionally propagated Includes: Agar plate Slant Positive Blood Culture Media Shiga Toxin Positive Broth Requires NPHL shipping systems 6

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8 Packing & Shipping of DOT Division 6.2 Materials to NPHL^ Category A Shipper White UN2814 Culture or Broth reasonably suspected to be: Bacillus anthracis* C. botulinum toxin* Brucella spp.* Burkholderia mallei * Burkholderia pseudomallei * Francisella tularensis* Yersinia pestis* Culture or Broth: E. coli - shigatoxin positive M. tuberculosis complex Shigella dysenteriae Coccidioides immitis/posadasii* Category B Shipper Brown UN3373 Culture or Broth: Bordetella pertussis Haemophilus influenzae (sterile site) Listeria monocytogenes Neisseria menigitidis (sterile site) Salmonella spp. Shigella spp. (except S dysenteriae) Vibrio cholerae All patient specimens including preserved stools for E.coli can be shipped in NPHL Category B Shipper *Once confirmed - CDC Biothreat (Select) agent and will require CDC permits to ship. Select Agents are federally regulated - cannot have in your possession 8 ^List is NOT all inclusive (most likely organisms to be shipped to NPHL)

9 NPHL Shippers Category B UN3373 Category A UN2814 B r o w n W h i t e S h i p p e r S h i p p e r 9

10 NPHL Courier or FedEx? Omaha/Lincoln Sentinel Laboratory Ground Courier for both Cat A & B Category A - Use ONLY Capital Express Greater Nebraska Category A FedEx Category B NPHL Ground Courier 10

11 All NPHL Packages MUST Include: Triple Packaged System NPHL to provide all but primary container NPHL Requisition (between 2 nd & outer box) Emergency Response Information (ERI) Shipping Papers FedEx Airbill, Shipper s Declaration & ERI NPHL Ground Courier Shipper Paper & ERI Signature of Responsible Person must know what organism is being shipped Emergency Contact Phone direct/live! 11

12 NPHL Shipping Notebook Quick guide checklist Shipping Instructions Detailed Procedure Presentation Contact Information UN Certification Inspection purposes Preprinted Shipping Papers Specific ERI printouts Storage for Shipping Records 12

13 Primary Container Plate Media shipped by FedEx (Category A) not permitted call NPHL for best method Plate Media can be shipped by Ground Seal plate or tube with parafilm or tape Place in Biohazard Bag Release air & seal bag Wrap with bubble wrap provided 13

14 Secondary Container Round hard shelled container with lid Absorbent material provided add additional if shipping more than one primary container NPHL Requisition serves as List of Contents placed between 2 nd & outer container 14

15 Outer Container Shipper responsible person Must provide contact information Must be accessible entire duration of shipment Consignee (NPHL) recipient name, facility, address and phone number preprinted Category A requires quantity Category A Do NOT list organism name on outside of shipper!! 15

16 Paperwork Category B NPHL Shipper s Paper ERI 16

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19 Paperwork Category A FedEx Airbill or NPHL Ground Shipping Paper FedEx Shipper s Declaration ERI 19

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21 Category A Shipper Declaration Complete Three Forms Do NOT use copies to ship 21

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23 Category A Emergency Response Information 23

24 Category A Notification Call NPHL 24/7 Pager prior to shipment (402)

25 Old NPHL Shipping Containers? Discard Reuse if: Clean & Undamaged Relabeled properly Create your own shipping papers Share templates Box certification on file Reference lab must provide shipping instructions 25

26 Who To Contact State Training Coordinator Page (402) Office (402) FedEx Dangerous Goods Hotline 1-(800) press 81 or say dangerous goods DOT Hazardous Materials Info Line 1-(800)

27 Additional Resources 27