2% Gluteraldehyde Monitoring (CIDEX, METRICIDE)


 
Policy: 
 
Gluteraldehyde (2%) requires substantial ventilation.  
 
Gluteraldehyde can be used to disinfect/cold sterilize a wide 
variety of medical instruments that cannot be subjected to 
heat.  Gluteraldehyde must be prepared and used according to 
manufacturer's instructions.  Thorough rinsing of instruments 
with sterile water is imperative to remove potential toxicity 
of Gluteraldehyde residue.
 
  1. Is toxic, irritating to skin, eyes and nasal passages, 
     and can cause breathing problems.  Employees may be 
     exposed to elevated Gluteraldehyde vapor levels if 
     equipment is soaked in rooms with inadequate 
     ventilation, when spills occur, or where there is an 
     open immersion bath. Therefore monitoring badges must be
     worn periodically; see below.
 
  2. Staff must wear protective clothing, gloves, and face 
     protection when handling.  
 
  3. Activated Gluteraldehyde is unstable and germicidal 
     potency tends to decrease after storage and use.   
     Manufacture's expiration date should be followed after 
     activation and the solution must be kept in a covered 
     container, with the expiration date indicated on the 
     cover.  
     
     The concentration or potency of the Gluteraldehyde 
     needs to be monitored; utilizing a dip stick. 
     Documentation of the results of potency testing will 
     occur. See the forms repository for log.  
   Should the Gluteraldehyde fail, it will
     not be used and will be disposed of with documentation
     of this occurrence indicated in the log.
 
  4. The placement of a cautionary sign warning pregnant
     women; placed in the area where this product is used is 
     highly recommended.
  
Disposal:
 
It is drained into the sink which is compliant with the rules of the local water company.
 
 
 
Employee Information and Training :
 
Since this organization utilizes Gluteraldehyde solution 
and/or other hazardous chemicals there is a written hazard 
communication program which is available in the OSHA manual.
 
All employees utilizing Gluteraldehyde must be able to access 
material safety data sheets (MSDSs), and container labeling.
 
Training for all potentially exposed individuals is conducted.
 
Employees who use, handle, or may have potential exposure
(e.g., accidental or possible) to Gluteraldehyde solutions 
are provided information and training prior to their initial 
work assignment.

Employee training includes as a a minimum, the following:
a)  methods and observations that may be used to detect the
    presence or release of Gluteraldehyde in the workplace;
b)  the physical and health hazards of Gluteraldehyde;
c)  the measures employees can take to protect themselves,
    including specific procedures implemented to protect 
    employees from exposure to Gluteraldehyde, such
    as appropriate work practices, emergency procedures, and 
    personal protective equipment; and
 
The clinical personnel utilizing Gluteraldehyde (CIDEX, 
METRICIDE) wears a Gluteraldehyde monitoring badge.  This 
organization utilizes the self monitoring or in-house type of 
badges. 
 
The badges will be worn according to the manufacturer's 
recommendations by any individual that has the greatest 
exposure to Gluteraldehyde on a given day.  Special attention 
should be given to short term tasks that may have elevated 
exposures such as pouring, mixing Gluteraldehyde solutions.
 
 
For the first year the following schedule will be followed 
for monitoring:
 
    -  Monitoring is started once the badges are received; 
       and a baseline result and date are established.  
 
    -  If at any time the result of the monitoring indicates 
       an unacceptable exposure; use of the  Gluteraldehyde 
       will cease and action taken to correct the 
       situation related to the  unacceptable exposure; i.e. 
       ventilation.  Once the issue is corrected a 

       monitoring badge will be worn again for the day.
 
    -  If the baseline exposure is negative or acceptable 
       the following will occur
 
    -   Monitoring badges will be worn quarterly, for one 
        day, for the first year.
 
    -   Monitoring badges will be worn for one day every 6 
        months in the second year and all years thereafter.
 
Results of the Gluteraldehyde monitoring badges and any 
action taken, if necessary will be recorded and kept on file.
 
Spill Control and Cleanup Procedures
 
All Gluteraldehyde spills have the potential to create vapor
concentrations that exceed recommended exposure limits. 
A policy for hazardous spills exists in the OSHA manual. 
 
All spills should be cleaned up immediately, regardless of 
size. All necessary spill kit equipment and personal 
protective equipment is readily available.
 
Whether or not a spill can be cleaned up safely without the 
use of neutralizing chemicals and/or a respirator will depend 
on a number of factors such as the Gluteraldehyde 
concentration and the amount spilled, the temperature of the 
room and the solution. 
 
Neutralizing Chemicals
Before using any type of Gluteraldehyde-based product, this 
organization reviews the manufacturer's recommendations for 

spill cleanup. Additionally the organization will keep on 
hand a neutralizing agent for larger spills which will be 
used to lower the Gluteraldehyde concentration in solutions 
and/or the ambient vapor level during a spill. 
 
Certain larger spills of Gluteraldehyde are
covered by the requirements of OSHA's Hazardous Waste
Operations and Emergency Response standard.  Should a spill 
be large, personnel understand the necessity to evacuate 
until the spill is cleaned up, exactly how to clean up the 
spill, i.e. whether to use a neutralizer and respirator, and 
how to determine if the work-site is safe for reentry.
 
This organization disposes of Gluteraldehyde solutions in 
accordance with local and state regulations. 
 
 
Approved By Governing Board    
MC.11
Control #306.6
GUPTA GASTRO