2% Gluteraldehyde Monitoring (CIDEX, METRICIDE)
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
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
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
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
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
- 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.
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