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Regulatory Compliance & Safety at ORED Seminar Series October 24, 2011

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Regulatory Compliance & Safety at ORED Seminar Series October 24, 2011 REGULATORY COMPLIANCE & SAFETY …is dedicated to achieving recognition through integrity. Every researcher and member of a research team contributes toward this objective. •Biosafety(IBC) •Research with Human Subjects (IRB) •Institutional Animal Care and Use (IACUC) •Hazardous Waste Management •Radiological Safety •Lab Safety •Fire Safety •Risk Management WHAT IS REGULATORY COMPLIANCE & SAFETY?

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Page 1: Compliance Training with SPA Oct 2011

Regulatory Compliance & Safety at

ORED Seminar SeriesOctober 24, 2011

Page 2: Compliance Training with SPA Oct 2011

REGULATORY COMPLIANCE & SAFETY

…is dedicated to achieving recognition through integrity. Every researcher and member of a research team contributes toward this objective.

Page 3: Compliance Training with SPA Oct 2011

WHAT IS REGULATORY COMPLIANCE & SAFETY?

• Biosafety (IBC)• Research with Human Subjects (IRB)• Institutional Animal Care and Use (IACUC)• Hazardous Waste Management• Radiological Safety• Lab Safety• Fire Safety• Risk Management

Page 4: Compliance Training with SPA Oct 2011

BIOSAFETY

and theIBC: Institutional Biosafety Committee

Page 5: Compliance Training with SPA Oct 2011

BIOSAFETYDiscipline that addresses

(1) safe handling &(2) containment

2 things

of

infectious microorganismsand

other hazardous biological material

toxins, venom, prions, rDNA, raw sewage, animal waste, allergens, plants, transgenic animals, etc…

Such as

Page 6: Compliance Training with SPA Oct 2011

WHAT REGULATORY REQUIREMENTS?• NIH Guidelines for Research Involving Recombinant

DNA Molecules• Standards and procedures for rDNA research• Requires an Institutional Biosafety Committee (IBC)

• Biosafety in Microbiological and Biomedical Laboratories (BMBL), 5th Edition• Recommendations for working with infectious agents at

Biological Safety Levels 1 through 4

• Mississippi State Department of Health• “Adopted Standards for the Regulation of Medical Waste”

• OSHA Bloodborne Pathogens• Concept of universal precautions, etc.

Page 7: Compliance Training with SPA Oct 2011

ACTIVITIES THAT REQUIRE OVERSIGHT

• Use of materials that require BSL-2/ABSL-2 facilities

• Research with ANY human specimen (blood, tissue, body fluid, cell culture, etc.)

• Use of rDNA technology• Field work with transgenic:

• plants, invertebrates, vertebrates• genetically modified microorganisms and their

products

Page 8: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• Prior to initiating research:• Consult Biosafety Officer• Perform risk assessment• Determine containment level (BSL-1, BSL-2, etc.)• Submit IBC application• Develop biosafety manual

• SOP’s for hazardous procedures, equipment• Train lab personnel• If BSL-2, have BSO certify lab• Obtain necessary permits

Page 9: Compliance Training with SPA Oct 2011

IBC APPLICATION PROCESS

1. Contact the BSO;2. Download and fill out the IBC application;3. Send to the BSO for final review by the deadline date;4. Application will be placed on the agenda for the next IBC

meeting;5. PI will be invited to attend the IBC meeting;6. PI may receive contingencies;7. After contingencies are met, PI will receive an approval

letter;8. Research can begin!

Page 10: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• During the conduct of research• Submit annual update form• Notify BSO/IBC of any significant

changes or accidents• Schedule annual BSL-2/ABSL-2 lab

certification• Schedule training (if required)• Monitor compliance of personnel with SOP’s• Ensure compliance with all applicable regs

and policies

Page 11: Compliance Training with SPA Oct 2011

Most researchers regarded the new streamlined IBC-approval process as ‘quite an improvement.’

PROTOCOLAPPROVED!

Page 12: Compliance Training with SPA Oct 2011

HUMAN SUBJECTS RESEARCH

and theIRB: Institutional Review Board for the

Protection of Human Subjects in Research

Page 13: Compliance Training with SPA Oct 2011

HUMAN RESEARCH PROTECTION PROGRAM

Significant events impacting regulations:1946 Nuremburg Military Tribunal1960’s Thalidomide Tragedy1972 Tuskegee Syphilis Study Expose

…protecting the rights, welfare, and well-being of the subjects

Page 14: Compliance Training with SPA Oct 2011

APPLICABLE REGULATIONS• U.S. Dept of Health and Human Services, Office for

Human Research Protection (OHRP)– “Common rule”– Requires Federal Wide Assurance

• Food and Drug Administration (FDA)– regulates devices, drugs, biologics

• Family Educational Rights and Privacy Act of 1974 (FERPA)

• Health Insurance Portability and Accountability Act of 1996 (HIPAA)

Page 15: Compliance Training with SPA Oct 2011

WHAT REQUIRES IRB APPROVAL?

IRB Approval Is Needed Only When Human Subjects Research Is Being Conducted.

• Research means a systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.

- AND -

• Human subject means a living individual about whom an investigator (whether professional or student) conducting research obtains:– (1) data through intervention or interaction with the individual, or– (2) identifiable private information.

Page 16: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• Prior to initiating research:– Contact HRPP Staff– Attend IRB training

• Monthly live training sessions during fall and spring semesters

• Online training through CITI Program• Training must be renewed every three years

– Submit IRB application– Obtain written IRB approval

Page 17: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• During the conduct of research:– Respect the rights of human subjects– Adhere to the approved protocol– Submit modification request form

• must be approved by IRB prior to initiating any changes

– Submit continuing review request form– Promptly report any adverse events or

unanticipated problems

Page 18: Compliance Training with SPA Oct 2011
Page 19: Compliance Training with SPA Oct 2011

and theIACUC: Institutional Animal Care and Use

Committee

ANIMAL RESEARCH

Page 20: Compliance Training with SPA Oct 2011

ANIMALS IN RESEARCH“Proper use of animals, including the avoidance or minimization of discomfort, distress, and pain when consistent with sound scientific practices, is imperative.”

-U.S. Government Principles for the Utilization and Care of Vertebrate Animals Used in Testing, Research, and Training , IV

Page 21: Compliance Training with SPA Oct 2011
Page 22: Compliance Training with SPA Oct 2011

ANIMAL CARE REGULATIONS

• USDA, Animal and Plant Health Inspection Service– Implements the Animal Welfare Act via the Animal

Welfare Regulations

• DHHS, Office of Laboratory Animal Welfare– Implements the Policy on Humane Care and Use of

Laboratory Animals– Requires an Animal Welfare Assurance

• AAALAC– Voluntary accreditation (CVM and A&S only)

Page 23: Compliance Training with SPA Oct 2011

In the United States…

• institutions that use laboratory animals for research or instructional purposes must establish an Institutional Animal Care and Use Committee (IACUC) to oversee and evaluate all aspects of the institution's animal care and use program.

• institutions conducting animal-based biomedical research, teaching, and testing provide these animals with “adequate veterinary care.”

Page 24: Compliance Training with SPA Oct 2011

• Prior to initiating research:– Obtain training either online or live session (must be

renewed every 4 years)– Complete online OHSP forms

• update when changes occur– Submit IACUC application

• after pre-review by IACUC member and consultation with LAV

• Developmental Approval is now an option– Obtain written IACUC approval– Have facilities certified by IACUC

PI RESPONSIBILITIES

Page 25: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• During the conduct of research:– Submit annual update form– Submit amendment form prior to any changes

occurring– Monitor compliance of project personnel with

approved protocol

Page 26: Compliance Training with SPA Oct 2011
Page 27: Compliance Training with SPA Oct 2011

HAZARDOUS WASTE MANAGEMENT

Page 28: Compliance Training with SPA Oct 2011

HAZARDOUS WASTE

• Used material or unused surplus materials– Paint and related materials– Lab chemicals (alcohols, phenol, etc.)– Chemicals used in maintenance operations– Pesticides (2,4 D; pentachlorophenol; temik)– Discarded rechargeable batteries and electronics

• You become regulated when you use chemicals– No advanced permission required

Page 29: Compliance Training with SPA Oct 2011

REQUIREMENTS• Proper disposal is mandated by Federal and State

law– US Environmental Protection Agency (RCRA)– MS Dept of Environmental Quality

• MSU Policy on Hazardous Waste generated at MSU –OP 79.1

• MSU fined $30,000 by MS DEQ in 2001 for waste related and environmental problems

Page 30: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES• Waste must be properly managed at the point of

generation– Annual training of waste generators

• Off campus training sessions available– Proper labeling of containers– Proper container management– Timely disposal of materials

• Treatability studies must be coordinated through the office of Regulatory Compliance & Safety

• Waste disposal costs are charged to the project or department

Page 31: Compliance Training with SPA Oct 2011

UNIVERSAL WASTE

• Batteries– NiCad– Lithium– Lead-Acid

• Light bulbs– Fluorescent

• Just because you toss it in the trash at home doesn’t mean it’s okay to do that on campus!

Page 32: Compliance Training with SPA Oct 2011

USED OIL

• Motor oil, hydraulic oil, cooking oil, etc.– Must be collected– Labeled properly– Disposed of properly

• Spilled oil or fuel must be promptly cleaned up and disposed of

Page 33: Compliance Training with SPA Oct 2011

CHEMICAL SPILLS

Report spills immediately!

Call ORC&S or the MSU Police. Prompt reporting ensures that appropriate corrective actions will be taken.

Page 34: Compliance Training with SPA Oct 2011

RADIOLOGICAL SAFETY

and theRCLS: Radiological, Chemical, and Laboratory

Safety Committee

Page 35: Compliance Training with SPA Oct 2011

REQUIREMENTS

• Radioactive materials work is conducted under the requirements of the campus radioactive materials license– MS Dept of Health, Division of Radiological Health

• X-ray devices are operated in accordance with registration requirements– Issued to department and authorized user

• MSU Policy on Radiological, Chemical, and Laboratory Safety –OP 79.8

Page 36: Compliance Training with SPA Oct 2011

License• MSU licensed for atomic numbers 1-99

– Normal “life sciences” radioactive materials– Transuranics– Fissile materials in small quantities

• With proper campus approval, license permits radioactive work– on campus– at branch stations– in field studies on MSU property

Page 37: Compliance Training with SPA Oct 2011

PI RESPONSIBILITIES

• Complete an application– The PI is approved to used radioactive material

• Students, technicians, etc. work under PI approval

– Individual projects typically do not require approval

• PI, students, technicians must complete campus radioactive materials users training

• Budget for– Waste disposal charges– Personnel monitoring services (if required)

Page 38: Compliance Training with SPA Oct 2011
Page 39: Compliance Training with SPA Oct 2011

OTHER SAFETY• Assistance can be provided for other safety

issues such as– Ergonomic assessment– Worker’s Compensation– Internal Air Quality (IAQ)– Lab safety– Fire Code compliance– Training in CPR, First Aid, AED, Defensive Driving,

OSHA, etc.– Assistance with DOT hazmat shipping

Page 40: Compliance Training with SPA Oct 2011

CONTACT INFORMATION• Kacey Strickland, Director• Mary Brooks, Receptionist• Dr. Patricia Cox, Biosafety Officer/Asst. Director• Jonathan Miller, IRB Officer/Asst. Director• Terry Coggins, Chemical Hygiene and Rad Safety Officer• Trina Smith, IACUC Administrator• Christine Williams, IRB Administrator• Nicole Morse, Assistant IRB Administrator• Ben Sharpe, Hazardous Waste Coordinator• Erin Kiess, Environmental and Lab Safety Coordinator• Alicia Musselwhite, Safety Officer

53 Morgan Avenue325-3294

Mail stop 9563