Page 136 - Buku Panduan Perkhidmatan MKAKB

 Microscopic slides for HPE should be packaged together by surgical number.
These often become broken in shipment unless carefully packaged. Commercially
available plastic slide holders manufactured to withstand shipment should be
used or the slides should be sufficiently wrapped and padded inside their shipping
container to prevent.
 Paraffin blocks should be packaged together by surgical number and shipped in an
appropriately labeled box or plastic bag. Do not wrap in gauze. Paraffin blocks may
melt in hot climate so appropriate packaging is recommended prior to shipment
breakage.
ix. A leak-proof secondary packaging
 For liquids, place absorbent material e.g. gauze, cotton, paper towel or super
absorbent pad between the primary container and the secondary packaging to
absorb the entire contents so that, during transport any release or leak of liquid
substance will not reach the outer packaging and will not compromise the integrity of
the cushioning material.
 Individually wrap the primary containers (Appendix 8) and place them in a single
secondary packaging to prevent cross contamination.

x. Use a rigid outer container of adequate strength for its capacity, mass and intended use
and with at least one surface having a minimum dimension of 100mm x 100mm.
 For infectious substances belonging to Category A, the outer container must be
certified with a UN specification mark UN2814 or UN2900 (Appendix 3).
 Specimen data and / or request forms, letters and other types of information that
identify or describe the specimens should be taped to the outside of the secondary
container.
 The maximum quantity of Category Ainfectious material that can be shipped in a
single package via passenger aircraft is 50 mL or 50g.
 For other categories the contents in the primary container must not exceed 500 mL or
500g.
 The maximum quantity of patient’s specimen material that can be shipped by cargo
aircraft in one package is 4L or 4kg.
 For infectious substances belonging to Category B, the maximum net quantity
permitted in a single package is 4 L or 4 kg on both passenger or cargo aircraft
(Appendix 3).
 There is no quantity limit specified for individual packages containing “Exempt:
human specimens” or “Exempt: animal specimens” (Appendix 2).

xi. Examine every component of the packaging if any secondary and / or / outer container is
intended to be re-used. Do not re-use if packaging exhibit signs of interior or exterior
damage. Decontaminate any soiled container with 10% sodium hypochlorite. Refer to
Appendix 9 for Emergency Response Procedure.

xii. If shipping using dry ice, use leak-proof container and an outer packaging that allow for
the release of carbon dioxide gas when the solid evaporates (refer Appendix 5). Place
the dry ice outside the secondary packaging. Provide interior support to secure the
secondary container as the refrigerant evaporates. Dry ice is considered a miscellaneous
hazard (Class 9) by IATA. For labeling, refer to section 7.0.