A practical nurse (PN) accidentally drops and shatters a large container of concentrated glutaraldehyde (a high-level disinfectant) in the unit's soiled utility room. The solution spills across the floor and immediately emits a pungent, irritating odor. Arrange the following actions in the priority order the PN should perform to manage the hazard and prevent injury.
- 1Evacuate all personnel from the immediate area and firmly close the utility room door.
- 2Secure the perimeter by posting a warning sign or stationing a staff member outside the door.
- 3Notify the charge nurse and the facility's environmental or hazardous materials team.
- 4Consult the Safety Data Sheet (SDS) to determine specific hazards and required precautions.
- 5Don the recommended personal protective equipment (PPE) prior to assisting with clean-up.
Answer
The correct sequence is to first evacuate and isolate the area, secure the perimeter, notify the appropriate response team, consult the Safety Data Sheet (SDS), and finally don the required personal protective equipment (PPE) before clean-up.
When managing a hazardous chemical spill, the priority is always life safety and containment. The correct sequence follows standard emergency management principles: Isolate the hazard to stop immediate exposure, secure the perimeter to prevent secondary exposure, notify the emergency response team to mobilize resources, identify the specific precautions via the Safety Data Sheet (SDS), and finally, protect oneself with the correct PPE before any clean-up begins.
Step-by-Step Solution
Key Concept
Prioritization in hazardous materials management focuses on life safety (isolation and securing the area) before notification, identification (SDS), and mitigation.