A large glass container of highly concentrated chemical sterilant drops and shatters in the central processing area of an outpatient surgical center, rapidly releasing pungent, irritating vapors. A practical nurse (PN) is performing a routine dressing change for a stable client in the directly adjacent procedure room. Which action should the PN take first?
- Escort the client immediately out of the procedure room to a designated safe zone with fresh air.Answer
- BShut the procedure room door and auscultate the client's lung sounds to assess for chemical inhalation.
- CPut on an N95 particulate respirator and a contact precaution gown to help contain the spreading liquid.
- DInstruct an available unlicensed assistive personnel to enter the processing area and open the exterior windows.
Answer
The correct action is to escort the client immediately out of the procedure room to a designated safe zone with fresh air.
During a hazardous material spill, the absolute first priority is to rescue and remove anyone in immediate danger. Because the client is in an adjacent room where hazardous vapors are rapidly spreading, the nurse must evacuate the client to a safe environment before attempting any clinical assessment, containment, or delegation.
Step-by-Step Solution
Key Concept
Prioritizing client and staff evacuation during a hazardous chemical exposure