Question

Difficulty: MediumHandling Hazardous and Infectious Materials

A registered nurse is precepting a newly licensed nurse on the safe handling and disposal of hazardous and infectious materials. Which statement by the newly licensed nurse indicates a correct understanding of the facility protocols?

  1. A
    I should dispose of intact, empty glass vials used for non-hazardous intravenous medications into a red biohazardous waste bag.
  2. B
    I can delegate the cleanup of a small, localized chemotherapy medication spill on the floor to the unlicensed assistive personnel (UAP).
  3. C
    If a client's cardiac monitor alarms while I am bagging infectious waste, I will immediately leave the room to assess them without removing my contaminated gloves.
  4. I must discard the gown and gloves worn during the administration of antineoplastic agents into a designated trace chemotherapy waste container.Answer

Answer

The correct understanding is that personal protective equipment worn during the administration of antineoplastic agents must be discarded into a designated trace chemotherapy waste container.
Personal protective equipment worn during the administration of chemotherapy is considered trace contaminated. It must be disposed of in a designated trace chemotherapy receptacle (typically yellow) to ensure proper incineration, rather than in regular trash or red biohazard bags.

Step-by-Step Solution

1
Evaluate the statement regarding glass vial disposal.
Identified as incorrect.
Glass vials are a puncture hazard and must go into rigid sharps containers, not soft red biohazard bags.
2
Evaluate the statement regarding delegation of a chemotherapy spill.
Identified as incorrect.
UAPs lack the specialized training and certification required to safely manage hazardous chemical spills.
3
Evaluate the statement regarding emergency prioritization while handling infectious waste.
Identified as incorrect.
Despite the urgency of an alarm, standard infection control mandates removing contaminated gloves and performing hand hygiene before leaving a room to prevent widespread contamination.
4
Evaluate the statement regarding the disposal of chemotherapy personal protective equipment.
Identified as correct.
Items with trace amounts of hazardous antineoplastic drugs, such as used PPE, require specialized incineration and must be placed in specific trace chemotherapy bins (usually yellow).

Key Concept

Proper segregation of medical waste is critical for maintaining environmental safety. Trace chemotherapy waste (like PPE) goes in yellow bins, infectious waste saturated with blood goes in red bags, and sharps go in rigid containers. Proper delegation and adherence to infection control, even in emergencies, are mandatory.
Estimated Time:1m 0s
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