Question

Difficulty: MediumHandling Hazardous and Infectious Materials

A registered nurse is orienting a newly hired nurse in the endoscopy suite. While preparing a concentrated glutaraldehyde solution for high-level disinfection, the newly hired nurse accidentally splashes the chemical into their unprotected eyes. Which action should the registered nurse implement first?

  1. A
    Retrieve the Safety Data Sheet (SDS) from the facility database to determine the specific chemical antidote.
  2. B
    Apply a sterile, absorbent gauze dressing securely over both eyes to absorb any remaining chemical solution.
  3. Guide the colleague to the nearest eyewash station and flush the eyes continuously with water for at least 15 minutes.Answer
  4. D
    Notify the occupational health department immediately to report the hazardous exposure incident.

Answer

The correct action is to guide the colleague to the nearest eyewash station and flush the eyes continuously with water for at least 15 minutes.
The immediate priority for any chemical splash to the eyes is to minimize tissue damage by flushing the eyes copiously with water or normal saline for a minimum of 15 minutes. This action physically removes the hazardous material and dilutes its concentration, superseding any administrative or investigatory steps.

Step-by-Step Solution

1
Assess the immediate physiological risk presented by the chemical exposure.
The concentrated chemical poses an acute threat of severe and potentially irreversible tissue damage to the cornea and conjunctiva.
Rapid recognition of a sight-threatening emergency dictates the urgency of the response.
2
Prioritize interventions based on immediate safety versus administrative protocols.
Immediate physical decontamination (flushing) takes precedence over consulting documentation or reporting the incident.
Diluting and removing the hazardous substance immediately is the only way to halt ongoing tissue destruction.

Key Concept

Emergency Management of Hazardous Chemical Exposures
Estimated Time:1m 0s
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