A client arrives at the emergency department triage entrance stating they were drenched in an unknown agricultural pesticide during a workplace accident. The client is alert, breathing without difficulty, and complains of severe skin burning. Which of the following is the priority action for the triage nurse to take?
- AAssess the client's vital signs and oxygen saturation immediately in the triage bay before initiating any cleaning.
- BEscort the client into an indoor negative-pressure isolation room to prevent the chemical fumes from spreading.
- Direct the client to the facility's external decontamination area while staff don appropriate chemical-resistant personal protective equipment.Answer
- DApply a standard fluid-resistant gown, gloves, and surgical mask, then assist the client with removing their clothes in the triage bathroom.
Answer
The priority action is to direct the client to the external decontamination area while staff don chemical-resistant personal protective equipment.
The absolute priority when a client presents with a hazardous chemical exposure is to prevent secondary contamination of the healthcare environment, staff, and other clients. Directing the client to an external, designated decontamination area ensures that toxic runoff and fumes do not enter the emergency department. Staff must also don specialized chemical-resistant personal protective equipment, as standard hospital gowns and gloves do not provide adequate protection against agricultural pesticides.
Step-by-Step Solution
Key Concept
Secondary Contamination Prevention in Hazardous Material Exposures