A practical nurse (PN) is a member of the emergency department's hazardous materials team. A local factory worker is brought to the facility after being covered in radioactive dust. Arrange the following decontamination actions in the correct chronological order.
- 1Put on a water-resistant gown, double gloves, a mask, and a dosimeter badge.
- 2Instruct the client to carefully take off all outer garments.
- 3Secure the removed garments inside a designated hazardous waste container.
- 4Cleanse the client's skin thoroughly utilizing mild soap and warm water.
- 5Scan the client's body utilizing a radiation survey meter.
Cevap
The correct sequence requires the nurse to first protect themselves, then perform initial bulk decontamination by removing clothing, contain the hazard, wash the skin, and finally evaluate the client for remaining radiation.
In any hazardous materials response, the nurse must first prioritize their own safety by donning appropriate PPE and a dosimeter. Once protected, the most effective immediate decontamination method is removing the client's outer clothing, which can eliminate up to 90% of radioactive material. This clothing must be immediately secured in a sealed container to prevent cross-contamination within the facility. After securing the primary hazard, the nurse washes the client's skin with mild soap and water to remove any residual particles. Finally, the nurse evaluates the overall effectiveness of the decontamination using a radiation survey meter before transferring the client to a clean area.
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Anahtar Kavram
During a radiological incident, the standard decontamination sequence is: protect the responder, remove the client's clothing, contain the hazard, wash the client, and survey for residual radiation.