A practical nurse (PN) is emptying a bedside commode for a client who is receiving active systemic cytotoxic chemotherapy. The basin slips, splashing contaminated urine onto the floor and directly onto the PN's bare forearm. Arrange the following emergency response actions in the correct priority order.
- 1Wash the exposed skin on the forearm immediately with soap and copious amounts of water.
- 2Instruct a coworker to secure the spill area and notify the charge nurse.
- 3Obtain the facility's designated chemotherapy spill kit.
- 4Don a chemotherapy-resistant gown, double gloves, and a face shield.
- 5Place specialized absorbent pads from the kit over the contaminated fluid.
Cevap
The correct priority order is to first decontaminate the exposed skin, then secure the area and notify leadership, next obtain the specialized spill kit, put on the necessary PPE, and finally contain the spill with absorbent pads.
In any hazardous material exposure scenario, the absolute highest priority is immediate physiological safety. The nurse must wash the exposed skin first to halt chemical absorption. Once the nurse is safe, the area must be secured to protect others, and the charge nurse notified. Only then should the nurse obtain the specific chemotherapy spill kit, don the highly specialized PPE contained within it, and begin the environmental containment and cleanup process.
Adım Adım Çözüm
Anahtar Kavram
Prioritization of hazardous drug (cytotoxic) spill management requires immediate personal decontamination before environmental containment.