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Zorluk: OrtaErgonomics and Safe Use of Equipment

A practical nurse (PN) is caring for a client who is receiving a continuous intravenous (IV) fluid infusion. The electronic infusion pump repeatedly sounds a high-priority "internal system malfunction" alarm. The PN verifies that the IV tubing is not kinked, the roller clamps are open, and the client's IV insertion site is patent. Which action is the most appropriate for the PN to take?

  1. Turn off the pump, label it with a defective equipment tag, and remove it from the client care area.Cevap
  2. B
    Disconnect the pump and administer the hourly fluid requirement via an intravenous push.
  3. C
    Apply soft wrist restraints to the client to prevent accidental manipulation of the malfunctioning alarm panel.
  4. D
    Convert the infusion to a gravity setup and visually estimate the flow rate without calculating the exact drops per minute.

Cevap

The most appropriate action is to turn off the pump, label it with a defective equipment tag, and remove it from the client care area.
When a piece of biomedical equipment, such as an IV pump, exhibits a continuous internal malfunction, it poses a direct safety risk to the client. The correct protocol for the safe use of equipment is to immediately stop using the device, remove it from the patient care environment, and clearly label it with a 'defective equipment' tag. It should then be sent to the facility's clinical engineering or maintenance department for repair. A replacement pump must be obtained to safely continue the client's prescribed therapy.

Adım Adım Çözüm

1
Assess the source of the alarm by checking the IV tubing, clamps, and insertion site.
No physical issues with the tubing or client site are identified.
Basic troubleshooting is required to differentiate between a simple occlusion and a true mechanical failure.
2
Identify the 'internal system malfunction' message as a mechanical or electrical failure.
The device is deemed unsafe for continued patient care.
Internal errors cannot be fixed at the bedside and pose a risk of incorrect fluid delivery.
3
Remove the pump from service, tag it as defective, and obtain a replacement.
The defective equipment is isolated, and the client's infusion can be safely resumed with a working pump.
Standard equipment safety protocols require removing and labeling broken devices so they are not accidentally used by other staff members.

Anahtar Kavram

Biomedical Equipment Safety Protocols
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Konular

Ergonomics and Safe Use of Equipment

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