While participating in a bedside chest tube insertion for a client on airborne and contact precautions, a practical nurse (PN) sustains a percutaneous injury from a contaminated scalpel. Visible blood splashes onto the PN's fluid-resistant gown and face shield. Which sequence of actions must the PN execute FIRST?
- Remove the gloves, wash the puncture site with soap and water at the in-room sink, systematically doff the face shield and gown inside the room, and retain the N95 respirator until after exiting into the hallway.Cevap
- BDoff the blood-splashed gown and face shield immediately to prevent blood from soaking through to the uniform, remove the punctured gloves, and wash the hands before exiting the room.
- CRemove the gloves and wash the puncture site, then immediately exit the client's room to prevent further airborne exposure, doffing the contaminated gown, face shield, and N95 respirator in the hallway.
- DRemove the gloves, wash the puncture site with soap and water, doff the N95 respirator to prevent inhaling aerosolized blood, and remove the gown and face shield before opening the door.
Cevap
The nurse must first remove the contaminated gloves to wash the puncture site, then remove the gown and face shield inside the room, and finally remove the N95 respirator after exiting the room.
Post-exposure protocol requires immediately removing the source of contamination (the punctured gloves) and washing the injury with soap and water. Because the client is on contact precautions, the contaminated gown and face shield must be removed inside the room to prevent environmental transmission. Because the client is on airborne precautions, the N95 respirator must remain completely sealed until the nurse has fully exited the room and closed the door.
Adım Adım Çözüm
Anahtar Kavram
Integration of Post-Exposure Prophylaxis (PEP) protocols with overlapping Airborne and Contact isolation standards.