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Zorluk: Çok zorAccident, Error, and Injury Prevention

A practical nurse (PN) accidentally drops a glass collection bottle containing a client's pleural fluid, which shatters and creates a biohazardous spill in a high-traffic unit hallway. Arrange the following actions in the correct priority order to safely manage this hazard.

  1. 1Isolate the immediate area and instruct clients and staff to avoid the spill location.
  2. 2Don appropriate personal protective equipment (PPE), including gloves, a fluid-resistant gown, and a face shield.
  3. 3Use a mechanical device such as tongs or a disposable scoop to safely collect the shattered glass pieces.
  4. 4Deposit the collected glass fragments directly into a rigid, puncture-resistant sharps container.
  5. 5Cover the remaining fluid with absorbent pads and saturate the area with an EPA-registered disinfectant.

Cevap

The correct sequence is to first isolate the area, then don personal protective equipment (PPE), use a mechanical device to collect the broken glass, deposit the glass into a sharps container, and finally cover the remaining fluid with absorbent pads and disinfectant.
Managing a complex biohazardous spill involving broken glass requires a systematic, prioritized approach to safety. The immediate action is always to isolate the area to prevent injury or cross-contamination by others. Next, the nurse must protect themselves by donning appropriate PPE. Once protected, the physical sharps hazard (glass) must be removed using mechanical means (never by hand) to prevent percutaneous injury. The glass is immediately placed in a sharps container. Finally, once the sharps are cleared, the remaining liquid is absorbed and the area is chemically decontaminated.

Adım Adım Çözüm

1
Isolate the immediate area and instruct clients and staff to avoid the spill location.
The spill perimeter is secured.
The absolute first priority in any acute hazard management scenario is securing the environment. This prevents other individuals from walking through the spill, which could result in falls, percutaneous injuries from unseen glass, or the tracking of bloodborne pathogens throughout the facility.
2
Don appropriate personal protective equipment (PPE), including gloves, a fluid-resistant gown, and a face shield.
The nurse is fully protected from biohazardous exposure.
Before physically interacting with the spill, the nurse must ensure their own safety by applying PPE to prevent mucosal or contact exposure to pleural fluid, which is a potentially infectious body fluid.
3
Use a mechanical device such as tongs or a disposable scoop to safely collect the shattered glass pieces.
The physical sharps hazard is safely collected without direct hand contact.
Occupational Safety and Health Administration (OSHA) standards explicitly dictate that contaminated broken glass must never be picked up by hand, even when wearing heavy-duty gloves. Mechanical devices are mandatory to prevent percutaneous exposure.
4
Deposit the collected glass fragments directly into a rigid, puncture-resistant sharps container.
The sharps hazard is permanently contained.
Broken glass must be placed immediately into a rigid, puncture-proof container to prevent downstream injuries to the nurse, other clients, or environmental services personnel.
5
Cover the remaining fluid with absorbent pads and saturate the area with an EPA-registered disinfectant.
The biohazardous fluid is absorbed and the floor is successfully decontaminated.
Only after the physical sharps hazard is fully removed should the nurse address the remaining biological liquid hazard by neutralizing it with absorbent materials and appropriate chemical disinfectants.

Anahtar Kavram

Biohazardous Spill and Sharps Management
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Konular

Accident, Error, and Injury Prevention

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