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Zorluk: ZorStandard and Transmission-Based Precautions

A practical nurse (PN) discovers a small pool of blood on the floor in a client's room after a venipuncture procedure. Arrange the following steps for managing the blood spill in the correct chronological sequence according to standard infection control protocols.

  1. 1Don clean examination gloves and any additional required personal protective equipment (PPE).
  2. 2Absorb the visible blood using disposable paper towels and discard them in a biohazard waste container.
  3. 3Apply an EPA-registered, hospital-grade disinfectant to the contaminated surface area.
  4. 4Allow the disinfectant to remain wet on the surface for the manufacturer's recommended contact time.
  5. 5Wipe up the residual disinfectant, carefully remove all PPE, and perform hand hygiene.

Cevap

The correct sequence for managing a blood spill is to first don PPE, then absorb the visible blood, apply an appropriate disinfectant, wait for the required contact time, and finally wipe up the area, remove PPE, and perform hand hygiene.
The correct chronological sequence ensures both nurse safety and chemical efficacy. The nurse must first protect themselves (don PPE), then remove organic matter which would otherwise neutralize the disinfectant (absorb blood), apply the chemical agent, allow it the necessary time to kill pathogens (contact time), and finally clean the surface and wash hands.

Adım Adım Çözüm

1
Don PPE
The nurse is protected from bloodborne pathogens.
PPE is the primary barrier and must be worn before approaching a biohazard.
2
Absorb visible blood and discard in biohazard waste
The gross organic material is removed from the surface.
Organic matter deactivates many disinfectants, so it must be physically removed before chemical disinfection.
3
Apply EPA-registered disinfectant
The area is covered with a chemical antimicrobial agent.
A hospital-grade disinfectant is required to kill remaining microscopic pathogens on the surface.
4
Wait for the recommended contact time
The pathogens are effectively destroyed.
Disinfectants require a specific dwell time to be effective against resilient bloodborne viruses.
5
Wipe residual disinfectant, remove PPE, and perform hand hygiene
The spill management is completed safely.
Final cleanup prepares the room for use, and hand hygiene removes any transient pathogens acquired during doffing.

Anahtar Kavram

Proper management of blood spills requires the removal of gross organic matter before applying chemical disinfectants and strictly observing the required wet contact time, in accordance with Standard Precautions.
Tahmini Süre:1m 30s
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