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Zorluk: OrtaEmergency Response and Hazardous Materials

A laboratory courier drops a tray of glass blood tubes in a clinic hallway, resulting in a large biohazard spill. The courier slips on the fluid and sustains a deep, actively bleeding laceration to the forearm. As the first staff member on the scene, which action should the practical nurse (PN) take first?

  1. Put on examination gloves and apply direct pressure to the courier's laceration.Cevap
  2. B
    Restrict access to the hallway to prevent clients from walking through the biohazardous fluid.
  3. C
    Direct the clinic's receptionist to firmly apply a tourniquet above the courier's wound.
  4. D
    Leave the corridor to don an impermeable gown and face shield before rendering care.

Cevap

The correct action is to put on examination gloves and apply direct pressure to the courier's laceration.
The correct answer addresses the most immediate threat to life. In any emergency scenario involving a hazardous spill alongside a trauma, the nurse must prioritize the ABCs (Airway, Breathing, Circulation). Active bleeding represents a critical threat to circulation and takes precedence over securing the perimeter or cleaning the spill.

Adım Adım Çözüm

1
Assess the emergency scene for the most immediate threat to life.
The active, severe bleeding (Circulation) is identified as a more critical, immediate threat than the environmental biohazard spill.
The ABC prioritization framework dictates that physiological emergencies require life-saving interventions before addressing secondary safety or environmental concerns.
2
Don immediately available personal protective equipment (examination gloves).
The nurse is protected from blood-borne pathogens during direct contact with the wound.
Standard precautions must be maintained to protect the nurse, but delaying care to acquire extensive isolation garb is inappropriate during an exsanguinating emergency.
3
Apply direct, firm pressure to the bleeding wound.
The hemorrhage is controlled pending further medical evaluation.
Direct pressure is the primary and most effective initial first-aid intervention for an actively bleeding laceration.

Anahtar Kavram

Prioritization frameworks (ABC) must be applied even during hazardous material or biohazard spills; physiological life threats supersede environmental containment.
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Emergency Response and Hazardous Materials

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