A practical nurse (PN) enters the room of a client receiving internal radiation therapy (brachytherapy) for cervical cancer. The PN discovers that the radioactive source has dislodged and is resting on the client's bed linens. Which of the following immediate actions should the PN take? (Select all that apply.)
- Retrieve the radioactive source using long-handled forceps.Cevap
- Place the dislodged source directly into a designated lead-lined container.Cevap
- Notify the charge nurse and the facility radiation safety officer immediately.Cevap
- DDon double sterile gloves to manually pick up and secure the source.
- EInstruct the assistive personnel (AP) to remove and dispose of the bed linens.
- FAssess the client's apical pulse and blood pressure before securing the source.
Cevap
The correct actions are to retrieve the radioactive source using long-handled forceps, place it into a designated lead-lined container, and immediately notify the charge nurse and radiation safety officer.
When a radioactive implant dislodges, it constitutes a critical radiation emergency. The immediate priority is to limit radiation exposure to the client and staff using the principles of distance and shielding. The source must be retrieved strictly with long-handled forceps and placed immediately in a lead-lined container that is kept in the client's room specifically for this purpose. Following containment, the charge nurse and radiation safety officer must be notified immediately to ensure proper institutional protocols are followed.
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Radiation Emergency Response Protocols