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Zorluk: OrtaHandling Hazardous and Infectious Materials

During routine care for a client isolated with Clostridioides difficile, a nurse gathers heavily soiled wound dressings into a red biohazard bag. As the nurse lifts the bag to discard it, the bottom tears and bloody drainage begins to drip onto the floor. Which action should the nurse take first?

  1. Place the torn bag entirely inside a second, intact red biohazard bag.Cevap
  2. B
    Transfer the soiled dressings individually into a new biohazard bag.
  3. C
    Clean the spilled drainage from the floor immediately using an alcohol-based wipe.
  4. D
    Delegate the transfer of the contaminated dressings into a new bag to an unlicensed assistive personnel (UAP).

Cevap

The nurse should immediately place the torn bag entirely inside a second, intact red biohazard bag to contain the leak.
When a biohazard bag becomes compromised, the standard infection control procedure is to double-bag the waste. The nurse should place the leaking bag entirely inside a second, intact biohazard bag to immediately contain the spill, minimize the risk of environmental contamination, and prevent further exposure.

Adım Adım Çözüm

1
Identify the immediate hazardous exposure risk.
A torn biohazard bag is actively leaking infectious material onto the floor.
Recognizing the source of contamination dictates the priority intervention.
2
Select the safest method of primary containment.
The compromised bag is double-bagged.
Placing the torn bag into an intact one contains the leak without unnecessarily exposing the nurse or environment to further contamination.
3
Plan for secondary decontamination.
The floor will need to be cleaned using a bleach-based sporicidal solution.
C. difficile spores are highly resistant to alcohol and require specific cleaning agents.

Anahtar Kavram

Biohazardous Waste Containment
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