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Zorluk: OrtaHandling Hazardous and Infectious Materials

While transporting a prepared intravenous bag of doxorubicin to a client's room, an oncology nurse accidentally drops the bag on the floor, causing it to rupture and spill the antineoplastic solution into the hallway. Which of the following actions should the nurse take first?

  1. Secure the perimeter of the spill and instruct a nearby staff member to obtain the hazardous drug spill kit.Cevap
  2. B
    Immediately cover the spilled fluid with standard absorbent hospital bath blankets to prevent further spread.
  3. C
    Leave the hallway briefly to wash the hands and gather a chemotherapy gown, respirator, and double gloves.
  4. D
    Page the environmental services department to immediately dispatch a chemical hazard cleanup team.

Cevap

The correct action is to secure the perimeter of the spill and instruct a nearby staff member to obtain the hazardous drug spill kit.
When a hazardous medication, such as an antineoplastic agent, spills in a clinical area, the immediate priority is to prevent human exposure and cross-contamination. The nurse must stay with the spill to establish a safe perimeter and verbally instruct a colleague to retrieve the facility's hazardous drug spill kit. This ensures the spill is never left unattended while the proper protective and cleaning equipment is gathered.

Adım Adım Çözüm

1
Identify the primary hazard in the scenario.
A cytotoxic medication (doxorubicin) has spilled in a public/high-traffic area (hallway).
Antineoplastic agents are highly toxic, and exposure can cause significant harm to anyone who comes into contact with them.
2
Determine the immediate priority based on safety principles.
The nurse must protect others from exposure by isolating the area, rather than immediately cleaning it or abandoning it.
Leaving the spill unguarded allows for accidental exposure, while attempting to clean it without the spill kit exposes the nurse.
3
Select the option that fulfills the safety priority.
Securing the perimeter and calling for the specialized spill kit is the safest initial action.
This action simultaneously protects the public and initiates the proper cleanup protocol without endangering the nurse.

Anahtar Kavram

Management of Hazardous Drug Spills
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