A nurse responds to a room alarm and finds that a client's intravenous antineoplastic infusion has disconnected. The pump has stopped automatically, but approximately 50 mL of the hazardous drug has splashed onto the client's intact forearm and pooled on the floor. Arrange the following nursing actions in the correct chronological sequence to safely manage this exposure and environmental spill.
- 1Don a respirator, face shield, gown, and double chemotherapy gloves from a hazardous drug spill kit.
- 2Decontaminate the client's exposed forearm by washing the skin thoroughly with soap and water.
- 3Contain the environmental spill by gently placing absorbent spill pads over the pooled liquid.
- 4Clean the contaminated floor surface with a detergent solution, working from the outer perimeter toward the center.
- 5Discard all used cleanup materials and personal protective equipment into a rigid, sealable bulk chemotherapy waste container.
Cevap
The correct chronological sequence is: First, the nurse must don full personal protective equipment from a spill kit to ensure occupational safety. Second, the nurse decontaminates the client's exposed forearm with soap and water. Third, the environmental spill is contained using absorbent pads. Fourth, the floor is cleaned with detergent from the outer perimeter toward the center. Finally, all contaminated items are disposed of in a bulk chemotherapy waste container.
The correct sequence prioritizes the nurse's occupational safety first, followed immediately by the client's physical safety, and concludes with systematic environmental decontamination and proper waste disposal. Attempting patient care or environmental cleanup without full personal protective equipment from a spill kit risks severe occupational exposure. Once the nurse is protected, decontaminating the client's skin takes precedence over the floor spill to minimize patient harm. Environmental cleanup must then proceed methodically by containing the spill before actively cleaning from the outside inward, ultimately ending with the disposal of all items in a bulk chemotherapy waste container.
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Anahtar Kavram
Prioritization and safety sequencing during a hazardous antineoplastic drug spill, focusing on self-protection, client decontamination, and methodical environmental containment.