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Zorluk: OrtaHandling Hazardous and Infectious Materials

A nurse is preparing to send a sputum specimen to the laboratory for a client with suspected active pulmonary tuberculosis (TB). Which action demonstrates the appropriate handling and transport of this highly infectious material?

  1. Placing the tightly closed specimen container into a sealable biohazard transport bag and hand-delivering it to the laboratory.Cevap
  2. B
    Sending the specimen container through the pneumatic tube system to minimize staff contact and expedite testing.
  3. C
    Wiping the outside of the unbagged specimen container with an alcohol swab and carrying it directly to the laboratory.
  4. D
    Wearing a protective gown and clean gloves while carrying the bagged specimen through the public hospital hallways.

Cevap

The specimen must be secured inside a secondary biohazard transport bag and manually delivered to the laboratory.
The correct action involves placing the primary specimen container into a secondary leak-proof biohazard bag and hand-delivering it to the laboratory. Tuberculosis is a virulent airborne pathogen, and a secondary bag is legally and clinically required to prevent exposure in case the primary cup leaks or is dropped. Hand-delivery is mandatory because sending highly infectious respiratory specimens through a pneumatic tube system creates a severe risk of widespread aerosolization if the container were to break open inside the pressurized tubes.

Adım Adım Çözüm

1
Verify the primary specimen container is tightly closed.
Prevents immediate leakage of the highly infectious sputum out of the primary cup.
Tuberculosis is transmitted via airborne droplets, making proper source containment the first critical step.
2
Place the primary container into a secondary, leak-proof biohazard transport bag.
Provides an additional layer of protection against spills or surface contamination during transit.
OSHA and CDC guidelines mandate secondary containment for all biohazardous laboratory specimens to protect healthcare workers and the environment.
3
Hand-deliver the bagged specimen to the laboratory without wearing isolation PPE in the hallways.
Ensures safe arrival without risking system-wide contamination or violating public space infection control boundaries.
Pneumatic tube systems can break the container, potentially aerosolizing TB bacteria throughout the hospital's ventilation and tube network.

Anahtar Kavram

Handling and Transporting Highly Infectious Biological Specimens
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