A nurse is working in a healthcare facility and notices that several colleagues are not using the appropriate personal protective equipment (PPE) while handling potentially infectious materials. The nurse is concerned about compliance with safety regulations and the risk of exposure to bloodborne pathogens. Which of the following actions should the nurse take to address this situation in accordance with OSHA regulations?
Submit a formal complaint to OSHA about the facility's lack of PPE usage.
Report the non-compliance to the facility's infection control department for further investigation and follow-up.
Remind colleagues to wear PPE when handling potentially infectious materials and document the incident in the staff meeting notes.
Conduct a quick in-service training on PPE for the colleagues who are not using it.
The Correct Answer is B
Rationale:
A. Submitting a formal complaint to OSHA may be a necessary step if internal resolution fails, but it is not the immediate action to address the issue.
B. Reporting non-compliance to the infection control department is the most appropriate action. This department is responsible for ensuring adherence to safety protocols and can address the issue promptly.
C. While reminding colleagues and documenting the incident are important, reporting to the infection control department ensures a formal review and follow-up on the issue.
D. Conducting in-service training is useful for education but may not immediately address non-compliance or ensure adherence to OSHA regulations.
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Correct Answer is ["A","C","D"]
Explanation
Rationale:
A. Nurses and other healthcare workers may be the primary or only point of contact for trafficking victims, providing crucial opportunities for identification and support.
B. Nurses are obligated to report suspected abuse but are generally required to report abuse or neglect for minors rather than all ages; trafficking often involves minors, but this is not a universal rule.
C. Nurses work in many different settings, which increases their opportunities to encounter and assist trafficking victims.
D. Nurses are trained to view a patient holistically and can recognize subtle signs of maltreatment that others might miss, making them critical in identifying trafficking.
E. Nurses do not have the legal authority to remove victims; their role involves identification and reporting rather than enforcement actions.
Correct Answer is D
Explanation
Rationale:
A. Manners are important but do not specifically maximize the information gleaned during the interview.
B. Acknowledging family strengths is important for support but does not directly maximize the amount of information obtained.
C. Ecomaps and genograms are useful tools for understanding family dynamics but may not be the primary means of maximizing information during an interview.
D. Therapeutic questions and conversation are essential for maximizing information during an interview, as they encourage open communication and exploration of family issues.