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","B","C","D"]
Explanation
Rationale:
A. Conducting health screenings and providing immunizations are common responsibilities of occupational health nurses to maintain employee health.
B. Monitoring compliance with OSHA regulations is crucial for ensuring a safe working environment.
C. Developing and implementing safety and health programs helps prevent workplace injuries and illnesses.
D. Administering first aid and managing minor injuries are direct responsibilities related to immediate employee care.
E. Long-term psychological counseling and therapy are typically beyond the scope of occupational health nursing and may be referred to specialized mental health professionals.
Correct Answer is D
Explanation
Rationale:
A. Asking about family reactions may not address the immediate safety needs or emotional support required.
B. Dismissing or questioning the reasons for staying can be judgmental and not supportive.
C. While encouraging safety is important, it is more helpful to collaboratively work on a plan rather than making definitive statements.
D. Discussing a safety plan empowers the client and provides practical steps to ensure their safety, which is crucial for someone in an abusive situation.