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 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.
Correct Answer is D
Explanation
Rationale:
A. Establishing rapport with both the victim and the abuser might not be appropriate in an abusive situation where the victim’s safety is a priority.
B. Requesting a security guard may be necessary but should be considered after ensuring the interview environment is safe and private.
C. Contacting legal services is important but should come after addressing immediate privacy and safety concerns.
D. Ensuring privacy for the interview is crucial to provide the victim with a safe environment where they can speak freely without fear of the abuser’s presence or intervention.