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 ["C","D","E"]
Explanation
Rationale:
A. The child attending a childcare program does not necessarily indicate risk for abuse. Childcare attendance alone does not provide evidence of abuse risk.
B. The partner living with his parents may affect the dynamics of the household but does not directly indicate risk for the child unless further context suggests otherwise.
C. The child reporting seeing the mother being hit with a baseball bat is a significant indicator of potential abuse and trauma, which could put the child at risk.
D. Clinging to the mother's side may indicate anxiety or fear, which could be related to an abusive environment or trauma.
E. Unemployment and alcohol abuse by the partner are risk factors for intimate partner violence and can also affect the safety and well-being of the child.
Correct Answer is C
Explanation
Rationale:
A. Discussing fears with anyone is not the most immediate question to ask when assessing for safety; it may be relevant later but does not directly address immediate safety concerns.
B. Fears about the spouse could be a part of the assessment but are more specific than asking about overall safety.
C. Asking if the client feels safe in the home is a direct and straightforward question that addresses immediate safety concerns and can provide crucial information about the presence of abuse.
D. Recommending a safe place may be helpful but should come after establishing the client’s current safety and assessing immediate risks.