🛡️ Sekirite ak Prevansyon Enfeksyon · Leson 6 sou 6 · 5 min
RACE, PASS ak Danje ki Kache an Plen Vizyon
RACE, PASS and the Hazards Hiding in Plain Sight
🔥 Lafimen nan koulwa a. Oksijèn ap kouri nan twa chanm. Yon pasyan ki pa ka mache. Premye mouvman ou se pa ekstengtè a, epi egzamen an konnen pifò moun pran l kanmenm.
🔥 Smoke in the hallway. Oxygen running in three rooms. A client who cannot walk. Your first move is not the extinguisher, and the exam knows most people grab it anyway.
💡 Ide prensipal
RACE nan lòd: sove, alam, kenbe, etenn oswa evakye. PASS pou ekstengtè a. Moun yo deyò danje anvan tout lòt bagay.
RACE in order: rescue, alarm, confine, extinguish or evacuate. PASS for the extinguisher. People out of danger before anything else.
🧠 Poukisa sa enpòtan
Nan yon dife, RACE: RESCUE [sove] nenpòt moun ki nan danje imedya, ACTIVATE [aktive] alam lan, CONFINE [kenbe] dife a lè w fèmen pòt ak fenèt epi koupe oksijèn jan yo di a, epi EXTINGUISH [etenn] si li piti oswa EVACUATE [evakye], deplase pasyan ki pi mobil yo an premye (sa ki ka mache, epi sa ki nan chèz woulant, epi sa ki rete nan kabann) orizontalman lwen dife a anvan ou konsidere eskalye. Sèvi ak yon ekstengtè ak PASS: PULL [rale] peny lan, AIM [vize] nan baz la, SQUEEZE [peze] manch lan, SWEEP [baleye] soti yon bò ale nan lòt. Pa janm sèvi ak asansè. OKSIJÈN ede konbistyon: pa fimen ni flanm louvri, pa gen pwodui ki gen petwòl toupre oksijèn, epi pano 'oxygen in use'. Sekirite ELEKTRIK: retire ekipman ki gen kòd efrite oswa ki ba ou yon chòk, sèvi ak priz twa branch ak tè, epi kenbe aparèy elektrik lwen dlo. DEVÈSMAN DANJERE: izole zòn lan, konsilte fich done sekirite a, mete PPE ki apwopriye a, sèvi ak kit devèsman an epi rapòte devèsman an selon règleman etablisman an. Pou yon ekspozisyon danjere, retire moun yo nan danje imedya an premye, apre kenbe devèsman an, apre rapòte l. Pou yon vizitè vyolan, kenbe tèt ou ak pasyan yo nan yon distans sekirite epi rele sekirite. Pou yon menas bonm nan telefòn, kenbe moun ki rele a ap pale epi note chak detay, avèti sekirite oswa polis, pa manyen anyen sispèk, epi evakye sèlman lè kòmandman ensidan an bay lòd.
In a fire, RACE: RESCUE anyone in immediate danger, ACTIVATE the alarm, CONFINE the fire by closing doors and windows and shutting off oxygen as directed, and EXTINGUISH if small or EVACUATE, moving the most mobile clients first (ambulatory, then wheelchair, then bedbound) horizontally away from the fire before considering stairs. Use an extinguisher with PASS: PULL the pin, AIM at the base, SQUEEZE the handle, SWEEP side to side. Never use elevators. OXYGEN supports combustion: no smoking or open flames, no petroleum-based products near oxygen, and 'oxygen in use' signs. ELECTRICAL safety: remove equipment with frayed cords or that gives a shock, use grounded three-prong plugs, and keep electrical devices away from water. HAZARDOUS SPILLS: isolate the area, consult the safety data sheet, put on the appropriate PPE, use the spill kit and report the spill per facility policy. For a hazardous exposure, remove people from immediate danger first, then contain, then report. For a violent visitor, keep yourself and clients at a safe distance and call security. For a telephoned bomb threat, keep the caller talking and note every detail, notify security or police, touch nothing suspicious, and evacuate only when incident command directs.
🏥 Nan lavi reyèl
🚨 Yon dife kòmanse nan yon panyen fatra nan chanm yon pasyan. Enfimyè a woule pasyan an soti nan koulwa a, rale alam lan, fèmen pòt la, epi sèlman apre li retounen ak ekstengtè a pou yon dife ki toujou piti. Si ou envèse lòd sa a, enfimyè a ap batay ak yon dife pandan yon pasyan chita nan lafimen an.
🚨 A wastebasket fire starts in a client's room. The nurse wheels the client into the hall, pulls the alarm, closes the door, and only then returns with the extinguisher for a fire that is still small. Reverse that order and the nurse is fighting a fire while a client sits in the smoke.
📌 Sa pou retni
- Rescue [sove], Alarm [alam], Confine [kenbe], Extinguish [etenn] or Evacuate [evakye]Rescue, Alarm, Confine, Extinguish or Evacuate
- Pull [rale], Aim at the base [vize nan baz la], Squeeze [peze], Sweep [baleye]Pull, Aim at the base, Squeeze, Sweep
- Deplase pasyan ki ka mache yo an premye nan yon evakyasyon; pa janm sèvi ak asansèMove ambulatory clients first in an evacuation; never use elevators
📖 Tèm nan leson sa a
RACE: Rescue, Alarm, Confine, Extinguish or Evacuate (sekou, alèm, fèmen, etenyen oswa evakye): lòd aksyon yo lè yo dekouvri yon dife.
PASS: Pull, Aim, Squeeze, Sweep (rale, vize, peze, baleye): kijan pou itilize yon aparèy pou etenn dife.
RACE (repons dife) (RACE (fire response)): Rescue anyone in danger, Alarm (pull it and call), Confine the fire by closing doors, Extinguish or Evacuate (sekou nenpòt moun ki an danje, alèm (rale l epi rele), fèmen dife a lè w fèmen pòt yo, etenyen oswa evakye): lòd aksyon yo lè w dekouvri yon dife.
PASS (aparèy pou etenn dife) (PASS (fire extinguisher)): Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep side to side (rale peny lan, vize baz dife a, peze manch lan, baleye bò kote bò): kijan pou itilize yon aparèy pou etenn dife yon fwa RACE kòmanse.
✅ Teste tèt ou
Yo dekouvri yon dife nan chanm yon pasyan. Ki premye aksyon enfimyè a?A fire is discovered in a client's room. What is the nurse's first action?
- Sèvi ak ekstengtè aUse the fire extinguisher
- Aktive alam dife aActivate the fire alarm
- Retire pasyan an nan chanm lanRemove the client from the room
- Fèmen tout pòt nan inite aClose all doors on the unit
Repons: C · Retire pasyan an nan chanm lan
Rescue vini an premye nan RACE. Soti moun nan nan danje imedya, epi aktive alam lan.
Rescue comes first in RACE. Get the person out of immediate danger, then activate the alarm.
Yo deja retire pasyan ki nan danje imedya yo nan chanm kote dife a te kòmanse a. Pandan evakyasyon orizontal rès inite a, ki pasyan yo deplase an premye?Clients in immediate danger have already been removed from the room where the fire started. During the horizontal evacuation of the rest of the unit, which clients are moved first?
- Pasyan ki rete nan kabannBedbound clients
- Pasyan ki ka macheAmbulatory clients
- Pasyan ki pi pre dife a kèlkeswa mobilite yoClients closest to the fire regardless of mobility
- Pasyan ki sou vantilatèClients on ventilators
Repons: B · Pasyan ki ka mache
Nenpòt moun ki te nan danje imedya te deja sove (R nan RACE). Nan evakyasyon an menm, pasyan ki ka mache yo ale an premye: yo deplase vit ak mwens pèsonèl, sa libere resous pou moun ki bezwen plis èd.
Anyone in immediate danger was already rescued (the R in RACE). In the evacuation itself, ambulatory clients go first: they move quickly with minimal staff, freeing resources for those who need more help.
Fanmi yon pasyan pote yon bouji odoran pou limen ak yon tib vazlin pou lèv sèk pandan pasyan an sou oksijèn. Ki atik ki yon pwoblèm sekirite?A client's family brings a scented wax candle to light and a tube of petroleum jelly for dry lips while the client is on oxygen. Which item is a safety concern?
- Bouji a sèlmanOnly the candle
- Vazlin lan sèlman, paske li ka pran dife sou po aOnly the petroleum jelly, because it is flammable on the skin
- Tou de: flanm ak pwodui petwòl se danje ak oksijènBoth: flames and petroleum products are oxygen hazards
- Okenn nan yoNeither
Repons: C · Tou de: flanm ak pwodui petwòl se danje ak oksijèn
Oksijèn ede konbistyon. Flanm louvri ak pwodui ki gen petwòl tou de entèdi; sèvi ak yon bom lèv ki gen baz dlo.
Oxygen supports combustion. Open flames and petroleum-based products are both prohibited; use water-based lip balm.
Kesyon tankou NCLEX, XP ak seri jou nan aplikasyon an, an angle ak èd an kreyòl. Pa bezwen enskri.