Sample Question

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CASE:

The medical clerk calls to the nurse triage area and states that a patient just walked into the clinic coughing uncontrollably. The clerk tells the nurse that they instructed the patient to put on a mask per protocol and to have a seat away from others. The clerk also tells the nurse that the patient states the coughing started after returning from a Middle Eastern cruise.

STEM:

You are the triage nurse. What is your immediate and initial action?

ANSWER CHOICES:

  • a. Quarantine the patient to an airborne infection isolation room (AIIR)
  • b. Notify key hospital team members regarding possible infectious disease.
  • c. Call the local Public Health Department to report possible infectious disease.
  • d. Escort the patient to a separate closed off space away from other patients.
  • e. Initiate appropriate donning of universal personal protective equipment (PPE).

    EXPLANATION

    The medical clerk follows initial recommendations for a patient presenting with symptoms consistent with Middle East respiratory coronavirus (MERS-CoV) and a positive travel history. The nurse’s immediate and initial action is to protect themselves and other patients by donning PPE.

    Once the donning of appropriate PPE is completed, the patient will then be escorted to the airborne infection isolation room (AIIR). Simply taking the patient to a separate area is not recommended for these symptoms, as the patient needs to be in a negative pressure room to protect against the spread of potential infection.

    Prompt notification of suspected or known MERS-CoV to the infection prevention, epidemiology, hospital, or clinic leadership teams, etc, is important once the staff and patient are safe.

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    REFERENCES

    1. Interim Infection Prevention and Control Recommendations for Hospitalized Patients with Middle East Respiratory Syndrome Coronavirus (MERS-CoV). Centers for Disease Control. Available at: https://www.cdc.gov/coronavirus/mers/infection-prevention-control.html. Updated September 14, 2017. Accessed October 14, 2017.