Infection Control · patient case question

A strong unfamiliar chemical odour is reported outside the building and its source is unknown. What is the correct immediate action?

Patient case: Preparing the practice

demo: New associate dentist

chief: Reviewing the practice infection control and emergency protocols before starting clinical work.

history: The practice is updating its exposure control plan and its written office emergency procedures.

meds: Not applicable.

findings: The office manager asks a series of questions about immunisation, sterilisation monitoring, waste handling and the hierarchy of hazard controls.

  1. Open all the windows to ventilate the building
  2. Shelter in place indoors and await instructions
  3. Evacuate everyone through the nearest exit
  4. Send a staff member outside to identify the source
Show answer and explanation

Correct answer: B. Shelter in place indoors and await instructions

  • A. Opening windows draws the contaminated air inside and defeats the purpose of sheltering.
  • B. Correct. When an airborne hazard is outside and its nature is unknown, the building shell is protection. Shelter in place: remain indoors, close windows and doors, shut down systems that draw in outside air, and follow official instructions.
  • C. Evacuating moves people into the plume. Evacuation is the answer when the hazard is inside, as in a fire or an internal spill.
  • D. Sending someone out to investigate deliberately exposes a person to an unidentified hazard and is never correct.

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