In an environmental emergency with a chemical leak, what should the nurse do first for the arriving client?

In the context of an environmental emergency, particularly a chemical leak, determining the decontamination measures taken in the field is crucial for ensuring the safety and health of the arriving client. This action is important for several reasons.

First, knowing what decontamination procedures were applied helps the healthcare team assess the potential exposure the client has had to the hazardous material. This information can influence the type and immediacy of care the client requires, as some chemicals may have specific antidotes or treatments that are most effective when initiated promptly after exposure.

Additionally, understanding the previous decontamination steps ensures that caregivers take appropriate precautions to avoid secondary contamination within the healthcare facility. It allows the healthcare team to prepare for any specific protocols needed based on the chemical involved, which could affect both the client and the clinical environment.

While other actions, such as cutting off clothing or placing the client in a shower for decontamination, may seem immediate and helpful, they should come after obtaining a clear understanding of what has already been done. The initial assessment of field actions effectively informs subsequent treatment and safety measures for both the patient and healthcare providers. Therefore, determining the decontamination measures taken in the field stands as the first and most critical priority.