Any time you are involved in or witness an accident, you need to write a report describing what happened.
This incident report must contain the following sections: Summary statement containing a very brief overview of the incident; Background section containing information that “sets the scene;” a Facts and Events section containing details of what happened; a Definition section that defines the disease/chemical, etc. which caused the exposure incident; an Outcome section containing results and effects; and a Recommendations section.
Imagine a scenario that would necessitate an incident report because of exposure. You might consider the following exposure risks:
- Imagine an accident scenario in which you and/or others are negatively impacted because of exposure to a disease, chemical, bacteria, or irritant.
- The accident must take place in a workplace facility.
Incident Report: Carbon Monoxide gas leakage in a hospital
On December 11, 2017, at 18:00 hrs, an incident occurred at a hospital due to gas leakage when the nurses and doctors were working on a surgery. The incident is reported with an investigation with the cause of leakage and the consequences.
At the time, when I and other nurses were conducting a surgery, there was some uneven odor and some uncomforting. In the ICU, doctors and nurses were performing an operation of a 80 years age old lady. Things were going all good, until when nurses in the laboratory had a sense of gas leakage. The operation room even had a gas leakage smell which was really a serious issue. The emergency room and the operation room were at a distant from the laboratory. Yet, the gas had spread all along on the first floor of the hospital which had to be controlled by an expert. The first floor of the hospital was set to an alarming situation where the nurses and doctors had to vacant it as soon as possible.
The event began at 18:00 when doctors and nurses were busy while performing an operation of a lady who was suffering from a heart attack:
- Patient’s relatives and family were waiting for a successful operation.
- The nurse in the laboratory was responsible for all the misconduct that happened. She had to take care of the things that were present in the laboratory.
- Chemicals and gas are dangerous thereby it is important that responsible nurse should check that the chemicals are not open and there is no leakage.
- The doctors and nurses were responsible to vacant the first floor as it was dangerous and risky to control the situation.
- The surgery that was performed by the doctor had to be completed with total care and it was impossible for doctors to come vacant the operation room. This was a critical situation wherein it has to be handled with care by doctors and nurses.
- Those people who were able to vacant the floor were independently moving towards the second floor while others got help from nurses and other people around.
- Unfortunately, the gas leakage was at a higher level and it was then possible for a person to go in the laboratory and control the gas leakage.
- To control the situation effective steps were taken by the hospital staff.
- All the individuals were safe in the hospital at the second floor.
Carbon monoxide gas inhalation
Carbon monoxide gas inhalation is poisoning when not controlled at a primary stage. The effects of carbon monoxide gas lead to poisoning environment (Benignus, 1994). Breathing carbon monoxide prevents using oxygen from the body which harms the heart, brain and other body organs. The symptoms of carbon monoxide occur when a person feels bit different with severe headache, weakness or clumsiness, dizziness, nausea, chest pain, loss of consciousness, loss of hearing, seizures, blurry vision and shortness of breath (Laties & Merigan, 1979). These are the common symptoms that may affect a person and should be well diagnosed and immediate treatment should be considered (World Health Organization, 2018). CPR is given right away when a person is diagnosed critically with carbon monoxide poisoning in the body. There are several neurological symptoms that may affect a person which lead to serious issues in the near future (Kleinman, 1989).
The hospital staff had controlled the situation effectively with quick efforts made by the doctors to vacant the first floor and control the gas leakage in the laboratory. The person who entered in the laboratory was wearing an oxygen mask that controlled the inhalation of the carbon monoxide gas and thereby the situation was controlled. Few people were affected due to the gas leakage incident and they were treated in the hospital with diagnosis and treatment (Hinderliter, 1989). The operation of an old lady was successful as things were under control.
Based on the incident that occurred in the hospital, I would suggest the following steps to be taken:
- The hospital should have an alarm in the laboratory with advanced techniques that controls the gas leakage.
- Staff should be well-trained if any such gas leakage or chemical is observed.
- Immediate treatments should be given to the patients as carbon monoxide gas leakage is poisoning to the human body.
- The human body does not respond to inhale oxygen due to carbon monoxide gas; thereby staff should take responsibility for CPR treatment (Peterson, 1970).
We are thankful that there were no serious issues in the hospital and every person was diagnosed carefully. We must strive to control all the situations to make sure these incidents do not arise in the near future.
Benignus, V., (1994). Behavioral effects of carbon monoxide: meta analyses and extrapolations. Journal of applied physiology, 76:1310–1316 (1994).
Hinderliter, A., (1989). Effects of low-level carbon monoxide exposure on resting and exercise-induced ventricular arrhythmias in patients with coronary artery disease and no baseline ectopy. Archives of environmental health, 44: 89–93 (1989).
Peterson, J., (1970). Postexposure relationship of carbon monoxide in blood and expired air. Archives of environmental health, 21: 172–173 (1970).
Kleinman, M., (1989). Effects of short-term exposure to carbon monoxide in subjects with coronary artery disease. Archives of environmental health, 44: 361–369 (1989).
Laties, V. & Merigan, W., (1979). Behavioral effects of carbon monoxide on animals and men. Annual review of pharmacology and toxicology, 19: 357–392 (1979)
World Health Organization, (2018). International Programme on Chemical Safety, Retrieved from https://www.who.int/ipcs/publications/ehc/ehc_213/en/