Chapter 15-Security & Disaster Plans Flashcards
Levels of triage
Emergent or immediate category (Class I)
•Highest priority to clients who have life threatening injuries but also a high possibility of services once stabilized
Urgent or delayed category (Class II)
•Second highest priority is given to clients who have major injuries but are not life threatening
Nonurgent or minimal category (Class III)
•minor injuries not life threatening
Expectant category (Class IV) •clients who are not expected to live (injuries too extensive)
Discharge/Relocation of Clients
- ambulatory clients requiring minimal care
- clients requiring assistance and arrangements have been made for continued care
- clients are unstable and are relocated
Fire Evacuation
Horizontal evacuation first, then vertical if necessary.
Thunderstorm/Tornado
- draw shades and drapes for shattering
- lower beds to lower position away from windows
- place blankets over bedridden clients
- close all doors
- relocate as many ambulatory clients as possible to hallways
- don’t use elevators
- monitor weather.
Biological Pathogens
Bioterrorism is the intentional release of pathogens that can harm people, livestock, or crops.
Early detection and management is key.
Manifestations similar to other illnesses.
May need to use decontamination/isolation procedures.
Protect self and others.
Chemical incidents
- maintain clients ABC
- remove chemical by irrigating skin with running water, but brush off dry chemicals.
- gather all possible info including name and concentration of chemical, duration of exposure)
- follow facility emergency response plan
Hazardous material incidence
- Take measures to protect yourself and avoid contact.
- approach scene with caution
- Identify material
- decontaminate individuals as soon as possible, don gloves, gown, mask, and shoe covers.
- use water and antibacterial soap
- carefully and slowly remove contaminated clothing, place and bag and seal.
Radiologic incidents
- Amount of exposure related to duration of exposure
- Cover floors and furniture, air vents and ducts, dispose according to procedure.
- Wear water resistant gowns, double glove, fully cover bodies with caps, shoe covers, masks, and goggles.
- Decontamination was soap, water, and disposable towels, after decontamination re-survey clients for residual contamination.
Nuclear incidents
Can result in long term contamination, burn injuries, and puncture wounds.
Decontamination as necessary.
Explosive incidents
Can cause burn injuries, wounds from airborne fragments, force due to altered air pressure, and temperature changes
Bomb threats
Extend the conversation as long as possible
Listen for distinguished background noises
Note distinguishing voice characteristics of the caller
Ask where and when the bomb is set to explode
Know whether caller is familiar with layout
Notify appropriate authorities and personnel
If the device is located do not touch it, clear the area and isolate the device by closing doors
Keep elevators available for authorities
Try to remain calm and not alarm clients
Active shooter situation
Follow run, hide, fight.
Nurses roles in security plans
Security measures include an identification system, electronic security systems in high-risk areas, key code access, wristbands, alarms integrated with closed circuit television cameras.
Nurses should prepare to take immediate action when breaches in security occur.