Chapter 16: Emergency Response Flashcards

1
Q

A serious, unexpected event that demands immediate attention

A

Emergency

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2
Q

Is a special unit of the hospital equipped to care for persons who arrive in need of immediate care

A

The ED

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3
Q

How can some patients misuse the ED

A

-seek care for minor illnesses, rather than having a primary-care provide
-seek narcotics for recreation/abuse

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4
Q

Specialized care facilities usually within a hospital designed to cope with life-threatening injuries

A

Trauma Units

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5
Q

What are the levels of the trauma units

A

-Level I
-Level II
-Level III

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6
Q

What trauma unit is the most comprehensive, specialized care 24/7

A

Level I

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7
Q

The role of the radiographer in trauma radiography may be to

A

-take radiographs in the ED xray room
-operate CT scanner
-take radiographs with mobile equipment in the trauma bay while patient is also being tested and treated by other members of the trauma team

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8
Q

What does the radiographer need to do when there are multiple patients that need imaging at the same time

A

prioritize

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9
Q

In two equally urgent cases which exam should be done first

A

The shorter exam

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10
Q

Who is given highest priority

A

Highest priority is given to those with the most unstable vitals

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11
Q

What is the word stat from

A

Latin statim

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12
Q

This specific order should be done at once because the patients well being may be compromised by any delay

A

an order designated STAT is to be done at once

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13
Q

is defined as an emergency of huge magnitude that creates unforeseen, serious, or immediate threat to public health

A

Disaster

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14
Q

Types of disasters

A

-natural, accidental, manmade

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15
Q

What are examples of a natural disaster

A

tornado, earthquake, flood, hurricane

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16
Q

What are examples of accidental disasters

A

plane crash and train wreck

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17
Q

What is an example of a manmade disaster

A

terrorist attack

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18
Q

Disaster Response

A

-every hospital is required to have a disaster plan
-every member of the healthcare team must know the plan
-Drills (internal and in the community) are routine to practice the response, coordination of care and roles.

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19
Q

Defined as the process of identifying the victims, performing initial examinations, and assigning priorities for further care
-set up in a large, central locale

A

Triage

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20
Q

What is an essential part of disaster response

A

Triage

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21
Q

-A facilities procedure to call for emergency help
-usually uses a specific communication code
-Important to know the emergency call codes for facility

A

Emergency call systems

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22
Q

What is the color code for fire

A

Red

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23
Q

what is the color code for heart or respiration stopping

A

Blue

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24
Q

What is the color code for hazardous material spill or release

A

Orange

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25
What is the color code for combative person
Gray
26
What is the color code for weapon or hostage situation
Silver
27
What is the color code for infant/child abduction
AMBER
28
What is the code for the situation is resolved
Code Clear
29
-Also known as a code team -A designated group of healthcare workers who respond to emergency codes
Emergency Response Team
30
The members of the emergency response team are usually
-one or more physician -several nurses -a respiratory therapist -an electrocardiographer
31
Assisting the emergency response team
-when the code team arrives, allow them to take over immediately -provide a history of the situation -stand by to follow their directions -record keeping is essential (time emergency started and code team arrival time)
32
-also called "crash carts" -keep in strategic locations throughout the hospital -know the location of the nearest cart for the imaging department
Emergency Carts
33
Name some things in the crash cart
Backboard Bag valve mask Blood collection tubes Blood pressure cuff Carbon dioxide detector for ET tube placement Cardiac monitor Cutdown tray Defibrillator Drugs according to institutional protocol ET tubes Flashlight Hemostat Laryngoscope Needles, syringes Pen, paper, checklist for cart contents Protective gowns, eyewear, masks Scissors Sterile and nonsterile gloves Stethoscope Suction bottle Suction catheters Tongue blades Tracheostomy tubes IV solutions and tubing IV cannulas
34
Patients in the ED are classified as:
-Nonurgent -Urgent -Life threatening
34
Who decides the most acute cases are seen first
ED doctor
35
What should the the radiographer constantly be doing during imaging procedures for ED patients
Assessing the patient because trauma patients often experience sudden changes in status
36
vasoconstrictor, increases cardiac output, raises blood pressure, aids respiration by relaxing bronchioles
Adrenaline (epinephrine)
37
Cardiac antidysrhythmic
Amiodarone
38
Respiratory/circulatory stimulant; dries secretions
Atropine
39
Most common oxygen administration
Nasal cannula
40
oxygen administration that adds humidity
Simple face mask
41
oxygen administration that can supply 100% oxygen
Non-breathing mask
42
oxygen administration that is recommended for COPD
high flow mask
43
oxygen administration for pediatric patients
Tent
44
normal oxygen flow rate
1-6L/min
45
oxygen flow rate for trauma
10L/min
46
oxygen flow rate for patients with COPD
should not be any higher than 3L/min
47
used when a patient is unable to clear the mouth and throat of secretions, blood, or vomitus
Suctions
48
-The pump is working -The receptacle is connected to the pump -An adequate length of tubing connects the suction catheter to the receptacle -disposable, flexible catheters available for deep tracheobronchial suction by a qualifies emergency-response provider -a rigid pharyngeal catheter device is available to clean foreign material from the mouth and pharynx.
Suction Checklist
49
Oxygen Administration delivery methods
-nasal cannula -simple face mask -nonrebreathing mask -high flow mask -tent
50
Combats tetany (muscle spasms)
Calcium chloride
51
Antiinflammatory
Decadrom (dexamethasone)
52
Treats hyperkalemia (high potassium)
dextrose 50%
53
Anticonvulsant
Dilantin (phenytoin)
54
Reverses hypoglycemia
Glucagon
55
Inhibits blood coagulation
Heparin
56
Relieves bronchospasm
Isuprel (isoproterenol)
57
Increases blood pressure, treats shock
Levophed (norepinephrine)
58
Opioid antagonist
Narcan (naloxone)
59
Vasodilator, relaxes walls of blood vessels, increases circulation
Nitrostat (nitroglycerin)
60
Combats acidosis
Sodium bicarbonate
61
Anti-inflammatory
Solu-Medrol (methylprednisolone)
62
Diluent
Sterile water
63
Tranquilizer, antiseizure agent
Valium (diazepam)
64
Vasoconstrictor
Vasopressin
65
Cardiac antidysrhythmic medication, specific to paroxysmal supraventricular tachycardia (PSVT)
Verapamil
66
Anesthetic, cardiac antidysrhythmic medication
Xylocaine (lidocaine)
67
A group of lung conditions, including emphysema and chronic bronchitis, that make it difficult for the patient to breath
Chronic obstructive pulmonary disease (COPD)
68
Can refer to the placement of any tube, it is most commonly used to indicate the placement of an airway tube into the trachea
intubation
69
endotracheal intubation or tracheostomy
Who require long term respiratory support and airway management, to maintain an open airway for oxygen administration
70
Is a mechanical respiratory device powered by compressed air that controls respiratory rate , volume of inspiration, and oxygen content
Ventilator
71
A group of individuals from multiple disciplines who work together to assess and stabilize a trauma patient
Trauma Team
72
Golden Hour
Greater change of recovery if can be stabilized within the first hour
73
save lives. These teams are trained to intervene and assist caregivers before a patient’s condition deteriorates to the point of a full-blown code condition.
Rapid Response Teams