Chapter 5: Facility Protocols

Question 1

Examples of when an incident report should be filed

Answer 1

Medication errors, procedure/treatment errors, equipment-related injuries/errors, needlestick injuries, client falls/injuries, visitor/volunteer injuries, threat made to client or staff, loss of property (dentures, jewelry, personal wheelchair)

Question 2

Incident report general guidelines

Answer 2

• complete by person who identifies that unexpected event occurred
• complete asap and within 24 hr of incident
• not placed or mentioned in client’s health care record — BUT, description of incident should be FACTUALLY documented in client’s record
• forward to risk management

Question 3

Components of an incident report

Answer 3

• client’s name and hospital number, along with date, time, and location of incident
• factual description of incident and injuries incurred
• corrective actions taken
• name and dose of any medications or ID number of any equipment involved in incident

Question 4

Category of triage during mass casualty in which highest priority is given to clients who have life-threatening injuries but also have a high possibility of survival once they are stabilized

Answer 4

Class I, Red Tag (Emergent or immediate)

Question 5

Category of triage during mass casualty in which second-highest priority is given to clients who have a major injuries that are not yet life-threatening and usually require treatment in 30 min to 2 hr

Answer 5

Class II, Yellow Tag (urgent or delayed)

Question 6

Category of triage during mass casualty in which the next highest priority is given to clients who have minor injuries that are not life-threatening and can wait hours to days for treatment

Answer 6

Class III, Green Tag (nonurgent or minimal)

Question 7

Category of triage in which the lowest priority is given to clients who are not expected to live and will be allowed to die naturally. Comfort measures can be provided, but restorative care will not.

Answer 7

Class IV, Black Tag (Expectant)

Question 8

Nursing actions for chemical incidents

Answer 8

• assess and intervene to maintain ABC
• remove offending chemical by undressing client and removing all particulate matter
• provide immediate and prolonged irrigations of contaminated areas with running water, EXCEPT for dry chemicals (lye or white phosphorus). For dry chemicals, brush the agent off clothing and skin

Question 9

Code red

Answer 9

Fire

Question 10

Code pink

Answer 10

Newborn/infant/child abduction

Question 11

Code orange

Answer 11

Chemical spill

Question 12

Code blue

Answer 12

Medical emergency

Question 13

Code gray

Answer 13

Tornado

Question 14

Code black

Answer 14

Bomb threat

Question 15

Which member of the emergency operating plan (EOP) manages the incident and key leaders within the facility?

Answer 15

Incident commander

Question 16

Which member of the EOP oversees use of resources (equipment and personnel)?

Answer 16

Medical command physician

Question 17

Which member of the EOP prioritizes the treatment of incoming clients?

Answer 17

Triage officer

Question 18

Which member of the EOP communicates with members of the media and press on behalf of the facility?

Answer 18

Media liaison