Disaster Mgmt Flashcards

1
Q

define “bioterrorism”

A
  • use and dissemination of various kinds of microbes or toxins w/ the intent to intimidate or coerce a gov’t or civilian population to further political or social objectives
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2
Q

define “human made disasters”

A
  • destruction or devastation caused by humans
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3
Q

define “mitigation”

A
  • actions or measures to prevent a disaster from occurring or to reduce the severity of its effects
  • ie sand bagging
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4
Q

define “natural disasters”

A
  • destruction or devastation caused by natural events
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5
Q

when disasters occur:

A
  • natural rxn for some persons to wish to leave the health care facility to be with loved onces
  • nurses must be cognizant of the determination of compliance w/ the standard of confuct prohibiting patient abandonment of licensed nurse
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6
Q

conventional terrorist weapons

A
  • bombs
  • guns
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7
Q

non conventional terrorist weapons

A
  • chemical
  • biological
  • nuclear
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8
Q

5 stages of disasters

A
  • 1st: non disaster–>occurs before threate of a disaster becomes real
    • time for planning, prep, and assessing community vulnerability
  • 2nd: pre disaster stage–>time during which a disaster event is certain to occur but has not yet happened
    • warning or threat stage
  • 3rd: comprehensive disaster plan–>mitigation, preparedness, responsive, response, recovery
  • 4th: impact care–>time when disaster has occurred and community is experiencing its effects
  • 5th: emergency stage–>community comes to aid of its members
    • late assistance is provided from outside the affected area
  • 6th: reconstruction/recovery stage–>activities of restoration, reconsitution, mitigation
    • affected community begins cleanup and rebuilding and attempts to return to normalcy
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9
Q

acute stress disorder

A
  • an anxiety disorder that describes the acute stress reactions that occur in the first 4 weeks following trauma
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10
Q

nurses role in disasters

A
  • listen to victims tell and retell how they currently feel about the situation
  • encourage victims to share their feelings w/ one another if it seems appropriate to do so
  • help victims make decisions
  • delegate tasks (reading, crafts, playing games) to teenagers and others to help combate boredom
  • provide the basic necessities–food, clothing, rest
  • try to recover or get needed items (prescription glasses, meds)
  • provide basic compassiona and dignity when appropriate
  • refer to a mental health counselor if situation warrants
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11
Q

disaster levels by monetary cost

A
  • level I: <$10,000
  • level II: costs $10,000 or more, but less than $50,000
  • level III: costs $50,000 or more, but less than $250,000
  • level IV: costs $250,000 or more, but less than $2.5 mil
  • level V: costs $2.5 mil or more
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12
Q

single family disaster

A
  • affects an individual or single family unit, occurs within the jurisdiction of a single Red Cross chapter, and may require the short term application of limited human and material resources
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13
Q

local disaster

A
  • affects more than one family
  • occurs w/in the jurisdiction of a single Red Cross chapter
  • generally requires application of limited human and material reources from Red Cross Chapters
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14
Q

state disaster

A
  • affect multiple families occurs w/in jurisdiction of one or more Red Cross Chapters w/in a single state
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15
Q

major disaster

A
  • has one or more of the following characteristics:
    • affects more than a single state
    • creates national news and media attention
    • expected to be a major disaster declaration by the President of US
    • requires international involvement
    • involves nuclear power plants, nuclear, chemical, or biological weapons
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16
Q

presidentially declared disaster

A
  • requires full or partial implementation of NRP
  • exceeds capabilities of local and state gov’ts
  • substantial or has potential to cause substantial health problems
17
Q

what vaccine does everyone get in a disaster?

A

tetanus

18
Q

triage

A
  • method of quickly identifying victims who have immediately life threatening injuries AND who have the best chance of surviving
19
Q

triage tagging

A
  • rapid identification of patients
  • color coded system:
    • red–1–may survive if given immediate simple life saving measures
    • yellow–2–should survive if given care w/in a few hours
    • green–3–walking wounded: minor injuries that do not require rapid care
    • black–4–deceased or severely injured patients unlikely to survive
20
Q

layout for triage care

A
  • dead on the left when you walk in
  • red/immediate care are right behind the dead on the left
    • this is where we would utilize our surgeons
  • walking wounded on the right when you walk in
    • you put these ppl to work
  • delayed care right behind walking wounded on the right
21
Q

START system

A
  • created in 1980s
  • allows rapid assessment of victims
  • should not take more than 15 sec/patient
  • once victim is in tx area, more detailed assessment should be made
22
Q

classification of START system

A
  • based on 3 things: RPM
    • respiratory–over or under 30, or absent
    • perfusion–radial pulse present or absent
    • mental status evaluation–follows simple commands or not
      • do all this in 15 sec
23
Q

START system steps

A
  • first:
    • can patient walk?
      • yes–green (minor)
      • no–(evaluation ventilation w/ step 2)
  • second:
    • ventilation present:
      • no–>open airway
        • if ventilation present?
          • no–>black
          • yes–>red/immediate
      • yes–>
        • >30/min–>red/immediate
        • <30/min–>eval circulation w/ step 3
  • third:
    • circulation:
      • absent radial pulse OR cap refill >2 sec–>control hemorrhage–>red/immediate
      • present radial pulse OR cap refill <2sec–>eval LOC w/ step 4
  • fourth:
    • LOC:
      • can’t follow simple commands–>red/immediate
      • can follow simple commands–>yellow/delayed
24
Q

contaminated patient

A
  • patients with exposure (potential or real) to contaminants should be tagged as BLUE
    • will continue to stay this category until patient is adequately decontaminated, then begin START system
  • some recommend “double tagging” w/ blue and standard START color
25
Q

reverse triage

A
  • used in mass casualty lightning injuries
  • dead are treated first
  • high potential for respiratory arrest
  • potential for resuscitative success