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Module 7 > Disaster Planning Emergency Response > Flashcards

Disaster Planning Emergency Response Flashcards

1
Q

Disaster

A

A catastrophic event that ends to major property damage , a large number of injuries , displaced individuals or major loss of life

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2
Q

Catastrophic human engineer failure

A

Bridge collapsing
Train coming off the tracks
Building collapse

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3
Q

What do we want to be informed about

A

City layout
Where am i in the belt of weather

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4
Q

No matter what happens i am still accountable for

A

My practice act , we wouldn’t be placing IV and stuff like that

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5
Q

Pre impact phase

A

Communication is critical
With EMS , city and hospitals

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6
Q

Impact phase

A

Protection for first responders
Don’t get in their way .. we are their helpers

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7
Q

Post impact phase

A

Evaluation
After actual disaster
May be as little as 2 hours or may last longer time..
( may take years to repair)
Longest of 3 phases
Scam artist prey on victims during this time
All things we have done as a city and community

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8
Q

Disaster phases

A

Pre impact
Impact phase
Post impact phase

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9
Q

External emergency

A

Tornado , flood, fire, bad storm

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10
Q

Internal emergency

A

Fire within building, active shooter, electricity outage, a tree fell into wall or window

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11
Q

What may a nurse help with during a disaster

A

Warm blankets
Waters
Directing traffic , helping EMS , , serving needs of others

It may be physically dangerous conditions

Act as if every down utility pole is in water

Keep in mind nursing practice act

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12
Q

Casualty

A

Does not just mean dead , it means injured, dead, dying
Important to know language

Involves large #s >1000 ( comes in all shapes and sizes)

Overwhelming for staff

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13
Q

Colored tags

A

Green , yellow , red. Black

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14
Q

Green

A

Walking wounded
Walkie talkie , least injured , require minimal or no treatment

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15
Q

Yellow tag

A

Hurting more than green but dont have to be treated right away - do not meet red criteria and can’t walk maybe

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16
Q

Red tag

A

We are more concerned about pt who needs help breathing or assistance with opening airway

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17
Q

Black tag

A

People who are expected to diet
Put aside and treated for comfort w families
60% burn pt not likely to survive and probably will be black tagged
Treated for pain management

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18
Q

You have a pt with a distended tender abdomen , sucking chest womb, and a pt can’t stop crying .. how would you tag these folks and a pt burned 60 %

A

Sucking chest womb- red
Distended tender abdomen - yellow
Pt can’t stop crying - green
Pt burned-black tags ( but give fluid)

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19
Q

K

A
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20
Q

How can we get a total # of casualties a hospital can expect

A

Doubling # of casualties that arrive in first hr

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21
Q

We a pt scared and crying, a pt with broken arm and no other injuries, pt killed in accident , sucking chest womb person and a scalp laceration.. who do we see first ?

A

Sucking chest womb
Scalp laceration
Pt scared and crying ( to avoid panic environment)
Pt with broken arm

And we would not see the person who got killed in the accident

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22
Q

What tag is an open fracture

A

Red

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23
Q

What tag is a closed fracture

A

Yellow

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24
Q

Anthrax - how is it treated

A

Ciprofloxacin (cipro)

( Haylee- ketorlorac and Levofloxacin )

Anthrax is from sheep

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25
Plague
Alive and well
26
Tularemia
Blood born disease
27
Small pox treatment
Varicella or variola ( not iraticated)
28
Botulism
Paralyzes the respiratory system ( easy to obtain and spread- prone in a salad bar)
29
What is a hemorrhagic fever associated with?
Ebola Treat the symptoms and hope for the best
30
Center of disease control has
Viruses locked up from a long time ago so we can keep vaccines
31
What does sarin effect?
Organophosphate From pest control or fertilizer Nerve component Atropine 2pam ( pralidoxime) binds with the nerve gas and removed from the body sarin is so toxic and cause death within minutes
32
Ethics.. if we never had an outbreak of disease in a country .. should we allow other works to go to another treatment to treat and they contract a disease .. do they come home and get treated
Can be bought home and treated
33
Chemical agents
Sarin Phosgene Hydrogen cyanide Mustard gas
34
Phosgene
Colorless gas Effects pulmonary system Normally used in chemical manufacturing ( easy2obtain)
35
Hydrogen cyanide
Blood born
36
Mustard gas
Causes blister / vesicants
37
Organophosphate poisoning s/s
Slobbering , diarrhea, lose control of bowel and bladder Give atropine &2pam
38
If a medic comes in with organophosphate poisoning .. what do we prepare to give
Atropine 2pam
39
National stockpile
Free for any hospital facility Can be airdropped within 24* to 36 hours within notifying them Do not send hospital personnel
40
Main danger from RDDs radiologic dispersal devices
Ionization radiation ( what happens to us) Exploding bomb ( bomb damage is most important)
41
What is prioritized after ALS ( advanced life support)
Decontamination
42
If a ppl come and said we have been exposed to radioactive bomb
We are going to take the exposed pt and self and go around back where they can be decontaminated
43
What’s done after decontamination
Don’t let them be in waiting room , get isolated After though vitals and whatever comes first
44
What does decontamination prevent
Secondary exposure
45
What does decontamination increase
Chances for survival
46
What do you use to decontaminate
Soap and water, and pat dry
47
What does an explosive device result in
Blast, crash or penetrating , crush injuries , burns , hearing loss Effects hallow organs ( the closer you are the more damaged) Shock wave done damage to internal organs ( jumbled everything up)
48
What do we do w pt involved with explosive devices
Comfort care Usually black tagged
49
Who does all the tagging
EMS Once you’ve been tagged yellow and pt comes in and we assess them we can up tag them to red. We can’t tag down pt.. they are what EMS said
50
What can a pt have that causes us to vent them
ARDS
51
What do you do when you receive Bomb threat
Ask questions Listen for back ground sounds The callers voice Remain calm
52
Questions to ask during a bomb threat
Where is the bomb What does it look like What will cause it to explode What building is it in What floor is it on What is your name and address Did you place the bomb and why Do not hang up , extend the call as long as possible, listen to the callers voice Do you hear a stutter , an accent , nervous speech impediment
53
Questions to ask during a bomb threat
Where is the bomb What does it look like What will cause it to explode What building is it in What floor is it on What is your name and address Did you place the bomb and why Do not hang up , extend the call as long as possible, listen to the callers voice Do you hear a stutter , an accent , nervous speech impediment
54
After bomb threat call is complete
Immediately call IUPD on a landline phone to relay the information to the dispatcher Do not move suspicious objects Do not use radios , pagers, or cell phones as they can trigger an explosive device
55
What should you never tell a bomber
We’re going to find you Don’t use threatening language or hang up .. even if they hang up first .. dont hang up
56
The general population may want to be helpful but what can we do
Initiate CERT training to make sure they are certified CPR , have first aide class to put on dressing Teach them danger of disaster and what roles they may play for us.. they may direct traffic , or pass out blankets or sandwiches Willl be in the way if not properly trained
57
national disaster medical system organizes and trains who
DMAT ( disaster medical assistance teams ) Trained to treat lots of people (level 1 800 ppl ) The hospital has to support the team , put on special pay, special supplies and equipment Must show up to the area within 8 hours
58
Critical incident stress management
Site must be secured before anyone can go to site -FIRST Group discussion so people can verbalize and validate feelings and emotions about the experience What they saw, what they heard, and how they feel..to keep people working and to avoid breakdowns Available in the hospital as well
59
Who all has disaster plans
Hospital plans , city plans
60
Surge capacity
The total # of ppl you can have in a hospital No such thing in a disaster Team has to have plans and know what’s going on becuase we have to take them
61
Lockdown plan
The hospital alone has a lot of outside doors and we can get overwhelmed in a matter of moments So have 1 door in and 1 door out
62
Staffing plan
Call down list in an emergency if staff is short They are expected to go in
63
What happens if plant exploded and 150 people are on the way to the hospital
Activate disaster plan Everyone has a job, discharge pt, move pt If pt hasn’t had anything invasive they will be discharged somewhere else with a cot ( nurses will be there) Activate hospitals emergency response plan- take to the chain of command
64
How do we increase surge capacity
Reverse triage - see who needs to be discharged but not out into chaos but have a place with cots and lounge chairs they will stay with nurses
65
Who gets discharged at hospital when the activated disaster plan is going
Pt who got their tonsils removed Elective cataract surgery goes home
66
Who can’t get discharged when disaster plan is activated
Person with active chest pain
67
What can a nurse delegate to the student nurse
Wheel the discharge pt out , can’t do anything invasive without another nurse
68
First rule in an emergency
Keep yourself and staff safe ( they can make sure that family is safe so that they will and can work) Arrangements must be made for a place to rest or have a meal and a place for families to be close and present Make plan for pets Watch for contaminated water
69
What can we do when it comes to intruder safety
Prepare ourselves and kids both physically and mentally
70
What fact can’t we dismiss when it comes to radiologic /nucear explosions
Acute radiation syndrome after substantial exposure to ionizing radiation
71
Emergency management team/disaster task force
Incident command Disaster plans Surge capacity Lockdown plan Staffing plan
72
As a triage nurse - activate the hospitals emergency response plan- what does that mean for me?
I took the call - take call to Supervisor or up chain of command

Module 7 (24 decks)

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