emergency and disaster preparedness

Question 1

disaster

Answer 1

Event in which illness or injuries exceed resource capabilities of a health care facility or community because of destruction and devastation

Question 2

type of disasters

Answer 2

internal

external

Question 3

internal

Answer 3

• occur inside a health care facility or campus, fire, explosion, loss of critical utilities, violence

Question 4

external

Answer 4

• occurs outside of a health care facility or campus

- hurricane, earthquake, tornado, technologic problems, viruses, etc

Question 5

multi-casualty

Answer 5

managed by the hospital using local resources

Question 6

mass casualty

Answer 6

• overwhelms local medical capabilities

- may require collaboration or numerous agencies and health care facilities to handle crisis

Question 7

Emergency Preparedness Plan

Answer 7

• Mandated by The Joint Commission (TJC)
• Accredited health care organizations take “all-hazards approach” to disaster planning
• Disaster drills take place for training
  + Planned based on risk assessment or vulnerability analysis

Question 8

stop the bleed

Answer 8

1. apply pressure with hands
2. apply dressing and press
3. apply a tourniquet

Question 9

evacuation plan

Answer 9

part of a fire prevention and preparedness plans for health care facilities

Question 10

The Life Safety Code® (National Fire Protection Association)-

Answer 10

provides guidelines for building construction, design, maintenance, and evacuation

Question 11

The Centers for Medicare and Medicaid Services (CMS) requires

Answer 11

requires every health care facility to practice at least one fire drill or actual fire response annually

Question 12

All facility personnel are mandated to have training in fire prevention and responsiveness (blank years)

Answer 12

each year

Question 13

NBC threats

Answer 13

Term used to describe Nuclear, Biologic and Chemical Threats

Question 14

HAZMAT training

Answer 14

Became mandatory for ED physicians, providers, and nursing staff

Question 15

pandemic

Answer 15

an infection or disease that occurs throughout the population of a country or the world

Question 16

Red

Answer 16

emmergent needing immediate attention (class 1)

Question 17

yellow

Answer 17

can wait short time for care (class 2)

Question 18

green

Answer 18

non urgent or walking wounded (class 3)

Question 19

Black

Answer 19

expected (and allowed) to die or are dead) (class 4)

Question 20

Notification and Activation

Answer 20

• Radio/cellular/electronic communication takes place between ED and EMS providers at the scene
• State or regional emergency management agency may notify ED
• Each hospital has its own policy regarding activation

Question 21

Hospital Incident Command System

Answer 21

• Facility-level organizational model for disaster management
• Roles formally structured under hospital or long-term care facility incident commander with clear lines of authority and accountability for specific resources
• Emergency Operations Center (EOC) or command center- A designated location with accessible communication technology

Question 22

Hospital incident commander-

Answer 22

Physician or administrator who assumes overall leadership for implementing the emergency plan

Question 23

Medical command physician-

Answer 23

Physician who decides the number, acuity, or resource needs of patients

Question 24

Triage officer-

Answer 24

Physician or nurse who rapidly evaluates each patient to determine priorities for treatment

Question 25

Community relations or public information officer-

Answer 25

Person who serves as a liaison between the health care facility and the media

Question 26

Role of Nursing in Health Care FacilityEmergency Preparedness and Response: Before

Answer 26

• Contribute to developing internal and external emergency response plans
• Consider security needs, communication methods, training, alternative treatment areas, staffing for high demand/surge situation, and requirements for resources, equipment, and supplies
• Participate in disaster drills and evaluate the outcomes, also assist with revising the plan of action if needed

Question 27

Role of Nursing in Health Care FacilityEmergency Preparedness and Response: during

Answer 27

• Collaborate with medical command physician to organize nursing and ancillary services, and meet patient needs
• Telephone trees or automated group notification systems may be activated to call in ED nurses who are off duty
• Patients are quickly admitted and discharged as appropriate to make room for new patients
• Principles of triage are used to prioritize patient care

Question 28

who determines when to deactivate emergency response

Answer 28

incident commander

Question 29

Crisis support teams-

Answer 29

consists of crisis workers with special education and training in psychological first aid and behavioral health to help with coping strategies and prevent Acute Stress Disorder (ASD) and Posttraumatic Stress Disorder (PTSD)

Question 30

Administrative review of staff and system performance

Answer 30

aka “hot wash”, analyzes hospital or agency response to an event

Question 31

Psychosocial Response of Survivors

Answer 31

• Disaster experience can produce immediate and long-lasting effects
• Lifestyle, roles, routines drastically altered
• Coping ability are severely stressed
• Nurses help survivors adapt
• Monitor for signs of ASD or PTSD
• Impact of Event Scale- Revised (IES-R) questionnaire- can be used by nurses as an assessment tool when caring for survivors with symptoms of ASD and PTSD