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N473 > Final Exam - Week 5 > Flashcards

Final Exam - Week 5 Flashcards

1
Q

what are normal procedures suspended/extraordinary measures are taken to limit impact of hazard.

A

an emergency

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2
Q

What is suffering exceeds capacity of community to respond?

A

a disaster

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3
Q

What is a disaster in terms of needs and resources?

A

Needs>Resources

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4
Q

What is a mass casualty incident (MCI)?

A

numerous deaths, injuries, disabilities or emotional distress

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5
Q

What is an ability to expand care capabilities in response to a disaster?

A

surge capacity

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6
Q

What are stages of management?

A

prevention -> preparedness -> response -> recovery

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7
Q

What is most cost effective?

A

disaster management: prevention/mitigation

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8
Q

What is mitigation?

A

efforts to reduce the impact of disasters before they occur.

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9
Q

What is the 1st step to disaster management: prevention/management?

A

risk assessment

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10
Q

What is a process to determine the nature and extent of the probability of harmful consequences (risks) resulting from the interaction between hazards and vulnerabilities?

A

risk assessment

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11
Q

What 2 things equal risk assessment?

A

hazards + vulnerabilities

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12
Q

What 2 things is a risk assessment different from?

A

needs assessment (response) & community assessment (recovery)

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13
Q

What man-made hazards have the potential to cause a disaster in Southern Arizona?

A

idk

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14
Q

What are examples of man-made hazards?

A 
Accidental fires/explosions
Chemical spills
Car Accidents
Aviation or train crashes
Nuclear accidents
Power grid outage
Violence
Terrorism
Mass shootings
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15
Q

What are agents that can produce many casualties and pose a risk to national security through harm of our people and infrastructure, especially critical services?

A

Weapons of Mass Destruction (WMD)

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16
Q

What is the mnemonic that goes with Weapons of Mass Destruction?

A

CBRNE

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17
Q

What does the pneumonic stand for?

A
  • C - Chemical
  • B - Biological
  • R - Radiological
  • N - Nuclear
  • E - Explosive
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18
Q

What are class A biological agents that pose risk to national security?

A
  1. easily disseminated (not necessarily contagious)
  2. high mortality rates
  3. cause public panic and social disruption
  4. major public health impact.
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19
Q

What are agents that are class A biological agents?

A
  1. anthrax
  2. botulism
  3. plague
  4. smallpox
  5. tularemia
  6. viral hemorrhagic
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20
Q

What are examples of natural hazards?

A 
Drought
Floods/Flash Flooding
Severe Wind
Wildfires
Landslides
Dust Storms
Extreme Heat
Earthquakes
Natural Disease Outbreaks
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21
Q

What are nursing interventions for decreasing vulnerabilities?

A
  1. risk assessment - surveillance
  2. community education - health teaching
  3. immunizations - delegated functions
  4. screening
  5. advocacy
  6. policy development and enforcement
  7. coalition building
  8. community organizing
  9. disease and health event investigation
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22
Q

What are involved in preparedness?

A
  1. personal
  2. professional
  3. community
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23
Q

What are 3 ways for sheltering in place and evacuation?

A
  1. make a (to go) kit
  2. make a plan
  3. stay informed
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24
Q

How can you make a plan for sheltering in place and evacuation?

A
  1. evacuation
  2. contact information
  3. meeting place
  4. dependents care
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25
Q

How can you stay informed for sheltering in place and evacuation?

A
  1. UA Alert
  2. Arizona Emergency Information Network
  3. NOAA Radio All Hazards WXL30
  4. Emergency Alerts
  5. Twitter Alerts
26
Q

What are 4 ways to have professional preparedness?

A 
1. prepare a 
"go to work" bag 
2. duty to report 
3. know your employer's disaster plan 
4. understand the Incident Command System. 
5. register to respond!
27
Q

What are 2 paid opportunities for disaster nursing?

A
  1. U.S. Public Health Service

2. National Disaster Medical System Disaster Medical Assistance Teams

28
Q

What kind of officers are in the U.S. Public Health Service?

A

Non-military uniformed and commissioned officers

29
Q

What do people in the U.S. Public Health Service serve as?

A

FT federal employees

30
Q

What is the purpose of the U.S. Public Health Service?

A

Health promotion, disease prevention and disaster response with underserved and vulnerable populations

31
Q

What is the situation with volunteers and employees in the National Disaster Medical System Disaster Medical Alliance Teams?

A

Availability and training as volunteers. Deploy as temporary federal employees.

32
Q

What does the ARS 26-314 Immunity and limited liability for emergency responders require?

A

Requires the state to provide liability coverage and legal defense to emergency workers who act within the scope of their assigned duties

33
Q

What is the exception to the ARS 26-314 Immunity and limited liability for emergency responders require?

A

Willful misconduct, gross negligence or bad faith

34
Q

What constitutes an emergency worker?

A

Means any person who is registered, whether temporary or permanent, paid or volunteer

35
Q

What 4 things are involved in community preparedness?

A
  1. working with planning groups
  2. Teaching disaster planning to aggregates and communities.
  3. Assisting communities develop and update disaster plans.
  4. Practice drills
36
Q

What are types of practice drills?

A
  1. tabletops
  2. functional exercises
  3. full scale exercise
37
Q

What are the nursing roles during a disaster response?

A
  1. rapid needs assessment.
  2. emergency and primary health care
  3. shelter management
  4. communicable disease control
  5. behavioral health
  6. community education
38
Q

What is under emergency and primary health care as a nursing role for disaster response?

A
  1. triage
  2. mass preventative and curative care
  3. care of chronic illnesses
39
Q

What is under shelter management as a nursing role for disaster response?

A

special needs shelters

40
Q

What is under communicable disease control as a nursing role for disaster response?

A

mass prophylaxis

41
Q

What is the order in disaster response?

A
  1. response
  2. nursing roles
  3. triage
42
Q

What is a triage?

A

to sort

43
Q

What two things is the response-nursing roles-triage based on?

A
  1. Based on the need for immediate medical care

2. Based on limited clinical data

44
Q

What does the response-nursing roles-triage require?

A

requires recognizing futility

45
Q

What does the response-nursing roles-triage consider?

A

resources/conditions

46
Q

What is the response-nursing roles-triage main ethical principle?

A

utilitarianism

47
Q

What does the response-nursing roles-triage assume?

A

Needs>resources and resources will be available in time

48
Q

What are the disaster triage tools?

A
  1. START
  2. jump START
  3. Triage Sieve
  4. SALT triage
  5. MASS triage
  6. Care Flight triage
49
Q

What are assessment categories that vary per tool?

A
  1. ability to walk
  2. presence of aspirations
  3. respiration rate
  4. Cap refill/perfusion
  5. obey commands
  6. pulse
50
Q

What is the red-immediate disaster triage?

A

life threatening but treatable; requires immediate medical care

51
Q

What is the yellow-delayed disaster triage?

A

potentially serious but can wait fora short while for medical care.

52
Q

What is the green-minor disaster triage?

A

injuries; can wait for longer periods of time

53
Q

What is the black disaster triage?

A

dying or dead

54
Q

What is the gray disaster triage?

A

expectant; dying; requires palliative care

55
Q

What 2 things are Response Strategic National Stockpile?

A
  1. medical supplies and pharmaceuticals

2. supplements and resupplies state and local agencies.

56
Q

What is included in the strategic national stockpile?

A 
Broad-spectrum antibiotics
Vaccines
IV fluids and admin kits
Airway equipment
Bandages
Chemical antidotes
PPE for health care workers
Antitoxins
Ventilators
Chelating agents, Prussian Blue, Potassium Iodide, Growth Factors/Cytokines for WBCs
Other drugs for emergency conditions
57
Q

What is the nurses 1st role in recovery?

A 
community assessment....
Basic needs
Dependent/high risk  populations
Pets and presence of stray animals
Infestations
Child care/schools
Sanitation
Utilities
Transportation
Access to communication
Prevalence of chronic disease/infectious diseases/mental health issues/injuries
58
Q

What are nursing interventions in recovery?

A 
Screening
Referral & Follow-up
Case Management
Health Teaching
Counseling
Consultation
Coalition Building
Community Organizing
Advocacy
Social Marketing
Policy Development and Enforcement
Surveillance
Disease Health Event and Investigation
Outreach
59
Q

What are the risks to populations post disaster?

A 
Exacerbation of chronic health problems
Mental Health: PTSD; depression; behavioral problems;  exacerbation of pre-existing disorders  (suicide???)
Carbon monoxide poisoning
Hypo/hyperthermia
Injuries (CDC: Prevent injury after Disasters)
Wounds
Head trauma
Broken bones
Electrocution (downed power lines)
Amputation (chain saw accidents)
Drowning
Eye 
Burns
Infectious diseases  (CDC: Prevent Illness after Disasters)
Food and water borne illnesses (Hepatitis A,  dysentery)
Animal-borne (rabies and leptospirosis)
Insect-borne
Tetanus
Mold
60
Q

What is a nurse’s other role?

A

mitigation

61
Q

Why is mitigation critical?

A

because that’s when people are most motivated

62
Q

What does mitigation in a nurses role include?

A
  1. lessons learned
  2. evaluation of prevention and preparedness activities
  3. planning for future hazards and disasters
  4. prevention

N473 (16 decks)

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