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Disaster Nursing > Triaging > Flashcards

Triaging Flashcards

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1
Q

MCI

A

Mass Casualty Incident

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2
Q

a lot of people victimized by good disaster

A

Mass Casualty Incident

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3
Q

Triage (4 rights)

A

Process of which places the right patient in the right place at the right time to receive the right level of care

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4
Q

Triage

A

the cornerstone of good disaster management in terms of judicious use of resources

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5
Q

Triage

A

● Process of prioritizing which patients are to be treated first

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6
Q

Conceptual Categories change depending the _____

A

venue

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7
Q

○ every day prioritization of patients in the emergency department

A

● HOSPITAL DAILY TRIAGE

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8
Q

○ when the ED is stressed by a large number of patients but is still able to provide care to all victims

A

● INCIDENT TRIAGE

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9
Q

○ employed when local emergency services are overwhelmed to the point that immediate care cannot be provided to everyone who needs it

A

● DISASTER TRIAGE

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10
Q

○ similar to disaster triage,

A

● TACTICAL MILITARY TRIAGE

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11
Q

military mission objectives rather than traditional civilian guidelines drive the triage and transport decisions

A

● TACTICAL MILITARY TRIAGE

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12
Q

doing the greatest good for the greatest number

A

Disaster Triage

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13
Q

Who will you help first the person needing BLS or the person penetrated by a poll? (outside)

A

BLS

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14
Q

Who will you help first the person needing BLS or the person penetrated by a poll? (inside)

A

BLS

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15
Q

Who will you help first the person who can’t walk but has no fatal wound or the person needing BLS? (outside)

A

Cant walk

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16
Q

Who will you help first the person who can’t walk but has no fatal wound or the person needing BLS? (inside)

A

BLS

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17
Q

4 Types of Conceptual Categories

A

● HOSPITAL DAILY TRIAGE
● INCIDENT TRIAGE
● DISASTER TRIAGE
● TACTICAL MILITARY TRIAGE

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18
Q

2 types of triage

A

● PRIMARY

● SECONDARY

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19
Q

○ On scene prior to rescue and transfer

A

● PRIMARY

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20
Q

○ Incident dependent either prior to, during or upon arrival to hospital

A

● SECONDARY

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21
Q

Critical-life threatening

A

EMERGENT

RED

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22
Q

Major illness/injury- tx within 20 mins-2 hours

A

URGENT

YELLOW

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23
Q

Minor injuries; walking wounded- tx may be delayed 2 hours or more

A

NONURGENT/ walking wounded/ minor

GREEN

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24
Q

Dead or expected to die

A

EXPECTANT

BLACK

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25
Q

Compromised airway, shock, hemorrhage

A

EMERGENT

RED

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26
Q

Open fracture, chest wound

A

URGENT

YELLOW

27
Q

Closed fracture, sprain, strain

A

NONURGENT/ walking wounded/ minor

GREEN

28
Q

Massive head injury, extensive full-thickness burns

A

EXPECTANT

BLACK

29
Q

If in the HOT ZONE, treat FIRST

A

EMERGENT

RED

30
Q

If in the HOT ZONE, treated after RED

A

URGENT

YELLOW

31
Q

First one to go out the HOT ZONE

A

NONURGENT/ walking wounded/ minor

GREEN

32
Q

If the patient didn’t survive after BLS

A

transfer and mark as black

33
Q

immediate

A

EMERGENT

RED

34
Q

delayed

A

URGENT

YELLOW

35
Q

minor walking wounded

A

NONURGENT/ walking wounded/ minor

GREEN

36
Q

deceased

A

EXPECTANT

BLACK

37
Q

where can you find the tags?

A

chest and forehead

38
Q

3 Disaster Triage Protocols

A
  1. MASS TRIAGE
  2. START system
  3. JumpSTART system
39
Q

pediatrics; commonly used

A

JumpSTART system

40
Q

adults; commonly used

A

START system

41
Q

general population

A

MASS TRIAGE

42
Q

MASS TRIAGE

A

M- MOVE
A- ASSESS
S - SORT
S –SEND

43
Q

● Providers instruct victims to move to safety (Class III; walking wounded)
● Ask victims to move a limb

A

M- MOVE

44
Q

● ABC assessment

A

A- ASSESS

45
Q

● Sort into 4 categories

A

S - SORT

46
Q

● Sent to hospitals for treatment

A

S –SEND

47
Q

4 Mass Triage Categories

A

I - Immediate (RED)
D - Delayed (YELLOW)
M - Minimal (GREEN)
E - Expectant (BLACK)

48
Q

● Not able to move limbs as requested but have open airways

A

I - Immediate (RED)

49
Q

● unable to move limbs, has breathing and pulse

A

I - Immediate (RED)

50
Q

● able to move limbs, has breathing and pulse

A

D - Delayed (YELLOW)

51
Q

● Able to move the scene as requested

A

M - Minimal (GREEN)

52
Q

● No airway, respiration or circulation

A

E - Expectant (BLACK)

53
Q

T or F: Do not spend 2 mins in one patient

A

True

54
Q

RPM

A

R-Respiration
P-Pulse
M-Movement

55
Q

R: >30 sec
P: > 2 secs (capillary refill)
M: does not obey commands

A

Critical

56
Q

R: 30 secs
P: < 2 secs
M: obey commands

A

Urgent

57
Q

R: not breathing

A

Expectant

58
Q

have critical assessment

A

Class 1, 2, 4

58
Q

have critical assessment

A

Class 1, 2, 4

59
Q

JumpSTART was created to meet the unique needs of assessing children

A

less than 8y/o

60
Q

should be used if the victim look like a child

A

JumpSTART

61
Q

should be used whenever the victim looks like a young adult or older

A

START

62
Q

3 purposes of JumpSTART

A

a. To optimize the primary triage of injured children in the MCI setting
b. To enhance the effectiveness of resource allocation for all MCI victims
c. To reduce the emotional burden on triage personnel who may have to make rapid life-or-death decisions about injured children in chaotic circumstances

Disaster Nursing (4 decks)

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