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NUR 213 > UNIT 5 - trauma disaster preparedness > Flashcards

UNIT 5 - trauma disaster preparedness Flashcards

1
Q

an event in which illness or injuries exceed resource capabilities of a community or medical facility.

A

disaster

(ex): violence, outbreaks, weather, earthquakes, fire, avalanches, nuclear, chemical

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2
Q

an event outside the healthcare facility that necessitates activation of emergency management system. A multi or mass casualty event.

A

external disaster

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3
Q

a disaster that can be managed by a hospital using local resources

A

multi casualty

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4
Q

a disaster that can’t be managed by local medical capabilities, and requires collaboration of multiple agencies. (state, federal, regional help is needed)

A

mass casualty

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5
Q

an event within a hospital and/or hospital campus. interferes with client and staff safety.

A

internal disaster

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6
Q

what is the outcome priorities of the internal disaster?

A
  1. ) safety **
  2. ) prevent further damage (ex close doors, extingis fires PASS)
  3. ) assist the best you can
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7
Q

what are some examples of natural mass casualty incidents?

A
  • earthquakes
  • hurricanes
  • mudslides
  • tornadoes
  • floods
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8
Q

release of toxic biologic agents with a goal of stopping containment

A

bio terrorism

ex): anthrax, botulism, plague, smallpox, COVID-10(?

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9
Q

what is the nursing priorities when dealing with bio-terrorism?

A
  • focus largely on stopping the spread of the disease and preventing contamination of healthcare facility.
  • provide supportive care and treat accordingly as it becomes clear what the agent it.
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10
Q

_________ is getting the patients from the hot zone to the cold zone.

A

decontamination

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11
Q

what is the hot zone?

A

the zone with the highest potential for exposure. exclusion zone.

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12
Q

what is the warm zone ?

A

contamination reduction zone. transition between exclusion and support zone. area where the first responder’s enter and exit

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13
Q

what is the cold zone?

A

known as the support zone. area that is free from contamination and can be safely used as a planning and staging area.

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14
Q

unexpected occurrence that requires immediate attention

A

emergency

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15
Q

process of trying to have an action plan that decreases the impact of consequences of disaster (ex) boarding up windows for a hurricane.

A

mitigation

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16
Q

having a drill or plan or training that takes place ahead of time so one is prepared for a disaster.

A

preparedness

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17
Q

aftermath of the disaster. the chaotic part of the disaster.

A

response

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18
Q

after the disaster has occurred. and there is an attempt of restoration of whatever event has happened

A

recovery

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19
Q

what is it recommended that bystanders do that are present at the scene.

A

stop the bleed

20
Q

person responsible for all aspects of an emergency response. this position must be filled by a physician or hospital administration.

A

hospital incident commander

21
Q

communicates with and issues medical command orders to EMS providers when they seek direction. They decide acuity, and resource needs of the patients.

A

medical command physician

22
Q

gathers facts and distributes them to the media. They are the liaison between the health care facility and the media.

A

public information officer

23
Q

ensures the triage of all victims and directing or determining the movement of patients toward the treatment/transport. this position is filled by a physician or nurse.

A

triage officer role

24
Q

what needs to be present in the 3 day emergency supply?

A
  • non perishable food items (can opener)
  • 1 gallon of water per person per day
  • towels, blankets, garbage bags plastic bags, toilet tissue
  • batteries, flashlights, hand held radio, pocket knife, and matches
  • first aid kit, toiletries, hand sanitizer, medicine
25
Q

what is the role of the nurse in the ED?

A
  • organize nursing and ancillary staff
  • triages, resuscitates, and treats the disaster victims
  • client discharge recommendations (medically stable)
  • nurses assigned to other areas
26
Q
  • those admitted for observation
  • diagnostic evaluations and not bedridden
  • soon scheduled to be discharged or care could occur at another facility
  • no critical care change in the past 3 days
  • could be cared for at home with support from family or home services.
A

characteristics of those that can be discharged in the case of an disaster. (need to make room for trauma victims)

27
Q

what does START triage mean

A 
S-simple
T-triage
A-and
R-rapid
T-treatment
28
Q

what is the goal of the primary assessment during start triage?

A

first contact where your assign a triage category

29
Q

considering the ongoing process that takes place after the patient has been moved to treatment or holding area awaiting transport. more assessment and treatment will be done

A

secondary part of start triage

30
Q

what is the first thing that needs to be done when arriving to a trauma scene?

A

ensure that the area is safe
then…
call out for anyone that can hear and tell them to walk to a specific area
then…

31
Q

what is the overall outcome triaging in a disaster situation?

A

doing the greatest good for the greatest number of people.

32
Q

categorized by “walkie/talkie”

  • ambulatory and non urgent
  • minor injuries
A

green

33
Q

categorized by those that can wait 30 mins - 2 hours to be treated
- delayed

A

yellow

34
Q

categorized by those that need immediate care

  • critical patient
  • immediate threat to life
A

red

35
Q

categorized by those that are deceased or have a low expectancy to live.

A

black

36
Q

there should be someone that is _______ to stay with each group in case someone deteriorates they can be moved higher up in triage, except for black.

A

designated

37
Q

remember ______. first question is always do they have the ability to walk or talk? then you assess

  • respiratory effort
  • pulses/perfusion
  • mental status
A

RPM

38
Q

all the walking wounded are classified as what?

A

green

39
Q

respiration: if none, open/reposition the airway, if they start breathing. tag them red and if not tag _____.

A

black

40
Q

if they are breathing greater than 30, tag them ____. if under 30, next assess pulse/perfusion/circulation. check the radial pulse if they have perfusion to periphery. if so we know organs are perfused. If they you answer yes to the pulse, check mental status. Pulse rate does not matter, matters that they have a pulse! No pulse tag them ____ or check capillary refill.

A

red ; red

41
Q

if capillary refill is greater than 2 seconds assess for bleeding. If bleeding have someone put pressure on it, and tag them as ____.

A

red

42
Q

can they follow commands? if they can tag them ______. if they can’t, and are confused in any way tag red.

A

yellow

43
Q

If respirations are less than 30, radial pulse is present and/or capillary refill is greater than 2 seconds and can follow commands tag them as ______.

A

yellow

44
Q

after tagging all patients….

A
  • red tags should be transported stat
  • begin initial treatment here
  • yellow and green tags must be re-assessed more thoroughly
45
Q

after the disaster event what should be done….

A
  • administrative review
  • critique the incident (debriefing and critical incident stress debriefing)
  • modify the plan
  • promote effective coping
  • support groups
46
Q

what happens after immediately after the event….

A
  • restock supplies
  • provide rest and transportation for staff
  • debriefing for small groups of staff
  • encourage and support co-workers
  • take breaks when needed
  • talk about feelings
  • plenty of water and snack for energy

NUR 213 (20 decks)

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