Disaster Planning - Management - 4th semester

Assessment in Secondary Survey after a fire consist of?

Consist of assessing ecchymosis and Subcutaneous emphysema

What are the potential Life-threatening conditions that should be considered during the primary survey for a client admitted after a fire accident?

Shock, Inhalation injury, Direct Cardiac injury

National Incident Management System (NIMS) is a section within what department?

-the U.S. Department of Homeland security -it is responsible for coordinating federal, state, and local government efforts to respond to and manage domestic MCI's .

Black Tagged Clients in an MCI represent?

-those expected and allowed to die

Yellow tagged clients in an MCI represent?

-those who have MAJOR injuries

A local emergency department recently implemented an automated tracking system for triage during mass casualty incidents. Which items can the nurse track using this system?

- priority upon arrival -Interaction with caregivers -priority per process of care -Priority according to location

Automated tracking systems using infrared and radiofrequency technology are available in some ED's to track what?

- to track a clients ***triage priority upon arrival ***Location *** process of care ***interactions client has with caregiver

Breath with an almond odor indicates what type of agent was used in a terrorist attack?

-Cyanide

Centers for medicare and medicaid service (CMS) requires what Biannually?

-Drills

What is the role of a Medical Command Physician in a MIC

-identifies the need for and calling in specialty trained providers - trauma and neurosurgeons -Determines the clients who require a higher level of care and relocating them to a specialty hospital such as a burn unit -have the authority to decide the number, acuity, and resources needed for clients during a disaster.

Sarin gas or phosgene agents used in a terrorist attack cause what?

-Paralysis of respiratory muscles -Respiratory depression

Obtaining a thorough client history and checking the client for a medical alert bracelet or necklace provides for what?

-Provides for reduction of risk for errors and adverse events.

INternational Medical Surgical Response Team OR (IMSuRTs) provides what in a mass casualty event?

-Provides fully functioning field surgical facilities in a mass casualty event whenever needed.

National Disaster Life Support Foundation renders what?

-Renders core, basic, and advanced disaster life support training courses

The joint commision body is accredited and requires what?

-Requires 2 safety drills per year

Green tag clients represent what in a MCI?

-The greatest number of persons -minor injuries -can evacuate themselves and go to the hospital in private vehicles

During a community disaster what is the Nurses role?

-Triage patients -supervise volunteers -provide onsite first aid to victims

Medical Reserve Corps

-establish first aid stations or special - needs shelter to victims of a disaster

Red tagged clients in a MCI are?

-have major injuries

What is the role of the Hospital Incidence commander in a MIC?

-holds the authority to recruit paid or volunteer staff -has the authority to ensure the availability of medical supplies -Has the authority to rapidly expand hospital capacity by directing the physical therapy department to convert the space into a minor treatment area -Can dictate that all clients due to be discharged from an inpatient unit to be moved to a lounge area

What are the long term effects of exposure to mustard gas?

-skin burns, skin blisters, irritation of eyes.

HICS (hospital incident command system) is a facility what?

A facility level organizational model to standardize disaster operations.

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? A) Federal emergency management agency B) Local emergency management system c) state emergency management system D) hospital-level emergency management system

A) Federal emergency management agency

Emergency assessment: Primary Survey

Airway, Breathing, circulation - identify life - threatening conditions

What is a common cause of hyperthermia?

Dehydration

Medical Command Physician

Does a Medical Command Physician or a Hospital Incident Commander have the authority to decide the number, acuity, and resources needed for clients during a disaster.

MRC- Medical Reserve Corps is a group of volunteer medical and public healthcare professionals who help during what?

During a mass casualty event

The expectant classification is not a classification level in emergency room?

Emergency room triage

IMSuRTs - INternational Medical Surgical response teams establish what?

Establish a fully functional field surgical facility for victims

The emergency room nurse is training to be a member of a direct response team to respond to community emergencies. Which new triage level would this nurse be required to learn?

Expectant

The life Safety code is a resource used for what?

Hospital administrators for a new facility are formulating a fire evacuation plans as part of the organizational disaster plan, what is the best resource for the administrators to use during this process?

What is a common metabolic cause of hypothermia?

Hypoglycemia

Identifying Option Components may help what?

Identifying these as correct or incorrect may help identify a wrong answer

(DMAT) Disaster Medical Assistance Team Is a Medical what?

Is a medical relief team that is deployed to a disaster area with enough medical equipment and supplies to sustain operations for 72 hours

Providing unique identifiers and identification bracelets for a confused client after a disaster provides for what?

Provides for Client identification

Standard precautions at all times in any situation provides for what?

Provides for prevention of staff injury

Which emergency medical system (EMS) first responders can perform triage during mass casualty incidents?

Paramedics and Nurses

Medical Reserve Corps (MRC) help healthcare facilities that face what during a mass casualty event?

Personnel Shortages

Asking a family member to accompany a confused patient allows for what?

Prevention of injury for clients

Phosgene Gas in a terrorist attack causes what s/s?

Pulmonary edema and respiratory depression

(DMAT) Disaster Medical Assistance Team - does what?

SUPPLIES MEDICAL EQUIPMENT TO SUSTAIN OPERATIONS FOR 72 HOURS

Post primary survey in emergency assessment are called?

Secondary survey - life saving interventions

Local emergency management systems may communicate with the hospital from the field to determine what?

To determine how many clients the hospital can accept.

During a community disaster who is in charge of supervising volunteers?

The Nurse on site

Published by the National Fire Protection Association

The life safety code is a resource published by whom?

Which nursing actions during a mass casualty incident should be included in the triage portion of an organizational disaster plan?

Treatment Stabilization decontamination for suspected contamination

Formulation of nursing diagnosis, and evaluation occurs when in a MIC?

Upon admission to the hospital

The classification levels within an emergency room triage system are? a)urgent b)emergent c)nonurgent d)expectant

a)urgent b)emergent c)nonurgent

During a community disaster who is charged with removing people from danger? a) Nurse b)firefighter c)volunteers d)victims?

b) Fire fighter

A hospital is implementing a HICS or hospital incident command system for a disaster preparedness plan for the entire health system. Which resource can the staff educators use to assist with the education of health care providers who work within the system? a) national incident management system (NIMS) b) Centers for medicare and medicaid service (CMS) c) Occupational Safety and health administration (OSHA) d)FEMA (federal Emergency Management Administration

d)FEMA (federal Emergency Management Administration

Hypothyroidism can lead to?

hypothermia