Nursing Care During a Disaster

John understands which stage(s) of disaster management are dependent on a good emergency operations plan? Select all that apply

-Preparedness -Mitigation -Response -Recovery

What other preparedness activities are appropriate now?

Appropriate Preparedness Activity​: -Schedule training sessions -Ensure emergency radios are working and accessible -Prepare a contact list of incident command staff Not Appropriate Preparedness Activity: Move personal protective equipment carts to every room Conduct an after-action review Install new smoke detectors to replace those over 10 years old

A community health nurse is working with community leaders on disaster mitigation efforts. The nurse has identified at-risk populations that may need assistance. What activities can be used while working with vulnerable populations? Select all that apply.

Ask community leaders what would be important Translate materials into community languages Meet them where they are

Which action is most appropriate for John to take next?

Conduct a functional exercise

How often should facility leadership update their emergency operations plan?

Continuously

Which populations are most likely to be at high risk during a disaster? Select all that apply.

Families living on a ranch Retirement village Prison inmates English language learners Inner-city apartment dwellers

Which event is most likely to become a disaster?

Large resort hotel fire during peak tourist season in a remote area

A community health nurse is working with community leaders on disaster mitigation efforts. Which at-risk populations should the nurse be most concerned about?

Low-security prison work-release program Laotian immigrants Inner-city low-income housing residents Food pantry customers 55 and over community

Which terms are stages in the process of emergency management? Select all that apply.

Mitigation Planning Recovery Response

Nurses can participate in which stages of emergency management? Select all that apply.

Planning Mitigation/Prevention Preparedness Recovery Response

The clinic nurse is concerned about the death of several clients due to carbon monoxide poisoning after a recent two-week power outage due to a hurricane. The nurse identifies several activities that might make a positive impact in the community. Click to specify in which stage of disaster management the nurse implements each activity. More than one stage may apply to each activity.

Preparedness: -Acquire and hand out flyers on generator safety -Advocate for a state law requiring educational material to be attached to generators sold in the state Mitigation/Prevention: -Acquire and hand out flyers on generator safety Response: -Acquire and hand out flyers on generator safety -Accompany a Community Emergency Response Team (CERT) to identify dangerous generator usage Recovery: -Acquire and hand out flyers on generator safety -Accompany a Community Emergency Response Team (CERT) to identify dangerous generator usage

John reviews the emergency operations plan and has several suggestions for the committee. Select the correct phase of disaster management for each procedure listed on the left.

Preparedness: Arrange a series of emergency operations plan walkthrough sessions for all hospital personnel Mitigation: Provide fire extinguisher training Response: Ensure a 3-day supply of personal protective equipment is available Recovery: Contract with a critical incident stress debriefing (CISD) team for care after a disaster

Having completed a functional exercise to determine if incident command personnel know how to activate the emergency operations plan, John and the group conduct a small after-action review to assess their readiness. Which findings indicate incident command personnel are proficient in disaster management skills?

Proficient: -The after-action team creates a process to add new personnel to the call list after discovering a nursing supervisor was not on the current list. -Personnel immediately access the emergency operations plan. -Personnel continue to refer to the emergency operations plan throughout the exercise. Needs Follow-up: -Radios are found not charged and lying on tables in the emergency operations center. -Personnel stopped using radios when the channel became busy.

The school nurse wants to help at-risk students and their families prepare for the upcoming hurricane season. Which is the most critical action for the nurse to take?

Provide information and resources on planning

Which prevention activity is most appropriate for the nurse to take in a flood-prone community?

Work with city leaders to find new housing for families living in a flood-prone housing development

Which cues should concern John? Select all that apply.​

annual review of the emergency operations plan John has never seen the plan asked several members of the committee where to locate the plan the plan is in a locked cabinet