Chapter 16: Emergency Response Flashcards

1
Q

A serious, unexpected event that demands immediate attention

A

Emergency

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2
Q

Is a special unit of the hospital equipped to care for persons who arrive in need of immediate care

A

The ED

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3
Q

How can some patients misuse the ED

A

-seek care for minor illnesses, rather than having a primary-care provide
-seek narcotics for recreation/abuse

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4
Q

Specialized care facilities usually within a hospital designed to cope with life-threatening injuries

A

Trauma Units

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5
Q

What are the levels of the trauma units

A

-Level I
-Level II
-Level III

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6
Q

What trauma unit is the most comprehensive, specialized care 24/7

A

Level I

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7
Q

The role of the radiographer in trauma radiography may be to

A

-take radiographs in the ED xray room
-operate CT scanner
-take radiographs with mobile equipment in the trauma bay while patient is also being tested and treated by other members of the trauma team

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8
Q

What does the radiographer need to do when there are multiple patients that need imaging at the same time

A

prioritize

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9
Q

In two equally urgent cases which exam should be done first

A

The shorter exam

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10
Q

Who is given highest priority

A

Highest priority is given to those with the most unstable vitals

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11
Q

What is the word stat from

A

Latin statim

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12
Q

This specific order should be done at once because the patients well being may be compromised by any delay

A

an order designated STAT is to be done at once

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13
Q

is defined as an emergency of huge magnitude that creates unforeseen, serious, or immediate threat to public health

A

Disaster

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14
Q

Types of disasters

A

-natural, accidental, manmade

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15
Q

What are examples of a natural disaster

A

tornado, earthquake, flood, hurricane

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16
Q

What are examples of accidental disasters

A

plane crash and train wreck

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17
Q

What is an example of a manmade disaster

A

terrorist attack

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18
Q

Disaster Response

A

-every hospital is required to have a disaster plan
-every member of the healthcare team must know the plan
-Drills (internal and in the community) are routine to practice the response, coordination of care and roles.

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19
Q

Defined as the process of identifying the victims, performing initial examinations, and assigning priorities for further care
-set up in a large, central locale

A

Triage

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20
Q

What is an essential part of disaster response

A

Triage

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21
Q

-A facilities procedure to call for emergency help
-usually uses a specific communication code
-Important to know the emergency call codes for facility

A

Emergency call systems

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22
Q

What is the color code for fire

A

Red

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23
Q

what is the color code for heart or respiration stopping

A

Blue

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24
Q

What is the color code for hazardous material spill or release

A

Orange

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25
Q

What is the color code for combative person

A

Gray

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26
Q

What is the color code for weapon or hostage situation

A

Silver

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27
Q

What is the color code for infant/child abduction

A

AMBER

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28
Q

What is the code for the situation is resolved

A

Code Clear

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29
Q

-Also known as a code team
-A designated group of healthcare workers who respond to emergency codes

A

Emergency Response Team

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30
Q

The members of the emergency response team are usually

A

-one or more physician
-several nurses
-a respiratory therapist
-an electrocardiographer

31
Q

Assisting the emergency response team

A

-when the code team arrives, allow them to take over immediately
-provide a history of the situation
-stand by to follow their directions
-record keeping is essential
(time emergency started and code team arrival time)

32
Q

-also called “crash carts”
-keep in strategic locations throughout the hospital
-know the location of the nearest cart for the imaging department

A

Emergency Carts

33
Q

Name some things in the crash cart

A

Backboard
Bag valve mask
Blood collection tubes
Blood pressure cuff
Carbon dioxide detector for ET tube placement
Cardiac monitor
Cutdown tray
Defibrillator
Drugs according to institutional protocol
ET tubes
Flashlight
Hemostat
Laryngoscope
Needles, syringes
Pen, paper, checklist for cart contents
Protective gowns, eyewear, masks
Scissors
Sterile and nonsterile gloves
Stethoscope
Suction bottle
Suction catheters
Tongue blades
Tracheostomy tubes
IV solutions and tubing
IV cannulas

34
Q

Patients in the ED are classified as:

A

-Nonurgent
-Urgent
-Life threatening

34
Q

Who decides the most acute cases are seen first

A

ED doctor

35
Q

What should the the radiographer constantly be doing during imaging procedures for ED patients

A

Assessing the patient because trauma patients often experience sudden changes in status

36
Q

vasoconstrictor, increases cardiac output, raises blood pressure, aids respiration by relaxing bronchioles

A

Adrenaline (epinephrine)

37
Q

Cardiac antidysrhythmic

A

Amiodarone

38
Q

Respiratory/circulatory stimulant; dries secretions

A

Atropine

39
Q

Most common oxygen administration

A

Nasal cannula

40
Q

oxygen administration that adds humidity

A

Simple face mask

41
Q

oxygen administration that can supply 100% oxygen

A

Non-breathing mask

42
Q

oxygen administration that is recommended for COPD

A

high flow mask

43
Q

oxygen administration for pediatric patients

A

Tent

44
Q

normal oxygen flow rate

A

1-6L/min

45
Q

oxygen flow rate for trauma

A

10L/min

46
Q

oxygen flow rate for patients with COPD

A

should not be any higher than 3L/min

47
Q

used when a patient is unable to clear the mouth and throat of secretions, blood, or vomitus

A

Suctions

48
Q

-The pump is working
-The receptacle is connected to the pump
-An adequate length of tubing connects the suction catheter to the receptacle
-disposable, flexible catheters available for deep tracheobronchial suction by a qualifies emergency-response provider
-a rigid pharyngeal catheter device is available to clean foreign material from the mouth and pharynx.

A

Suction Checklist

49
Q

Oxygen Administration delivery methods

A

-nasal cannula
-simple face mask
-nonrebreathing mask
-high flow mask
-tent

50
Q

Combats tetany (muscle spasms)

A

Calcium chloride

51
Q

Antiinflammatory

A

Decadrom (dexamethasone)

52
Q

Treats hyperkalemia (high potassium)

A

dextrose 50%

53
Q

Anticonvulsant

A

Dilantin (phenytoin)

54
Q

Reverses hypoglycemia

A

Glucagon

55
Q

Inhibits blood coagulation

A

Heparin

56
Q

Relieves bronchospasm

A

Isuprel (isoproterenol)

57
Q

Increases blood pressure, treats shock

A

Levophed (norepinephrine)

58
Q

Opioid antagonist

A

Narcan (naloxone)

59
Q

Vasodilator, relaxes walls of blood vessels, increases circulation

A

Nitrostat (nitroglycerin)

60
Q

Combats acidosis

A

Sodium bicarbonate

61
Q

Anti-inflammatory

A

Solu-Medrol (methylprednisolone)

62
Q

Diluent

A

Sterile water

63
Q

Tranquilizer, antiseizure agent

A

Valium (diazepam)

64
Q

Vasoconstrictor

A

Vasopressin

65
Q

Cardiac antidysrhythmic medication, specific to paroxysmal supraventricular tachycardia (PSVT)

A

Verapamil

66
Q

Anesthetic, cardiac antidysrhythmic medication

A

Xylocaine (lidocaine)

67
Q

A group of lung conditions, including emphysema and chronic bronchitis, that make it difficult for the patient to breath

A

Chronic obstructive pulmonary disease (COPD)

68
Q

Can refer to the placement of any tube, it is most commonly used to indicate the placement of an airway tube into the trachea

A

intubation

69
Q

endotracheal intubation or tracheostomy

A

Who require long term respiratory support and airway management, to maintain an open airway for oxygen administration

70
Q

Is a mechanical respiratory device powered by compressed air that controls respiratory rate , volume of inspiration, and oxygen content

A

Ventilator

71
Q

A group of individuals from multiple disciplines who work together to assess and stabilize a trauma patient

A

Trauma Team

72
Q

Golden Hour

A

Greater change of recovery if can be stabilized within the first hour

73
Q

save lives. These teams are trained to intervene and assist caregivers before a patient’s condition deteriorates to the point of a full-blown code condition.

A

Rapid Response Teams