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all Flashcards

0
Q

emergency nursing

A

the provision of msg care for pts with acute injuries or life threatening illness

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1
Q

Broker model of advocacy

A

Uses negotiation, compromise and persuasion (Responsible)

-responsible

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2
Q

Adversarial mode

A

Legalistic

Act as an adversary to other HCP who don’t share advocates concerns with all focus on Rights of the client

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3
Q

Ombudsmen

A

Program for nsg homes so residents and families would have an advocate

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4
Q

Grievance

A

A circumstance or action believed to be in violation of a contract

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5
Q

Press ganey

A

Company that surveys pt about care @ hospital

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6
Q

Infection control

A

Reporting, tracking and trending

CDC standards

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7
Q

Focus of risk manager

A

Pt safety
Prevent occurrences
Prevent/minimize loss
Look at cause and effect

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8
Q

NYSDOH

A

report
HAI
NYPORT (NY pt occurrence and tracking system)

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9
Q

Disaster Nsg

A

Involves response to and preparedness for natural or man made events that affect an entire community. Involves massive #s of casualties and extensive property damage

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10
Q

Disaster

A

Destructive event that disrupts normal functioning of a community
Cannot be effectively managed with routine procedures or resources

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11
Q

Medical disaster

A

Catastrophic event that results in casualties that overcome the health care resources

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12
Q

US Dept of Homeland Security

A

Created after 9/11

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13
Q

Disaster Principles

A

The degree of PREPAREDNESS often spells the difference between emergency and disaster

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14
Q

MCI

A

Mass casualty incident

Any incident that causes a large # of casualties to the extent that necessary resources become scarce

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15
Q

Mutual aid agreements

A

A hospital taking pts from a hospital because they don’t have enough resources

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16
Q

Internal disasters

A

disrupts routine and infrastructure

  • Fire/flood
  • Threat to staff/pt/visitor
  • Explosions/power failure
  • Worker strike
  • Loss of telecommmunication
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17
Q

External

A

Doesn’t affect infrastructure but taxes it resources

  • Multiaccident
  • Train derailment
  • Tornado with injuries
  • Boston marathon
  • Hurricane Katrina
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18
Q

what does the JC say about disasters?

A

Require hospitals to have detailed plans for both types of disasters
They myst address all potential scenarios (evacuation and role of staff)
-Need training and practice at least once a year

19
Q

Incident Command System

A

Federally mandated to coordinate personnel, facilities, equipment and communication in emergency situations
-Center of operations (safe, quiet place)

20
Q

HEICS

A

Hospital Emergency Incident Command system
Used by Health care systems
-Emergency preparedness coordinator is the liaison to HEICs
-National standardized action for disaster
-The administrator is the incident commander, if not, the nsg supervisor.
Need a EOC (emergency operations center)

21
Q

EOC

A

Emergency operations center, used for mass casualties, incidents, weather, power loss, pandemics.

22
Q

HEICS equipment

A 
vests
tool kits (name cards, who to call)
Carts
ER
Manual
23
Q

Response of hospital to disasters

A
  • Discharge noncritical pts

- staff changes (1 RN from each unit)

24
Q

Triage

A

Sorting pts to determine the priority of healthcare needs
NONdisaster: most critically ill pts receive most resources
DISASTER: the greatest good for the greatest number of people.

25
Q

NATO colors

A

North Atlantic Treaty Organization
Red: immediate tx, survival possible with minimal tx.
Yellow: delayed tx, can wait hours w/o threat to life or limb
Green: minimal tx, injuries are minor, can wait hours to days
Black: expectant, injuries are extensive, chance of survival unlikely, even with tx. Comfort measures needed.

26
Q

Man made unintentional distaster

A

Nuclear power plant accident

chemical spills

27
Q

Intentional man made disaster

A 
chemical
nuclear
radiological
explosion
acts of terror
Bioterrorism
28
Q

Greatest threats during disasters

A

food
water
shelter

29
Q

Terrorism

A

The use of force or violence (WMD) against persons or property, in violation of the criminal law o the U.S.
Purpose is to intimidate, coerce & create fear among the public.

30
Q

Acts of terrorism

A 
Chemical, biological and nuclear weapons
Threats of terrorism 
Assasinations
Kidnapping
Hijacking 
Bombscares &bombing
Cyber attacks
31
Q

Efforts to secure the Homeland

A

Respond to and recover from incidents that do occur

32
Q

Injuries

A 
burns
Traumatic amputations
Tympanic membrane rupture 
Shearing wounds
Lung blasts
Abdominal organs can be ruptured
33
Q

Anthrax

A

Highly debilitating available agent
Bacillus anthracis-aerobic Gm + spore
Infection: skin contact, inhalation and GI (not in US)
Toxin causes: hemorrhage, edema and necrosis
Skin lesions: edema, pruritis, macule/papule formation – ucleration, eschar formation
Inhalation : worse. Starts with flu like symptoms, reap. distress, hypoxias, hypotension, sepsis, shock. Death imminent 24-36 hrs after resp. distress

34
Q

Anthrax tx

A

Cutaneous: 60 day course PO Abxs (Cipro or doxy) 99% effective if started 24 hrs after exposure
Inhalation: 60 day cpro or doxy, high mortality
via aerosolized route.
No S&S same tx

35
Q

Clue of WMD use

A

Large number of people with same illness
healthy people ill
Unusual diseases (out of season)
Disease thought to be gone resurges.

36
Q

HAZMAT

A

hazardous materials by industry and the US government

37
Q

Things to know with HAZMAT

A

-how was the agent disseminated (dispersed)? liquid or gas
what is the volatility (rate that it evaporates)
Considerations: vapor density, odor, routes of entry
S&S: onset 4 hrs—cough, lung damage, burns, nose/throat irritation, death.

38
Q

Types of chemical weapons

A

Vesicants and nerve agents

39
Q

Vesicants

A

cause blistering (inflammation of reps, tract and death)

40
Q

Nerve agents

A

Most toxic/lethal
small amounts needed, cheap
easily dispersed
pesticides

41
Q

Decontamination

A

to make and individual/equipment safe by physically removing toxic substances quickly and effectively

42
Q

Decontaminate with

A

water
soap
bleech

43
Q

hot zone

A

Specified area

isolated

44
Q

Decontamination corridor

A

uphill and upwind

Management (1 decks)

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