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Module 7 > Disaster Planning Emergency Response > Flashcards

Disaster Planning Emergency Response Flashcards

1
Q

Disaster

A

A catastrophic event that ends to major property damage , a large number of injuries , displaced individuals or major loss of life

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2
Q

Catastrophic human engineer failure

A

Bridge collapsing
Train coming off the tracks
Building collapse

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3
Q

What do we want to be informed about

A

City layout
Where am i in the belt of weather

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4
Q

No matter what happens i am still accountable for

A

My practice act , we wouldn’t be placing IV and stuff like that

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5
Q

Pre impact phase

A

Communication is critical
With EMS , city and hospitals

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6
Q

Impact phase

A

Protection for first responders
Don’t get in their way .. we are their helpers

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7
Q

Post impact phase

A

Evaluation
After actual disaster
May be as little as 2 hours or may last longer time..
( may take years to repair)
Longest of 3 phases
Scam artist prey on victims during this time
All things we have done as a city and community

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8
Q

Disaster phases

A

Pre impact
Impact phase
Post impact phase

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9
Q

External emergency

A

Tornado , flood, fire, bad storm

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10
Q

Internal emergency

A

Fire within building, active shooter, electricity outage, a tree fell into wall or window

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11
Q

What may a nurse help with during a disaster

A

Warm blankets
Waters
Directing traffic , helping EMS , , serving needs of others

It may be physically dangerous conditions

Act as if every down utility pole is in water

Keep in mind nursing practice act

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12
Q

Casualty

A

Does not just mean dead , it means injured, dead, dying
Important to know language

Involves large #s >1000 ( comes in all shapes and sizes)

Overwhelming for staff

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13
Q

Colored tags

A

Green , yellow , red. Black

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14
Q

Green

A

Walking wounded
Walkie talkie , least injured , require minimal or no treatment

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15
Q

Yellow tag

A

Hurting more than green but dont have to be treated right away - do not meet red criteria and can’t walk maybe

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16
Q

Red tag

A

We are more concerned about pt who needs help breathing or assistance with opening airway

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17
Q

Black tag

A

People who are expected to diet
Put aside and treated for comfort w families
60% burn pt not likely to survive and probably will be black tagged
Treated for pain management

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18
Q

You have a pt with a distended tender abdomen , sucking chest womb, and a pt can’t stop crying .. how would you tag these folks and a pt burned 60 %

A

Sucking chest womb- red
Distended tender abdomen - yellow
Pt can’t stop crying - green
Pt burned-black tags ( but give fluid)

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19
Q

K

A
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20
Q

How can we get a total # of casualties a hospital can expect

A

Doubling # of casualties that arrive in first hr

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21
Q

We a pt scared and crying, a pt with broken arm and no other injuries, pt killed in accident , sucking chest womb person and a scalp laceration.. who do we see first ?

A

Sucking chest womb
Scalp laceration
Pt scared and crying ( to avoid panic environment)
Pt with broken arm

And we would not see the person who got killed in the accident

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22
Q

What tag is an open fracture

A

Red

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23
Q

What tag is a closed fracture

A

Yellow

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24
Q

Anthrax - how is it treated

A

Ciprofloxacin (cipro)

( Haylee- ketorlorac and Levofloxacin )

Anthrax is from sheep

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25
Q

Plague

A

Alive and well

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26
Q

Tularemia

A

Blood born disease

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27
Q

Small pox treatment

A

Varicella or variola

( not iraticated)

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28
Q

Botulism

A

Paralyzes the respiratory system ( easy to obtain and spread- prone in a salad bar)

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29
Q

What is a hemorrhagic fever associated with?

A

Ebola

Treat the symptoms and hope for the best

30
Q

Center of disease control has

A

Viruses locked up from a long time ago so we can keep vaccines

31
Q

What does sarin effect?

A

Organophosphate
From pest control or fertilizer
Nerve component
Atropine
2pam ( pralidoxime) binds with the nerve gas and removed from the body
sarin is so toxic and cause death within minutes

32
Q

Ethics.. if we never had an outbreak of disease in a country .. should we allow other works to go to another treatment to treat and they contract a disease .. do they come home and get treated

A

Can be bought home and treated

33
Q

Chemical agents

A

Sarin
Phosgene
Hydrogen cyanide
Mustard gas

34
Q

Phosgene

A

Colorless gas
Effects pulmonary system
Normally used in chemical manufacturing ( easy2obtain)

35
Q

Hydrogen cyanide

A

Blood born

36
Q

Mustard gas

A

Causes blister / vesicants

37
Q

Organophosphate poisoning s/s

A

Slobbering , diarrhea, lose control of bowel and bladder
Give atropine &2pam

38
Q

If a medic comes in with organophosphate poisoning .. what do we prepare to give

A

Atropine
2pam

39
Q

National stockpile

A

Free for any hospital facility
Can be airdropped within 24* to 36 hours within notifying them
Do not send hospital personnel

40
Q

Main danger from RDDs radiologic dispersal devices

A

Ionization radiation ( what happens to us)
Exploding bomb ( bomb damage is most important)

41
Q

What is prioritized after ALS ( advanced life support)

A

Decontamination

42
Q

If a ppl come and said we have been exposed to radioactive bomb

A

We are going to take the exposed pt and self and go around back where they can be decontaminated

43
Q

What’s done after decontamination

A

Don’t let them be in waiting room , get isolated
After though vitals and whatever comes first

44
Q

What does decontamination prevent

A

Secondary exposure

45
Q

What does decontamination increase

A

Chances for survival

46
Q

What do you use to decontaminate

A

Soap and water, and pat dry

47
Q

What does an explosive device result in

A

Blast, crash or penetrating , crush injuries , burns , hearing loss

Effects hallow organs ( the closer you are the more damaged)

Shock wave done damage to internal organs ( jumbled everything up)

48
Q

What do we do w pt involved with explosive devices

A

Comfort care
Usually black tagged

49
Q

Who does all the tagging

A

EMS

Once you’ve been tagged yellow and pt comes in and we assess them we can up tag them to red.

We can’t tag down pt.. they are what EMS said

50
Q

What can a pt have that causes us to vent them

A

ARDS

51
Q

What do you do when you receive Bomb threat

A

Ask questions
Listen for back ground sounds
The callers voice
Remain calm

52
Q

Questions to ask during a bomb threat

A

Where is the bomb
What does it look like
What will cause it to explode
What building is it in
What floor is it on
What is your name and address
Did you place the bomb and why
Do not hang up , extend the call as long as possible, listen to the callers voice
Do you hear a stutter , an accent , nervous speech impediment

53
Q

Questions to ask during a bomb threat

A

Where is the bomb
What does it look like
What will cause it to explode
What building is it in
What floor is it on
What is your name and address
Did you place the bomb and why
Do not hang up , extend the call as long as possible, listen to the callers voice
Do you hear a stutter , an accent , nervous speech impediment

54
Q

After bomb threat call is complete

A

Immediately call IUPD on a landline phone to relay the information to the dispatcher
Do not move suspicious objects
Do not use radios , pagers, or cell phones as they can trigger an explosive device

55
Q

What should you never tell a bomber

A

We’re going to find you
Don’t use threatening language or hang up .. even if they hang up first .. dont hang up

56
Q

The general population may want to be helpful but what can we do

A

Initiate CERT training to make sure they are certified CPR , have first aide class to put on dressing
Teach them danger of disaster and what roles they may play for us.. they may direct traffic , or pass out blankets or sandwiches

Willl be in the way if not properly trained

57
Q

national disaster medical system organizes and trains who

A

DMAT ( disaster medical assistance teams )
Trained to treat lots of people (level 1 800 ppl )
The hospital has to support the team , put on special pay, special supplies and equipment
Must show up to the area within 8 hours

58
Q

Critical incident stress management

A

Site must be secured before anyone can go to site -FIRST
Group discussion so people can verbalize and validate feelings and emotions about the experience

What they saw, what they heard, and how they feel..to keep people working and to avoid breakdowns

Available in the hospital as well

59
Q

Who all has disaster plans

A

Hospital plans , city plans

60
Q

Surge capacity

A

The total # of ppl you can have in a hospital

No such thing in a disaster
Team has to have plans and know what’s going on becuase we have to take them

61
Q

Lockdown plan

A

The hospital alone has a lot of outside doors and we can get overwhelmed in a matter of moments

So have 1 door in and 1 door out

62
Q

Staffing plan

A

Call down list in an emergency if staff is short
They are expected to go in

63
Q

What happens if plant exploded and 150 people are on the way to the hospital

A

Activate disaster plan
Everyone has a job, discharge pt, move pt
If pt hasn’t had anything invasive they will be discharged somewhere else with a cot ( nurses will be there)

Activate hospitals emergency response plan- take to the chain of command

64
Q

How do we increase surge capacity

A

Reverse triage
- see who needs to be discharged but not out into chaos but have a place with cots and lounge chairs they will stay with nurses

65
Q

Who gets discharged at hospital when the activated disaster plan is going

A

Pt who got their tonsils removed
Elective cataract surgery goes home

66
Q

Who can’t get discharged when disaster plan is activated

A

Person with active chest pain

67
Q

What can a nurse delegate to the student nurse

A

Wheel the discharge pt out , can’t do anything invasive without another nurse

68
Q

First rule in an emergency

A

Keep yourself and staff safe
( they can make sure that family is safe so that they will and can work)
Arrangements must be made for a place to rest or have a meal and a place for families to be close and present

Make plan for pets

Watch for contaminated water

69
Q

What can we do when it comes to intruder safety

A

Prepare ourselves and kids both physically and mentally

70
Q

What fact can’t we dismiss when it comes to radiologic /nucear explosions

A

Acute radiation syndrome after substantial exposure to ionizing radiation

71
Q

Emergency management team/disaster task force

A

Incident command
Disaster plans
Surge capacity
Lockdown plan
Staffing plan

72
Q

As a triage nurse - activate the hospitals emergency response plan- what does that mean for me?

A

I took the call - take call to Supervisor or up chain of command

Module 7 (25 decks)

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