Disaster Safety and Assess Hazards Flashcards

1
Q

What are the ABCs of scene safety action plan?

A

Awareness of hazardous conditions
Barrier needed for protection
Communication information

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2
Q

What are secondary hazards?

A

An addition to the primary event that may not be completely obvious
A risk to victims and rescuers

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3
Q

What are the first things to do in a hazard situation?

A

Protect yourself

Get out, call 911, follow scene priorities, all-hazard consideration, restrict access

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4
Q

What are the scene priories of protection?

A

Protect self, then team, then public, then patients, then environment

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5
Q

What are the scene environment “U”s?

A

Unsafe, uncertain, unpredictable

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6
Q

What are the scene caveats?

A

Don’t show up uninvited
Don’t disturb possible evidence
Don’t disrupt emergency services

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7
Q

What should be done with a suspicious package?

A

ID - inappropriate/unusual labeling
Do not open, shake, examine or show it
Wash hands and call 911

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8
Q

What are some considerations for a chemical incident?

A

Safe zone uphill, upwind, secondary contamination, must wear PPE, secondary threats and environment

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9
Q

What are some considerations for a biological incident?

A

Delayed presentation, health care facilities become scene

Community issues, isolate ill, observe exposed, PPE

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10
Q

What are some considerations for a radiological incident?

A

Hazards - contaminated victim, continued release, fallout, windborn spread, PPE

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11
Q

What are some considerations for a nuclear incident?

A

Get out! Probably not terrorist

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12
Q

What are some considerations for a natural disaster?

A

Scene variability, danger from secondary threats, evac and rescue

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13
Q

What are some considerations for explosives?

A

Location of contamination/dispersal
Do not enter area w/ explosives, on-going threat, immediate evac
Cell phones, pagers and electronics - danger

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14
Q

What are some secondary dangers?

A

Structural instability

Falling debris

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15
Q

What are some critical considerations for personal protection equipment?

A

Minimize contact, protect orifices, proper training and fitting, no one type protects against everything, may create work hazards

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16
Q

What should be considered when choosing a PPE?

A
Immediate Danger to Life or Health?
The agent
Release method
Confined space?
Release site proximity (Hot/Warm zone)
Job duties during the event
17
Q

Describe a level A PPE.

A

Fully encapsulated suit, provides the maximum protection, uses a self-contained breathing apparatus on the inside, fully encapsulating and includes chemical resistance boots and gloves
Need assistance to get in or out of

18
Q

Describe a level B PPE.

A

Provides high respiratory protection but has less skin protection, uses a self-contained breathing apparatus, hooded chemical resistant suit, which does include the boots and gloves

19
Q

Describe a level C PPE.

A

Powered air-purifying respirator (PAPR), hooded chemical resistant clothing, chemical resistant boots and gloves
Suitable for decontamination

20
Q

Describe a BIO-PPE.

A

Double gloves, impermeable gowns, goggles, cap, leg and shoe covers, N95 mask or better respirator, hand hygiene
Suitable for most hospital situations

21
Q

Describe a level D PPE.

A

Minimum protection, no respiratory protection, standard work uniform, standard OSHA personal protective barriers

22
Q

What is the universal respiratory etiquette strategy for healthcare faculties?

A

Give surgical masks/cough barriers, provide hygiene supplies in waiting areas, encourage coughers to be 3 ft away, construct barriers between staff and sick

23
Q

What should be used to figure out which hospital PPE to use?

A

Hot zone - casulaty collection Level A
Warm zone - triage and decontaminate Level B or C
Cold zone - treatment/transport Level D or BioPPE

24
Q

What are some types of respiratory protection?

A

Self contained breathing apparatus
Supplied air respirator
Powered air purifying respirator
Air purifying respirator

25
Q

Which PPEs are a fit test required for?

A

N95 or greater

26
Q

What is decontamination?

A

Rapid removal or deactivation of contaminants as soon as possible even with incomplete info
Reduce amount and spread of contaminants

27
Q

Who should you decontaminate?

A

Everyone who may have been contaminated by a chemical, radiological, nuclear (or biological) agent

28
Q

How do you decontaminate?

A

Dry = undress
Wet = undress +solution
Soap and water vs dilute bleach

29
Q

Describe gross decontamination.

A

Close to location, non-ambulatory, casualty collection, privacy, ambient and water temp (hypothermia)

30
Q

Describe technical decontamination

A

Close to the gross location, privacy, ambient temp and water (hypothermia), fresh clothing needed

31
Q

What should be done during post-decontamination?

A

Observe the location and monitor delayed symptoms, psychological support, specific treatment