Emergency Care and Disaster Preparedness: AC3 Exam 2 Info Flashcards
(25 cards)
What does SBAR stand for in the context of communication in the ED?
Situation, Background, Assessment, Recommendation
What should be included in the ‘Situation’ component of SBAR?
Reason for visit and admitting diagnosis
In SBAR, what does ‘Background’ refer to?
Pertinent PMH (ex: implantable devices or hx of transplant)
What is assessed in the ‘Assessment’ part of SBAR?
Unexpected findings or critical diagnostic results
What does the ‘Recommendation’ section of SBAR entail?
Transmission-based precautions, interventions provided, future or in-progress interventions
Which populations are considered vulnerable in the ED?
- Children
- Elderly
- Abuse victims (mandatory reporting)
- Homeless/poor/uninsured
- Mental health/substance abuse
What are key competencies for ED RNs?
- Patient assessment
- Priority setting
- Critical thinking/decision-making
- Time management
- Multi-tasking
- Documentation
- Communication
- Adaptability
What certifications may ED RNs seek?
- BLS
- ACLS
- PALS
- Trauma nursing core course
- Certified emergency nurse (CEN)
What is the responsibility of triage in the ED?
It is the registered nurse’s responsibility and cannot be delegated to LPN
What are the three tiers of triage?
- Emergent (life-threatening)
- Urgent (quick treatment needed)
- Non-urgent (can wait)
What is the appropriate communication with family when death occurs in the ED?
Be straightforward and concrete when relaying info
What are the levels of trauma centers?
- Level I: Full spectrum of trauma services, research required
- Level II: Care for most injuries, transfers if needed
- Level III: Stabilizes major injuries, transfers if needed
- Level IV: Basic trauma stabilization, ACLS capabilities
What is the difference between blunt and penetrating trauma?
- Blunt: MVA, fall, assault with fist, kicks, or bat
- Penetrating: Wound from knives, bullets, or fragments
What is involved in the primary survey during trauma assessment?
- Airway and cervical spine
- Breathing
- Circulation
- Disability
- Exposure
What is the lowest GCS score?
3
What does ‘Exposure’ refer to in the primary survey?
Remove all clothing for complete physical assessment and consider exposure to cold or heat
What is the purpose of secondary survey in trauma care?
Comprehensive head-to-toe assessment after stabilization
What defines an internal disaster?
Occurs within the hospital (e.g., power outage, flood, fire)
What defines an external disaster?
Event outside the healthcare facility (e.g., hurricanes, earthquakes)
What is the tagging system in mass casualty triage?
- Emergent (red tag)
- Urgent (yellow tag)
- Nonurgent (green tag)
- Expectant (black tag)
What does START triage stand for?
Simple Triage And Rapid Treatment
What is the role of the hospital incident commander?
Assumes overall leadership for implementing the emergency plan
What is the role of the triage officer in disaster management?
Rapidly evaluates each patient to determine priority treatment
