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N473 > Final Exam - Week 5 > Flashcards

Final Exam - Week 5 Flashcards

1
Q

what are normal procedures suspended/extraordinary measures are taken to limit impact of hazard.

A

an emergency

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2
Q

What is suffering exceeds capacity of community to respond?

A

a disaster

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3
Q

What is a disaster in terms of needs and resources?

A

Needs>Resources

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4
Q

What is a mass casualty incident (MCI)?

A

numerous deaths, injuries, disabilities or emotional distress

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5
Q

What is an ability to expand care capabilities in response to a disaster?

A

surge capacity

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6
Q

What are stages of management?

A

prevention -> preparedness -> response -> recovery

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7
Q

What is most cost effective?

A

disaster management: prevention/mitigation

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8
Q

What is mitigation?

A

efforts to reduce the impact of disasters before they occur.

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9
Q

What is the 1st step to disaster management: prevention/management?

A

risk assessment

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10
Q

What is a process to determine the nature and extent of the probability of harmful consequences (risks) resulting from the interaction between hazards and vulnerabilities?

A

risk assessment

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11
Q

What 2 things equal risk assessment?

A

hazards + vulnerabilities

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12
Q

What 2 things is a risk assessment different from?

A

needs assessment (response) & community assessment (recovery)

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13
Q

What man-made hazards have the potential to cause a disaster in Southern Arizona?

A

idk

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14
Q

What are examples of man-made hazards?

A 
Accidental fires/explosions
Chemical spills
Car Accidents
Aviation or train crashes
Nuclear accidents
Power grid outage
Violence
Terrorism
Mass shootings
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15
Q

What are agents that can produce many casualties and pose a risk to national security through harm of our people and infrastructure, especially critical services?

A

Weapons of Mass Destruction (WMD)

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16
Q

What is the mnemonic that goes with Weapons of Mass Destruction?

A

CBRNE

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17
Q

What does the pneumonic stand for?

A
  • C - Chemical
  • B - Biological
  • R - Radiological
  • N - Nuclear
  • E - Explosive
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18
Q

What are class A biological agents that pose risk to national security?

A
  1. easily disseminated (not necessarily contagious)
  2. high mortality rates
  3. cause public panic and social disruption
  4. major public health impact.
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19
Q

What are agents that are class A biological agents?

A
  1. anthrax
  2. botulism
  3. plague
  4. smallpox
  5. tularemia
  6. viral hemorrhagic
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20
Q

What are examples of natural hazards?

A 
Drought
Floods/Flash Flooding
Severe Wind
Wildfires
Landslides
Dust Storms
Extreme Heat
Earthquakes
Natural Disease Outbreaks
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21
Q

What are nursing interventions for decreasing vulnerabilities?

A
  1. risk assessment - surveillance
  2. community education - health teaching
  3. immunizations - delegated functions
  4. screening
  5. advocacy
  6. policy development and enforcement
  7. coalition building
  8. community organizing
  9. disease and health event investigation
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22
Q

What are involved in preparedness?

A
  1. personal
  2. professional
  3. community
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23
Q

What are 3 ways for sheltering in place and evacuation?

A
  1. make a (to go) kit
  2. make a plan
  3. stay informed
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24
Q

How can you make a plan for sheltering in place and evacuation?

A
  1. evacuation
  2. contact information
  3. meeting place
  4. dependents care
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25
How can you stay informed for sheltering in place and evacuation?
1. UA Alert 2. Arizona Emergency Information Network 3. NOAA Radio All Hazards WXL30 4. Emergency Alerts 5. Twitter Alerts
26
What are 4 ways to have professional preparedness?
``` 1. prepare a "go to work" bag 2. duty to report 3. know your employer's disaster plan 4. understand the Incident Command System. 5. register to respond! ```
27
What are 2 paid opportunities for disaster nursing?
1. U.S. Public Health Service | 2. National Disaster Medical System Disaster Medical Assistance Teams
28
What kind of officers are in the U.S. Public Health Service?
Non-military uniformed and commissioned officers
29
What do people in the U.S. Public Health Service serve as?
FT federal employees
30
What is the purpose of the U.S. Public Health Service?
Health promotion, disease prevention and disaster response with underserved and vulnerable populations
31
What is the situation with volunteers and employees in the National Disaster Medical System Disaster Medical Alliance Teams?
Availability and training as volunteers. Deploy as temporary federal employees.
32
What does the ARS 26-314 Immunity and limited liability for emergency responders require?
Requires the state to provide liability coverage and legal defense to emergency workers who act within the scope of their assigned duties
33
What is the exception to the ARS 26-314 Immunity and limited liability for emergency responders require?
Willful misconduct, gross negligence or bad faith
34
What constitutes an emergency worker?
Means any person who is registered, whether temporary or permanent, paid or volunteer
35
What 4 things are involved in community preparedness?
1. working with planning groups 2. Teaching disaster planning to aggregates and communities. 3. Assisting communities develop and update disaster plans. 4. Practice drills
36
What are types of practice drills?
1. tabletops 2. functional exercises 3. full scale exercise
37
What are the nursing roles during a disaster response?
1. rapid needs assessment. 2. emergency and primary health care 3. shelter management 4. communicable disease control 5. behavioral health 6. community education
38
What is under emergency and primary health care as a nursing role for disaster response?
1. triage 2. mass preventative and curative care 3. care of chronic illnesses
39
What is under shelter management as a nursing role for disaster response?
special needs shelters
40
What is under communicable disease control as a nursing role for disaster response?
mass prophylaxis
41
What is the order in disaster response?
1. response 2. nursing roles 3. triage
42
What is a triage?
to sort
43
What two things is the response-nursing roles-triage based on?
1. Based on the need for immediate medical care | 2. Based on limited clinical data
44
What does the response-nursing roles-triage require?
requires recognizing futility
45
What does the response-nursing roles-triage consider?
resources/conditions
46
What is the response-nursing roles-triage main ethical principle?
utilitarianism
47
What does the response-nursing roles-triage assume?
Needs>resources and resources will be available in time
48
What are the disaster triage tools?
1. START 2. jump START 3. Triage Sieve 4. SALT triage 5. MASS triage 6. Care Flight triage
49
What are assessment categories that vary per tool?
1. ability to walk 2. presence of aspirations 3. respiration rate 4. Cap refill/perfusion 5. obey commands 6. pulse
50
What is the red-immediate disaster triage?
life threatening but treatable; requires immediate medical care
51
What is the yellow-delayed disaster triage?
potentially serious but can wait fora short while for medical care.
52
What is the green-minor disaster triage?
injuries; can wait for longer periods of time
53
What is the black disaster triage?
dying or dead
54
What is the gray disaster triage?
expectant; dying; requires palliative care
55
What 2 things are Response Strategic National Stockpile?
1. medical supplies and pharmaceuticals | 2. supplements and resupplies state and local agencies.
56
What is included in the strategic national stockpile?
``` Broad-spectrum antibiotics Vaccines IV fluids and admin kits Airway equipment Bandages Chemical antidotes PPE for health care workers Antitoxins Ventilators Chelating agents, Prussian Blue, Potassium Iodide, Growth Factors/Cytokines for WBCs Other drugs for emergency conditions ```
57
What is the nurses 1st role in recovery?
``` community assessment.... Basic needs Dependent/high risk populations Pets and presence of stray animals Infestations Child care/schools Sanitation Utilities Transportation Access to communication Prevalence of chronic disease/infectious diseases/mental health issues/injuries ```
58
What are nursing interventions in recovery?
``` Screening Referral & Follow-up Case Management Health Teaching Counseling Consultation Coalition Building Community Organizing Advocacy Social Marketing Policy Development and Enforcement Surveillance Disease Health Event and Investigation Outreach ```
59
What are the risks to populations post disaster?
``` Exacerbation of chronic health problems Mental Health: PTSD; depression; behavioral problems; exacerbation of pre-existing disorders (suicide???) Carbon monoxide poisoning Hypo/hyperthermia Injuries (CDC: Prevent injury after Disasters) Wounds Head trauma Broken bones Electrocution (downed power lines) Amputation (chain saw accidents) Drowning Eye Burns Infectious diseases (CDC: Prevent Illness after Disasters) Food and water borne illnesses (Hepatitis A, dysentery) Animal-borne (rabies and leptospirosis) Insect-borne Tetanus Mold ```
60
What is a nurse's other role?
mitigation
61
Why is mitigation critical?
because that's when people are most motivated
62
What does mitigation in a nurses role include?
1. lessons learned 2. evaluation of prevention and preparedness activities 3. planning for future hazards and disasters 4. prevention

N473 (16 decks)

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