Mixed
Safety teachings regarding water safety (Drowning)
What is?
• Constantly observe people who cannot swim and are in or around water.
• Do not swim alone.
• Test the water depth before diving in head first; never dive into shallow water.
• Avoid alcoholic beverages and substance use when swimming and boating and while in proximity to water.
• Ensure that water rescue equipment such as life jackets, flotation devices, and rope is immediately available when around water.
Staff Safety Considerations
What are:
⮚Recognize the potential for disease transmission
⮚Recognize the potential for personal safety needs
⮚Protect self and others by isolating patients as needed, and wearing PPE
⮚Security guard
⮚Metal detectors
⮚Panic buttons
⮚Remote door access
These are considered emergent (life-threatening) tier level.
What are respiratory distress, chest pain with diaphoresis, stroke, active hemorrhage, and unstable vital signs?
Treatment for altitude sickness includes these things.
What are slow ascent from height, ensure adequate hydration and nutrition, acetazolamide for acute mountain sickness, and provide oxygen?
Urgent or class II (major injuries that require treatment)
What is Yellow Tag?
Primary goal of Triage System
What is: Determine the acuity of the client's condition to determine priority of care.
Safety Considerations for Patient
What are:
⮚Fall risk
⮚Medical errors or adverse events
⮚Patient misidentification
⮚Skin breakdown
This triage tier level can wait several hours if needed without fear of detioration.
What is the nonurgent tier level?
These are expected findings of MILD hypothermia.
What are shivering, slurred speech (dysarthria), impaired cognition, and diuresis?
The patient is experiencing an allergic reaction to a bee sting. Nurses' first treatment is to:
What is administer EpiPen?
Severe signs and symptoms of Hypothermia
What is:
• Bradycardia
• Severe hypotension
• Decreased respiratory rate
• Cardiac dysrhythmias, including possible ventricular fibrillation or asystole
• Decreased neurologic reflexes to coma
• Decreased pain responsiveness
• Acid-base imbalance
Patient is presenting with active s/s of TB. The nurse should do what 1st?
What is place patient in a Negative Pressure Room?
Black tag for triage under mass casualty.
What is expectant or class IV, those patients that allowed or expected to die?
These are priority interventions for patients with a heat stroke at the HOSPITAL
What is: Oxygen therapy, IV infusion with 0.9% saline solution, insertion of a urinary catheter, and aggressive interventions to cool the patient.
1st thing to assess for whenever a patient comes in for a Snake Bite
What is Cardiopulmonary Status?
Patients are at high risk for cardiac arrest
Who are patient's who are severely hypothermic?
Pt arrives to ED with CPR in progress and spouse and family arrives. The nurse should say what to the family?
What is asking the spouse if they want to be present during CPR?
These patients require a red tag in the mass casualty triage system.
What are airway obstruction, shock, severe burns, major internal hemorrhage, cardiac injuries?
A patient with frostbite should receive what treatment prior to re-warming?
What is receive IV Pain Medication?
Interventions for ED staff after numerous traumas:
What is offer Crisis Support
What is: superficial cold injury that may produce pain, numbness, and pallor or a waxy appearance of the affected area but is easily relieved by applying warmth
These things should be considered when providing discharge instructions in any setting, but particularly in the ER.
What are reading level, primary language, and visual acuity?
To prevent return to the ER, education for the discharged patient is essential.
This tag is considered the "walking wounded".
What is the green tag under mass casualty?
Heat related prevention for the elderly focuses on these things.
What are hydration, prevent overexposure to the sun, rest frequently, stay indoors if possible?
The nurse does this during trauma deaths, suspected homicide, and abuse cases:
What is leave IV Lines, Indwelling Tubes in Place?