Name that organization!
this organization is made of of emergency department health care providers and nurses. The specialize in knowing how to care for patients exposed to nuclear radiation, pandemics, and chemical events.
A. American Red Cross
B. FEMA
C. the Peace Corps
D. Hazmat team
D. The hazmat team specializes in nuclear, biologic, and chemical events.
What are the 4 steps of FEMA?
A. Preparedness, mitigation, recovery, response
B. Response, mitigation, preparedness, recovery
C. Mitigation, response, preparedness, recovery
D. Mitigation, preparedness, response, recovery
D. Mitigation, preparedness, response, recovery
What group of patients are considered emergent!
A. Asthma attack, seizure, allergic reaction, head injury
B. broken arm, laceration to the head, contusion to the back
C. Penetrating trauma, chest pain radiating down the left arm, cardiac arrest, stroke alert
C. This category is emergent and needs to be treated right now to prevent death
A. Identifying problems that pose and immediate threat to life
B. Stabilization of each ABC before moving on
C. Complete head to toe assessment to gather big picture info.
D. Looking at both subjective and objective data to form an opinion.
A. A. Identifying problems that pose and immediate threat to life
and
B. Stabilization of each ABC before moving on
C and D match the secondary surgery of a trauma patient
Describe a level 1 disaster that FEMA cares for.
A. Moderate disaster, likely to result in presidential declaration of a national disaster, and moderate federal assistance.
B. Minor disaster with minimal damage that could maybe result in a presidential declaration of a state of emergency
C. Massive disaster with significant damage, presidential declaration of a disaster with major federal involvement and full engagement of federal, regional, and national resources.
C. level 1 is considered a MASSIVE DISASTER like 9/11
Which organization would we call in if we had a flood in northern Arizona that affected around 500 people. It did not effect the whole city, there is still running water and electricity but around 500 people lost their homes and need shelter and immediate care?
A. Peace Corp
B. Hazmat team
C. American Red Cross
D. FEMA
C. American Red Cross
- the American Red Cross is used to provide basic need to the community in a time of disaster and is focused on smaller disaster relief. FEMA focuses on much larger scale and long term help to communities.
what phase of FEMA is being described?
The phase focuses on plans for rescues, evacuation, and caring for victims. It plans for training rescuers, plans for gathering equipment and materials needed to help. This step develops and tests emergency response system, plan to have enough supplies like PPE and N95s, they plan for a central location for food, water, clothing, shelter, and supplies to be given out.
A. Mitigation
B. Preparedness
C. Response
D. Recovery
B. Preparedness: this whole phase is focused on knowing exactly how to plan for a disaster and to make sure we have all the supplies, people, and plans in place to adequately care for a disaster.
What patients would be considered Urgent (yellow zone)?
A. Severe dyspnea, an open femur fx, suspected pelvic fracture
B. Humerus fracture, a suspected ACL tear, N/V with abdominal pain
C. Open tibial fracture with a +2 pulse, an asthma attack, a suspected concussion
C. These patients still have the potential for complications (ie. compartment syndrome, respiratory distress, increased ICP) however right now they can be monitored closely while other patients receive care.
Normally with a trauma patient primary survey, we will follow the ABCs and add in DE at the end. If you have a patient that arrives to the ED with no pulse, how does that change?
We go based on CAB now.
Match the appropriate LEVEL 2 disaster that FEMA would take care of?
A. Moderate disaster likely to result in presidential declaration of disaster and moderate federal assistance.
B. Massive disaster with significant damage with a presidential declaration of emergency with major federal involvement.
C. Minor disaster with minimal damage that could result in the presidential declaration of an emergency.
What organization help to provide disaster relief and is free to federal and local communities. They help to develop and test disaster plans and train for emergencies. In a disaster they provide the community with education, resources, and shelter. All in all, they provide the basic needs to the community in time of a disaster. This organization is completely volunteer driven.
A. American Red Cross
B. FEMA
C. Hazmat team
D. Doctors with no borders
A. American Red Cross
What phase of FEMA is being described: This plan focuses on looking at what actions or measures can be taken to reduce the damage of a disaster or to prevent the disaster from occurring. This phase determine if there are enough resources to take care of vulnerable populations, and determine the availability of resources and community health personnel to facility help and minimize chaos if a disaster happens.
A. Mitigation
B. Preparedness
C. Response
D. Recovery
A. Mitigation phase focuses on trying to minimize or prevent the impact of disaster. This is done by looking and surveying the community to determine what resources are already there. An example would be this group would have people sand bag all their houses and put wood on their windows to prevent the damage of a hurricane.
What types of patients should be classified as non urgent priority 3 (green zone)
A. cough and sore throat, large laceration on the arm from a fall, a tumble down the stairs resulting in a hematoma on the R buttocks as well as a twisted ankle
B. A patient from a MVA with a large bleeding head laceration with a GCS of 3, A patient from the ER waiting room who was brought in by his wife for slurred speech, R sided weakness, and blurred vision beginning 30 minutes ago
C. A patient with an active asthma attack, a patient who is having an active seizure, a patient who fell down the stairs and has a large goose egg on their head.
A. These patients are not urgent at all. They can wait and have very little chance of a complication occurring.
What is the difference between the primary and secondary assessment of the primary survey?
A. Primary assessment = ABCs to stabilize and Is based on subjective an objective data. Secondary assessment is completed at the same time and takes a look at DE which is disability and environmental exposure. We treat them all based on severity at the same time.
B. Primary assessment= ABCs to stabilize and is based on objective data only. We do not move on from one to another until each is stable. Secondary assessment= after primary focuses on DE (disability, exposure) which are less life threatening but still important.
B. Primary assessment= ABCs to stabilize and is based on objective data only. We do not move on from one to another until each is stable. Secondary assessment= after primary focuses on DE (disability, exposure) which are less life threatening but still important.
Describe a level 3 disaster that FEMA would care for?
Minor disaster
minimal damage
could result in a presidential declaration of emergency
What organization is federally funded and focuses on large scale disasters that need long term mobilization of resources and help. This group typically approaches disasters systematically with a 4 step process.
A. FEMA
B. American Red Cross
C. Hazmat
D. PEETA
A. FEMA
What phase of FEMA am I describing? This phase occurs when there has been a disaster and now the action plan is put into action. It may take a couple of days for FEMA to mobilize in the location and to get all the nesecasrry supplies. The primary concerns are going to be keeping a safe scene, and the physical and mental health of the victims and the 1st responders.
A. Preparedness
B. mitigation
C. Response
D. Recovery
C. Response.
When we are triaging someone in the field, how is it different if you are the first person there vs when other show up to help?
When you first show up if you are the only person on scene, you go to the most critical patient and begin offering them the basic life support that we can. When other show up it is time to initiate mass casualty protocol and start triaging 1 by 1 regardless of severity
What is a secondary survey and when is this performed?
A. Secondary survey is performed in trauma settings after the primary survey and the pt is stabilized. It focuses on the model AMPLE and gathers objective and subjective info.
B. Secondary survey is performed in trauma settings after the pt is stabilized. It focuses on gathering data that could have contributed to the emergency using the ADPIE model.
A.
Select all that apply: Which of these are the nurses role in disaster planning?
- A. wait until a disaster happens to know the plan
B. keep a personal preparation bag with equipment, etc
C. participate in mock disaster drills
D. ignore the training modules and let them play in the background when discussing emergency planning
B.
C.
A. FEMA focuses on large disaster areas like hurricane Katrina whereas ARC focuses on providing shelter and resources for smaller more manageable disasters or may show up and help wile FEMA tries to mobilize supplies and teams.
B. FEMA is federally funded and can only help when an event is declared a national emergency. ARC is volunteer based so they can go to any disaster and provide resources to a large scale disaster.
A. FEMA focuses on large disaster areas like hurricane Katrina whereas ARC focuses on providing shelter and resources for smaller more manageable disasters or may show up and help wile FEMA tries to mobilize supplies and teams.
What phase of FEMA is being described? This phase focuses on returning the community back to the original state including preventing long term negative effects. The goal is to rebuild personal, economic, and environmental buildings back to a health and stable living condition.
A. Mitigation
B. Response
C. Recovery
D. Preparedness
C. Recovery
What are the levels of zone from least to highest priority in the ED triage.
A. Red, yellow, Green
B. Green, Red, Yellow
C. Red, green, yellow
D. green, yellow, red
D. green, yellow, red
green = non urgent
yellow= urgent
red= emergent
Explain the difference between the primary survey an the secondary survey.
Primary survey is used in trauma
- secure the ABCs. each is secured before moving onto the next . if coding then CAB. once complete add on secondary assessment of DE
Secondary survey is used after the patient is stable. Obtain objective and subjective data using the AMPLE model.
What are some ways nurses can be prepared for an emergency?
2. know your employers and community emergency plans
3. maintain CPR and disaster certifications
4. Prepare emergency response items --> copy of license, personal bag containing (stethoscope, BP cuff, first aid kit, cash, warm cloths, stuff to write and record)