greatest good for the greatest number of people

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NUR 213 Unit 3

• disaster nursing

Answer greatest good for the greatest number of people

• Mass Casualty Incident (MCI).

Answer overwhelmed, can't meet needs, must triage casualty ill, injured, dead, missing

• disaster help.

Answer federal (FEMA) state/local Incident Command System. top down order/organization, 2 way communication hospital prep plan. chain of command, plans, practice 2/yr (J Co)

• level A PPE.

Answer SCBA, vapor-tight suit, gloves, boots (used for neurotoxins)

• level B PPE.

Answer same + chemical-resistant suit instead

• level C PPE.

Answer respirator, coverall + hood, chemical-resistant gloves/boots

• level D PPE

Answer . typical work uniform

• decon.

Answer hot. strip, belongings in biohazard bags, lead-lined if radioactive warm soap + water, no scrub 1 / 3

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cool can enter

• disaster triage.

Answer

• field. tag, stabilize? transport
• facility. re-assess, assigned area

black dead red intermediate/immediate yellow delayed green walking wounded

• START triage.

Answer

• Identify walking-wounded
• Approach non-green patients
• If the patient is not breathing, open the airway using a simple maneuver. If the patient still

does not breathe, label as black.

• If the patient breaths after opening the airway, label red
• If the patient is already breathing, check respiration rate. Label as red if >30 or

<10

• If the patient has normal respirations, check radial pulses. Label is red if pulses are absent or

cap < 2

• Assess neurologic status and ask if they can follow simple commands. If they cannot, label

as red. If they can, label as yellow

• JumpSTART triage.

Answer younger than 7 or less than 100 lbs

• radiation contamination.

Answer inner breathe-in, swallow (meds K iodide, Prussian Blue, DTPA)

outer must decon

• radiation decon.

Answer isolation precautions cover floor, seal vent/air double bag + label "radiation waste" + toss PPE dosimeter, level B PPE + lead-lined vest 2 / 3

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• acute radiation syndrome.

Answer mild red skin serious organ damage, hair loss, cancer, death (hrs-days)

• biological weapons.

Answer precautions rt disease; spreads quick + far

• anthrax (eat, inhale, skin)
• smallpox (airborne) can lead to SIRS
• blast events.

Answer keep person on phone, activate help, get info primary barotrauma (lungs, GI, ear) secondary projectiles... penetration tertiary thrown, structural collapse quaternary execrations (e.g., asthma), burns

• active shooter

Answer . run, hide, fight; hospitals at R; can report without violating HIPPA

• chemical weapons.

Answer vesicants burn, flash pulmonary edema, eye irrigation nerve agents. ‘ACh... CNS failure... death tx atropine, supportive plastic will absorb

• blizzards.

Answer power outage, MCV, generators

• volcanos/wildfires

Answer . burns, inhalation injuries

• floods.

Answer drowning, hypothermia, dangerous/contaminated water, snakes

• tsunamis.
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