Chapter 15-Security & Disaster Plans

Question 1

Levels of triage

Answer 1

Emergent or immediate category (Class I)
•Highest priority to clients who have life threatening injuries but also a high possibility of services once stabilized

Urgent or delayed category (Class II)
•Second highest priority is given to clients who have major injuries but are not life threatening

Nonurgent or minimal category (Class III)
•minor injuries not life threatening

Expectant category (Class IV)
•clients who are not expected to live (injuries too extensive)

Question 2

Discharge/Relocation of Clients

Answer 2

• ambulatory clients requiring minimal care
• clients requiring assistance and arrangements have been made for continued care
• clients are unstable and are relocated

Question 3

Fire Evacuation

Answer 3

Horizontal evacuation first, then vertical if necessary.

Question 4

Thunderstorm/Tornado

Answer 4

• draw shades and drapes for shattering
• lower beds to lower position away from windows
• place blankets over bedridden clients
• close all doors
• relocate as many ambulatory clients as possible to hallways
• don’t use elevators
• monitor weather.

Question 5

Biological Pathogens

Answer 5

Bioterrorism is the intentional release of pathogens that can harm people, livestock, or crops.

Early detection and management is key.

Manifestations similar to other illnesses.

May need to use decontamination/isolation procedures.

Protect self and others.

Question 6

Chemical incidents

Answer 6

• maintain clients ABC
• remove chemical by irrigating skin with running water, but brush off dry chemicals.
• gather all possible info including name and concentration of chemical, duration of exposure)
• follow facility emergency response plan

Question 7

Hazardous material incidence

Answer 7

• Take measures to protect yourself and avoid contact.
• approach scene with caution
• Identify material
• decontaminate individuals as soon as possible, don gloves, gown, mask, and shoe covers.
• use water and antibacterial soap
• carefully and slowly remove contaminated clothing, place and bag and seal.

Question 8

Radiologic incidents

Answer 8

• Amount of exposure related to duration of exposure
• Cover floors and furniture, air vents and ducts, dispose according to procedure.
• Wear water resistant gowns, double glove, fully cover bodies with caps, shoe covers, masks, and goggles.
• Decontamination was soap, water, and disposable towels, after decontamination re-survey clients for residual contamination.

Question 9

Nuclear incidents

Answer 9

Can result in long term contamination, burn injuries, and puncture wounds.

Decontamination as necessary.

Question 10

Explosive incidents

Answer 10

Can cause burn injuries, wounds from airborne fragments, force due to altered air pressure, and temperature changes

Question 11

Bomb threats

Answer 11

Extend the conversation as long as possible

Listen for distinguished background noises

Note distinguishing voice characteristics of the caller

Ask where and when the bomb is set to explode

Know whether caller is familiar with layout

Notify appropriate authorities and personnel

If the device is located do not touch it, clear the area and isolate the device by closing doors

Keep elevators available for authorities

Try to remain calm and not alarm clients

Question 12

Active shooter situation

Answer 12

Follow run, hide, fight.

Question 13

Nurses roles in security plans

Answer 13

Security measures include an identification system, electronic security systems in high-risk areas, key code access, wristbands, alarms integrated with closed circuit television cameras.

Nurses should prepare to take immediate action when breaches in security occur.