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Public Health
Nursing in a Disaster
Question | Answer |
---|---|
What is the most common natural disaster world wide and leading cause of weather-related deaths in the US? | flooding |
What is a multiple casualty incident? | One in which there are more than two but fewer than 100 persons injured. |
What is a mass casualty incident? | A situation with a large number of casualties, usually 100 or more, that significantly overwhelms available emergency medical services, facilities, and resources. |
What disaster can be either man-made or naturally occuring? | fire |
What is a secondary agent? | Anything that causes injury or harm AFTER the primary agent has caused destruction. Ex: viruses, damaged buildings. |
Name 4 factors that affect the scope and severity of a disaster. | Vulnerability of a population/individual; environmental factors and type of impact; warning time and proximity to disaster; and individual perception and response |
What dimensions of a disaster influence the nature and possibility of preparation planning and response to the actual event? | predictability, frequency, controllability, time, and scope and intensity |
Why does greater frequency of a natrual disaster within a geographic region (such as hurricaines along the Gulf Coast) not always correlte with better preparedness? | Some citizens become immune to repeated warnings and are less likely to seek shelter to protect themselves when warned. |
What is an example of a mitigating measure in an area prone to hurricaines? | Houses, buildings, and bridges are built to a higher standard of wind resistance. |
Contrast scope and intesnsity. | Scope is the area impacted by disaster whereas the intensity is the disasters ability to inflict damage/injury. |
What is a critical component of pre-disaster phase preparation? | Education of the public to encourage individual preparedness. |
What factor, initiatied in the pre-impact phase, is most crucial to preventing loss of life and minimizing damage? | Giving the earliest possible warning. |
What roles might a CHN be assigned during the warning (preimpact) phase? | Assist in preparing shelters, assist with emergency aid stations, and establish contact with other emergency service groups. |
At what point is the impact phase over? | When all threat of further destruction has passed and the emergency plan is effect. |
What are the nurses responsiblities during the impact phase? | Assessing health needs and providing physical and psychological support to victims in the shelters. Injured persons are triaged, morgue facilites are established and coordinated, and search and rescue activites are organized. |
What are the two components of the postimpact phase? | Emergency and recovery. |
When does the emergency phase end? | When there is no longer any immediate threath of injury or destruction. |
When does the recovery period occur? | It begins during the emergency phase and ends with the return of normal community order and functioning. |
What are the 4 phases of community reaction to a disaster? | Heroic, honeymoon, disillusionment, and reconstruction. |
Delays in what phase of community response can cause an INTENSE emotional response? | The reconstruction phase: a reaffirmation of belief in teh community when new buildings are constructed. |
A comprehensive emergency management plan adresses what four areas? | Mitigation, preparedness, response, and recovery. |
What agency was established in 1979 to coordinate all available federal disaster assistance? | FEMA |
What levels of disaster does FEMA resond to? | All moderate (level II) and massive (level I). |
What biological hazard has the CDC developed recommendations for and plans for mass immunization of health care workers and emergency personnel if the need arises? | smallpox |
Congress granted a charter to what organization in 1905, giving them the authority to act as the PRIMARY VOLUNTARY national disaster relief agency for the American people and to be ready for immediate action in every part of the US? | The American Red Cross (ARC) |
What two strategies have been developed to coordinate and reduce duplication of services during a disaster? | The Incident COmmand System and the EOC (Emergency Operations Center). |
Name the five services provided by the ARC during disaster relief. | Damage assessment, mass care, health services, family services, and disaster welfare inquiry service. |
List the five category color-coding for triage from most urgenty to least urgent. | Red, yellow, green, black |
What are the four stages of emotional response that victims of disaster progress through? | Denial, strong emotional response, acceptance, and recovery. |
What three criteria define PTSD? | The person experienced fear/horror during exposure to a traumatic event, the person re-experienced trauma through flashbacks, dreams, or triggering events, AND the person avoids things that remind him/her of the trauma. |
Are nurses who function on assessment teams expected to render immediate first aid? | No, they expected perform casualty damage assessments only. This information is cruicial in determining the emergency needs and plan for appropriate equipment and personnel needs. |
As a volunteer during a disaster, what Act protects a nurse from liability through grants of immunity? | The Good Samaritan Act of the state. |