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NUR265 DISASTER PREPAREDNESS – NUR265 – NURSING PROGRAM – COMPREHENSIVE DISASTER RESPONSE, TRIAGE, AND BIOTERRORISM STUDY GUIDE A+ ALREADY GRADED LATEST VERSION

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This document covers disaster preparedness and emergency management in nursing, including disaster phases, mass casualty response, START triage, incident command systems, decontamination procedures, radiation emergencies, and psychological responses to disasters. It also reviews biological, chemical, nuclear, and radiological threats, including disease agents, toxic exposures, treatment principles, emergency response protocols, and exam-style review questions. The material provides a comprehensive study resource for nursing students preparing for disaster preparedness coursework and examinations.

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Institution
NUR265
Course
NUR265

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NUR265 DISASTER PREPAREDNESS – NUR265 – NURSING PROGRAM – COMPREHENSIVE DISASTER
RESPONSE, TRIAGE, AND BIOTERRORISM STUDY GUIDE A+ ALREADY GRADED LATEST VERSION

1. What are some examples of mass casualty events in wartime and peace-
time that may impact our community?: -Natural Disasters: tornado, earthquake, flood, hurricane,
ice/snow, heat wave, mudslide
-Other disasters: chemical warfare, biological warfare, nuclear warfare, weapons (guns, missiles, bombs), train wreck,
plane crash, illness
2. Disasters: -events that require extraordinary ettorts beyond those needed to respond to every day emergen-
cies by the community or ageny
3. List the four stages of disaster management that JCHO makes sure all
hospitals have: -mitigation
-preparedness
-response
-recovery and evaluation
4. Mitigation and preparation phase of disaster management as standardized
by JCHO: -comprises the preparations taken to lessen the ettects of the distaster (improvements in infrastructure,
stockpiles of food or water, organizational preplanning)
5. Response phase of disaster management as standardized by JCHO: -the orga-
nized or unorganized action taken during and immediately after the event
6. Recovery and evalulation phase of disaster management as standardized by
JCHO: -the ettort to return to normalcy after a disaster
-through the recovery phase, evaluation helps prepare for the next disaster
7. Supplies one should have for a disaster: -flashlight with extra batteries
-battery powered radio/TV/computers
-cell phones
-food (non-perishable)
-water (15 day supply, one gallon/family member/day)
-medications (1 month supply)
-first aid supplies and handbook
-tools/supplies: blankets, extra clothing, garbage bags, eating and drinking utensils
-personal hygiene items
-non-electric can opener
-bedding supplies
-family documents


, NUR265 DISASTER PREPAREDNESS – NUR265 – NURSING PROGRAM – COMPREHENSIVE DISASTER
RESPONSE, TRIAGE, AND BIOTERRORISM STUDY GUIDE A+ ALREADY GRADED LATEST VERSION

-credit cards/cash
-extra pet food
-special items for adults/children (formula/diapers)
8. What are some of the major challenges that follow a disaster?: -contaminated food
and water (sewage)
-sanitation-decomposing bodies
-infections/easy disease transmission (malaria/cholera/secondary infections)-epidemics
-insect infestation
-skin infections from open wounds and dirty water
-diseases from animal carcasses and spilled chemicals in homes and companies
-contamination from gas/oil
-mental health concerns-PTSD
9. What 4 things are required so that emergency operations can be effective?-
: -national, state, and local coordination
-an emergency plan that has been defined and practiced
-healthcare workforce that is willing, able and competent
-strategic national stockpile-large cases of supplies and resources that may be flown in and received by the community
in 12 hours
10. What is the SC Emergency Health Powers Act: -assures the state has the ability to protect
the public
-government may take over media to prevent panic
-have the ability to quarantine/isolate persons
-licensed health care workers may be required to work
11. National Incident Command System: -system where each individual reports to only one other
person; what agency reports to another
-assures intra-agency coordination
-a defined mgmt structure that includes an organizational tree where people have defined responsibilities, clear
reporting channels, common terminology
12. Important things to do in a mass casualty: -set up an operations center
-establish lines of communication
-provide a safe and secure location
-secure supplies


, NUR265 DISASTER PREPAREDNESS – NUR265 – NURSING PROGRAM – COMPREHENSIVE DISASTER
RESPONSE, TRIAGE, AND BIOTERRORISM STUDY GUIDE A+ ALREADY GRADED LATEST VERSION

-disperse teams
-begin triage
13. S.T.A.R.T. method of triage: -simple and rapid treatment
-specific triage method that evaluates pts respiratory, circulatory, and neurological function
-categorizes pts in 1 of 4 categories
14. Triage: -radial pulse to assess perfusion
-doing the most good for the most pts
-direct pressure can be applied to life-threatening bleeding by the pt and for the walking wounded
-you would not start CPR in this case (decreased circulation, no respirations, no mental response)
15. Red triage tags: -immediate threat to life
-taken care of first
-first transport priority
-respirations over 30 minutes, capillary refill over 2 seconds, unable to follow simple commands
16. Yellow triage tags: -delayed
-highest transport priority after the reds
-requires evaluation ASAP
-major injuries: require tx in 30min-1hr
-increased ICP, chest pain
17. Green triage tags: -minor
-injuries that do not require immediate tx
-tx may be delayed 2 hr
-do not require tx in an acute care facility
-broken leg
-includes the walking wounded
18. Black triage tags: -expectant/deceased
-dead or not expected to recover with limited resources
-no respirations after head tilt
19. What information should be included on a triage tag?: -name/personal info
-vital signs
-injury/condition
-contamination (need red stickers)

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