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HESI Case Study Natural Disaster in a Small Community_Part 1

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HESI Case Study Natural Disaster in a Small Community_Part 1 HESI Case Study Natural Disaster in a Small Community_Part 1 HESI Case Study Natural Disaster in a Small Community_Part 1

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Question 1 of 22


Due to the proximity to the chemical plant, the hospital has historically prepared for a
potential disaster such as this. The disaster team is paged, anticipating multiple
casualties resulting from this disaster. The proximity of the chemical plant leaves
Post Result
little time for the emergency department to prepare for what is arriving.

The charge nurse is aware that the hospital has a disaster preparedness plan
ExBie forAgain
t gin such
incidents. Which key components should the nurse expect to be included in the plan?
(Select all that apply. One, some, or all responses may be correct.)
Select all that apply
Effective triage strategy for clients.
The disaster plan includes a triage strategy plan based on assessment criteria to calculate the
level of severity of injury.

Ignatavicius, D and Workman, M. L(2016). Medical-Surgical Nursing: Patient-Centered
Collaborative Care, 8th Edition.[144].

Reminding staff that they are not going home.

, 2

Although policies may differ from facility to facility, reminding the staff that they are not going
home is not part of a disaster plan. Part of a nurse’s commitment is following the Nightingale
pledge “devoting to service of human welfare.”

Client care, communication, and safety.
Clinical protocols, staffing procedures, staff education are key components of a preparedness
plan and should be developed and practiced beforehand.

Ignatavicius, D and Workman, M. L(2016). Medical-Surgical Nursing: Patient-Centered
Collaborative Care, 8th Edition.[144].

Security, documentation, and resource allocation.

Ignatavicius, D and Workman, M. L(2016). Medical-Surgical Nursing:
Patient-Centered Collaborative Care, 8th Edition.[144].
Security, documentation, and resource allocation are vital components to be included in any
disaster plan.

Placing an order for additional supplies.
This is not part of a disaster plan because supplies are needed before, after, and during the
disaster. However, a list is maintained of basic department needs.




Question 2 of 22


The new graduate nurse that just started orientation 6 weeks ago in the Emergency
room. After receiving disaster training, which statement indicates that the new nurse
needs additional disaster orientation?
An internal disaster is anything that may cause an influx of clients disrupting
the normal shift without notice.


This scenario happens with or without an internal disaster and is not a complete description of
an internal disaster.

An external disaster is anything that endangers clients, staff, or requires
evacuation or relocation with or without notice.

,3
This is not a description of an internal disaster.

An internal disaster is anything that doesn’t impair the operations of the
hospital but disrupts normal client care.

, 4

This is not a description of an internal disaster.

Any situation that creates an environment that endangers healthcare workers.
Based on the participation of emergency preparedness drills, a nurse knows that a hospital
disaster plan is divided into two categories: Internal and External. An internal disaster is any
situation that creates an environment that disrupts normal client care like a power outage, fire,
or flood. As opposed to an external disaster that may yield a large influx of clients to the
hospital in a short time period.

Ignatavicius, D. & Workman, M. (2016). Medical-Surgical Nursing: Patient-Centered
Collaborative Care, 8th Edition.[138, 144].




Question 3 of 22


An Unlicensed Assistive Personnel (UAP), an Emergency Medical Technician
(EMT), 2 Radiology Technicians, 1 Environmental Services employee, 2 nurses, 3
police officers, and 2 fire fighters arrive. They are members of the HAZMAT team
and the team lead divides them into 3 teams. Team 1 goes to the parking lot to set up
a fast track decontamination tent.

To decrease the possibility of exposure to the staff and other clients in the hospital,
the team sets up a triage tent in the hospital's parking lot. This triage tent is manned
by staff and volunteers. The open-air environment allows social distancing and rapid
evaluation, treatment, and discharge of low-acuity clients.

When setting up decontamination tents, it is imperative to set up a flow that includes
which areas? (Select all that apply. One, some, or all options may be correct.)
Select all that apply
Set up an initial triage, a decontamination area, second triage, and treatment
area.
Decontamination is vital to client safety during a chemical disaster. Establishing a separate
decontamination area for clients that require secondary and /or technical decontamination if
primary decontamination is not adequate.

Curtis, K. (2019). Emergency and Trauma Care for Nurses and Paramedics. (2nd Edition),
Elsevier Australia, P. 229.

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