Natural Disaster in a Small Community - HESI RN Case
Studies Questions With Correct Answers.
A small community hospital that serves a population of 1100 is roughly 20 years
old, has 4 critical care beds and 2 operating room suites, 20 medical surgical
beds and 8 labor and delivery rooms. The staff members in the emergency
department are exchanging report during change of shift at 0645 when they are
interrupted by a loud sound resembling a thunderclap. Within seconds the
ground shakes slightly then the overhead lights get very bright just before the
power goes out. The charge nurse passes out flash lights while one of the nurses
announces that the phone lines are down. The nurse manager tells everyone to
remain calm; the generator will turn on any minute. Everyone rushes to check on
their clients. The manager receives a call that due to an explosion at the nearby
chemical plant, the power grid for the area is damaged and the hospital’s
generator burned as a result of the power surge. The communication system is
down, there is no running water, and there is no functioning sewage system. The
hospital’s oxygen tank is malfunctioning. The manager is notified that the people
injured at the plant will be arriving shortly. The hospital is placed on internal and
external disaster mode. The manager quickly asks who is leading the hospital’s
command center, the approximate number of injured people, and the
identification of staff reassignments available to assist. The manager is told that
18 clients will arrive within a 45 minute window and that the explosion involved
the following blistering agents: sulfur mustard, distilled mustard, and nitrogen
mustard.
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 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 for 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.)
a. Effective triage strategy for clients.
b. Reminding staff that they are not going home.
c. Client care, communication, and safety.
d. Security, documentation, and resource allocation.
e. Placing an order for additional supplies.
a. Effective triage strategy for clients.
c. Client care, communication, and safety.
d. Security, documentation, and resource allocation.
The emergency department disaster preparedness plan must include detailed
guidelines that explain how the hospital's plan collaborates with the community
plans. The key components of the disaster plan include client care,
communication, resources, safety or security, coordination, and documentation.
, 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?
a. An internal disaster is anything that may cause an influx of clients disrupting
the normal shift without notice.
b. An external disaster is anything that endangers clients, staff, or requires
evacuation or relocation with or without notice.
c. An internal disaster is anything that doesn't impair the operations of the
hospital but disrupts normal client care.
d. Any situation that creates an environment that endangers healthcare workers.
d. Any situation that creates an environment that endangers healthcare workers.
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.)
a. Set up an initial triage, a decontamination area, second triage, and treatment
area.
b. Set up an area for clients not requiring decontamination.
c. Set up a separate lane for clients arriving by EMS transport that have been
decontaminated but did not sustain life threatening injuries.
d. Set up a fast track area for clients with life threatening injuries that would allow
delivering basic life-saving treatment during decontamination.
e. The order of the decontamination does not matter because at that point nurses
just want to quickly assess any life-threatening injuries.
a. Set up an initial triage, a decontamination area, second triage, and treatment area.
d. Set up a fast track area for clients with life threatening injuries that would allow
delivering basic life-saving treatment during decontamination.
Meanwhile, the leader of the response team meets with the nurses assigned to
triage the victims and quickly reviews the S.T.A.R.T. adult triage algorithm with
them. The nurses know that this triage method will assist them to rapidly
determine who will need immediate assistance and whose care is not imminent.
The S.T.A.R.T. adult triage is a system that contains four triage categories that
are color-coded. The nurse explains that all clients are assessed, identified, and
tagged according to 1 of 4 colors, each color representing the severity of injury.
Which sequence indicates the nurses understand the triage process? (Select the
appropriate order in each option from least to worst categories.)
Studies Questions With Correct Answers.
A small community hospital that serves a population of 1100 is roughly 20 years
old, has 4 critical care beds and 2 operating room suites, 20 medical surgical
beds and 8 labor and delivery rooms. The staff members in the emergency
department are exchanging report during change of shift at 0645 when they are
interrupted by a loud sound resembling a thunderclap. Within seconds the
ground shakes slightly then the overhead lights get very bright just before the
power goes out. The charge nurse passes out flash lights while one of the nurses
announces that the phone lines are down. The nurse manager tells everyone to
remain calm; the generator will turn on any minute. Everyone rushes to check on
their clients. The manager receives a call that due to an explosion at the nearby
chemical plant, the power grid for the area is damaged and the hospital’s
generator burned as a result of the power surge. The communication system is
down, there is no running water, and there is no functioning sewage system. The
hospital’s oxygen tank is malfunctioning. The manager is notified that the people
injured at the plant will be arriving shortly. The hospital is placed on internal and
external disaster mode. The manager quickly asks who is leading the hospital’s
command center, the approximate number of injured people, and the
identification of staff reassignments available to assist. The manager is told that
18 clients will arrive within a 45 minute window and that the explosion involved
the following blistering agents: sulfur mustard, distilled mustard, and nitrogen
mustard.
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 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 for 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.)
a. Effective triage strategy for clients.
b. Reminding staff that they are not going home.
c. Client care, communication, and safety.
d. Security, documentation, and resource allocation.
e. Placing an order for additional supplies.
a. Effective triage strategy for clients.
c. Client care, communication, and safety.
d. Security, documentation, and resource allocation.
The emergency department disaster preparedness plan must include detailed
guidelines that explain how the hospital's plan collaborates with the community
plans. The key components of the disaster plan include client care,
communication, resources, safety or security, coordination, and documentation.
, 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?
a. An internal disaster is anything that may cause an influx of clients disrupting
the normal shift without notice.
b. An external disaster is anything that endangers clients, staff, or requires
evacuation or relocation with or without notice.
c. An internal disaster is anything that doesn't impair the operations of the
hospital but disrupts normal client care.
d. Any situation that creates an environment that endangers healthcare workers.
d. Any situation that creates an environment that endangers healthcare workers.
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.)
a. Set up an initial triage, a decontamination area, second triage, and treatment
area.
b. Set up an area for clients not requiring decontamination.
c. Set up a separate lane for clients arriving by EMS transport that have been
decontaminated but did not sustain life threatening injuries.
d. Set up a fast track area for clients with life threatening injuries that would allow
delivering basic life-saving treatment during decontamination.
e. The order of the decontamination does not matter because at that point nurses
just want to quickly assess any life-threatening injuries.
a. Set up an initial triage, a decontamination area, second triage, and treatment area.
d. Set up a fast track area for clients with life threatening injuries that would allow
delivering basic life-saving treatment during decontamination.
Meanwhile, the leader of the response team meets with the nurses assigned to
triage the victims and quickly reviews the S.T.A.R.T. adult triage algorithm with
them. The nurses know that this triage method will assist them to rapidly
determine who will need immediate assistance and whose care is not imminent.
The S.T.A.R.T. adult triage is a system that contains four triage categories that
are color-coded. The nurse explains that all clients are assessed, identified, and
tagged according to 1 of 4 colors, each color representing the severity of injury.
Which sequence indicates the nurses understand the triage process? (Select the
appropriate order in each option from least to worst categories.)
