cna incidences be used in a lawsuit
Nope
what are different circumstance that should involve the completion of an incident report
-medication error
-procedure/treatment error
-equiptment-related injuries/errors, needlestick
-client falls, -visitors/volunteer injuries
-threat made to client or staff
-loss of property
when should the incident report be completed
ASAP
usually within 24 hours
who gets the incident report
risk management after being reviewed by the nurse manager
what is included in the incident
-pt name and hospital number
-date, time, and location of incident
-factual description of the incident
-names of any witnesses to the incident and any client or witness comments regarding the incident
-corrective actions
what does each facility HAVE TO HAVE in regards to disasters
emergency operating plan
provide training to each aspect of the plan to all employees
how often should the emergency operating plan be tested
every two years
internal emergencies
occur within a facility
external emergencies
affect a facility indirectly and include severe weather, volcano eruption, collapses.....
Code Red
fire
Code Pink
newborn abduction
Code Orange
chemical spill
Code Blue
mass casualty incident
Code Gray
tornado
who creates the emergency response plan
the planning committee
pts that need to be discharged to create the room who should discharged (criteria)
1. ambulatory client requiring minimal care
2. requiring assistance should be next and arrangement should be made for continuation of their care
3. Clients who are unstable or require nursing care should NOT BE DISCHARGED
When should you not use water to extinguish a fire
electrical
grease
actions to take during a severe thunderstorm or tornado
-draw shades and close drapes against shattered glass
-lower all beds to the lowest position
-move beds away from the windows
-place blankets over all clients who are in beds
-close doors
-relocate ambulatory clients into hallways
-do not use elevators
-t
manifestations of inhalational anthrax
sore throat
fever
cough
SOB
muscle aches
severe dypnea
meningitis
shock
treatment for inhalational anthrax
oral ciprofloxic
IV cipro
additional antibiotics
manifestations of cutaneous anthrax
-begins as itchy lesions
-develops into a vascular lesion that later becomes necrotic with the formation of black eschar
-fever chills
treatment for cutaneous anthrax
oral cipro
doxycycline
manifestations of botulism
diff swallowing
double vision
slurred speech
descending progressive weakness
N/V abd cramps
diff breathing
treatment for botulism
airway management
antitoxin
elimination of toxic
manifestations of ebola
sore throat headache high temp
N/V diarrhea
internal and external bleeding
shock
is there a vaccine for anthrax
YES
pneumonic plague manifestations
infects the lungs
fever
headache
weakness
rapidly developing pneumonia with SOB
chest pain
cough
bloody or watery sputum
causes respiratory failure and shock
bubonic plague
swollen tender lymph glands
fever
headache
chills
weakness
Septicemic plague
occurs when plague bacteria multiple in the blood
fever, chills, prostration, abd pain, shock, bleeding into skin
treatment for the pneumonic plague
antibiotics
EARLY TREATMENT IS ESSENTIAL
Is there a vaccine for smallpox
yes
symptoms of smallpox
high fever
fatigue
severe headache
rash
chills
vomiting
delirium
care for a pt with smallpox
-prevent dehydration
-provide skin care
-meds for pain and fever
symptoms for tularemia
sudden fever, chills, headache, diarrhea, muscle aches, joint pain, dry cough, progressive weakness
treatment for tularemia
mycin
micin
is there a vaccine for tularemia
yes
how should chemical exposure be decomaniated
with water except for dry chemicals like lye or white phosphorus (use a brush)
what information needs to be gathered concerning a chemical exposure
specific hx of the injury
name and concentration of the chemical
duration of exposure
where should individuals be decontaminated
at the scene
procedure for decontamination of hazardous materials
-gloves, gown, mask, shoe covers
-carefully and slowly remove the clothing
-wash off pt with water and antimicrobial soap
-place contaminated material in a plastic bag and seal it
procedure for decontamination of radiological incidents
-wear water-resistant gloves, doubel-glove, fully cover their bodies with caps, booties, masks, and goggle
-wear dosimeter badges to monitor the amount of their radiation exposure
-client need to have a radiation meter to measure the amount of exposure
-w
what are appropriate actions for the nurse to take if a person makes a bomb threat call to the hospital
-extend conversation
-listen for distinguishing background noises
-note distinguishing voice characteristics of the client
-ask where and when the bomb is set to explode