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CCTC NUR 221 Test 3 actual Exam questions and answers 2025 latest updat
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CCTC NUR 221: Test 3 actual Examquestions and answers 2025
latest update.
Health care facilities are required by the Joint Commission to create
a plan for emergency preparedness and to practice this plan how
many times a year? - answer two times a year
Components of the Emergency Operations Plan (EOP): Activation
response- - answer Where, how and when the response is initiated
Components of the EOP: Internal/external communication plan: -
answer communication is critical for all parties involved, including
communication to a from the prehospital arena.
-At the hospitals you will see red plugs (can be activated with
generator) and a red phone at the nurses station (this is a land line)
Components of the EOP: Plan for coordinated pt care- - answer a
response is planned for organized pt care into and out of the
facility, including transfers from w/in the hospital to other facilities.
The site of the disaster can determine where the greater number of
pts may self-refer
-The hospital will shut down anything that is not emergent
-HCPs will be pulled down to critical care areas of the hospital (ER)
Components of the EOP: Security plans- - answer a coordinated
security plan involving facility and community agencies is key to the
control of an otherwise chaotic situation
-Disasters bring out the worst in people
,Components of EOP: Identification of external resources- - answer
resources outside of the facility are identified, including local, state,
and federal resources and info about how to activate these
resources
Components of the EOP: Plan for people management and traffic
flow- - answer "people management" includes strategies to
manage the pt's, the public, the media, and personnel. Specific
areas are assigned and a designated person is delegated to manage
each of these groups
Components of the EOP: Data managment strategy- - answer a
data management plan for every aspect of the disaster will save
time at every step. A backup system for documenting, tracking, and
staffing is developed if the facility utilizes and electronic health
record.
Components of the EOP: Demobilization/Deactivation response- -
answer deactivation of the response is as important as activation;
resources should not be unnecessarily exhausted. The person who is
decides when the facility resumes daily activities is clearly
identified. Any possible residual effects of a disaster must be
considered before this decision is made
-*OFFICIAL ANNOUNCEMENT*
-upper management of hospital will be present if it happens at night
-This announcement is made with the help of local police, fire
fighters, etc.
Components of the EOP: after-action report or corrective plan- -
answer facilities often see increased volumes of pt's 3 months or
more after an incident. Postincident response must include a
critique and a debriefing for all parties involved, immediately and
again at a later date
,Component of the EOP: Plan for practice drills- - answer practice
drills that include community participation allow for troubleshooting
any issues before a real-life incident occurs
Components of the EOP: Anticipated resources- - answer food and
water must be available for staff, families, and others who may be
at the facility for an extended period.
Components of the EOP: MCI planning- - answer MCI planning
includes such issues as planning for mass fatalities and morgue
readiness
Components of the EOP: Education for all of the above- - answer a
strong education plan for all personnel regarding each step of the
plan allows for improved readiness and additional input for fine-
tuning of the EOP.
Triage- - answer -The sorting of patients to determine priority
health care needs and the proper site of treatment.
-In non-disaster situations healthcare workers assign highest
priority and allocate most resources to the most critically ill.
-In disaster situations with large numbers of casualties decisions
are based on the likelihood of survival and the consumption of
resources. Patient's with conditions associated with a high mortality
rate will be assigned a low triage priority in a disaster situation,
even if the person is conscious
START - answer Simple Triage and Rapid Treatment
-use physiologic parameters to quickly (60 sec or less) assess a pts
condition
-RPM (respiration, perfusion (pulse), mental status
, -2 interventions (direct pressure to wound; basic airway opening
maneuvers)
Immediate triage category - answer -Priority #1
-Red color
-injuries are life threatening but survivable w/ minimal
interventions. These individuals can progress rapidly to expectant if
tx is delayed.
Typical conditions in the immediate triage category: - answer -
sucking chest wound
-airway obstruction secondary to mechanical cause
-shock
-hemothorax
-tension pneumothorax
-asphyxia
-unstable chest and abdominal wounds
-incomplete amputations
-open fractures (bone coming out of the skin d/t risk of infection) of
long bones (legs)
-2nd/3rd degree burns of 15-40% total body surface area
delayed triage category - answer -Priority #2
-Yellow Color
-injuries are significant and require medical care but can wait hours
w/out threat to life or limb. Individuals in this group receive tx only
after immediate casualties are treated
Typical conditions in the delayed triage category: - answer -stable
abd wounds w/out evidence of significant hemorrhage
-soft tissues injuries
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