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NUR 405 ( LATEST 2024 / 2025 ) DISASTER | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 405 ( LATEST 2024 / 2025 ) DISASTER | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 405 Disaster1. triage
Answer
sorting of patient based upon the severity of their injuries. The goal is doing the greatest good for
the greatest number of people. In times of disaster and/or mass casualties the health care system
can become overwhelmed by the number and severity of the patients. The patients may
outnumber the availability of the local resources. This happens rapidly.
2. primary triage
Answer
brief assessment done very quickly and to accurately categorize the patient's condition and
transport needs.
3. secondary triage
Answer
done in the treatment area and color tag can change base on condition
4. START triage
Answer
Simple Triage and Rapid Treatment
Uses a limited assessment of the patient's ability to walk, respiratory status, hemodynamicstatus
(pulse - radial, decent CO) and neuro status
5. steps of START triage
, Answer
Performed on arrival - call out to patients at the disaster site "If you can hear my voice and can
walk ........" give directions. These people are the walking wounded and are green.
Non walking people - first person and assess resp, if not breathing - open airway if still not
breathing move on. If breathing turn into recovery position and tag red.
Check bilateral radial pulse, absent radial - low Bp, red
Neuro status - follow simple commands. If unable - red, if able yellow
6. jump START
Answer
Peds < 8yrs old and < 100 lbs Identify the walking wounded
If too young to follow commands or walk, or have special needs - they need to go to the treatment
center for secondary triage
If not breathing, check a pulse. If no pulse - black
If pulse is present but no resp - open the airway if patient does not breathe, give 5 rescue breaths
and recheck, if still no spontaneous breathing - black
Assess rate of resp. Approximate <15 or > 45 - red. If between 15 and 45 then check a distal pulse,
if absent - red. If present, then check neuro
Answer
Use AVPU
7. AVPU
Answer
Alert, Verbal, Pain, Unresponsive
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