1. Agencies Responsible for Certification - ANS-
2. Body Substance Isolation - ANS-Abbreviated BSI; a system of precautions
developed by a Seattle hospital in 1987 to prevent contact with bodily substances
and fluids by using protective apparel to prevent the spread of communicable
disease.
3. Control zones- HAZMAT - ANS-Hot zone- immediately surrounding the release. Most
contaminated.
4. Warm zone- where decontamination occurs.
5. Cold zone- safe area where command post, ems etc
6. Criteria for Refusal of Treatment - ANS-Conscious, alert adults with decision-making
capacity have the right to refuse and can withdraw from treatment any time. Assess
their ability to make this decision. Suicidal patients should not be regarded as having
normal mental capacity.
7.
8. DOCUMENT ALL REFUSALS
9. Cyanide Agents - ANS-Hydrogen cyanide, cyanogen chloride. Kill within minutes.
Exposed thru vapor.
10. Decontamination - ANS-1. Strip linens
11. 2. Discard disposable items, anything with blood goes to appropriate container.
12. 3. Wash contaminated areas with soap and water.
13. 4. Disinfect all nondisposable.
14. 5. Clean stretcher and ambulance with germicidal or bleach solution at 1:100.
15. Definitive Care - ANS-Care rendered to conclusively manage a patient's condition,
such as full range of preventive, curative acute, convalescent, restorative, and
rehabilitative medical care
16. Do Not Resuscitate (DNR) - ANS-a designation placed on a patient's medical record
indicating that in the case of cessation of circulation and breathing, artificial
resuscitation (CPR) is not to be done. DOES NOT MEAN DO NOT TREAT.
17. Documentation Procedures - ANS-DOCUMENT EVERYTHING. As you find it, do not
make assumptions.
18. PCR serves six functions: continuity of care, legal documentation, education,
administrative information, essential research record, evaluation and continuous
quality improvement.
19. DUMBBELS - ANS-Diarrhea
20. Urination
21. Miosis (constricted pupils)
22. Bradycardia
23. Emesis (vomiting)
24. Lacrimation (excessive tearing)
25. Evaluating Need to Gain Access to Patient - ANS-Is patient in a vehicle or another
structure?
26. Is vehicle or structure damaged?
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