DISASTER PLANNING (all solved)

Rationale Medical Reserve Corps (MRC) may help staff hospitals or community health settings that face shortages and provide first aid stations or special-need shelters. The National Disaster Medical System (NDMS) manages mass fatalities, emergency animal care, and establishes fully functional field surgical facilities. A Disaster Medical Assistance Team (DMAT) is a medical relief team deployed to a disaster area with enough medical equipment and supplies to sustain operations for 72 hours. The Federal Emergency Management Agency (FEMA) provides Community Emergency Response Team (CERT) training so that people are better prepared for disasters and hazard situations in their own communities. correct answers Group paging systems, telephone trees, and instant computer-based alert messages are the most common means of notifying essential personnel of a mass casualty incident or disaster. The National Guard would not communicate a disaster to a hospital, although they might be dispatched to assist. Public service announcements on television would be appropriate if a catastrophic event occurred. correct answers Rationale A 16-gauge needle is best indicated to achieve initial IV access. The presence of a radial pulse in a client requiring cardiopulmonary resuscitation (CPR) indicates that the systolic blood pressure is at least 80 mm Hg. Exhaustion of the body's compensatory mechanism yields symptoms of hypotension. During CPR, assessing the radial, femoral, and carotid pulse rate can give effective estimations of blood pressure values; the use of a manual cuff is not necessary and may not be feasible. Presence of carotid pulse in a client requiring CPR indicates that the systolic, not diastolic, blood pressure is at least 60 mm Hg. correct answers ationale Clients who are not acutely ill, are stable for transfer to rehabilitation, or have had no critical change in health status for 3 days would be eligible for discharge or transfer to another facility. The client recovering from total knee replacement surgery can be transferred to rehabilitation. The client with transient ischemic attacks can be discharged to home. The client beginning oral anticoagulant therapy for a deep vein thrombus can be discharged to home. The client receiving insulin for diabetic ketoacidosis is unstable and should not be discharged. The client with bleeding esophageal varices is acutely ill and should not be discharged. correct answers Rationale Each catastrophic event will have a five-phase disaster management, which includes preparedness as the first phase. Based on a risk assessment or vulnerability analysis that identifies the events most likely to occur in a particular community, the "all-hazards approach" plans the disaster drills deemed needed. Actual implementation of the disaster plan is a part of the responsive phase of disaster planning. Evaluating the response effort to prepare for the future is included under the evaluation phase of disaster planning. The mitigation phase of disaster planning includes attempts to limit a disaster's impact by practicing the disaster plans. correct answers