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BM Unit 5 Exam Outline Nur
213 2025
Complex Health Concepts (Forsyth Technical Community
College)
Unit 5 Exam Outline
Emergency Response Plan And Disasters, Traumatic Injuries, Spinal Cord Injury (SCI)
Emergency Response Plan And Disasters
o Disaster: Any Human-Made And Natural That Causes Destruction And Devastation That
Can Not Be Alleviated Without Assistance Natural: Fires, Earthquakes, Hurricanes,
Tornadoes, Floods
Human-Made: Structural Collapses, Explosions, Vehicle Accidents, Shootings,
Terrorism
Internal Disasters: Occurs Within A Healthcare Facility. (Ex: Fire, Radiation Spill)
- Priority: Keep Pt. Safe, Prevent Further Damage, Assist
External Disasters: Occurs In The Community And Victims Are Brought To The Health
Care Facility For Care. (Ex: Mass Shooting Sends Multiple Victims To The ED)
o Mass-Casualty Event: A Number Of Casualties That Exceeds The Resources Of The
Hospital
- Multicausality: Can Be Managed By Hospital Using Local Resources (Ex: Derailed Train)
Federal & State Handle The Crisis
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Discharge Clients Or Relocate Them For Clients Who Have Higher Priority Needs
Considerations:
- Facilities Must Have An Emergency Operating Plan (EOP) Along With Training
2x/Year By JC (Practice Drills, Deactivation Response, Security Plan)
- Places Of Worship Can Be Used As Shelter, Resources ( Food/Supplies) And
Support
- American Red Cross: Given Authority By The Federal Government To Provide
Disaster Relief
o Radiation Exposure
Early Manifestations: Nausea, Vomiting, Diarrhea, Skin Alterations
Hot Zone: Highest Potential For Exposure- The Disaster Area
- Decontamination Steps: Remove Exposure/ Clothing First And Wash With
Soap & Water
- Decontamination Areas Are Established Within The Hot Zone- Low Priority
Client Go
o Biological Warfare: A Biological Or Chemical Substance That Can Cause Mass
Destruction Or Fatality
Biological: Smallpox, Botulism, Anthrax, Tularemia, Ebola, Plague, TB
- If Biological Agent Is Communicable: Quarantine And Isolate, Wear PPE (Stop
Spread)
- PPE Level 1: Highest Priority To Protect Respiratory, Skin, Eyes And Mucus
Membranes
Chemical: Sarin, Cyanide, Chlorine Gas, Mustard Gas
- Isolate Clients Exposed To Avoid Cross Contamination
Nursing Role: Assess Previous Locations/Place, Note Any Unusual Illness For Time Of
Year Or Clusters Of Clients
O Phases Of Disaster Management:
- Identified By The Federal Emergency Management Agency (FEMA)
1. Prevention/Mitigation:
• Actions That Can Prevent The Occurrence Or Reduce Damaging Effects
• Assess For Treats Or Vulnerabilities
2. Preparedness:
• Plans For Rescue, Evacuation, And Caring For Disaster Victims
• Includes Planning, Training, Protocols, & Drills
3. Response:
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