HERT Final Exam

Three sections of the Emergency Treatment Area (ETA)

-Patient reception amd receiving area

-Decontamination Corridor

-Clean tx & transport area

Undergoing decontamination removal of contaminated clothing is approx what percent?

60-80%

Set up of am ETA could be triggered by

CBRNE: chemical, biological, radiological, nuclear, or explosive event

Removal of contamination from responder that is NOT used on victims

Technical Decontamination

Personnel responsible for designating the level of ppe to be worn by the decontamination team

Incident commander

Deontaminating non ambulatory victims, responders should be careful to:

Avoid straddling or reaching acros victims as it can cause cross contamination.

Decontamination corridor components

Registration

Triage

Scrub/clean decontamination

Sort & survey

Clothing

Tx Transport

Who does Occupational safety and health administration OSHA help?

Health care staff

HSPD-5

ALL hazards template to improve preparedness, response, amd recovery coordination accross federal, state, local.

Mandatory for all hospitals

Surge

Evacuation

START

Simple triage and rapid treatment

Triage focus of three clinical objective areas

1. Respiratory status

2. Perfusion (pulse & blood flow)

3. Mental Status

JumpSTART

Used for pediatrics b/c children have physiological differences not recognized by adult based triage tools

Ages 1-8

>100lbs

HERT

First and last out

Protects facility & staff

Provides leadership and coordination

Safety officer

Responsible to hospital incident command system (HICS)

TRUE or FALSE: EOP & NRF have the same concept?

True

Emergency operations plan

Developed to prepare for disaster- related events of all sizes that are outside the normal hospital routine

In ICS the operations sections is what?

Tactical

DUMBBELS

D: diarrhea

U: urination

M: miosis

B: bronchoconstriction

B: bronchorhea

E: emesis

L: lacrimation

S: salivation

TRUE OR FALSE: Hospital incident command is not mandated by NIMS

TRUE

National Incident Management

Explains HOW emergency response should be managed in a disaster event

Incident management tool used by HICS?

Incident action plan

Plague s/sx

Transmitted man to rats or fleas

S/sx fever, sob, chills, HA, spitting blood

National Response Framework

What we are going to DO.

According to the Occupational Safety and Health Administration (OSHA), in order to select personal protective equipment (PPE), responders should know the atmospheric O2 concentration, the exposure chemical, and _______________.

the exposure chemical concentration

Hospital administrators have been informed that a suspected terrorist incident has occurred involving the detonation of a dirty bomb. A victim who was not in the proximity of the event presents in the hospital emergency room with severe nausea, vomiting, and headache. These symptoms are most likely a result of __________.

acute inhalation of radioactive particles

Victims of a mass casualty incident (MCI) arrive at a hospital's emergency treatment area (ETA). They have not been through any decontamination process. What are the primary criteria by which people should be assessed prior to entering the hospital's victim reception area?

Potentially contaminated vs. uncontaminated