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Which tag color signifies a patient who's likelyhood of survival is low enough to delay their care until those who are more likely to survive receive care first?
A. Green
B. Red
C. Black
D. Yellow
C. Black
What criteria have to be met for someone to be tagged as green?
A. Patient can walk
B. Patient is confused
C. Patient is bleeding profusely
D. Patient is alert and oriented
E. Patient has a cap refil of greater than 2 sec
A. Patient can walk
D. Patient is alert and oriented
There was a mass shooting at a school site. A 27 year old has come to the ED limping with a deep laceration on her left leg. Her cap refill is less than 2, alert and oriented, RR: 15, HR: 95, BP: 128/79. Your are the triage nurse and need to tag her. What tag color would you give her?
A. Green
B. Yellow
C. Red
D. Black
A. Green
You are the triage nurse in the ED during a large scale fire. It is important that you know what each color tag represents. Of the following, which are correct. Select all that apply.
A. Yellow is minor
B. Red is immediate
C. Black is expectant
D. Red is delayed
E. Green is minor
B. Red is immediate
C. Black is expectant
E. Green is minor
3-year-old female, lying on the ground, right sided scalp laceration that is heavily bleeding. Not breathing. Unresponsive. Which triage category would this patient be placed in?
A. Green
B. Yellow
C. Red
D. Black
D. Black
List the criteria for placement into the yellow triage category. Select all that apply.
A. Able to walk
B. Obeys commands
C. Respiratory rate less than 30
D. Apneic
E. Radial pulse present
F. Capillary refill less than 2 seconds
G. Unconscious
B. Obeys commands
C. Respiratory rate less than 30
E. Radial pulse present
F. Capillary refill less than 2 seconds
There has been a major earthquake, you come across a 25-year-old male lying on the ground with no injuries but is not breathing and is unresponsive. What color would this be according to the S.T.A.R.T Triage.
A. Black
B. Green
C. Red
D. Yellow
A. Black
Which of the following would place the patients in a red category?
A. Respiratory rate <30
B. Respiratory rate >30
C. Cap refill >2 seconds
D. Obeys commands
E. Apnea
B. Respiratory rate > 30
C. Cap refill > 2 seconds
A patient with a red tag indicates that: (select all that apply)
A. the patient may survive with immediate transport and intervention
B. the patient is unresponsive and pulseless
C. the patient has compromised airway, breathing, and circulation
D. the patient may have an altered mental status
E. the patient is not likely to survice
A. The patient may survive with immediate transport and intervention
C. The patient has compromised airway, breathing, and circulation
A 23-year-old male is found lying on the ground unresponsive. He has a respiratory rate of 10, cap. refill >2 seconds, and is bleeding from his head. The patient should be tagged with which color?
A. yellow
B. red
C. black
D. green
B. Red
While triaging at an MCI, you approach an individual whose respirations are above 30, they would be tagged
A. Green
B. Yellow
C. Red
D. Black
C. Red
Using the START Triage, when assessing someone at a MCI you would check
A. respirations
B. blood loss
C. pulse
D. mental status
E. pupils
A. Respirations
C. Pulse
D. Mental status
You arrive at the scene of a natural disaster where several citizens have been injured. Because you are an experienced nurse, you jump in to help. What is the first thing you should do?
A. Begin CPR on a person who is non-responsive.
B. Begin triaging.
C. Help a mother look for her missing child.
D. Ask the paramedic who arrived on scene first if and where they need you.
D. Ask the paramedic who arrived on scene first if and where they need you
Which of the following is true in regards to disaster preparedness and triaging? (Select all that apply)
A. You should work quickly and efficiently.
B. You must re-evaluate people triaged as green and yellow.
C. You should attempt CPR on a patient who is visibly injured and unresponsive.
D. You can treat the pain of someone who is triaged as black.
E. You should ensure the area is safe and be aware of your surroundings.
A. You should work quickly and efficiently
B. You must re-evaluate people triaged as green and yellow
D. You can treat the pain of someone who is triaged as black
E. You should ensure the area is safe and be aware of your surroundings
Multiple choice- A person who has injuries that are immediately life-threatening, such as a RR > 30, and severely diminished level of consciousness would be triaged with a _______ tag and we would want to treat them within ____ hour(s).
A. Yellow, 1
B. Yellow, 2
C. Red, 1
D. Red, < 1
D. < 1
Select all that apply- Which of the following characteristics would be seen in a patient who is triaged with a green tag?
A. They can get up and walk independently
B. Capillary refill > 3 seconds
C. They follow basic commands
D. They have no visible injuries
E. They will not require re-assessment
F. They can walk with some assistance
A. They can get up and walk independently
C. They follow basic commands
Match each triage tag with its definition.
1. Black
2. Red
3. Yellow
4. Green
A. vitctim's transport can be delayed, includes serious and potentially life-threatening injuries but status not expected to deteriorate significantly over several hours
B. victim unlikely to survive given severity of injuries, level of available care, or both
C. victim with relatively minor injuries, status unlikely to deteriorate, "walking wounded"
D. victim can be helped with immediate intervention and transport, requires medical attention within minutes for survival, patient with compromised airway, breathing and circulation
1. Black-Victim unlikely to survive given severity of injuries, level of available care, or both
2. Red-Victim can be helped with immediate intervention and transport, requires medical attention within minutes for survival, patient with compromised airway, breathing and circulation
3. Yellow- Victim's transport can be delayed, includes serious and potentially life-threatening injuries but status not expected to deteriorate significantly over several hours
4. Green-Victim with relatively minor injuries, status unlikely to deteriorate, "walking wounded"
A 37 year old man is found on the ground and is severely bleeding from a gunshot wound. His respiratory rate is 10, capillary refill is >2 seconds, and is in and out of consciousness. How would you tag this victim for triage?
A. Black
B. Red
C. Yellow
D. Green
B. Red
How long should you take to assess a patient during triage?
A. less than a minute
B. 30 seconds or less
C. At least one minute
B. 30 seconds or less
What are your four priority assessments during a triage (RPM'S)?
A. standing/ability to walk
B. Respiratory effort
C. Pulses/ perfusion
D. Pregnancy
E. Mental status
A. standing/ability to walk
B. Respiratory effort
C. Pulses/perfusion
E. Mental status
When a nurse comes across a patient with a black tag, what action should they take?
A. Immediately check pulse and respirations, start CPR if necessary.
B. Ignore them and move on to the next patient.
C. Immediately transport them to a hospital.
D. Provide pain relief and palliative care.
D. Provide pain relief and palliative care
When following START triage guidelines, which of the following should the nurse assess patients for?
A. Spontaneous breathing
B. SpO2
C. Blood pressure
D. Cap Refill
E. Mental Status
F. Respiratory rate
G. A viable air way
A. Spontaneous breathing
D. Cap refill
E. Mental status
F. Respiratory rate
G. A viable airway
You find a civilian with a wound on his right leg and he tells you, "I am badly hurt! I need to go to the hospital right now!" He runs to another nurse and repeats the same phrase. What tag would be appropriate for this civilian?
A. Black, there's no hope for this man
B. Red, this man really does need to go to the hospital right now
C. Yellow, he can wait a bit
D. Green, he's okay for now
D. Green, he's okay for now
Select all that apply: A civilian who warrants a red tag fulfills which of the following criteria?
A. RR: 35
B. A/O x4
C. unable to follow simple commands
D. no radial pulse
E. RR: 16
A. RR: 35
C. Unable to follow simple commands
D. No radial pulse
Mass casualty event occurred, you see a 18 year old patient laying on the floor with an amputated left leg below the knee. Respiratiry rate is 38 cap refill is greater than 2 seconds
What would this patient triage be classified as?
A. Green
B. Yellow
C. Red
D. Black
C. Red
What criteria warrants a red tag? Select all that apply.
A. Patient is able to walk
B. Respiratory rate is greater than 30
C. Apnea
D. Cap refill greater than 2 seconds
E. Cap refill less than 2 seconds
F. Patient does not obey commands
B. Respiratory Rate is greater than 30
D. Cap refill greater than 2 seconds
F. Patient does not obey commands
A patient is brought into the ER during a mass casualty. You need to determine the status of your patient and consider his color code in triage. The patient has third degree burns to the arm, a cap refill of >2 secs, and obey commands:
A. Green
B. Yellow
C. Red
D. Black
C. Red
What criteria would consider a patient to be tagged black in triage? Select all that apply.
A. Apnea
B. Unconscious with no pulse
C. Broken ankle
D. 3rd degree burns to 75% of their body and altered mental status
A. Apnea
B. Unconcious with no pulse
D. 3rd degree burns to 75% of their body and altered mental status
Mass casualty event occurred, you see a 18 year old patient laying on the floor with an amputated left leg below the knee. Respiratiry rate is 38 cap refill is greater than 2 seconds
What would this patient triage be classified as?
A. Green
B. Yellow
C. Red
D. Black
C. Red
What criteria warrants a red tag? Select all that apply.
A. Patient is able to walk
B. Respiratory rate is greater than 30
C. Apnea
D. Cap refill greater than 2 seconds
E. Cap refill less than 2 seconds
F. Patient does not obey commands
B. Respiratory rate is greater than 30
D. Cap refill greater than 2 seconds
F. Patient does not obey commands
A patient is brought into the ER during a mass casualty. You need to determine the status of your patient and consider his color code in triage. The patient has third degree burns to the arm, a cap refill of >2 secs, and obey commands:
A. Green
B. Yellow
C. Red
D. Black
C. Red
What criteria would consider a patient to be tagged black in triage? Select all that apply.
A. Apnea
B. Unconscious with no pulse
C. Broken ankle
D. 3rd degree burns to 75% of their body and altered mental status
A. Apnea
B. Unconcious with no pulse
D. 3rd degree burns to 755 of their body and altered mental status
Which of the following describes a GREEN tag? Select all that apply.
A. the patient is able to walk
B. the patient's injuries are deteriorating quickly
C. often called the "walking wounded"
D. the patient's condition is not likely to rapidly decline
E. the patient is not able to obey commands
A. The patient is able to walk
C. Often called the "walking wounded"
D. The patient's condition is not likely to rapidly decline
EMS has just arrived at the scene of a building collapse that has caused mass casualties. While doing START triage, they come across a 17-year-old whose condition is described as the following:
bleeding from the forehead and right forearm, respiratory rate 32, radial pulse present, and unable to follow commands. Which triage category should he be assigned to?
A. Black
B. Green
C. Yellow
D. Red
D. Red
Which tag would a patient that requires immediate care (without CPR) for survival recieve?
A. black
B. red
C. yellow
D. green
B. Red
Select all that apply. What actions would you take if you were expecting a surge of burn patients in the ER?
A. start priming IV lines
B. gather wound supplies
C. set up high flow O2 in the rooms
D. assign team roles to decrease chaos
A. Start priming IV lines
B. Gather wound supplies
C. Set up high flow 02 in the rooms
D. Assign team roles to decrease chaos
When helping with START Triage, which of the following victims would receive a BLACK tag? (Select all that apply)
A. 90 y/o male, metal pole impaled through the leg thigh. Not breathing, unresponsive.
B. 6 y/o female, 3rd degree burns over 20% of body. Respiratory rate >30. Capillary refill >2sec.
C. 26 y/o female, 38 weeks pregnant, apnea after positioning airway
D. 30 y/o female, walking around yelling that her head is pounding with pain and that she feels nauseous.
A. 90 y/o male, metal pole impaled through the thigh
C. 26 y/o female, 38 weeks pregnant, apnea after positioning airway
Which of the following tags would immediately be given to someone who is walking around after they were in a collapsed building accident?
A. No tag, send them home since they are healthy and okay.
B. Yellow, they could potentially have life-threatening injuries.
C. Green, they are able to walk but should still eventually get to the hospital for a follow up in secondary triage.
D. Red, they need to immediately go to the hospital since they were in a terrible accident that killed many people.
C. Green, they are able to walk but should still eventually get to the hospital for a follow up in secondary triage
During a mass casuality event, you come across a 73-year-old women with 75% burns of the 2nd and 3rd degree. Capillary refill is > 2 seconds. Respirations are labored and you count them to be 34. What would you classify this patient as?
A. Red
B. Green
C. Black
D. Yellow
C. Black
Which of the following cateogries must be met to classify a patient as "Red" tag?
A. Is able to walk
B. Capillary refill > 2
C. Respirations 32
D. Respirations 14
E. Bleeding wound
F. Able to walk
G. Absent radial pulses
B. Capillary refill >2
C. Respirations 32
E. Bleeding wound
G. Absent radial pulses
During the diaster, what tag should the triage nurse get to the patient have no spontaneous breathing and no position airway?
A. green
B. yellow
C. red
D. black
D. Black
During the diaster, the yellow tag will be given to the patient who have the following s/sx? select all apply
A. patient can't walk
B. RR < 30
C. alert and oriented
D. confusion
E. RR > 30
A. Patient can't walk
B. RR <30
C. Alert and oriented
You are a nurse working during a mass casualty event, you hear people talking about START triage. From your knowledge in class you know that START triage includes (select all that apply):
A. START includes rapidly assessing (goal is less than 1 minute) every patient
B. START includes determining which 4 clinical categories the patient belongs in
C. START includes starting CPR on those patients who need it
D. START includes visibly identifying the category for rescuers who will treat the patient
A. START includes rapidly assessing (goal is less than 1 minute) every patient
B. START includes determining which 4 clinical categories the patient belongs in
D. START includes visibly identifying the category for rescuers who will treat the patient
You are working in an emergency department as a nurse during a mass casualty event, patients start arriving with a lot of red tags. You remember from class that a red tag from START triage means:
A. Palliative care and pain relief should be provided
B. Victim with minor injuries
C. Status unlikely to deteriorate over days
D. Requires medical attention within minutes for survival (up to 60)
D. Requires medical attention within minutes for survival (up to 60)
Use the START triage method to triage a wounded victim who is unable to walk, respiratory rate is absent but when airway is repositioned you notice they are breathing. The wounded victim is assigned what tag color?
A. Green
B. Yellow
C. Red
D. Black
C. RED
As a nurse assisting on the scene of a disaster, you would give someone a red tag if... (select all that apply)
A. they have a respiratory rate of >30
B. they have an absent radial pulse or capillary refill of >2 sec
C. they can walk and obey commands
D. they require medical attention within minutes for survival (up to 60)
A. They have a respiratory rate of >30
B. They have an absent radial pulse or capillary refill of >2 sec
D. They require medical attention within minutes for survival (up to 60)
If a patient is tagged as a red tag, this means:
A. The patient has extensive injuries and would not be able to survive even if they received treatment.
B. The patient is considered a part of the "walking wounded."
C. The patient needs immediate treatment in order to ensure survival.
D. The patient requires observation and will still need to receive treatment at the hospital.
C. The patient needs immediate treatment in order to ensure survival
A victim of a bombing is able to walk, has chest pain, has a respiratory rate of 28, an absent radial pulse in his left arm, and acts confused when asked questions. Which of these symptoms would require this patient to be tagged red or "immediate?" Select all that apply.
A. Walking
B. Respiratory rate of 28
C. Absent radial pulse in left arm
D. Confusion
E. Chest pain
C. Absent radial pulse in the left arm
D. Confusion
E. Chest pain
A 27-year-old male who has a broken arm, RR 24, and a cap refill of <3 seconds. He is disoriented. Which tag would he receive?
A. Black
B. Yellow
C. Red
D. Green
C. Red
Which physical sign would automatically make a person a black tag?
A. Missing leg
B. Unconscious
C. Disoriented
D. Cap refill of 10 seconds
A. Missing leg
B. Unconcious
D. Cap refill of 10 seconds
As you are driving on the highway, a semi-truck about 1/4 mile ahead of you suddenly crashes. As a nurse who is one of the first on the scene, you pull off the road to see how you can help. There seem to be 10-15 cars involved, with about 30 total injured. Which patient would be your first (immediate) priority?
A: A 12-year-old boy who is wondering around bleeding from the head and crying
B: a 45-year-old female whose RR is >30, cap refill >2 seconds, HR of 110, and is A/O X3. She is unsure of what happened but she is complaining of severe ABD pain and is bleeding from her head.
C: An unresponsive 85-year-old male with a lower leg partial amputation and a RR of 10, HR of 55
D: A 25-year-old female complaining of 8/10 pain in her arm with an obvious compound fracture with a RR of 26, A/O X4, and an HR of 95.
B. A 45 year old female whose RR is >30, cap refill >2 seconds, HR of 110, and is A/O X3. She is unsure of what happened but she is complaining of severe ABD pain and is bleeding from her head.
Which of the following are signs and symptoms that would you would label as a black tag? Select all that apply
A: Unresponsive with an HR of 60
B: Any limb amputation
C: Unresponsive with thready and weak pulse
D: Spontaneous Breathing
E: Apnea
F: No pulse
C. Unresponsive with thready and weak pulse
E. Apnea
F. No pulse
A 23 year-old female was crushed by a firetruck ladder after a motor vehicle accident and is not walking. Her respiratory rate is 28 and her cap refill is 3 seconds. She is starting to become drowsy and disoriented. Using the START triage algorithm, identify the category this individual fits in.
A. black
B. yellow
C. green
D. red
D. Red
Select all that apply: What priority actions should the nurse take when completing S.T.A.R.T triage?
A. assessing the patient in a minute or less
B. charting the care of the patient
C. discussing the plan of care with the family
D. putting the patient in one of the four categories
E. visibly identifying the category for the healthcare provider who will be treating the patient
A. Assessing the patient in a minute or less
D. Putting the patient in one of the four categories
E. Visibly identifying the category for the healthcare provider who will be treating the patient
A school shooting had just occurred 10 minutes ago and you happen to be nearby. You reach the scene (the scene is safe) and the paramedics assign you as the triage nurse. You see a 14-year-old male lying on the ground with a gunshot wound to his leg. He is alert and oriented. His respiratory rate is 45 and his capillary refill is 3 seconds. What color tag will you assign this patient?
A. Purple
B. Yellow
C. Green
D. Black
E. Red
E. Red
What signs and symptoms will urge you to place a black code tag on a patient?
A. Able to walk
B. Apnea / Not breathing
C. Respiration rate < 20
D. Capillary refill less than 2 seconds
E. Unconscious
F. Massive bleeding & evisceration of the abdominal contents
B. Apnea/Not breathing
E. Unconcious
F. Massive bleeding and evisceration of the abdominal contents
You are a nurse using START triage at a mass casualty event, one of the individuals is a 16 year old female who has an abdominal laceration, can not walk, RR of 24, and capillary refil of <2 seconds, what color are you tagging her?
A. green
B. yellow
C. red
D. black
B. Yellow
Which of the following are characteristics of an individual who should receive a red tag? Select all that apply.
A. pulseless
B. has severe injuries
C. requires medical attention, but not in the next 2 hours
D. has compromises to airway, breathing, or circulation
E. can walk
B. Has severe injuries
E. Can walk
This patient is a 40-year-old woman with an open fracture of her femur. Her respirations are 22. Cap refill is less than 2 seconds. She is confused when answering questions about her injury. As a nurse, what would you tag this patient using the START triage?
A. yellow
B. red
C. white
D. green
B. Red
This patient is a 14-year-old boy wandering around looking for his mom. He has a laceration on his head. His respirations are 18 and cap refill is less than 2 seconds. He is A&Ox4. As a nurse, what would you tag this patient using START triage?
A. yellow
B. green
C. red
D. black
B. Green
On the scene of a disaster you discover a middle-aged woman who is unable to walk and she shows no indications of spontaneous breathing. However, once you position the airway the woman begins to breathe spontaneously. According to the START Triage Pathway you know that the woman falls under which triage category?
A. Expectant
B. Delayed
C. Immediate
D. Minor
C. Immediate
You see a man sitting on the ground who has been tagged with the color green. According to the START triage system you know that (Select all that apply)
A. This tag is reserved for the "walking wounded"
B. The victim's transport can't be delayed
C. His status is likely to deteriorate within hours
D. The victim should receive immediate intervention and transport
E. He is a victim with a minor injury
A. This tag is reserved for the "walking wounded"
E. He is a victim with a minor injury
Which of these meet the criteria for red tagging a patient? (Select all that apply)
A. Capillary refill greater than two seconds
B. Obeys commands
C. Respiratory rate greater than 30 rpm
D. Spontaneous breathing after an airway has been put into position
A. Capillary refill greater than two seconds
C. Respiratory rate greater than 30 rpm
D. Spontaneous breathing after an airway has been put into position
During a mass casualty incident, you have space for one more patient in the ambulance. You have to choose between three patients:
7 year old with 2nd degree burns on 20% of his body. Respirations are 28 and regular. Capillary refill < 2 sec. Alert and oriented, but tearful and anxious.
62 year old with a respiratory rate of 26. Cap refill < 2 seconds. Large laceration on right temple and unresponsive.
34 year old with profuse bleeding of the right lower extremity. Labored, irregular respirations with a rate of 24. Cap refill > 2 seconds. Unresponsive.
Which one do you put in the ambulance?
A. 7 year old
B. 62 year old
C. 34 year old
B. 62 year old
This tag color is used to describe a patient who cannot survive without immediate care but still has a chance of survival
A. green
B. yellow
C. red
D. black
C. Red
(select all that apply) The START (simple triage and rapid treatment) categories include:
A. Deceased
B. Injured who can be helped by immediate transport
C. injured with less severe injury whos transport can wait
D. minor injury not requiring urgent care
E. those who are pregnant or young
A. Deceased
B. Injured who can be helped by immediate transport
C. Injured with less severe injury who's transport can wait
D. Minor injury not requiring urgent care
A patient comes in is unresponsive and has a RR for 32, cap refill of 2 and had his arm blown off with nonstop bleeding, he is alert and oriented what would you tag him as?
A. Green
B. Black
C. Red
D. Yellow
C. Red
As a nurse you hear a bombing has happened and 30 patients are coming right now to your ED, what would you do to prepare, select all that apply!
A. Set up Oxygen tanks
B. Get wound dressings ready
C. Take your lunch break
D. Prep IV starts
E. Go and chart on your current patients
A. Set up oxygen tanks
B. Get wound dressings ready
D. Prep IV starts
If a mass casualty event were to occur where are the triage tags located?
A. Hospital
B. Fire station
C. Police cars
D. Paramedics
D. Paramedics
What are some characteristics of being a nurse in a mass casualty (select all that apply)
A. One-on-one care
B. Controlling major bleeding
C. 30-seconds or less assessment
D. Doing CPR
E. Manually opening airways
F. Sorting patients
G. Following orders of the chief firefighter
B. Controlling major bleeding
C. 30 seconds or less assessment
E. Manually opening airways
F. Sorting patients
You arrive on scene of a disaster and see a 27 year old run to you with severe lacerations to her head and abdomen. She is bleeding heavily but is alert and oriented, respirations 24, capillary refill is less than 2 seconds. She rates pain in her abdomen 9/10. Based on START triage, what do you categorize her as?
A. Black
B. Red
C. Yellow
D. Green
D. Green
Which of the following characteristics classify a patient under IMMEDIATE (RED) in START triage?
A. Capillary refill greater than 2 seconds
B. Apnea with positioned airway
C. Respiratory rate over 30
D. Does not obey commands
E. Spontaneous breathing with positioned airway
F. Obeys commands
A. Capillary refill greater than 2 seconds
C. Respiratory rate over 30
D. Does not obey commands
E. Spontaneous breathing with positioned airway
You are a nurse working on the scene of a natural disaster. You come across an eldery man who is unconscious, not breathing, has head trauma, and you cannot find a pulse. What is your best course of action?
A. Begin chest compressions immediately and call a code blue.
B. Tag him as "Red-Immediate" and get him into an ambulance.
C. Tag him as "Black-Expectant" and move onto the next victim.
D. Go home because you are too overwhelmed.
C. Tag him as "Black-Expectant" and move onto the next victim
According to the START Adult Triage System, which of the following characteristics would a patient have as a "Yellow- Delayed" tag? Select all that apply.
A. Can walk on their own
B. Spontaneous breathing
C. Respiratory rate of 22
D. Delayed capillary refill > 2 seconds
E. Alert and oriented
F. Cannot obey commands
B. Spontaneous breathing
C. Respiratory rate of 22
E. Alert and oriented
What are the four key considerations when using START triage? (Select all that apply)
A. Mental status
B. Respiratory effort
C. Degree of injury / wound status
D. Pulses / perfusion
E. Age
F. Ability to follow direction and ambulate
A. Mental status
B. Respiratory effort
D. Pulses/perfusion
F. Ability to follow direction and ambulate
A 35 year-old male has a large wound on his left lower extremity. His respiratory rate is 18. He has absent radial pulses. And he is becoming more confused. Using the START triage algorithm, identify the category this individual fits in.
A. Yellow
B. Green
C. Black
D. Red
D. Red
60 year old male with burns covering 70% of his body. Not breathing and unresponsive. As a triage nurse in the field of a disaster, what tag would you give him?
A. Red
B. Yellow
C. Black
D. Green
C. Black
Using the START method, what are the "RPM's?" Select all that apply.
A. Respiratory effort
B. Pulses/Perfusion
C. Mental Status
D. Medications
E. Peripheral senses
F. Heart rate
A. Respiratory effort
B. Pulses/Perfusion
C. Medications
You are at the disaster scene and find a 45-year-old male with 2nd and 3rd-degree burns on 65% of his body. His respiratory rate is 25. Capillary refill is > 2 seconds. Alert and oriented. What would you tag this person?
A. Black
B. Red
C. Yellow
D. Green
A. Black
As a nurse who has just arrived at an earthquake scene, which of the following are categories you should look for when assessing a patient for triage purposes?
A. Allergies
B. Mental status
C. Perfusion
D. Respirations
E. If pt is pregnant or not
B. Mental status
C. Perfusion
D. Respirations
You are a nurse on the scene of a mass casualty incident, using SMART tagging which of these patients would you mark as Immediate? Select all that apply
A. A 23 year old woman who has a large bruise on her arm. Her respiratory rate is 20 and her capillary refill is less than 2 sec. She is yelling "where is Sam?" Upon further questioning, you determine that Sam is her teenage son.
B. A 72 year old male who is unconscious with a respiratory rate of 8, capillary refill of >3 seconds
C. A 5 year old girl with an amputation below the knee. Her respiratory rate is 35. She is alert and oriented.
D. A 24 year old male, someone saw him fall and he has a bruise on his head. He has a respiratory rate of 21, his capillary refill is <2 seconds. He is confused and disoriented.
C. A 5 year old girl with an amputation below the knee. Her respiratory rate is 35. She is alert and oriented
D. A 24 year old male, someone saw him fall and he has a bruise on his head. He has a respiratory rate of 21, his capillary refill is <2 seconds. He is confused and disoriented.
You are a nurse assisting on the scene of a collapsed bridge during an earthquake. It is a mass casualty incident, you are using the SMART tag system. You give a patient a green tabe because you understand that it means...
A. They can walk
B. They are currently stable but you will need to reassess in case their condition deteriorates
C. They do not need immediate hospital care
D. All of the above
D. All of the above
You are working as a triage nurse during a disaster. Based on the triage color categories, which tag color would indicate the patient needs immediate intervention?
A. Green
B. Yellow
C. Red
D. Black
C. Red
What signs and symptoms indicate the patient needs immediate intervention? Select all that apply:
A. Respirations > 30 seconds
B. Respirations < 30 seconds
C. Alert and oriented
D. Confused
E. No spontaneous breathing
F. Able to walk
A. Respirations >30 seconds
D. Confused
E. No spontaneous breathing