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153 Cards in this Set
- Front
- Back
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PATHOGEN
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Any microorganism capable of producing disease.
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Contamination of soil by improper disposal of radioactive or bioactive waste products.
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LAND POLLUTION
ie. dioxin |
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RESTRAINT?
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-a human, mechanical and/or physical device that is used with or without the client's permission to restrict his or her freedom of mvmt or nomal access to a person's body and is Not a usual part of tx plans indicated by the person's condition or symptoms .
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ENVIRONMENT:
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-includes all of the many physical and psychosocial factors that influence or affect the life and survival of that client
-setting for which the nurse and client interact ie. the home, community center, school, clinic, hopital and long-term care facility |
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What does a safe environment include?
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-meeting basic eeds
-reducing physical hazards -reducing the transmission of pathogens -maintaining sanitation -controlling population -the treat of attack from biological, chemical, or nuclear weapons are prevented or minimized |
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What are the physiological needs for a person's safety?
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-sufficient O2
-nutrition -optimum temp and humidity |
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CARBON MONOXIDE
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-colorless, odorless, poisonous gas produced by the combustion of carbon or organic fuels.
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CO2 binds with_____ preventing _____?
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-Hemoglobin
preventing the formation of oxyhemoglobin and thus reducing the supply of o2 delivered to tissues |
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*LOW concentration CO2 causes?
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-nausea
-dizziness -headache -fatigue |
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*VERY HIGH concentration of CO2 causes?
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-Death after 1 to 3 minutes of exposure
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What causes FOOD POSIONING?
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-the ingestion of bacterial toxins produced in food
*staphyloccal and Clostridal bacteria are the most common types* |
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Bacterial food infections results from?
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-eating food contaminated by bacteria such as Escherichia coli or Salmonella, Shigella, or Listeria organisms
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How is Hepatitis A spread?
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-fecal contamination of food, water or milk
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When is a client infected with Hep A Most Contagious?
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-during the 2-week period before onset of Jaundice
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Preventative measures for Hep A includes:
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-adequate cooking
-proper storage -refrigeration of perishable foods |
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FDA
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-responsible for the enforcement of federal regulations regarding the manufacture, processing and distribution of foods, drugs, and cosmetics to protect consumers against the sale of impure or dangerous substances
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**S/S of a HEAT STROKE?
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-'gittyness"
-nausea -confusion -hot dry skin -thirst |
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Temperature comfort range:
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-65 and 75 F
-18.6 and 23.9 C |
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HYPOTHERMIA?
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core body temperature is 35C (95F) or below.
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Frostbite?
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-surface area of the skin freezes
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Who is at High Risk for HYPOTHERMIA?
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-older adults
-young -clients w/ cardiovascular conditions -ingested drugs or alcohol in excess -the homeless |
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Who is at great risk for injury from extreme heat?
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-chronically ill clients
-older adults -infants |
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RELATIVE HUMIDITY
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amount of water vapor in the air compared with the maximum amount of water vapor that the air could contain at the same temp.
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Comfort zone
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humidity is b/w 60% & 70%
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Why does home humidifiers have a therapeutic benefit for clients w/ Upper respiratory tract infection?
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-humidity helps to liquefy pulmonary secretions and improve breathing
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Ways to minimize physical hazards includes:
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-adequate lighting
-reduction of obstacles -control of bathroom hazards -security measures |
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Falls are usually a result of?
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- a combination of intrinsic and extrinsic or environmentsal factors.
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What are some examples of Intrinsic risk factors?
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-illness
-drug therapy -alcohol use intrinsic factors are difficult to modify or eliminate but extrinsic ones are usually not |
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What accidents frequently occur in the bathroom?
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-falls
-burns -poisoning |
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Poisoning from Lead occurs via?
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-swallowing
-inhaling |
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Who is most vulnerable to lead poisoning?
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-fetuses
-infants -children |
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What affects to exposure of excessive levels of lead have on a child?
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-child's growth
-brain or kidney damage other health effects= impaired hearing, vomiting, headaches, appetite loss, learning and behavior problems |
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Any microorganism capable of producing and illness?
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-PATHOGEN
most effective method for limiting the transmission of pathogens is Hand Hygiene |
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The process by which resistance to an infectious disease is produced or augmented?
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IMMUNIZATION-(preventative)
-individuals acquire active immunity by an injection of a small amt of attenuated (weakened) or dead organisms or modified toxins from the organism (toxoids) into the body |
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Passive Immunity
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-occurs when antibodies produced by other persons or animal are introduced into a person's bloodstream for protection against a pathogen
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A healthy environment is free of?
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-pollution
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POLLUTION?
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harmful chemical or waste material discharged into the water, soil or air
*excessive Noise is a form of pollution that presents health risks* |
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AIR POLLUTION?
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-the contamination of the atmosphere with a harmful chemical
(prolonged exposure increases risk for pulmnary disease) |
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Common contributors to air pollution in urban areas?
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-industrial waste
-vechicle exhaust |
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Primary cause of air pollution in homes, schools or workplace?
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cigarette smoke
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What can cause LAND POLLUTION?
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improper disposal of radioactive and bioactive waste products (ie. dioxin)
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Contamination of lakes, rivers, and streams usually by industrial pollutants?
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-WATER POLLUTION
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NOISE POLLUTION?
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-occurs when the noise level in an environment becomes uncomfortable to the inhabitants of the environment
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Noise levels are measured in units of sound intensity called?
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-Decibels
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Irreversible hearing loss results from?
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-constant exposure to high sound intensity
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SENSORY OVERLOAD?
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-is a marked increase in the intensity of auditory and visual stimuli
-disrupts processing of information, and the client no longer perceives the environment in a meaningful way |
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Use of biological agents to create fear and threat?
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-BIOTERRORISM
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examples of Biological agents?
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-anthrax
-smallpox -pneumonic plague -botulism |
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FEMA?
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federal emergency management agency and American red cross help w/ disasters of all types
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Client safety includes knowledge of ?
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-developmental levels
-mobility -sensory & congitive status -lifestyle choices -knowledge of common safety precautions -special risks found in health care settings |
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The process by which resistance to an infectious disease is produced or augmented?
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IMMUNIZATION
-individuals acquire active immunity by an injection of a small amt of attenuated (weakened) or dead organisms or modified toxins from the organism (toxoids) into the body |
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Leading cause of death in children over age 1?
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-Injuries
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The nature of the injury substained in infants, toddlers and preschoolers are closely related to ?
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normal growth and development
ie. lead poisoning is highest in late infancy and toddlerhood because of a child's increased level of oral activity and the growing ability to explore the enviroment -accidents are preventable -Hotdogs= choking |
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What is an effective way to teach school-age children when talking about safety?
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-use examples
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School age children are at greatest risk for?
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-injuries from strangers
-sport injury -playgrounds -Bicycles (head injuries) |
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"Block home" or "Safe home"?
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-neighborhoods have homes were the owner ensures that an adult is home during the times when children are walking to and from school
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RIsks at development stages for Adolescents include?
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-struggles w/ identity (shynesss, fear, anxiety)
-smoking, drugs -alcohol ( drowning and MVA) |
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Risk at development stages for Adults include?
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-related to Lifestyle habits (ie. using alcohol excessive is at greater risk for MVA, a long-term smoker has a greater risk for cardio and pulmonary disease)
-High levels of stress= accident or illness (headaches, GI disorders & infections) |
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Risk at development stages for OLDERAdults?
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-physiological changes (risk for falls, burns and MVA)
-suicides |
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With Older adults, where are Falls mostly likely to occur ?
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-bedroom
-bathroom -kitchen -outside (b/c of ice on sidewalks or obstacles in the garden) |
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Physical assessment findings in the OLDER Adult that increase risk of Accidents
*Musculoskeletal changes? |
-muscle strength and function decrease
-joints < mobile -bones brittle due to osteoporosis -postural changes (Kyphosis) -ROM is limited |
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Physical assessment findings in the OLDER Adult that increase risk of Accidents
*Nervous System Changes? |
-voluntary or automatic reflexes slow
-ability to respond to multiple stimuli decreases -sensitivity to touch is decreased |
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Physical assessment findings in the OLDER Adult that increase risk of Accidents
*Sensory Changes? |
-peripheral vision and lens accommodation decrease,
-lens develop opacity (cataracts) -stimuli threshold for light touch and pain increases -hot and cold impulses is delayes -hearing impaired as high-frequency tones become less perceptible |
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Physical assessment findings in the OLDER Adult that increase risk of Accidents
Genitourinary Changes? |
-nocturia increases
-incontinence increases |
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Individual Risk Factors?
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-lifestyle
-impaired mobility -sensory or communication impairment -lack of safety awareness |
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Lifestyle Risk factors?
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-operate machinery while under the influence of drugs or alcohol
-work inherently dangerous jobs -stress -anxiety -fatigue -alcohol or drug withdrawal -prescribed meds (too preoccupied to notice the source of potential accidents, such as cluttered stairs or a stop sign) |
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Impaired Mobility Risk factors?
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-due to muscle weakness, paralysis or poor coordination or balance (factors in falls)
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Sensory or Communication impairment Risk Factors?
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-visual, hearing, tactile or communication impairment
Ie. aphasia, language barrier |
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**What are 3 types of medical errors accounted for almost 60% of the client safety incidents include:
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1. infection following surgery
2. bed sores 3. failure to diagnose and treat in time |
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Risks in the Health Care Agency include:
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-medical errors
-chemical use (MSDS sheets) -Falls -client-inherent accidents (other than falls) -Procedure-related accidents (meds, infections) -equipment-related accidents |
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ORIF=
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-open reduction and internal fixation
-method of surgically repairing a fractured bone. Generally, this involves either the use of plates and screws or an intramedullary (IM) rod to stabilize the bone. |
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* 9 Life-saving patient safety solutions?
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1. be aware of look-alike, sound-alike medication names
2. use patient identification (2 forms= pt arm band, medical record #) 3. communication during patient handover 4. Perform correct procedure at correct body site (mark operative site & take "time out" to verify correct pt, site and procedure) 5. control concentrated electrolyte solutions (use 6 rights of meds admin & follow agency protocols) 6. Ensure med accuracy at transitions in care (compare all meds a pt is taking against med order and the pt's "home" med list during admission, transfer & d/c) 7. Avoid catheter & tubing misconnections 8. Do NOT reuse single-use injection devices (needles, iv caths) 9. Improve hand hygiene to prevent heatlh care-associated infections (perform hand hygiene before & after each pt encounter and after contact w/ contaminated objects) |
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INCIDENT Report?
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-confidential doc. that completely describes any client accident occurring on the premises of a health acare agency
-the report documents the Accident, client assessment & Intervention carried out for the client -objectively document the incident in the client's medical record (do Not mention incident report in pt's chart) |
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**Client-inherent accident?
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-client is the Primary reason for the accident
ie. self-inflicted cuts, injuries and burns, ie. ingestion or injection of foreign substances: self-mutilation or fire setting; and pinching fingers in drawers or doors -client-inherent accident sometimes occurs as a result of a Seizure |
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SEIZURE?
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-hyperexcitation & disorderly discharge of neurons in the brain leading to a sudden, violent, involuntary series of muscle contractions that is paroxysmal and episodic, as in a seizure d/o, or transient and acute, such as following a head injury
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How long does a generalized tonic-clonic or grand-mal seizure last?
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-approx. 2 mins (no longer than 3 mins)
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Tonic-clonic or grand -mal seizure is characterized by?
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-a cry
-loc w/ falling, Tonicity (rigidity), clonicity (jerking) and incontinence |
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AURA
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-bright light, smell or taste
(serves as a warning or sense that a seizure is about to occur) |
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During seizure activity the client may have?
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-shallowing breathing
-cyanosis -loss of bladder & bowel control - |
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What occurs during the Postictal phase of a seizure?
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-amnesia
-confusion -falls into a deep sleep -HA |
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When should a person having a seizure be taken to the ER?
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-repeated seizures occur
-single seizure last longer than 5 mins |
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Prolonged seizure indicates?
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-Status epilepticus=requries medical emergency and requries intensive monitoring and tx
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Procedure-related accidents include?
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-med and fluid admin errors
-improper application of external devices -improper performance of procedure (ie Foley cath insertion) -body mechanics & transer tech reduces injury when moving and lifting clients |
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Febrile Seizures?
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seen in babies/children
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What should be set up when a pt has a hx of seizures?
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-Always have suction set-up
*Never delegate a pt having a seizure to a NA |
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If a client bring a hair dryer or electric razor, etc to the hospital it has to be checked by?
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-Maintanence depart.
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In client safety, Critical Thinking is an?
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-ongoing process
(use standards developed by ANA and TJC) |
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When is the client FALL ASSESSMENT TOOL be adminstered?
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-on admission
-at specified intervals -when warranted by changes in health status *score of 15 or higer indicate high risk and preventative measures should be implemented |
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*National patient Safety Goals?
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1. accuracy of Patient Identification (use 2 identifiers)
2. Improve effectiveness of COMMUNICATION (read back TO/VO, "hands off" commun., standard use of abbrev) 3. Improve the safety of using MEDICATIONS 4. Reduce the risk of health care-associated INFECTIONS 5. Reconcile MEDICATIONS across the CONTINUM of CARE (list of pt's meds) 6. Reduce the risk of patient harm resulting from FALLS 7. Reduce the risk of SURGICAL FIRES 8. Eliminate WRONG- SITE, WRONG PATIENT, WRONG PROCEDURE SURGERY 9. Improve the effectiveness of CLINICAL ALARM SYSTEMS 10. Reduce the risk of INFLUENZA and PNEUMOCOCCAL disease in older adults 11. Encourage PATIENTS' ACTIVE INVOLVEMENT in their own care as a patient safety strategy 12. Prevent health care- Associated w/ PRESSURE ULCERS 13. The organization identifies safety risks INHERENT in its PATIENT POPULATION (suicide) 14. Improve Recognition & Response to changes in a patients condition (request assistance for a pt w/ a worsening condition) |
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2 types of Biological attacks?
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1. Overt (announced)= require rapid assessment
2. Covert (unannounced)= obvious only after victims present for medical care, after the incubation period has passed (anthrax, botulism, smallpox or bubonic plague) |
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ANTHRAX=
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infected through= skin contact, ingestion or inhalation
-person to person contact transmission of inhalational disease does NOT occur |
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S/S of Anthrax?
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-flu-like symptoms
-respiratory failure (w/in 2-4 days) -shock, death w/in (24-36 hr) SKIN -on hand, head or forearm (1. itching, 2. papular lesion, 3. depressed black eschar GI= abd pain, N/V, fever after eating meat, bloody diarrhea, hematemesis, gram + bacilli, Sx begin in 1 day - 8 wks (5 days average) depending on exposure route & amt of agent |
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BOTULISM
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-anaerobic gram + bacillus,
-produces potent Neurotoxin (food-borne/Airborne form) |
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S/S of Botulism?
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-Food-borne causes abd cramping, diarrhea
both cause drooping eyelids, weakened jaw clench, difficulty swallowing or speaking, blurred vision & double vision, symmetric paralysis of arms 1st, followed by Respiratory muscles, then legs, NO sensory deficits, NEURO Sx begin 12 to 36 hours after ingestion (food-borne) 24 to 72 hrs after inhalation *not transmitted from person to person |
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PLAGUE
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-acute bacterial disease caused by gram - bacillus
-airborne |
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S/S for Plague
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-fever
-cough -chest pain -hemoptysis (coughing up bld from respiratory system) -w/in 24 hrs -mucopurulent or watery sputum -X-ray= broncho-pneumonia -Person to Person contact (aerosol droplets) -Sx appear w/in 1 to 3 days |
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SMALLPOX
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-acute viral illness caused by the variola virus
-transmitted via Air-borne route -Can cause severe Morbidity -1 case = a public health emergency |
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S/S of Smallpox?
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-flu like sx
-skin lesions (macules to papules to vesicles) -2 to 4 days of fever & myalgia (muscle pain), rash on face & extremities (palm/soles), scabs -transmitted by large or small respiratory droplets -client to client (airborne & droplets) skin lesions or secretions -Sx begin 7 to 17 days (average 12) |
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Features that alert nurses to the possibility of a Bioterorism-related outbreak include:
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-rapidly increasing incidence of a disease (hrs, days)
-unusual increase in the number of people seeking care (fever,respiratory, GI complaints) -endemic disease rapidly emerging at an uncharacteristi time or location -lower attack rates among clients who are primarily indoors, compared to people who had been outdoors - clusters of clients arriving from a single locale -large number of rapidly fatal cases -uncommon disease to area -atypical clinical presentation |
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Plan individualized interventions based on?
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-severity of risk
-clients developmental stage, level of health lifestyle and culture |
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CASADE COUGH
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-patient inhale deeply through the nose, hold for 1 to 3 seconds, then cough forcefully several times
(effective in clearing small airways of mucous) |
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Passive strategies aimed at health promotion include?
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-public health
-gov't legislative interventions ie. sanitation &clean water laws |
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Active strategies aimed at health promotion include?
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-individual is actively involved through changes in lifestyle
ie. wearing seat belts or installing outdoor lighting) and participation in wellness programs |
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What age-group has high incidence of suicide?
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-Adolescents
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Medical asepsis includes?
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-hand hygiene and environmental cleanliness, reduces the transfer of organisms
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Medical asepsis includes?
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-hand hygiene and environmental cleanliness, reduces the transfer of organisms
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*Interventions to Promote Safety for Children and Adolescents
INFANTS AND TODDLERS? |
-"back to sleep" = sleep on back (prevents SIDS)
-No large stuffed toys,pillows or comforters, sheets snug (prevents suffocation) -Don't attach pacifiers to string/ribbon (choking) -Follow all instructions for preparing and storing formula (could cause fluid/electrolyte disturbances or not enough nutrients) -Playpens w/ mesh sides should Not be left w/ a side down: -Spaces b/w crib Slats should be less than 2 3/8 in (6 cm) apart (asphyxiation) -install keyless locks=dead bolts (allows for rapid exit in case of fire) -child < 80lbs or under 8 y/o should always be in a age-appropriate car seat -child under 12 y/o in a car w/ passenger seat airbags should set in back seat |
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*Interventions to Promote Safety for Children and Adolescents
PRESCHOOLERS? |
-TEACH to swim, to cross street, walk in parking lots, Never run after a ball or toy,
TEACH= proper use of scissors, never run w/ object in hand or mouth, Never attempt to use stove or oven unassisted Teach not to eat items found in streets/grass Remove doors from unused refrig/freezers to prevent asphyxiation |
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*Interventions to Promote Safety for Children and Adolescents
SCHOOL-AGE CHILDREN? |
-TEACH safe use of equipment for play and work
- wear proper safety gear for sports -Teach not to operate electrical equipmment while unsupervised -Never have access to firearms or weapons |
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*Interventions to Promote Safety for Children and Adolescents
ADOLESCENTS? |
-enroll in drivers ed
-info about effects of using alcohol & drugs -sex education, safe sex, abstinence -mentoring relationships b/w adults and adolescents (need role models) -safe use of internet -involve in community and school-sponsored activites |
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Measures to Prevent FALLS by older adults?
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-STAIRS= uniform depth (9in/9in), lighting, remove objects, outdoors (free of holes/cracks/splinters)
-HANDRAILS= 2in from wall -FLOORS= non-skid footwear/slippers/ secure mats & tile, HEALTHCARE 1. Orientation-(use of call light, bedside table close to pt, remover clutter, ambulatory pt leave 1 side rail down) -disoriented place close to nursings station 2. Transport (lock bed/wheelchairs, side rails up, secure safety straps |
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Human, mechanical and/or physical device that is used w/ or w/o clients permission to restrict freedom of mvmt or normal access to a person's body an is not a usual part of tx plans indicated by the person's condition or sx
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-RESTRAINTS
(goal is for ALL client to remain restraint free) |
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Clients who would need restraints include?
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-clients at risk for injury due to Wandering
-falls -disruptive or agitated behavior |
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Serious complications associated w/ Restraints include?
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-pressure ulcer
-constipation -pneumonia -urinary/fecal incontinence -urinary retention POTENTIAL Hazards -contractures -nerve damage -circulatory impairment |
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Chemical Restraints?
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meds used to control behavior and are especially dangerous in older adults b/c the increased sedation/drowsiness/impaired cognition may increase the risk of falling
should be uses as a LAST resort!! |
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The use of restraints w/o an order is considered?
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-False Imprisonment
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If a Nurse using restraints in an Emergent situation, such as when _________?
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-the client is a danger to self or others, a face to face assessment is to be done w/in 1 hour by the primary care provider
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5 P's for restraint applications
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PALLOR
PULSE PAIN PARALYSIS PARESTHESIA |
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Documentation for the use of Restraints must include:
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-behavior that makes the restraint necessary
-nursing intervention used prior to placement of restraints -client's level of consciousness -type of restraint used and location -education/explanation to client & family -exact time of application and removal -client's behavior while restrained |
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Restraints should:
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-Never interfere w/ treatment
-restrict mvmt as little as necessary to ensure safety -Fit Properly -be easily changed to decrease the chance of injury & to provide the greatest level of dignity |
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Delegation Consideration when applying restraints?
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-can delegate to NA (Rn is still responible)
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**When Delegating, what does the Nurse direct the NA to do when applying Restraints?
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-inform nurse of any redness, excoriation, or constriction of circulation under restraints
-ask for assistance if the client has any mobility restrictions that will affect how to remove or reapply restraint -Change position, provide ROM, skin care, toileting and opportunities for socialization |
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Guidelines to follow when Applying Restraints?
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1. assess need for restraints
2. assess behavior 3. Review agency policies, check MD order (renew order q24 hrs) 4. remove or replace frequently to ensure good circulation & allow for full ROM to th elimb that has been restricted -PAD BONEY PROMINENCES and do NEUROSENSORY checks, (include: loosening or removing the restraint and testing temp, mobility and capillary refill) EVERY 2 HRS to identify any neurological or circulatory deficits -Always TIE the RESTRAINT to the BED FRAME -LOOSE enough for ROM and w/ enough room to fit 2 fingers b/w the device and client -Always EXPLAIN the need to client and family (helps family understand, actions are for the safety of the client) -Assess the need for Contiued use -Never leave the client unattended w/o the restraint! |
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BELT RESTRAINTS?
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-prevents client from rolling off stretcher or sitting up while on stretcher or from falling out of bed
-tight application interfers w/ ventilation |
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MITTEN RESTRAINTS?
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-Prevents clients from disloding invasive equipment, removing dressings, or scraching,
*allows for greater mvmt than a wrist restraint |
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ELBOW RESTRAINTS?
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-used w/ infant and children to prevent elbow flexion (ie. when IV is in place)
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ANKLE/WRIST RESTRAINTS?
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-maintains immobilization of extremity to protect client from injury from fall or accidental removal of therapeutic device (IV tube, foley cath)
-tight application interferes w/ circulation |
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MUMMY RESTRAINTS?
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-short-term restraint for child or infant for exam or tx (head, neck)
effectively controls mvmt of torso and extremities |
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S/S of a client w/ altered Neurovascular status to an extremity due to restraints?
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-cynosis
-pallor -coldness of skin -c/o tingling, pain, or numbness |
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AMBULARM:
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- wears device on leg
-signals when pt is in a dependent position -alternative to restraints |
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BED-CHECK
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-weight-sensitive sensor mats
-place on clients mattress or chair -device sounds alarm at the bedside when pressure is released off the sensor mat -alternative to restraints |
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Posey Bed All Care Model restraint
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p 840
-self contained enclosed bed |
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When is a Full set of raised side rails considered a restraint?
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-if they restrict a client's freedom of voluntary mvmt in and out of the bed
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Uses of sides rails alone w/ a disoriented client increases risk for ?
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-further injury b/c it causes more confusion
-will climb over side rails |
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Type A fire extinguisher?
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-wood
-cloth -paper -plastic items |
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Type B Fire Extinguisher?
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-flammable liquids
(gasoline, grease, paint, and anesthetic gas) |
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Type C Fire Extinguisher?
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-used for electrical quipment
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PASS
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PULL
AIM SQUEEZE SWEEP |
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Fire intervention guidelines for Nurses working in health care agencies?
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-Know location of EXITS, fire extinguisher & O2 turn offs
-Know Evacuation Plan -RACE |
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RACE
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-R rescue & remove all clients in immediate danger
-A Activate the Alarm (Always do this before attempting to extinguish even minor fire) C Confine fire by closing doors and window and turning off O2 and electrical equipment E Extinguish the fire using an extinguisher |
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Any substance that impairs health or destroys life when ingested, inhaled or otherwise absorbed by the body?
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-POISON
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If client receives an electrical shock in a health care setting immediately determine, ?
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- if client has a PULSE
if Not start CPR If client HAS a pulse, and remains alert and oriented obtain V/S, assess skin for thermal injury and call MD |
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SEIZURE PRECAUTIONS?
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-protect client from injury
-positioning for adequate ventilation and drainage of oral secretions -providing privacy and support following the seizure |
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Rescue equip for Seizures include:
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-Oral airway
-suction equipment -bedside O2 -saline lock for IV access if client is at high risk for generalized seizures |
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STATUS EPILEPTICUS?
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-medical emergency whereby a person has continual seizures w/o interruption.
-airway mainained via oral airway |
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What are the 4 phases of an emergency plan if a bioterrorist attack occurs?
(required by TJC) |
1. mitigation =determine hazard vulnerability for hospital's service area
-determine what kind of situations are likely to occur 2. Preparedness= supplies, resources (vendors), communication system, training staff, drills 3. Response=triage strategies, report to assigned location, decontamination procedures, issue warnings and notify community 4. Recovery= steps to restore essential services an dresume normal agency operations *begins as soon as the response phase* |
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Manage all clients symptomatic w/ suspected or confirmed bioterrorism-related illness using ______ _______?
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-Standard precautions
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Interventions for Accidental Poisoning in the Home setting?
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1. ABC's
2. remove visible materials from mouth, eyes 3 identify type & amt of substance ingested 4. Call Poison Control (1800-222-2222) - head lying to side -Never induce vomiting if Iye, houshold cleaners, hair care, grease or petroleum products or furniture polish has been ingested (vomiting increases internal burns) -Do Not administer ipecac to induce vomiting (it has not been proven effective in preventing poisoning) |
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*Decontamination procedure for post exposure to ANTHRAX?
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-clothes in a labeled plastic bag, shower w/ soap & water, use standard precautions, wear protective barriers when handling clothes
Meds= fluoroquinolones ("floxacins") |
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*Decontamination procedure for post exposure to BOTULISM?
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-associated w/ food contaminated
-Decontamination is NOT required b/c clients are not at risk for skin exposure or reaerosolization |
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*Decontamination procedure for post exposure to PLAGUE
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-Risk for reaerosolization from contaminated clothing is LOW
-W/ gross exposure =label and store clothing in a plastic bag -shower w/ soap & water -use standard precautions, (wear protective equip if needed) Tx w/ Streptomycin |
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*Decontamination procedure for post exposure to
SMALLPOX |
-Decontamination after exposure is NOT indicated
-Use CONTACT ISOLATION -immunization avaliable for postexposure (avaliable & effective) |
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ABC fire exinguisher?
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-multipurpose
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