Disaster Preparation
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- 1.As a disaster worker you will be expected to work in which of the following areas?
- A.
Medical Shelters
- B.
Alternate Care Shelters
- C.
Mass Vaccination Sites
- D.
Regional Triage Sites
- E.
Medical Shelter Surveillance-PHNs
- F.
Biohazard Detection System (BDS)
- G.
Nuclear Disaster
- H.
Essential Ongoing Medical Care
- I.
All of the above
- 2.In the ICS (Incident Command System) model, what area is the nursing over-site of the Medical Shelter under?
- A.
Planning
- B.
Finance/Administration
- C.
Operations
- D.
Logistics
- 3.Who decides to open a Medical Shelter?
- A.
EOC (Emergency Operations Center) or DOC (Department Operations Center)
- B.
PHD Director and Health Officer
- C.
American Red Cross
- D.
Skilled Nursing Facilities and Residential Care Facilities
- 4.Level III Care is for the general population who are able to meet their own needs or have reliable caretakers or have the need for ‘Minimal Medical Support’ and is usually set up by the American Red Cross
- A.
True
- B.
False
- 5.Level II Care is for the medically fragile or special needs population with chronic medical conditions that require medical monitoring or treatment and who are without a personal assistant. The local Public Health Department is responsible for setting up and administering care to this population in a Medical Shelter
- A.
True
- B.
False
- 6.The local Public Health Department is responsible to transfer clients in Level 1 care to a Skilled Nursing Facility or Hospital. If there are no facilities available, the PHD is responsible to set up and administer care to this population in an Alternative Care Shelter.
- A.
True
- B.
False
- 7.Upon learning of a disaster, the nurse disaster service worker is to:
- A.
Be prepared to be notified by phone or CAHAN
- B.
Report to the nearest PHD office or clinic after securing the safety of family members and property, unless assigned to do otherwise
- C.
Listen to the County Emergency Alert System for instructions for 'Disaster Service Workers' as well as for general updates
- D.
Leave town as soon as possible
- E.
A, b, & c
- 8.The Medical Shelter and Nursing operates under the direction and control of the Disaster Operations Center, Incident Commander and most directly with the shelter IC:
- A.
True
- B.
False
- 9.You are asked to set up the Medical Shelter. Choose the correct guidelines:
- A.
3 toilets for every 25 people
- B.
Wheelchair accessible toilet for females and males
- C.
Cots are placed 3 feet apart
- D.
Cots are all spaced head-to-toe
- E.
Service animals require 6 square feet
- F.
A, b, c, & d
- G.
B, c, e
- 10.Nursing goals for any shelter assignment are:
- A.
Provide basic first aid
- B.
Provide health assessment to prevent, monitor, and report the spread of infection or communicable disease
- C.
Maintain the shelter evacuee's current health care acuity
- D.
All of the above
- 11.Staffing Ratios for a Medical or Alternative Care Shelter (ACS) are:
- A.
One licensed RN is responsible for 25 Medical Shelter of ACS patients
- B.
MAs and LVNs will be responsible for 5-7 patients under the supervision of an RN
- C.
The level of acuity and need for medical monitoring and nature of the emergency does not modify this ratio
- D.
A & b
- 12.A licensed physician or advanced health care practitioner under the supervision of a licensed physician, will be available for medical consultation, orders or emergency interventions throughout the Medical Shelter operations.
- A.
True
- B.
False
- 13.The ‘Daily Patient Assessment Flow Sheet’ is used to document twice/shift daily assessments. The MA is to check on the patient every 2 hours. The progress note is used to document changes or problems more fully.
- A.
True
- B.
False
- 14.
- A Status/Census Report is required each shift or more often and is submitted to the DOC after approval by the Medical Shelter Manager
- A.
True
- B.
False
- 15.The Shelter Surveillance Form is filled out for all shelters twice daily by the PHD PHN.
- A.
True
- B.
False
- 16.The Shelter Surveillance Form is left at the Shelter site.
- A.
True
- B.
False
- 17.The Biohazard Detection System (BDS) is used to detect anthrax in the mail. The nurse that is asked to assist in this crisis event fills out a medical history form and provide antibiotics for anthrax exposure to postal employees with Medical supervision and orders.
- A.
True
- B.
False
- 18.Shelterees are entitled to:
- A.
An interpreter
- B.
Information in their language
- C.
Remain as independent as able
- D.
A service animal
- E.
A cat they are used to sleeping with
- F.
A, b, c, & d
- G.
All of the above
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