Chapter 43

Care of Patients in Disasters or Bioterrorism Attack

TERMINOLOGY Directions: Match the term on the right with the meaning on the left. 1. ______ 2. ______ 3. ______ Bioterrorism (1057) Debrieng (1070) Decontamination (1062) a. Early symptoms that precede a full-blown illness b. Deliberate release of microorganisms or toxins which cause disease or death c. Unusual cases (i.e., excessively large number of ulike illnesses concentrated in a geographic area) suggestive of biological terrorism d. Source of infection that can pass pathogens (i.e., rodents) e. An intervention for crisis management and psychological care for personnel involved in disaster management f. Many victims g. Transmitted by exposure to insect or animal bite or by ingestion of contaminated food or water h. Showering and scrubbing the skin to remove toxic or radioactive particles. i. Man-made or natural event that causes mass casualties j. Sorting out of casualties by priority of need for treatment

CHAPTER

43

Care of Patients in Disasters or Bioterrorism Attack

4. ______ 5. ______ 6. ______ 7. ______ 8. ______ 9. ______ 10. ______ COMPLETION

Disaster (1051) Mass casualty (1063) Triage (1053) Vector-borne illness (119) Prodromal (1064) Clusters of cases (1069) Reservoir (119)

Directions: Fill in the blanks to complete the statements. 1. ________________________________ is the drug of rst choice for plague which is caused by a gram negative bacillus, Yersinia pestis. (1067) 2. Those vaccinated against smallpox before _________________ have no immunity now. The vaccine provides immunity for only ___________ years. (1068) 3. _________________________________________ teams provide sessions for disaster personnel to help with the promotion of effective coping strategies. (1070) 4. Performing nursing procedures in a disaster situation demands skill and judgment to provide for the good of the __________________________________________________________________. (1056)
Copyright 2009 by Saunders, an imprint of Elsevier Inc.

Chapter 43

Care of Patients in Disasters or Bioterrorism Attack

5. Providing basic instruction to people displaced by disaster about appropriate ______________________ within the current environment is an essential nursing responsibility in any disaster situation. (1057) 6. Pathogens can be designated as category A because they pose a threat to _________________________ _____________________. (1065) 7. When there are more victims of a disaster than medical personnel to treat them, those who are mortally wounded and not expected to survive are not ___________________ until those more likely to ________________________________________________________. (1056) MEETING CLINICAL OBJECTIVES 1. Design a telephone communication tree for your immediate and extended family and distribute copies to everyone. 2. Refer to Health Promotion Points 43-1: Preparing Disaster Supplies in your textbook and prepare a disaster kit for your own family. 3. Contact your local chapter of the American Red Cross and obtain information about how to prepare for any natural disasters that may occur where you live. 4. During your next clinical rotation at the hospital, ask to see the hospitals disaster plan if possible. Discuss the following questions. How accessible was the disaster plan? Did it seem current and wellorganized? Were the nursing duties clearly spelled out? What were nursing responsibilities? 5. Discuss in postconference any experiences that you may have had in planning or participating in a disaster drill (i.e., at a previous job, at school, at your childs school).

Copyright 2009 by Saunders, an imprint of Elsevier Inc.