The newly hired nurse educator for the emergency department is reviewing the hospital disaster plan and policies and finds that it has not been reviewed with the staff for 3 years. Which finding would be most important for the nurse educator to address related to the disaster plan?
Stockpiles of medications and resuscitation equipment may be depleted.
Resources within the hospital are likely to have changed.
New staff is unlikely to have training and practice in using the plan.
Surrounding communities are at an increased risk for technologic disasters.
The Correct Answer is C
Choice A reason: Depleted stockpiles of medications and resuscitation equipment is a critical concern during a disaster, as it can directly impact the ability to provide care. However, this can typically be addressed by restocking and checking inventory regularly. It is not as immediately crucial as ensuring that all staff are trained and prepared to execute the disaster plan.
Choice B reason: Changes in hospital resources, such as personnel and infrastructure, can affect the execution of a disaster plan. While this is significant, the most pressing issue is ensuring that the new staff, who may be unfamiliar with the disaster protocols, are adequately trained and ready to respond effectively in an emergency.
Choice C reason: New staff lacking training and practice in using the disaster plan is the most important finding to address. In a disaster, the ability to implement the plan swiftly and effectively can save lives. Untrained staff may not know their roles, how to use equipment, or the procedures to follow, leading to chaos and ineffective response. Therefore, it is crucial to ensure all staff are familiar with and have practiced the disaster plan.
Choice D reason: The risk of technologic disasters in surrounding communities is important to consider in the disaster plan. However, the immediate priority within the hospital is to ensure staff are trained and prepared to handle any disaster scenario. Without proper training, even the best-planned responses to technologic disasters may fail.
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Correct Answer is C
Explanation
Choice A reason: Conducting a client care conference is important for multidisciplinary care planning, but it may not immediately address the client's safety needs upon admission. Safety measures should be implemented promptly to prevent potential accidents or confusion.
Choice B reason: Providing information about advance directives is crucial for ensuring that the client's wishes are respected during their care. However, this does not directly address immediate safety concerns that may arise from being in a new environment.
Choice C reason: Orienting the client to his room is essential to promote client safety. This includes familiarizing the client with the layout of the room, location of the bathroom, call bell, and any other essential features. It helps prevent falls and accidents by reducing confusion and ensuring the client knows how to access help if needed.
Choice D reason: Developing a plan of care is critical for long-term management of the client's health needs. However, immediate safety concerns should be addressed first to ensure a safe environment for the client from the outset.
Correct Answer is B
Explanation
Choice A reason: Providing a centralized area for stocking the needed supplies is important for logistical reasons, ensuring that all necessary materials are readily available. However, this is not the primary scientific rationale for designating a specific decontamination area. The primary focus is on preventing contamination and ensuring safety.
Choice B reason: Preventing secondary contamination to health-care providers is the most crucial reason for designating a specific area for decontamination. This measure is vital to avoid spreading hazardous substances to others and ensuring the safety and effectiveness of the decontamination process. By containing the contamination in a controlled area, health-care providers can minimize the risk of exposure and cross-contamination.
Choice C reason: Designating an area where bioterrorism clients can receive care is important, but it is not the primary rationale for having a specific decontamination area. While care and treatment are critical, the main goal of the decontamination area is to remove contaminants and protect health-care providers and other patients from exposure.
Choice D reason: Providing showers and privacy to the client in the decontamination area is beneficial for the comfort and dignity of the client. However, this is not the main scientific rationale for having a designated decontamination area. The primary reason is to control and contain contamination and prevent it from spreading.
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