The emergency department (ED) is overwhelmed with victims of a disaster who are arriving in private vehicles. Many are seriously injured. What action should be taken by the nurse manager?
1. Notify law enforcement to divert traffic away from the hospital.
2. Provide quick instruction to housekeeping staff on safe ways to help patients out of the cars.
3. Contact the incident commander and ask that first responders be sent to the hospital.
4. Tell nurses that they should focus solely on those patients who can get into the hospital with no staff assistance.
3
Rationale 1: This is not an appropriate action and is not the help needed by the ED staff.
Rationale 2: Serious damage is possible during extrication, and this duty should not be delegated to those who are not trained appropriately.
Rationale 3: First responders have training in extrication. This extrication should be done by trained individuals.
Rationale 4: People will arrive at the hospital with the expectation that they will be helped out of the car, and the nurse manager should try to facilitate their safe extrication.
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