The nurse manager is determining whether a recent situation involving the injury and death of multiple patients in a gun battle should be classified as a critical incident
Which components of a critical incident should the nurse consider? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Have any of the staff involved asked for critical incident interventions?
2. Was the incident abnormal in this environment?
3. Have any of the staff involved behaved abnormally since the incident?
4. Did the incident disrupt the emotional culture of the ED?
5. Has there been evidence of inability to cope with severely injured patients since the incident?
2,4,5
Rationale 1: Staff members involved in these incidents may need intervention and not be willing to ask for it. They may not realize the depth of the disruption in their lives.
Rationale 2: If the staff is exposed to this kind of incident on a routine basis, critical incident stress intervention may not be necessary. If this kind of incident is rare in this ED, intervention is likely to be needed.
Rationale 3: It is the incident that is abnormal, not the response to it.
Rationale 4: Strong emotional reactions may manifest as a change in staff members' ability to work together under stress.
Rationale 5: If there is evidence that the staff is unable to cope with typical events in the ED, critical incident stress interventions are likely to be necessary.
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A) Clean the pressure ulcer as needed. B) Use hydrogen peroxide as chemical debridement of wound bed as needed. C) Maintain the head of the client's bed at 30 °. D) Avoid placing the client in the side-lying position.
The nurse educator is developing a teaching plan to prepare nurses for a disaster situation. Which teaching method is best?
A) Develop an online module. B) Prepare a PowerPoint presentation for review. C) Coordinate a demonstration of a simulated disaster. D) Conduct a simulation for the nurses to have a role as participants.
What does the "I" indicate in a "PICO" question?
a. Intervention of interest b. Incorporation of concepts c. Implementation by nursing d. Interest of personnel
Which of the following groups should the occupational health nurse devote the most time to regarding education and follow-up evaluation?
a. New workers employed less than 1 year b. Older workers with chronic illnesses c. Older workers with diminished hearing d. Women in their childbearing years