The charge nurse assesses clients during a mass casualty incident ...

[Brittanyd9008]

The charge nurse assesses clients during a mass casualty incident (MCI) and transfers some to other units and some are discharged to home.
 
  In planning for the admission of critically ill clients from the emergency department, which nurses will the charge nurse assign the new clients to when admitted to the unit?
  A) Risk-reduction knowledge
  B) Advanced assessment skills
  C) Impeccable ethics
  D) Exceptional self-care methods

Question 2

A hospital in the community has been notified of a multi-car crash on the interstate that will result in the transfer of many injured clients to the hospital.
 
  As part of the emergency response, the charge nurses in the emergency department (ED) and intensive care unit (ICU) are responsible for which tasks?
  Select all that apply.
  A) Assigning care for the clients as they are admitted to the unit
  B) Assuring that there are enough pain medications available
  C) Assessing the acuity of the current clients on the unit
  D) Delegating staff nurses to gather needed supplies for the arriving clients
  E) Notifying the operating room of the potential influx of clients needing surgery

[joshbk44]

Answer to Question 1

Answer: B

During the admission of injured clients, the charge nurse would assign the new clients to those nurses with advanced assessment, technical, and communication skills. Nurses do need to have good ethics, sufficient risk-reduction knowledge, and appropriate self-care knowledge during emergency responses. However, during the admission of victims, the charge nurse would want the highly competent nurses caring for the new clients.

Answer to Question 2

Answer: A, C, D

The charge nurses in each unit are responsible for assessing the current clients and recommending to the physicians those clients who can be moved to make room for clients needing more immediate care. All departments should be involved in preparing for the emergency, not just the Emergency Department. The pharmacy assures that medications are available. The charge nurse would delegate the gathering of supplies to the staff nurses. The individual in charge of directing the emergency response for the hospital would notify the operating room of the potential for an influx of clients requiring surgery. The charge nurse would also assign care for the clients who are admitted to the unit.