Concepts Of Bioterrorism, Emergency/Trauma Nursing, And Emergency/Disaster Preparedness

Concepts of Bioterrorism, Emergency/Trauma Nursing, and Emergency/Disaster Preparedness

Simulation Clinical Pre Conference

Objectives: At the completion of this pre conference, students will: - Be able to discuss the nurse’s role in a multiple casualty event. - Be prepared to perform triage duties at a multiple casualty event. - Be prepared to perform a rapid trauma assessment on patients with traumatic injuries. - Be able to list nursing interventions performed on patients with traumatic injuries or critical illnesses in the emergency department. - Be able to describe the importance of patient-centered care and family presence.

Behavioral Outcomes: At the completion of this simulation clinical, students will: - Describe the nurse’s role, how the nurse can protect the safety of himself/herself and the patients, and the role of the healthcare facility during a disaster. - Successfully triage victims of a mass casualty event as evidenced by correct triage tag designations. - Successfully perform a rapid trauma assessment on two victims, as evidenced by observing the students follow the Trauma Nurse Core Curriculum ABCDEFGHI method of rapid trauma assessment. - Apply, administer and perform all necessary nursing interventions to the simulation manikins with traumatic injuries. - Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values and needs. - Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared decision-making to achieve quality patient care. - Integrate best current evidence with clinical expertise and patient/family preferences and values for delivery of optimal health care. - Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. - Use information and technology to communicate, manage knowledge, mitigate error, and support decision making.

Discussion Questions: - How is disaster triage different from triage under normal circumstances? - How is the disaster triage tag system implemented? - What does each color on the triage tag mean? - What acronyms are used to assist the nurse in remembering the steps of rapid trauma assessment? - What interventions will be performed on critically ill or injured patients in the emergency department? - How does the nurse ensure the safety of himself/herself and those within his/her care during a disaster?

Teaching Plan: - Listen to and discuss student perceptions of the nurse’s role in a disaster - Review and discuss disaster triage - Review and discuss rapid trauma assessment - Review and discuss patient care in the emergency department

Notes: Simulation Clinical Post Conference

Objectives: At the completion of this post conference, students will identify strengths and opportunities for improvement regarding: - Triage duties. - Performance of rapid trauma assessment. - Identification and application of necessary nursing interventions for the patient with traumatic injuries. - Communication and collaboration with the healthcare team. - Facilitating family presence. - Provision of quality, patient-centered, and safe care in the emergency department. - Utilization of computerized provider order entry and the electronic health record.

Behavioral Outcomes: - Students will feel comfortable to openly and honestly discuss their interpretation of today’s simulation clinical. - Students will feel comfortable to openly and honestly discuss the strengths and weaknesses of their performance at today’s simulation clinical. - Students will verbalize the importance of participating in disaster drills.

Discussion Questions: - How do you feel you performed triaging at the multiple casualty event? - What could be improved with your triaging? - Did you obtain consent to treat the pediatric patient? How? - How do you feel you performed your rapid trauma assessment? - What could be improved with your rapid trauma assessment? - Did you remember to implement all nursing interventions for your patients in the emergency department? - Did you assess for pain and comfort? - How did you collaborate with other healthcare providers to assure that your patients were comfortable? - How did you coordinate care in the emergency department to provide patient-centered care? - How did you feel about having the family stay in the room with your patient? - Do you feel that you communicated your needs and the needs of the patient clearly to the healthcare team? - Why was it important for you to conduct a pre-surgical checklist and provide an SBAR report to the OR nurse? - Recognizing that the patient is source of control and full partner in care, were you able to educate Eve on the importance of diabetes management? - How will you improve your triage, rapid trauma assessment and nursing intervention skills? - Do you feel ready to participate in a drill or a disaster after this week? Why or why not?

Teaching Plan: - Listen to and discuss student reactions to today’s clinical - Use discussion questions as a guide

Notes: