A severe hurricane has caused catastrophic structural damage and total power failure at a long-term care and rehabilitation center. The incident commander orders an immediate, full-scale facility evacuation. Arrange the following client evacuation steps in the order the nursing supervisor should prioritize them, from first to last.
- 1Direct independently ambulatory clients to walk to the designated staging area
- 2Assist clients who rely on wheelchairs to the evacuation point
- 3Transfer stable, bedbound clients using stretchers or evacuation sleds
- 4Coordinate the complex transport of clinically unstable clients requiring continuous life-support
Cevap
The correct sequence is to evacuate ambulatory clients first, followed by wheelchair-bound clients, then stable bedbound clients, and finally clinically unstable clients requiring life-support.
In a facility-wide disaster evacuation, the principle of doing the greatest good for the greatest number applies. Evacuation occurs in reverse order of medical acuity. Ambulatory clients are evacuated first because they require minimal assistance, clearing the facility quickly. Those needing wheelchairs follow. Bedbound but stable clients are next, as they require stretchers and more staff. Finally, unstable clients requiring intensive care and life support are evacuated last, as their transport is highly complex, resource-heavy, and requires specialized external vehicles.
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Disaster Evacuation Prioritization
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