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Zorluk: OrtaEmergency Response Plan

A severe thunderstorm causes a massive regional power outage, and the hospital immediately transitions to emergency backup generator power. A nurse is providing care for a group of hemodynamically unstable clients in the intensive care unit (ICU). Which actions should the nurse take during this internal utility emergency? Select all that apply.

  1. Plug all mechanical ventilators and critical continuous intravenous infusion pumps into the designated red emergency electrical outlets.Cevap
  2. Ensure a manual bag-valve-mask (BVM) resuscitator is physically present and accessible at every client's bedside.Cevap
  3. Verify that the internal backup battery indicators on all life-support equipment are actively charging.Cevap
  4. D
    Delegate the initial assessment of each client's respiratory status to unlicensed assistive personnel (UAP).
  5. E
    Initiate an immediate vertical evacuation of all clients to a lower floor of the hospital facility.
  6. F
    Apply the Simple Triage and Rapid Treatment (START) algorithm to determine which clients receive priority for emergency power.

Cevap

The correct actions include plugging critical equipment into red emergency outlets, ensuring manual resuscitators are at every bedside, and verifying that internal equipment batteries are charging.
During a hospital power outage, the primary objective in an intensive care unit is to maintain life-sustaining treatments. Emergency generators provide electricity to designated red outlets. The nurse must ensure all critical devices (ventilators, IV pumps) are plugged into these specific outlets and that their internal batteries are actively charging to prepare for any subsequent power disruptions. Furthermore, a manual bag-valve-mask (BVM) resuscitator must be kept at the bedside to provide immediate, manual ventilation if mechanical respiratory support completely fails.

Adım Adım Çözüm

1
Assess the immediate impact of the power transition on critical life-support equipment.
Identifies which devices require emergency generator power to sustain life.
Mechanical ventilators and vasoactive infusions cannot be safely interrupted.
2
Secure backup ventilation methods at the point of care.
Provides a fail-safe mechanism if the generator fails or a specific outlet malfunctions.
The ABCs (Airway, Breathing, Circulation) must be maintained at all times, requiring immediate manual intervention if mechanical support drops.
3
Prioritize nursing interventions and avoid inappropriate delegation.
The registered nurse maintains direct responsibility for evaluating client stability.
Hemodynamically unstable clients require continuous advanced clinical judgment that falls outside the UAP scope of practice.

Anahtar Kavram

Internal Emergency Response: Utility Power Failure
Tahmini Süre:1m 30s
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Emergency Response Plan

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