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Emergency Preparedness
First, review the pdf file StartTriage & the StartTriage
Algorithm to learn how first responders complete a rapid triage
assessment in a mass-casualty event.
Next, follow the link TurbulentSky and complete the activity.
Complete the following on a separate word document.
· Identify each level of triaged patient in a mass casualty event
(4) and then give an example of each. You may use the
StartTriage resources to create your patient scenarios. KEEP IT
SIMPLE!
· Identify the 3 most likely disaster events that could impact
your household
· Create an evacuation plan for the members of your household
for these disasters. When would you evacuate? When would you
shelter in place? Where would you go? How would you get
there? What if not all members of the household were at home
when the time came to evacuate? What would be the
communication protocol in this situation?
· Make a list of the items that you would place in a 3-day
disaster kit for your household. Use the CDC or Red Cross
website to find recommendations for items to include. Are there
any special items not suggested by the CDC or Red Cross that
you would include for yourself or another family member?
Why?
Upload to the drop box by the due date.
Respond to the two following post make it strait forward and
easy.
APA format
2 scholarly References within the last two years for each post
Plagiarism free, Turnitin report
JOCENIE F
Discussion # 1
Top of Form
My top five themes are: Harmony, consistency, Relator,
Deliberative and Analytical. As a leader, I would want my team
to get along and follow clearly defined expectations. A great
leader strives to establish trust in the team and let them know
that they are there for you and will advocate for your wellbeing
and success (Broome & Marshall, 2021). Being deliberative is
often mistaking with being shy, I just like to listen and analyze
before I draw conclusions. I see myself more as a moral leader
that is there to make sure that everything runs smoothy, and that
everybody is pulling their weight. A moral leader is a great
model of integrity and fairness and is also there to support and
serve the team members (Li & Li, 2021). Analytical means to be
a leader who like to see measurable outcomes to define success.
A leader who likes to educate by using a reasoned approach to
solve problems.
The two characteristics that I would like to strengthen are:
includer and communication. I tend to stay within my comfort
zone and ride with my team, my own little crew; I am slow to
make new friends. Having good communication skills gives rise
to effective and healthy relationship within the team and leaves
little room for misunderstanding (Raouf et al., 2020). I have
little issue with verbal communication and tend to listen more
and keep my opinion to myself until I am positive, I have
something valuable and constructive to offer to the discussion. I
would like to work on finding better ways to communicate with
my team besides quoting rules and regulations.
Evan P
Discussion # 2
Top of Form
The Clifton Strengths Finder 2.0 test showed that my top 5
signature themes were adaptability, includer, ideation, relator,
and input. Adaptability shows that I can be productive in any
situation and I’m able to change or pivot to meet the needs of
the whole. The includer theme shows that I don’t want anyone
to feel left out. That I am accepting of others and want to have a
positive group setting. Ideation shows that I am open to any
kind of ideas, and I enjoy the process of thinking of new ideas.
Relator shows that I want to bring my friends closer and build
comradery. I want to be able to put my trust in others. Input is
the last of my themes. I collect information and items on
subjects that I enjoy.
Two core values that I hold to are human dignity and altruism.
Altruism refers to an unselfish concern in others’ well-being.
Altruism in nursing is giving the best care to every patient
without expecting anything in return. Human dignity refers to
treating each person as a human being and respecting their
individuality (Alavi et al., 2017).
Two strengths that I would like to focus on would be
adaptability and includer. Adaptability is my number one
strength according to the strengths finder. Adaptability has
especially become important in times of a covid pandemic.
There may be acute changes in CDC or hospital guidelines as
well as increased deaths and an effective leader must be
adaptable to these changes . Inclusivity is important for
effective leadership as well. Inclusivity allows for a group to
have a sense of direction. A leader must be inclusive with his or
her followers to achieve a common goal (Uhl-Bien, 2021).
Two characteristics I would like to strengthen include woo and
positivity. Woo is the ability to win people over and convince
them to support your cause. Woo is a measure of how well you
can get others to like you. Positivity is a strength that helps
support yourself and others around you. A positive leader
allows an increased enthusiasm to work together and achieve
the goal. I believe being strong in these two characteristics
would synergize well with my current leadership strengths
(Rath, 2017).
Bottom of Form
Bottom of Form
START Triage
Simple
Triage
And
Rapid
Treatment
START Triage
• Developed in California in the early 1980’s by
Hoag Hospital and Newport Beach Fire and
Marine (California)
• Rapid approach to triaging large numbers of
causalities
• Easy to remember
START Triage
• Initial patient assessment and treatment should take
less than 30 seconds for each patient
• Patients are triaged based upon 4 factors
– Ability to walk away from the scene
– Respiration > or < 30 respirations per minute
– Pulse – Radial pulse ? or capillary refill < or > 2 seconds
– Mental Status – able/unable to follow simple commands
R espirations P ulse M ental Status
START Triage
• First - clear the walking wounded using verbal
instructions.
– Direct them to the treatment areas for detailed
assessment and treatment
– These Patients are triaged MINOR
• Now check your RPMs
START Triage RPM
• Respiration's
– None - Open the Airway
• Still None? - DECEASEDDECEASED
• Restored?- IMMEDIATE
– Present?
• Above 30 - IMMEDIATE
• Below 30 - CHECK PERFUSION
START Triage RPM
• Perfusion
– Radial Pulse Absent
or
Capillary Refill > 2 secs
IMMEDIATE
– Radial Pulse Present
or
Capillary Refill < 2 secs
CHECK MENTAL STATUS
START Triage RPM
• Mental Status
– Can Not Follow Simple Commands
(Unconscious or Altered LOC)
IMMEDIATE
– Can Follow Simple Commands
DELAYED
START Triage
If patient is immediate – Code Red upon initial
assessment, attempt only to correct airway
blockage or uncontrolled bleeding before
moving on to next patient.
START Triage
• When things get hectic with multiple patients
rev up your RPM’s.
–R - Respiration - 30
–P - Perfusion - 2
–M - Mental status - CAN do
mnemonic: 30 – 2 – CAN DO
START Triage
IMMEDIATE
Over 30/min
IMMEDIATE
Control
Bleeding
Radial Pulse
Absent
Over 2
seconds
Under 2
seconds
Capillary
Refill
IMMEDIATE
Can't Follow
Simple Commands
DELAYED
Can Follow
Simple Commands
MENTAL STATUS
Radial Pulse
Present
PERFUSION
Under 30/min
Yes
IMMEDIATE
Yes
DECEASED
No
Position Airway
No
RESPIRATIONS
All Walking
Wounded
MINOR
Respiration's 30
Perfusion 2
Mental Status CAN DO
START Triage
The START process permits a limited number
of rescuers to rapidly triage a large number of
patients without specialized training.
Patients are systematically moved to treatment
areas where more detailed assessment and
treatment are conducted.
START Triage
START Triage was Developed by the
Newport Beach (CA.)
Fire & Marine Department
PowerPoint Program Modified by Lt. S. Albright – SC-
EMS.com
Emergency Preparedness First, review the pdf file StartTriage &

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Emergency Preparedness First, review the pdf file StartTriage &

  • 1. Emergency Preparedness First, review the pdf file StartTriage & the StartTriage Algorithm to learn how first responders complete a rapid triage assessment in a mass-casualty event. Next, follow the link TurbulentSky and complete the activity. Complete the following on a separate word document. · Identify each level of triaged patient in a mass casualty event (4) and then give an example of each. You may use the StartTriage resources to create your patient scenarios. KEEP IT SIMPLE! · Identify the 3 most likely disaster events that could impact your household · Create an evacuation plan for the members of your household for these disasters. When would you evacuate? When would you shelter in place? Where would you go? How would you get there? What if not all members of the household were at home when the time came to evacuate? What would be the communication protocol in this situation? · Make a list of the items that you would place in a 3-day disaster kit for your household. Use the CDC or Red Cross website to find recommendations for items to include. Are there any special items not suggested by the CDC or Red Cross that you would include for yourself or another family member? Why? Upload to the drop box by the due date. Respond to the two following post make it strait forward and easy. APA format 2 scholarly References within the last two years for each post Plagiarism free, Turnitin report
  • 2. JOCENIE F Discussion # 1 Top of Form My top five themes are: Harmony, consistency, Relator, Deliberative and Analytical. As a leader, I would want my team to get along and follow clearly defined expectations. A great leader strives to establish trust in the team and let them know that they are there for you and will advocate for your wellbeing and success (Broome & Marshall, 2021). Being deliberative is often mistaking with being shy, I just like to listen and analyze before I draw conclusions. I see myself more as a moral leader that is there to make sure that everything runs smoothy, and that everybody is pulling their weight. A moral leader is a great model of integrity and fairness and is also there to support and serve the team members (Li & Li, 2021). Analytical means to be a leader who like to see measurable outcomes to define success. A leader who likes to educate by using a reasoned approach to solve problems. The two characteristics that I would like to strengthen are: includer and communication. I tend to stay within my comfort zone and ride with my team, my own little crew; I am slow to make new friends. Having good communication skills gives rise to effective and healthy relationship within the team and leaves little room for misunderstanding (Raouf et al., 2020). I have little issue with verbal communication and tend to listen more and keep my opinion to myself until I am positive, I have something valuable and constructive to offer to the discussion. I would like to work on finding better ways to communicate with my team besides quoting rules and regulations. Evan P Discussion # 2 Top of Form The Clifton Strengths Finder 2.0 test showed that my top 5 signature themes were adaptability, includer, ideation, relator, and input. Adaptability shows that I can be productive in any
  • 3. situation and I’m able to change or pivot to meet the needs of the whole. The includer theme shows that I don’t want anyone to feel left out. That I am accepting of others and want to have a positive group setting. Ideation shows that I am open to any kind of ideas, and I enjoy the process of thinking of new ideas. Relator shows that I want to bring my friends closer and build comradery. I want to be able to put my trust in others. Input is the last of my themes. I collect information and items on subjects that I enjoy. Two core values that I hold to are human dignity and altruism. Altruism refers to an unselfish concern in others’ well-being. Altruism in nursing is giving the best care to every patient without expecting anything in return. Human dignity refers to treating each person as a human being and respecting their individuality (Alavi et al., 2017). Two strengths that I would like to focus on would be adaptability and includer. Adaptability is my number one strength according to the strengths finder. Adaptability has especially become important in times of a covid pandemic. There may be acute changes in CDC or hospital guidelines as well as increased deaths and an effective leader must be adaptable to these changes . Inclusivity is important for effective leadership as well. Inclusivity allows for a group to have a sense of direction. A leader must be inclusive with his or her followers to achieve a common goal (Uhl-Bien, 2021). Two characteristics I would like to strengthen include woo and positivity. Woo is the ability to win people over and convince them to support your cause. Woo is a measure of how well you can get others to like you. Positivity is a strength that helps support yourself and others around you. A positive leader allows an increased enthusiasm to work together and achieve the goal. I believe being strong in these two characteristics would synergize well with my current leadership strengths (Rath, 2017). Bottom of Form
  • 4. Bottom of Form START Triage Simple Triage And Rapid Treatment START Triage • Developed in California in the early 1980’s by Hoag Hospital and Newport Beach Fire and Marine (California) • Rapid approach to triaging large numbers of causalities • Easy to remember START Triage • Initial patient assessment and treatment should take less than 30 seconds for each patient • Patients are triaged based upon 4 factors – Ability to walk away from the scene – Respiration > or < 30 respirations per minute
  • 5. – Pulse – Radial pulse ? or capillary refill < or > 2 seconds – Mental Status – able/unable to follow simple commands R espirations P ulse M ental Status START Triage • First - clear the walking wounded using verbal instructions. – Direct them to the treatment areas for detailed assessment and treatment – These Patients are triaged MINOR • Now check your RPMs START Triage RPM • Respiration's – None - Open the Airway • Still None? - DECEASEDDECEASED • Restored?- IMMEDIATE – Present? • Above 30 - IMMEDIATE • Below 30 - CHECK PERFUSION START Triage RPM • Perfusion
  • 6. – Radial Pulse Absent or Capillary Refill > 2 secs IMMEDIATE – Radial Pulse Present or Capillary Refill < 2 secs CHECK MENTAL STATUS START Triage RPM • Mental Status – Can Not Follow Simple Commands (Unconscious or Altered LOC) IMMEDIATE – Can Follow Simple Commands DELAYED START Triage If patient is immediate – Code Red upon initial assessment, attempt only to correct airway blockage or uncontrolled bleeding before moving on to next patient.
  • 7. START Triage • When things get hectic with multiple patients rev up your RPM’s. –R - Respiration - 30 –P - Perfusion - 2 –M - Mental status - CAN do mnemonic: 30 – 2 – CAN DO START Triage IMMEDIATE Over 30/min IMMEDIATE Control Bleeding Radial Pulse Absent Over 2 seconds Under 2 seconds Capillary Refill IMMEDIATE
  • 8. Can't Follow Simple Commands DELAYED Can Follow Simple Commands MENTAL STATUS Radial Pulse Present PERFUSION Under 30/min Yes IMMEDIATE Yes DECEASED No Position Airway No RESPIRATIONS All Walking Wounded
  • 9. MINOR Respiration's 30 Perfusion 2 Mental Status CAN DO START Triage The START process permits a limited number of rescuers to rapidly triage a large number of patients without specialized training. Patients are systematically moved to treatment areas where more detailed assessment and treatment are conducted. START Triage START Triage was Developed by the Newport Beach (CA.) Fire & Marine Department PowerPoint Program Modified by Lt. S. Albright – SC- EMS.com