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Equipment And Supplies
Nursing
IV Therapy (ATI Chapter 49) – Flashcards 55 terms

Tony Foust
55 terms
Preview
IV Therapy (ATI Chapter 49) – Flashcards
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Large volume IV infusions are administered on a
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continuous basis
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Advantages of IV therapy
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-rapid absorption -maintains consistent TL -Less irritation to SubQ and muscle tissue
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Disadvantages of IV therapy
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-Circulatory fluid overload is possible -Immediate absorption leaves no time to correct errors -Solution and IV catheter can cause irritation to lining of vein -Failure to maintain surgical asepsis can lead to local infection or septicemia
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A fluid bolus is a large amount of IV fluid given in a
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short period of time, usually less than 1 hr.
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A fluid bolus is given to rapidly
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replace fluid loss that could be caused by dehydration, shock, burns, hemorrhage, or trauma
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To maintain a rapid rate that is necessary to give a fluid bolus to an adult, a size
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18 gauge or larger is needed
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This medication can cause serious adverse reactions and should be infused on an IV pump for accurate dosage control. It should never be administered by IV bolus
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Potassium chloride
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Never administer IV meds through tubing that is infusing
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blood, blood products, or parenteral nutritional supplements
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Special considerations (SC) for older adult clients, clients taking anticoagulants, or clients who have fragile veins
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-avoid tourniquets -use BP cuff instead -do not slap extremity to visualize veins -avoid rigorous friction when cleaning site
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SC for edema
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-apply digital pressure over selected vein to displace edema -apply pressure with swab of cleaning solution -Cannulation must be quick
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Preventing IV infections includes the following
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Change IV sites
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usually 72 hours (according to policy)
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Change continuous infusion tubing no more frequently than every
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96 hours
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Change intermittent infusion tubing every
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24 hours (according to policy)
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Change cath when
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there is any break in surgical aseptic technique (emergency insertions)
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Use a __ needle/cath for each insertion attempt
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Sterile
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Fluids should not be hung for any longer than
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24 hours unless it is a closed system (pressure bags for hemodynamic monitoring)
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Before connecting IV lines or inserting a syringe, you should wipe all ports with
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alcohol or antiseptic swab.
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For trauma clients and rapid fluid volume use
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16 gauge
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For surgical clients and rapid blood admin use
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18 gauge
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For all other clients (children and adults) use
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22-24 gauge
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If hair removal is needed use
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scissors or an electric shaver
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Apply a clean tourniquet or BP cuff__ inches above proposed insertion site to___
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1. 4-6 inches 2. compress only venous blood flow
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Select vein by choosing:
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-distal veins first on nondominant hand -vein that is resilient with a soft, bouncy sensation when palpated
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Additional methods to enhance venous access include:
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-gravity -fist clenching -friction with cleaning solution -heat
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Avoid veins that
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-are permanently dilated and tortuous -are in inner wrist with bifurcations, flexion areas, near valves (appearing as bumps), lower extremities, antecubital fossa -back of hand -sclerosed or hard -in extremity with impaired sensation (scar/paralysis), lymph nodes removed, recent infiltration, PICC line, or arteriovenous fistula/graft
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Allow cleaning agent to ___ after cleaning site
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air dry for 1-2 minutes
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Insert catheter with the bevel
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up at an angle of 10-30
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Flashback of ___ will confirm placement in vein
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blood
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Lower the hub to the cath close to the skin to prepare for ____ it into the ___ approximately ___. Loosen the ___ and ____ slightly so that it no longer ____ past the tip of the cath. Use the thumb and ____ finger to ____ cath into the ___ until the hub ____ ____ the insertion site.
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1. threading, vein, .25 in 2. needle from the catheter, pull back, extends 3. index, advance, vein, rests against
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Now is the time to ___ the IV cath with one hand and remove the ____ with the other.
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1. stabilize 2. Tourniquet or BP cuff
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Apply pressure ____ above insertion site with middle finger and ____ catheter with the index finger
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1. 1.25 inches (3 cm) 2. stabilize
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Avoid _____ with tape, and taping ____
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1. encircling the entire extremity 2. under sterile dressing
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Flush intermittent IV catheters with appropriate solution after every ____ or every ____ when not in use
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1. medication administration 2. 8-12 hours (according to policy)
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Monitor site and infusion rate at least every
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hour
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When DC IV therapy,
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-do not use alcohol to apply pressure to vein -pull catheter straight back from site keeping hub parallel to skin -elevate extremity and apply pressure for 2-3 minutes
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Complications
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Infiltration or extravasation
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-pallor, local swelling at the site, decreased skin temp around site, damp dressing, slowed rate of infusion
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TX
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-stop infusion and remove cath -elevate extremity -apply warm/cold compress (depends on solution) -restart IV proximal to site or in another extremity -Encourage AROM
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Prevention of Infiltration or extravasation
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carefully select site and cath. Secure cath
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Phlebitis/thrombophlebitis findings
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-edema, throbbing/burning or pain at site, increased skin temp, erythema, red line up arm with a palpable band at vein site, slowed rate of infuison
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TX
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-DC promptly and remove cath -elevate extremity -apply warm compresses 3-4 x/day -restart infusion proximal or other extremity -culture site and cath if drainage is present
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Prevention of phlebitis
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-rotate site every 72 hours -avoid lower extremities -use hand hygiene -surgical aseptic technique
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Hematoma findings
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-ecchymosis at site
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TX
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-DO NOT apply alcohol -apply pressure after IV cath removal -Use warm compress and elevate after bleeding stops
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Prevention of hematoma
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-minimize tourniquet times -remove tourniquet before starting infusion -maintain pressure after IV cath removal
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Fluid overload findings
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-distended neck veins -high BP -tachy -SOB -crackles -edema
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TX
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-stop infusion -raise head of bed -Vital signs and O2 sat -adjust rate administer diuretics
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Fluid overload prevention
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-use an infusion pump -Monitor I and O
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Cellulitis findings
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-pain -warmth -edema -induration -red streaking -fever/chills -malaise
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TX
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-DC and remove cath -elevate -apply warm compress 3-4 x/day -obtain specimen for culture Administer: ABX, analgesics, antipyretic
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Cellulitis prevention
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-rotate site q 72 hrs -avoid lower extremities -use hand hygiene use surgical aseptic technique
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Catheter embolus findings
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-missing cath tip severe pain at site w/ migration -absence of findings if no migration
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TX
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-place tourniquet high on extremity to limit venous flow -Prepare for removal under x-ray or via surgery -save cath after removal
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Cath embolus prevention
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-do not reinsert stylet into cath
Emergency Medical Services
Equipment And Supplies
First Aid
Physical Fitness
The Body
Chapter 37: Emergency Medical Procedures and First Aid – Flashcards 43 terms

Ray Collins
43 terms
Preview
Chapter 37: Emergency Medical Procedures and First Aid – Flashcards
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Burn
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injury to tissues caused by exposure to thermal, chemical, electrical, or radioactive agents.
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Crash Cart
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a specially equipped cart for holding and transporting medications, equipment, and supplies needed for lifesaving procedures in an emergency.
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Crepitus
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A grating sensation created by fractured bone,bone fragments rubbing against each other.
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Dislocation
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An injury in which one end of the bone making up a joint is separated or displaced from its normal anatomic position.
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EMS System
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network of community resources,equipment, and personnel that provides care to victims of injury or sudden illness.
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fracture (Fx)
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any break in a bone
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hypothermia
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life threatening condition in which the body temperature falls dangerously low
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poison
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any substance that causes injury,illness, or death if it enters the body
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pressure point
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a site on the body where an artery lies close to the surface of the skin and can be compressed against an underlying bone to control bleeding
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seizure
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a sudden episode of involuntary muscle contractions and relaxation, often accompanied by changes in sensation,behavior, and level of consciousness.
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shock
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the failure of the cardiovascular system to deliver enough blood to all of the vital organs of the body
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splint
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any device that immobilizes a body part
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sprain
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trauma to a joint that causes tearing of ligaments
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strain
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a stretching or tearing of muscles or tendons caused by trauma
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wound
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a break in the continuity of an external or internal surface, caused by physical means.
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Heart Attack
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Myocardial Infarction; obstruction of coronary arteries or branches; severity characterized by amount of muscle tissue nourished by blocked artery
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MI symptoms
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chest pain and radiation to jaw,shoulders,and arms (angina) SOB diaphoretic syncope
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Tx for MI
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Nitroglycerin 1 SL q 5 min X3 fizzes and causes headache,works as vasodialator, monitor BP for decrease. Do NOT provide anti-coagulates if victim has bleeding
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CVA
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Stroke
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Stroke SX/SY
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Face droop Arm downward drift Speech slurred Time to call 911 also confussion,dizziness, severe headache, LOC
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LOC
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loss of consciousness
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Hypovolemic Shock
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loss of blood or fluids
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Cardiogenic Shock
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failure to pump blood to vital organs
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Neurogenic Shock
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nervous system unable to control diameter of blood vessels BP drops significantly.
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Anaphylactic Shock
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life threatening reaction to allergen
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Psychogenic Shock
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causes syncope
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Insulin Shock
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hypoglycemia; needs sugar immediately experiences excess insulin
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capillary bleeding
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slow oozing and bright red
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venous bleeding
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slow, study and dark red
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arterial bleeding
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spurts in dark red
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epistaxis
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nosebleed
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aspiration
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breathing in anything else other than air
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diabetic coma
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needs insulin and admit to emergency room
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internal bleeding sx
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rapid weak pulse; bruises,pain tenderness, swelling at the sit, cold clammy skin,nausea and emesis, excess thirst , low BP, decreased consciousness
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TDAP vaccine
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prevents tetanus,diphtheria, and pertussis. TD boosts against tetanus and pertussis.
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cyanosis
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low O2
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contusion
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bruise
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syncope
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fainting
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encephalitis
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brain inflammation, maybe related to seizure
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postictal state
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follows seizure as an altered state of unconsciousness
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diaphoresis
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sweating; often referred to excessive sweating
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erythema
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redness of skin
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edema
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swelling
Alcohol Based Hand Rub
Equipment And Supplies
Human Immunodeficiency Virus
micro unit 1 – Flashcards 132 terms

Viola Marenco
132 terms
Preview
micro unit 1 – Flashcards
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what is a diseased state resulting from an invasion of the body by a pathogen? |
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pathophysiology |
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what is a disease-producing or causing (micro)-organism? |
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pathogen |
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what is the study of microorganism? |
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microbiolody |
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what are life forms generally too small to be seen with the naked eye (and thus, requires the use of a microscope to be seen)/ |
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microorganism |
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what are 4 examples of microorganisms often referred as "germs", "bugs", and "microbes"? |
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bacteria, viruses, parasites, and yeasts |
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true or false fungi and parasites can be seen without a microscope |
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true |
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what is the study of bacteria? |
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bacteriology |
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what is the study of viruses? |
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virology |
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what is the study of fungi? |
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mycology |
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what is the study of parasites? |
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parasitology |
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what is the study of host (human) resistance to disease? |
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immunology |
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true or false eukaryotic cell is a bacterial cell and prokaryotic is a human cell |
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false |
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from eukaryotic cell to virus to prokaryotic cell name them from biggest to smallest |
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eukaryotic cell, prokaryotic cell, and virus |
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Your immune system includes white blood cells like ___________, ___________, and __________ and processes like inflammation and ________________ |
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neutrophils, B-cells and T-cells phagocytosis |
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what is the process of engulfing and digesting extracellular foreign materials (like bacteria and viruses that do not belong in our bodies)? |
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phagocytosis |
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what is the study of living organisms like protozoa and worms (helminths) that cause disease? |
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parasites |
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what is an organism that uses the life cycle of the host species (lives off a host cell/organism) for sustenance or reproduction, or both (life)? |
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parasite |
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true or false true parasites are the first microbes ever seen and are the largest in size of the microorganism |
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true |
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what type of parasite has eukaryotic, with nucleus, cytoplasm, and mitochondria? |
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protozoa |
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what type of parasite is predominantly single-celled? |
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protozoa |
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trichomonas vaginalis is what type of protozoa parasite? |
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parasite that causes vaginal infection |
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giardia lamblia is what type of protozoa parasite? |
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parasite that causes diarrhea from rivers and lakes |
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toxoplasma gondii is what type of protozoa parasite? |
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parasite that pregnant women can get from changing the cat litter |
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cryptosporidium is what type of protozoa parasite? |
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it is a parasite found in water park |
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trypanosome gambiense is what type of protozoa parasite? |
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it is known as a causative agent of African sleeping sickness |
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what parasite is better known as worms? |
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helminths |
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examples of groups of helminths are? |
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nematodes, cestodes, and trematodes |
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nematodes are what? |
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tubular in shape and known as roundworms |
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cestodes are what? |
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tapeworms; segmented |
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trematodes are what? |
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often referred to as flukes |
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the study of larger, multicellular organisms found everywhere is know as ? |
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mycology (the study of fungi) |
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yeast that frequently causes human yeast infection and is also know as part of our normal human microflora? |
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candida albicans |
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the mold on bread and the fungus that cause athletes foot and ringworm also often referred to as _______ _________ and __________ __________? |
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tinea pedis and tinea corporis |
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common fungal diseases are ringworm caused by the fungus _______ and oral yeast infection know as __________ |
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tinea and thrush |
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__________ do not respire, do not move, and cannot and do not grow on their own |
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viruses |
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acellular are not know as? |
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not living, not dead - just there |
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viruses are acellular, cannot replicate on their own and do not have _________________ processes |
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metabolism/metabolic |
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what are two basic components that viruses have? |
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protein coat (capsid) and a genome or nucleic acid |
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viruses nucleic acid are either ______ or _____ but never both |
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DNA or RNA |
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viruses can have a 3rd component know as |
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an envelope (lipid layer or phospholipid membrane |
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viruses are classified according to what? |
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type of nucleic acid and diseases they cause |
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type of nucleic acid are DNA or RNA and _________ or ____________ |
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enveloped or non-enveloped |
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what will not work on viruses but will work on bacteria are? |
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antibiotics |
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baby viruses are known as? |
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virions or virus particles |
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reproduction of virus has what four stages |
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attachment, enter, multiple, and parting |
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when virus attaches to a host cell is know as what stage of virus reproduction? |
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attachment |
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when virus or viral nucleic acid enters host cell is known as what stage of virus reproduction? |
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enter |
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when virus uses host cell's enzymes and ribosomes to make viral genes and proteins (virus "parts") is known as what stage of virus reproduction? |
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multiple |
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when new virus particles ("newborn baby" viruses) eventually leave host and search for a new host cell is known as what stage of virus reproduction? |
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parting |
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enveloped virus leaves the cell by __________ and non-enveloped virus leaves the cell by _________ |
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budding and lyse |
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influenza (the "flu"), herpes (herpes virus type I and II), HIV, mononucleosis (Epstein-Barr virus), chicken pox/shingles (varicella-zoster virus), smallpox, ebola, norwalk, mumps, and measles are known as? |
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viral diseases |
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the study of bacteria is known as? |
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bacteriology |
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_________are know as good bacteria and help the environment by degrading biowaste and clean up oil spills |
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probiotics |
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biofilms are known as? |
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bad bacteria |
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bacteria are ___________ which means they are simple and single-celled organism |
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prokaryotes |
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bacteria do not have membrane bound __________, no membrane bound __________ and no __________ |
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organelles, nucleus, and mitochondria |
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the processes that bacteria replicate is know as? |
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binary fission |
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staphylococcus aureus, escherichia coli, streptococcus mutans, and lactobacillus are known as? |
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bacteria |
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bacteria are grouped or classified and identified based on what characteristics? |
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DNA (specific genes), unique cell surface molecules, and growth requirements |
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majority of bacteria have a structure know as a cell wall and contain the substance ____________ |
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peptidoglycan |
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what gives bacterial cells their shape? |
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cell wall |
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in lab we identify the million of different bacteria by 1st seeing the cell shape, arrangement of cells, and cell wall type under the microscope and by ____________ |
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appearance of colonies |
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the 1st to see and describe microorganisms in 1670 is? |
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Anton van Leeuwenhoek |
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who developed the concept of vaccination in late 1700 is? |
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Edward Jenner |
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the golden age of microbiology includes _____________, __________, and __________ in 1875-1900 |
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Pasteur, Lister, and Koch |
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the father of microbiology is known as? |
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Pasteur |
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who came up with pasteurization, rabies vaccine and Disproved Abiogenesis (spontaneous generation)? |
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Pasteur |
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the "father" of antiseptic surgery is known as? |
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Joseph Lister |
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whose's postulates helped isolate/discover bacillus anthracis and mycobacterium tuberculosis? |
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Koch's postulates |
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what are the 4 steps of Koch's postulates |
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1) the agent must be present in every case of disease 2) the agent must be isolated and cultured in vitro 3) the disease must be reproduced when a pure culture of the agent is inoculated into a susceptible host 4) the agent must be recoverable fro the experimentally-infected host |
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in 1929 who accidentally grew the mold that produced penicillin? |
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Alexander Fleming |
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what two people found a way to mas produce penicillin and purify the active compound? |
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Howard Florey and Ernest Chain |
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in 1912 who coined the term, and well as discovered and implemented the first chemotherapeutics? |
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Paul Ehrlich |
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the use of chemicals to treat (infectious) disease is known as |
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chemotherapeutic |
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who discovered the "cure" for syphilis known as salvarsan? |
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Paul Ehrlich |
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____________, ____________, ____________, _____________, are external bacterial structures |
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cell wall, capsule, flagellum, and Pili (fimbriae) |
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____________, _____________, ___________ are internal bacterial structures |
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cytoplasm, nucleiod (nuclear region), and ribosomes |
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what cell wall has peptidoglycan, teichoic acid, thick, and is cross-linked? |
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gram positive |
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what cell wall has peptidoglycan, thin, no teichoic acid, and has external Lipopolysaccharide layer (LPS) which produced lipid A an endotoxin |
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gram negative |
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what cell wall has mycobacteria, peptidoglycan and thick waxy substance (aka mycolic acid)? |
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acid fast |
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some bacteria when stressed, encounter unfavorable growth condition (lack of water, high heat) can undergo the process of sporulation and form bacterial _____________ |
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endospores |
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two significant genera that can undergo this process and form endospores are? |
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clostridia species and bacillus species which are GPRs |
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survival technique beside endspore that bacteria use are what 3? |
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1) produce/use different enzymes 2) can alter cell wall or membrane 3) alter genes-genetic mutations |
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what are the four key stages to bacterial growth? |
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lag, log(logarithmic), stationary phase, death and decline |
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what nutrients do bacteria need to grow? |
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a carbon source (something organic), nitrogen (animo acids), lipids (fatty acids), salts (minerals), vitamins, and water |
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medically important microorganisms that cause disease are know as? |
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pathogens |
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microorganisms that are very good at causing disease are described as? |
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pathogenic |
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what live off dead organic material by absorbing nutrients (ex. fungi on bread)? |
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saprophytes |
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what life forms which live off live organic matter (host) and derive support at expense of the host? |
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parasites |
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in lab we provide for nutrition by use of artificial growth media (broth,agar) and control temperature and oxygen levels by use of an ____________ |
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incubator |
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what 5 key nutrient and environmental conditions that influence bacterial growth are? |
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1. moisture 2. temperature 3. pH 4. specific salt (NACI) concentration 5. oxygen requirements |
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microbes generally grow best between aw~ |
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0.995-0.980 |
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most microbes cease growth at aw~ |
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<0.900 |
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thermophiles |
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> 40c |
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mesophiles |
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20-40c pathogenic range |
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psychrophiles |
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<20c |
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obligate aerobe are what specific salt concentration? |
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strict oxygen |
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what needs lots of oxygen at specific amount? |
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micro aerophilic |
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__________ ____________ are flexible to oxygen available and not specific. an ex. include E. coli, staph and strep |
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facultative anaerobes |
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___________ ____________ example are clostidia, C. tenani, and C. difficile and oxygen is toxic to them |
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obligate anaerobe |
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what are the most common/classic stains used in lab? |
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gram stain and acid-fast stain |
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an example of immunofluorescene stains that diagnose syphilis is? |
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direct IFA |
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the destruction/removal of all life forms refers to the process in which all living cells, spores, and viruses |
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sterilization |
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destruction or removal of pathogenic m/o's is know as? |
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disinfection |
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true or false disinfection may not necessarily eliminate spores or all of the microorganisms fro an object or environment |
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true |
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-cidal (suffix) |
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kills; death of microorganism like bactericidal, fungicidal, virucidal, sporicidal |
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-static (suffix) |
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prevents further multiplication without necessarily killing them by slowing metabolism and inhibits growth |
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what seven way we control the growth of microorganisms in the environment |
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1. heat 2. irradiation 3. filtration 4. pasteurization 5. low temperature 6. drying (desiccation) 7. antimicrobial agents |
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a method can only be defined as a sterilant if, and only if, it destroys ___________ bacteria, in addition to all other life forms |
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endospores/spore-forming |
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_____________ are one of the most difficult forms of 'life' to irradicate on earth even more difficult are prions |
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endospores |
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the heat that are used to control microorganism in the environment include which 4? |
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incineration, moist heat, autoclaving and dry heat |
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what burns organisms and physically destroy them and are used for needles, inoculating wires, glassware, and objects not destroyed in the incineration process |
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incineration >500c |
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what kills everything except some endospores (which requires over 2+ hours of boiling to kill) |
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moist heat-boiling ~100c for 30 minutes |
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what uses moist heat/steam under pressure or pressure cooker and spore forming Bacteria -Bacillus species- is used as quality control to see if it is working? |
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autoclaving |
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what can be good for sterilizing almost anything, including water, some agar medias, and glass? |
answer
autoclaving |
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what is used for sterilizing glassware, metal, and objects that won't melt |
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dry heat |
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dry heat is used to sterilize for how long? |
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160 degree/2 hours or 170 degrees/1 hour |
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true or false dry heat is as good as moist heat for eliminating microbes |
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false moist heat is better |
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what uses UV light-260mm wavelength and gamma (ionizing) radiation ("radioactive") to sterilize? |
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irradiation |
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what uses HEPA - high efficiency particulate air- filters and is designed for the filtration of small particles? |
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filtration for air |
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the use of mild heat and time to reduce the number of microorganisms (likely to cause spoilage) and kill any potential pathogens present is know as? |
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pasteurization |
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true or false low temperature are not bactericidal |
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true |
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most organisms grow very little or not at all at what degree? |
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4 C |
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what method involve the removal of water from product by heat, evaporation, freeze-drying, and addition of salt or sugar? |
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drying/desiccation (removal of H2O) |
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true or false most microorganisms cannot grow at reduced water activity (aw <0.90) |
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true |
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desiccation is often used to preserve what type of food? |
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fruits and grains |
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what are chemical agents used to disinfect inanimate (lifeless) objects and surfaces? |
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disinfectants |
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true or false some disinfectants, if in high concentration or long contact time, may qualify as sterilants |
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true |
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what are chemical agents applied to living tissues to prevent infection? |
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antiseptics |
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true or false antiseptics are generally less toxic than disinfectants because they must not cause too much damage to the host living issue |
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true |
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what are pharmaceuticals (chemical agents) that are used in the treatment of microbial infections? |
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antimicrobials |
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the specific group of antimicrobials used to control/destroy bacteria are known as? |
answer
antibiotics |
Civil Rights
Equipment And Supplies
Federal And State
S-260 – Flashcard 97 terms

Richard Molina
97 terms
Preview
S-260 – Flashcard
question
True or false: consuming beer at an incident is permitted as long as it is done off shift and does not disrupt others
answer
FALSE
question
Name 3 documents that address incident behavior **Important**
answer
1) Wildland Fireline handbook 2) IRPG 3) Incident Business Management Handbook
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When you observe or hear of inappropriate behavior you should: (list 3 actions)
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1) Report to supervisor 2) Report to Human Resources Specialist 3) Report to IC 4) Provide support 5) Document
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Violation of incident conduct rules can result in: (list 2) **Important**
answer
1) Removal from assignment 2) Termination 3) Information sent back to home unit
question
True or False: All incident personnel can use government property for government use as long as it is not damaged or consumed.
answer
FALSE
question
List 2 responsibilities or roles of the incident Human Resources Specialist
answer
1) Point of contact for civil rights and human resource concerns 2) Receive reports and verify for inappropriate behavior
question
If you feel like you are being harassed, whom might you talk to?
answer
Your supervisor, HRS, the offender (answer is 'all of the above')
question
Under what 4 types of employment coverage can incident personnel be hired and paid?
answer
Organized crews, casual, state employed offices, federal sources of recruitment, cooperators
question
True or false: Agreements for organized crews, which are hired as casuals, can deviate from the Pay Plan for Emergency Workers
answer
FALSE
question
True or false: Fireline personnel must be a minimum of 18 years of age
answer
TRUE
question
True or false: Active military personnel on leave can be paid as casuals
answer
FALSE
question
List 3 situations that authorize the hiring of casuals **Important**
answer
1) To fight an ongoing fire 2) When fire danger is very high to extreme, or during high risk periods 3) Provide support to an ongoing incident
question
List the 3 forms necessary to hire and pay a casual: **Important**
answer
1) I-9 2) W-4 3) Single resource casual hire information
question
Define "casual"
answer
Person hired and compensated under the pay plan for emergency workers
question
True or false: federal and state taxes will be withheld from a casual's pay
answer
TRUE
question
True or false: An individual will be paid for their 2 R&R days no matter what day they get back
answer
FALSE (only if the two days fall on regular work days)
question
Medical treatment is non-compensable except when:
answer
Traveling to and from the medical facility
question
The initial timekeeping document which needs to be completed and submitted daily is the:
answer
SF-261 (CTR)
question
True or false: If hazard pay is authorized, GS employees receive HP for all hours in pay status that day
answer
TRUE
question
True or false: All incident personnel must adhere to work/rest guidelines
answer
TRUE
question
True or false: Drivers on an incident man not drive over 10 hours in one duty day
answer
TRUE
question
List 3 reasons a GS employee can receive hazard pay **Important**
answer
1) uncontrolled fireline 2) rough terrain 3) working with helicopter overhead
question
What form would a Personnel Time Recorder use to record time?
answer
OF-288
question
Regular government employee, Casual, or Both? Payment overtime **Important**
answer
Regular gov employee
question
Regular government employee, Casual, or Both? Pay differentials **Important**
answer
Regular gov employee
question
Regular government employee, Casual, or Both? Rest and paid day off **Important**
answer
Both
question
Regular government employee, Casual, or Both? Guaranteed hours **Important**
answer
Both
question
Regular government employee, Casual, or Both? Spot change tour of duty **Important**
answer
Regular gov employee
question
Regular government employee, Casual, or Both? Compensated for travel time to and from the incident **Important**
answer
Both
question
Regular government employee, Casual, or Both? Ordered standby **Important**
answer
Both
question
Regular government employee, Casual, or Both? AD rates **Important**
answer
Casual
question
Regular government employee, Casual, or Both? Non-compensable meal breaks **Important**
answer
Both
question
Regular government employee, Casual, or Both? Pay Plan for Emergency Workers **Important**
answer
Casual
question
True or false: travel days are included when counting the number of days on assignment
answer
FALSE
question
What are the 2 types of commissary?
answer
1) Contracted 2) Agency provided
question
True or false: Ass commissary must be purchased through payroll deductions **Important**
answer
FALSE
question
What is the document that authorizes commissary for regular government employees and casuals?
answer
OF-288
question
List the steps a crew boss should take to obtain commissary for the crew
answer
1) Identify the type and size of item needed 2) List by individual name 3) Submit to commissary manager or Time Unit Leader
question
What form is used to record commissary purchases by incident personnel?
answer
OF-287
question
Who approves t-shirt logos that a contracted commissary has designed for the incident?
answer
Finance/Administration Section Chief
question
Who on the incident is entitled to payroll deduction for commissary?
answer
1) National Guard hired as casuals 2) Contractors 3) Casuals
question
List 2 ways in which commissary can be purchased
answer
1) Payroll deduction 2) cash 3) Credit Card
question
An injured individual should complete a notice of traumatic injury and claim for compensation, CA-1, and submit it to their supervisor within:
answer
48 hours
question
True or false: If an individual is injured, no matter how slight, the supervisor should be consulted before a CA-1 is completed
answer
FALSE (up to the individual)
question
FECA authorizes _____and______ for federal employees and casuals who sustain injuries/illnesses in the performance of duty
answer
Medical and Disability
question
What form is used to report and document a traumatic injury?
answer
CA-1
question
Define traumatic injury and give 2 examples **Important**
answer
Wound or condition caused by external force 1) Sprained ankle 2) Lacerations requiring stitches
question
Define occupational injury and give 2 examples **Important**
answer
Disease caused by systemic infections, continued or repeated strain/stress (conditions of work) 1) Smoke inhalation 2) back strain 3) Bronchitis
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Ensures backside of CA-2 is completed
answer
Supervisor
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Makes final determination on validity of claim
answer
OWCP
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Notifies supervisor of injury or illness
answer
Injured individual
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Submits reportable claims to the appropriate workers' compensation office
answer
Home unit
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Compiles case files to document injuries occurring on the incident
answer
Compensation for injury specialist
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Completes front side of the CA-1
answer
Injured individual
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Advises individuals of their rights and responsibilities when injured or ill
answer
Compensation for injury specialist
question
Compensation for injury specialist, Injured individual, OWCP, Supervisor, or Home Unit? -Administers the Federal Employees' Compensation Act (FECA)
answer
OWCP
question
True or false: A regular gov employee who chooses to take AL while in travel status, may do so and then notify the home unit supervisor when they return home
answer
FALSE - must get authorization BEFORE
question
What amount would a traveler receive for the first day of travel given a per diem rate of $55 for lodging and $31 for M&IE? Lodging was provided; meals were not
answer
75% of $31 = $23.25
question
True or false: most federal agencies cannot provide cash advances to emergency incident personnel
answer
TRUE
question
True or false: A lodging receipt is not required on a claim for reimbursement
answer
FALSE
question
True or false: Casuals are entitled to per diem while under hire **Important**
answer
TRUE
question
What is the advantage of procuring a rental vehicle through a procurement officer?
answer
1) The incident is responsible for the vehicle 2) Your rented vehicle can act as a 'pool vehicle' 3) Releases individual from liability
question
What is the Emergency Equipment Rental Agreement document called?
answer
OF-294
question
What is the Vehicle/heavy equipment inspection checklist document called?
answer
OF-296
question
What is the Emergency Equipment shift ticket document called?
answer
OF-297
question
What is the Emergency Equipment Use Invoice document called?
answer
OF-286
question
What document do requests for equipment and supplies go on?
answer
ICS 213 (General Message)
question
Who has the authority to settle a contract claim?
answer
Procurement officer
question
True or false: A resource order can take place of a requisition
answer
TRUE
question
What form is used to order an item through the supply unit?
answer
ICS 213 (General Message)
question
Who is responsible for completing and submitting the Emergency Equipment Shift Ticket?
answer
Agency Representative
question
Who is the Emergency Equipment Shift Ticket submitted to?
answer
Equipment Time Recorder
question
What is the purpose of the shift ticket?
answer
Track hours, track miles, track breaks or downtime
question
Incident commander, Crew boss, Supply Unit Leader, or Incident personnel? Responsible for the efficient use, care, and custody of property
answer
Incident personnel
question
Incident commander, Crew boss, Supply Unit Leader, or Incident personnel? Ensures property identification and marketing procedures are followed
answer
Supply unit leader
question
Incident commander, Crew boss, Supply Unit Leader, or Incident personnel? Has overall responsibility for establishing and maintaining a sound property management program for the incident
answer
Incident commander
question
Incident commander, Crew boss, Supply Unit Leader, or Incident personnel? Checks out property for crew
answer
Crew boss
question
Incident commander, Crew boss, Supply Unit Leader, or Incident personnel? Can be held financially accountable for lost property under their care
answer
Incident personnel
question
You have been working on the same division for several days. One of your crew members reports to you that she found hand tools scattered next to the fireline. What do you do?
answer
Notify your supervisor and return tools to supply unit
question
Accountable property, durable property, or consumable property? Sleeping bag
answer
Durable
question
Accountable property, durable property, or consumable property? Chainsaw
answer
Accountable
question
Accountable property, durable property, or consumable property? Batteries
answer
Consumable
question
Accountable property, durable property, or consumable property? Engine
answer
Accountable
question
Accountable property, durable property, or consumable property? Fuel
answer
Consumable
question
Accountable property, durable property, or consumable property? Pulaski
answer
Durable
question
Accountable property, durable property, or consumable property? MREs
answer
Consumable
question
Accountable property, durable property, or consumable property? Cloth canteen covers
answer
Durable
question
Accountable property, durable property, or consumable property? Laptop
answer
Accountable
question
Accountable property, durable property, or consumable property? Radio kit
answer
Accountable
question
True or false: As you go through the demob process, it is important to have all issued property returned to the supply unit **Important**
answer
TRUE
question
You are a crew boss and need to give your replacement crew your radio and belt weather kit. What are you going to do?
answer
1) Return it to supply unit if possible 2) or document on a WAYBILL or ICS 213
question
List the four types of cooperative agreements and their associated implementing documents (the Annual Operating Plan or Cost-Share agreement) **Important**
answer
1) Interagency - CSA/AOP 2) Cooperative - CSA/AOP 3) Memoranda - CSA/AOP 4) Mutual aid - NEITHER
question
Agreements to specify in writing **Important**
answer
Responsibilities, authorities, financial arrangements, terms and conditions (answer: all of the above)
question
Why do you need to be aware of agreements that may be in effect?
answer
1) Effective and efficient record keeping 2) Management of how to fight or uphold the agreement
question
List 2 types of incidents that may come under the jurisdiction of the Federal Management Agency
answer
1) Floods 2) Hurricanes
question
List 3 forms of documentation that must accompany an Employee Claim for Loss or damage to Personal Property
answer
1) Original purchase receipt 2) copies of catalog descriptions or ads 3) written witness statement 4) two repair estimates
question
List 3 types of claims that can be filed against the government
answer
1) tort 2) non-tort 3) contract 4) employee
Emergency Medical Technology
Equipment And Supplies
Law Enforcement
Post Traumatic Stress Disorder
Chapter 39: Chapter Test – Flashcards 39 terms

Jacob Herring
39 terms
Preview
Chapter 39: Chapter Test – Flashcards
question
Concerning the threat of nuclear devices used in terrorist? attacks, which of the following is MOST likely to be used in such an? attack?
answer
Sabotage of facilities for nuclear research
question
Dangerous organisms that can grow in a variety of environments and are capable of producing toxic substances are known? as:
answer
bacteria.
question
You are on the scene of a probable terrorist attack with several other? agencies, both local and federal. In order to operate in an efficient? manner, all agencies should follow? the:
answer
Incident Command System.
question
Three methods for minimizing exposure to harmful incidents? are:
answer
?time, distance, and shielding.
question
Biological warfare is MOST effective when the agent can gain access through which of the following? routes?
answer
Respiratory tract
question
Which of the following chemical agents prohibits the use of oxygen in the? cells?
answer
Cyanide
question
Which of the following does NOT have an impact on the behavior of a chemical in a? mass-casualty incident?
answer
Whether it was an intentional or accidental exposure
question
A terrorist incident may have features in common with which of the following types of? incidents?
answer
All of the above
question
Dangerous organisms that grow inside of living cells and reproduce are known? as:
answer
viruses
question
Which of the following is NOT generally recognized as a form of terrorist? incident?
answer
Harassment
question
Someone who has more hair than average on his body is at a higher risk than someone with less hair to be exposed to a toxin by which of the following? routes?
answer
Absorption
question
Standard management of a chemical burn caused by a terrorist incident? includes:
answer
irrigating vigorously with cool water.
question
The formula dose multiplied by time represents which of the? following?
answer
Exposure
question
Which of the following types of radiation emits the most powerful? rays?
answer
Gamma
question
Primary injuries from a blast? include:
answer
lung injuries.
question
Terrorist incidents typically involve all of the following agents except?:
answer
allergens.
question
Which of the following is NOT a consideration in the general protection against agents used in terrorist? attacks?
answer
Immunization
question
Tertiary injuries from a blast? include:
answer
extremity fractures.
question
Which of the following is NOT traditionally a responsibility of an EMT on the scene of a hazardous materials incident caused by? terrorism?
answer
Containment and control
question
Which two types of terrorism does the Federal Bureau of Investigation define as occurring in the United? States?
answer
Domestic and international
question
A type of harm that you may be exposed to as an EMT responding to a terrorist incident that is characterized by a resulting? post-traumatic stress disorder? (PSTD) is typically called? a(n):
answer
psychological harm.
question
Which of the following is a type of chemical? weapon?
answer
Vesicants
question
The best way for a terrorist to weaponize and disseminate a chemical nerve agent exposing a large number of people would be? to:
answer
steal a truck that sprays for mosquitos and aerosolize the nerve agent into a crowded subdivision.
question
You are on an ambulance responding to a? mass-casualty incident at a shopping mall on a warm Saturday afternoon. En? route, you listen to the incident commander broadcast information to dispatch and all inbound units about 20 patients complaining of respiratory difficulty and a burning sensation in their eyes. Your suspicions of a potential terrorist incident are the result? of:
answer
the type of event.
question
An oxygen level of? ________ is required for normal breathing.
answer
?19.5%
question
Two elements that differentiate a hazardous materials incident from a terrorist incident? are:
answer
crime scene considerations and targeting responders.
question
Which of the following methods of decontamination is NOT usually a prehospital activity during a terrorism? incident?
answer
Neutralization
question
The current trend in international terrorism is that it tends to be motivated by which of the? following?
answer
Religion
question
The extent of radiation depends on which of the following? factors?
answer
All of the above
question
Which of the following may be a clue that an incident is the result of terrorist? violence?
answer
All of the above
question
The type of radiation that requires lead shielding for your protection? is:
answer
gamma
question
Secondary injuries from a blast most likely? include:
answer
impaled objects
question
Which of the following BEST defines domestic terrorism??
answer
Small group of people directing violent acts at the population or government without foreign influence
question
Which of the following features increases the appeal of an infectious agent for use in terrorist? attacks?
answer
High infectivity
question
You arrive on the scene of an unknown emergency. As you scan the surrounding? area, you notice a large number of people wearing unique armbands and shouting? anti-government comments though you are not aware of any public gathering scheduled for today. Your suspicions of a potential terrorist incident are the result? of:
answer
?on-scene warning signs.
question
Which of the following animals is the direct source of exposure of the bacterium that causes the plague to? humans?
answer
Fleas
question
An outbreak of which of the following illnesses would be LEAST likely to occur? naturally?
answer
Anthrax
question
Anthrax can infect an individual through which of the following routes of? exposure?
answer
All of the above
question
Which of the following is a consideration when responding to a terrorist? incident?
answer
All of the above