Transcript b - inetTeacher.com

Containment of Bioterrorism
Agents
Containment of Bioterrorism Agents
• If patients are already
ill, the emphasis is not
decontamination but
rather respiratory
isolation of the patient
with employment of
standard precautions
until the agent is known
• Need to use masks
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Isolation practices
• Standard precautions
• Additional precautions
for smallpox and plague
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Isolation for Smallpox Patients
• Put into a negative airpressure room
• Get names and locations for
all people that have been
exposed
• If facility does not have a
negative air-pressure room,
transfer them to one who
does
• Healthcare workers should
wear an N95 mask, gowns,
and gloves
• ONLY VACINATED PEOPLE
SHOULD PERFORM AN AUTOPSY
OR BURIAL PREPARATIONS
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• How can the general public protect
themselves from bioterrorism agents?
• a] Follow standard precautions
• b] Avoid travel to Washington D.C. and New
York City
• c] Sterilize household items
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• How can the general public protect
themselves from bioterrorism agents?
• a] Follow standard precautions
• b] Avoid travel to Washington D.C. and New
York City
• c] Sterilize household items
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Patient Placement
• Routine if small scale
• Grouping affected
patients if large scale
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• How would a health care system manage victims in a
large scale bioterrorism attack?
• a Transport victims to various hospitals to share the
responsibility of giving care.
• b Group affected victims together in the same
facility
• c Open up a special isolation hospital for long term
care of victims
• d Provide routine patient care
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• How would a health care system manage victims in a
large scale bioterrorism attack?
• a Transport victims to various hospitals to share the
responsibility of giving care.
• b Group affected victims together in the same
facility
• c Open up a special isolation hospital for long term
care of victims
• d Provide routine patient care
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Patient transport
• Limited to movement
that is essential
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• An American man is in Spain on vacation and is the
victim of a bioterrorism attack. How should he be
treated?
• a He should be immediately transported back to
the USA for medical care.
• b He should be transported back to the USA only if
he is in critical condition.
• c He should be treated in Spain until he is
noninfectious.
• d He should be transferred to the closest American
military hospital.
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• An American man is in Spain on vacation and is the
victim of a bioterrorism attack. How should he be
treated?
• a He should be immediately transported back to
the USA for medical care.
• b He should be transported back to the USA only if
he is in critical condition.
• c He should be treated in Spain until he is
noninfectious.
• d He should be transferred to the closest American
military hospital.
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Post - mortem care
• Notify pathology
• Provide instructions to
funeral director
• Plague / Smallpox
– cremation
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• Cleaning, disinfection
and sterilization of
equipment and
environment- follow
standard precautions
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Discharge management
• Discharge when noninfectious
• Home care if large numbers of persons
exposed with instruction on barrier
precautions, hand washing, waste
management, cleaning and disinfection of
environment and patient care items.
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• A large scale bioterrorism attack has occurred and
the director of the health department has
determined that those victims who are least
symptomatic can be cared for at home. What will
need to be done to prepare for home care?
• a Instruction on barrier precautions, handwashing,
and cleaning
• b Isolation signs will need to be posted around the
outside of the house
• c No special actions are needed
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• A large scale bioterrorism attack has occurred and
the director of the health department has
determined that those victims who are least
symptomatic can be cared for at home. What will
need to be done to prepare for home care?
• a Instruction on barrier precautions, handwashing,
and cleaning
• b Isolation signs will need to be posted around the
outside of the house
• c No special actions are needed
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• A patient has died from a bioterrorist attack. Would
a funeral director be told the cause of death?
• a Yes, because special post-mortem precautions
must be taken.
• b No. Disclosure of cause of death would violate
HIPPA rules.
• c] No, because the director might refuse the
patient.
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• A patient has died from a bioterrorist attack. Would
a funeral director be told the cause of death?
• a Yes, because special post-mortem precautions
must be taken.
• b No. Disclosure of cause of death would violate
HIPPA rules.
• c] No, because the director might refuse the
patient.
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Hand washing technique
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• When washing hands, what is the best water
temperature to use?
• a Cold
• b Cool
• c Warm
• d Hot
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• When washing hands, what is the best water
temperature to use?
• a Cold
• b Cool
• c Warm
• d Hot
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• An early example of a biological agent being
used to kill, was when the British used
blankets infected with what organism to infect
American Indians?
• A) ebola
• B) anthrax
• C) Smallpox
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• An early example of a biological agent being
used to kill, was when the British used
blankets infected with what organism to infect
American Indians?
• A) ebola
• B) anthrax
• C) Smallpox
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