Question

Scenario: You are RN in charge of the emergency department when a local school shooting occurs....

Scenario:
You are RN in charge of the emergency department when a local school shooting occurs. Your facility is expecting 20 victims with various injuries. Consider the role of the RN in managing this situation, including assembling the facility's Critical Incident Team.
Initial Discussion Post:
Identify 3 members of the Critical Incident Team
Discuss what their role would be during this mass casualty incident (MCI)
Discuss the ethical dilemmas that may develop during this situation and how you will manage them for yourself and your team

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Answer #1

Critical incidents and adverse events are interchangeably..Triage is a method of prioritizing care during the incidents..RN need essential skills during this situation with professional judgement,critical thinking and sound decision making and the nurse should be ready with responses leading and directing others with leadership to insure the safety of clients,staff and visitors..emergency preparedness is important to generate,evaluate and make plans with emergency practice..
Important Three members of the critical incident team is chief staff,Medical residents,Ambulatory triage nurse.
Triage nurse will assign patients at triage as per patient condition..nursing supervisor role to coordinating and dispatching nursing and support services to routine care and making accurate bed count as per medical,surgical,critical.step down,isolation beds..contacting the director of perioperative room service to keep the room ready and make sure emergency department nurse has adequate staff and supplies..senior management plan to bring the needed emergency supply equipment and material.blood bank,pharmacy,radiology,messenger services,respiratory,lab services with preparedness with all supplies..
Ethical dilemma is an inner conversation with the self-concerning two or more available propositions..critical incident is usually undesirable  situations that is experienced by an employee..some critical situation make turning point in the life of person with some social phenomenon..It includes lot of tensions and experience..It increase orientation towards growth and inquiry..Ethical knowledge improve the values and morality,together with the ability to apply the values and rules intelligently..Moral education and training in this situation to overcome with critical incidents improve the knowledge..Be flexible from tension while caring the client with this incidents..Making communication between patients and families can solve the problem with this circumstances..

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