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25. Which of the following is recommended regarding preparation for terrorist attacks, according to Robert Suter, DO, MHA, FACEP, senior medical director of the North Texas region for Questcare Emergency Services?
A. Instructions for responding to nuclear, biologic, and chemical incidents should be separate from your hospital disaster plan.
B. Nuclear, biologic, and chemical incidents should be an integrated part of your overall disaster plan.
C. Decontamination planning and site security should be priorities only for EDs in urban areas that are more likely to be targets of terrorist attacks.
D. Decontamination education should be provided to emergency medical services staff, but not nursing or medical staff.
26. Which is true regarding preparation for an incident which requires large-scale decontamination, according to Robert Takla, MD, FACEP, medical director of emergency services at St. John NorthEast Community Hospital?
A. Most EDs are already prepared to decontaminate large numbers of patients.
B. Most EDs are not prepared to decontaminate large numbers of patients.
C. Drills involving decontamination scenarios are not recommended.
D. Use of personal protective equipment is not required except in large-scale decontamination.
27. Which of the following is the most effective way to maintain airway management skills of clinicians, according to a study in Annals of Emergency Medicine?
A. periodic feedback alone
B. independent practice alone
C. a one-time comprehensive training session
D. periodic feedback with independent practice
28. To comply with EMTALA regulations, what are hospitals required to do when a patient is transferred from a smaller ED to a larger ED in the same system (under one license and Medicare provider number), according to Stephen Frew, JD, president of the Rockford, IL-based Frew Consulting Group?
A. a medical screening examination only at the larger ED
B. medical screening and stabilization at the smaller hospital, consult with the larger ED, and appropriate medical transport of patients between the two sites
C. EMTALA obligations end after 911 is called.
D. EMTALA requirements do not apply, because the patient is being transferred within the same hospital system.
29. Which of the following is true regarding proper documentation for risk and benefits of patients being transferred, according to Jonathan D. Lawrence, MD, JD, an ED physician and medical staff risk management liaison at St. Mary Medical Center?
A. Documentation of risks and benefits is required even for patients who are transferred in stable condition.
B. Documentation of risks and benefits is only required for patients transferred in nonstabilized condition.
C. Specific terminology must be used.
D. The patient or representative does not have to agree with the transfer as long as risks and benefits are explained and documented.
30. Which of the following is true regarding new staffing assessment standards from the Joint Commission?
A. They require the use of staffing ratios.
B. They require the use of performance indicators.
C. Each facility must use indicators assigned to them by surveyors.
D. Only clinical service indicators may be used.
After reading this issue of ED Management, the continuing education participant should be able to:
1. Identify two recommendations for preparation for a terrorist attack, according to a new ACEP/HHS report. (See "Are you prepared for terrorist attack? New report tells how to train ED staff" in this issue.)
2. List two things to include in a disaster drill decontamination scenario. (See "Are you prepared for terrorist attack? New report tells how to train ED staff.")
3. Name the most effective way to maintain airway management skills. (See "Journal Review.")
4. Identify what an ED must do when transferring a patient to another ED in the same hospital system. (See "EMTALA Q&A.")
5. Cite an example of appropriate risk/benefit documentation to comply with EMTALA requirements. (See "EMTALA Q&A.")
6. List three indicators that hospitals may use to assess staffing, according to new Joint Commission standards. (See "New standards to assess staffing.")