Emergency Response - Nbcot Registered Occupational Therapists Otr

What is the first priority intervention when a client is unresponsive and not breathing normally?

Activate EMS and begin CPR; apply AED as soon as available. Cardiac arrest protocol prioritizes immediate CPR and defibrillation to restore circulation and oxygenation.
What is the correct response when a diabetic client becomes confused and cannot safely swallow?

Activate medical help/EMS; do not give oral intake; monitor airway. Altered consciousness increases aspiration risk, necessitating professional intervention without oral administration.
Which immediate response is indicated for suspected stroke symptoms noted in session?

Activate EMS immediately and note last known well time. Time-sensitive stroke care emphasizes rapid activation to enable thrombolytic therapy within the therapeutic window.
What is the correct response to a fall with suspected hip fracture and severe pain?

Do not move client; stabilize, call EMS, monitor vitals, treat for shock. Suspected fractures demand immobilization to prevent further injury and complications like internal bleeding.
What is the correct action if a choking client becomes unresponsive during intervention?

Begin CPR; check mouth for visible object between cycles; use AED. Unresponsiveness in choking shifts to CPR protocol to address potential cardiac arrest while attempting to clear airway.
Which immediate action is most appropriate for heat exhaustion signs during outdoor therapy?

Stop activity, move to cool area, hydrate if alert, monitor and escalate if worse. Heat exhaustion management focuses on reducing core temperature and rehydrating to prevent progression to heat stroke.
Identify the correct response when a client reports chest pain with diaphoresis during activity.

Stop activity, seat client, activate EMS, monitor vitals, prepare AED. Symptoms suggest myocardial infarction, necessitating prompt cessation of activity and medical intervention to minimize cardiac damage.
What is the correct response to suspected heat stroke with altered mental status?

Activate EMS; begin rapid cooling; monitor airway and breathing. Heat stroke is a medical emergency requiring aggressive cooling to mitigate neurological damage and organ failure.
Which positioning is most appropriate after a seizure ends if the client is breathing?

Side-lying recovery position with airway maintained. Recovery position prevents aspiration and maintains airway patency in postictal unconsciousness.
Identify the correct action when a client is choking and cannot speak or cough effectively.

Activate help and perform abdominal thrusts until relieved or unresponsive. Heimlich maneuver dislodges airway obstructions in conscious choking victims to restore breathing.
Identify the appropriate action for hypoglycemia symptoms in a client with diabetes who is alert.

Check glucose per protocol and give fast-acting carbohydrate. Hypoglycemia treatment in alert patients aims to rapidly elevate blood glucose levels to reverse symptoms safely.
What is the immediate first-aid action for severe external bleeding from an extremity?

Direct pressure with dressing; add layers; tourniquet if uncontrolled. Hemorrhage control progresses from pressure to advanced methods to minimize blood loss and stabilize the patient.
Identify the appropriate action when a client becomes dizzy and pale during a transfer.

Stop transfer, lower to safe surface, assess responsiveness, check vitals. Orthostatic symptoms during transfer indicate potential hypotension, requiring safe repositioning and vital sign evaluation to prevent falls.
Which immediate action is required when a client shows signs of anaphylaxis during therapy?

Activate emergency response, administer epinephrine if available, monitor airway. Anaphylaxis requires rapid intervention to counteract severe allergic reaction and prevent airway compromise.
Which finding most strongly indicates shock requiring urgent escalation of care?

Altered mental status with cool clammy skin and weak rapid pulse. These signs reflect compensatory mechanisms in hypovolemic or distributive shock, signaling need for immediate medical intervention.
What is the appropriate action after a needlestick or blood exposure during treatment?

Wash/flush immediately, report per protocol, seek medical evaluation. Post-exposure protocol reduces infection risk through immediate decontamination and prompt medical assessment.
What is the correct OT action when a client expresses imminent intent to self-harm in session?

Ensure safety, do not leave alone, notify supervisor, follow crisis protocol. Suicidal ideation requires continuous supervision and escalation to prevent harm and facilitate mental health intervention.
What is the correct immediate response to suspected syncope during standing activity?

Assist to sit or supine, elevate legs, monitor vitals, activate help if needed. Syncope management improves cerebral perfusion through positioning while assessing for persistent symptoms requiring escalation.
What is the correct action when a client's SpO $2$ suddenly drops and cyanosis is observed?

Stop activity, apply oxygen per order, activate rapid response/EMS. Hypoxemia signs warrant immediate oxygenation support and emergency activation to prevent respiratory failure.
What is the appropriate OT action when a client has a witnessed seizure in the clinic?

Protect from injury, time seizure, do not restrain, activate help per protocol. Seizure management focuses on safety and observation without interference to avoid injury during convulsions.
Which documentation is required immediately after an adverse event or injury in therapy?

Complete incident report and document objective facts, actions taken, and notifications. Incident reporting ensures legal compliance, quality improvement, and accurate record of events for follow-up care.
What is the appropriate OT response to new onset unilateral weakness and slurred speech?

Stop session and activate emergency response for suspected stroke. These symptoms indicate acute cerebrovascular event, requiring immediate cessation of activity and emergency evaluation for time-critical treatment.
Identify the appropriate response when a client becomes acutely short of breath with wheezing.

Stop activity, sit upright, assist with inhaler if prescribed, activate help if severe. Asthmatic episodes benefit from positioning to ease breathing and bronchodilator use, with escalation for respiratory distress.
Which infection-control action is required when a client vomits blood in the clinic?

Activate emergency response and apply standard precautions with spill cleanup protocol. Biohazard events demand rapid response to contain spread and ensure safety while following institutional protocols.
Identify the immediate first-aid action for a superficial thermal burn on the hand.

Cool with running water, remove jewelry, cover with clean dry dressing. Burn first aid minimizes tissue damage by cooling, preventing constriction, and reducing infection risk.

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