Scenario 8.3: Emergency Room Shutdown

Multiple Choice

Scenario 8.3: Emergency Room Shutdown
On Saturday,February 28,2013,Ciara Michal,the human resource manager at Strathcona Hospital,made a decision to shut down the hospital's emergency room.A second registered nurse had refused to work a 12-hour shift due to fears concerning the spread and infection of several communicable diseases.Patients had to be directed to another hospital,260 km away.Michal had spent the last several hours fielding questions and concerns from hospital staff,the public,and government representatives about the hospital emergency room closure.Several additional health and safety concerns were brought to her attention,pointing to a larger problem.
Emergency room doctors and nurses working at Lochview Hospital are particularly concerned about the risk of patients contracting C.difficile virus,as the incidents of infection had increased 300% in two years.There had been two recent needle-stick injuries: one involving a rushed emergency room cleaning staff person and the other,a practicum nursing student.These incidents posed both physical and emotional threats related to the hepatitis B virus,the hepatitis C virus,and HIV.All emergency room staff,as well as paramedics and emergency social services staff,are concerned about the shortage of hospital beds and the makeshift system of creating an overflow ward in the hallways and cafeteria.Hallway beds don't have the safety equipment available,leading to mistakes and poor care.Extension cords run across the floors in order to reach electrical outlets.Patients with acute problems are seen in chairs,and some are tucked way into corners where they cannot be observed.These stressful working conditions are having an adverse impact on emergency room health-care workers.Over 10% of the emergency room staff are on extended stress-related leaves.
-Please refer to Scenario 8.3.A large number of emergency room staff are on extended stress-related leaves.What is stress?

A) stress is any adjustive demand caused by physical,mental or emotional factors that require coping behaviour
B) stress is an adjustive response to strain that require coping behaviour
C) stress is anxiety or depression
D) stress is an individual's response to or evaluation of stress and strain