The nurse is a first responder following a mass casualty incident and performs triage on these victims while waiting for assistance. List the patients in order they must be treated according to the Simple Triage and Rapid Treatment (START) protocol.

A 17-year-old patient is declared brain dead after a motor vehicle accident in which he sustained a liver laceration, severe subdural hematoma, and high cervical spinal cord injury. The parents have decided to donate their son’s organs. Which statement by the nurse is appropriate?

As instructed by the registered nurse, the unlicensed assistive personnel (UAP) obtained vitals on a patient. The UAP obtained and charted the following vital signs monitoring results: blood pressure 90/42 mm Hg, pulse 128 bpm, oxygen saturation 86% on room air, and temperature 38.2°C. (100.8°F). The UAP left the floor for a break after charting the results, but did not tell the nurse. Thirty minutes later the patient is found unresponsive and a code blue is initiated. Who is responsible for this patient’s deterioration of condition?