This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
1. Preparing for Emergencies Kristin Botzer
2. Emergency Preparedness Emergency preparedness is the
comprehensive skills, abilities, knowledge, and actions that are
needed to respond and prepare for a threat, actual or suspected,
chemical, radiological, nuclear, biological, or explosive in nature
(Slepski as cited in Baack & Alfred, 2013, p. 282).
3. Types of Emergencies Natural Disasters any disaster not
man-made, including health disasters Floods, hurricanes,
earthquakes, wildfires Health disasters: AIDS, Ebola virus,
epidemics, pandemics Man-made disasters accidental or intentional
Accidental: industrial accidents, structural collapse, power
outages Intentional: terrorist attacks, mass shootings, anthrax
(Sullivan, 2013)
4. Levels of Disaster Level I Local response Level II Regional
response Level III Statewide or National response (Sullivan, 2013)
Where does healthcare fit in? The healthcare system is now viewed
as a foundation of national security that must provide care
anytime, anywhere, without fail and in an ever- expanding role
(Cagliuso, 2014/2015, p. 160).
5. Popular Disasters September 11, 2001 Indian Ocean Earthquake
and Tsunami 2004 Hurricane Katrina 2005 Haiti Earthquake 2010 Sandy
Hook Elementary School 2012 Ebola 2014
6. The Role of Nursing During Disaster Caring for the sick and
injured Infection control Planning to prevent further damage Triage
Mass immunizations Mass evacuations Treatment for mass casualties (
Baack & Alfred, 2013, p. 282)
7. Challenges for Nurses Lack of preparation Lack of education
in school Lack of understanding disaster communication methods Lack
of understanding the formal disaster plan Perception of what
constitutes disaster preparedness ( Baack & Alfred, 2013, p.
282) Disasters can affect nurses in all areas of care: Community
Health Centers, Schools, Hospitals, Nursing Homes, Home Care,
Management and Administration
8. Challenges to Institutions Lack of performance metrics Lack
of funding Limited surge capacity Unclear federal guidelines and
requirements for accreditation Lack of Coordination (Cagliuso,
2014/2015, p. 156)
9. Ways to Prepare Develop and maintain a current disaster plan
(American College of Healthcare Executives, 2014). Focus the plan
to address likely events (ACHE, 2014). Develop a command system
(ACHE, 2014). Assess available resources (ACHE, 2014). Plan for
operations (ACHE, 2014). Develop resource protocols (ACHE, 2014).
Assess safety of employees, patients, and families (ACHE, 2014).
Enhance communication protocols (ACHE, 2014). Control and report
disease (ACHE, 2014). Staff education and training (Sullivan,
2013). Practice EOP biannually (Sullivan, 2013).
10. Emergency Operations Plan Components Activation response
Communication plan Patient care and coordination plan Security plan
Traffic flow plan Data management strategy Resource availability
(Sullivan, 2013)
12. Factors Affecting Nurses Exhaustion and fatigue Personal
safety concerns Illness Leaving families to care for others
Professional accountability Grief counseling (Sullivan, 2013)
13. Disaster Nursing Video
14. Additional Resources American Nurses Association Disaster
Preparedness and Response: http://www.nursingworld.org/
MainMenuCategories/WorkplaceSafety/DPR Federal Emergency Management
Agency, U.S. Government: http://www.fema.gov/ International Council
of Nurses Disaster Response Network:
http://www.icn.ch/networks/disaster-response-network/ International
Nursing Coalition for Mass Casualty Education Educational
Competencies for Registered Nurses Responding to Mass Casualty
Incidents: http://www.aacn.nche.edu/ leading-initiatives/education-
resources/INCMCECompetencies.pdf The Joint Commission:
www.jointcommission.org/ standards National Center for Emergency
Preparedness: http://www.ncep.vanderbilt.edu/index.html World
Association for Disaster and Emergency Medicine Nursing Section:
http://www.wadem.org/nursing.html
15. References American College of Healthcare Executives.
(2014). Healthcare executives role in emergency preparedness.
Healthcare Executive, 29(4), 90-91. Retrieved from
http://www.ebscohost.com/ Baack, S., & Alfred, D. (2013).
Nurses preparedness and perceived competence in managing disasters.
Journal of Nursing Scholarship, 45(3), 281-287.
http://dx.doi.org/10.1111/jnu.12029 Cagliuso, N. (2014/2015).
Stakeholders experiences with US hospital emergency preparedness:
Part 1. Journal of Business Continuity & Emergency Planning,
8(2), 156-168. Retrieved from http://www.ebscohost.com/ Federal
Emergency Management Agency. (2015). National preparedness goal.
Retrieved from http://www.fema.gov/ Feuerstein, C. (2012, November
6). Disaster nursing [Video file]. Retrieved from
https://youtu.be/W- S2BXTPKHs Sullivan, E. J. (2013). Effective
leadership and management in nursing (8th ed.). Boston, MA:
Pearson.