Disaster management at site and at hospital
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Disaster management at site and at hospital

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Disaster management at site and at hospital Disaster management at site and at hospital Presentation Transcript

  • DISASTER MANAGEMENT AT SITE  Disaster Management at site refers to, on- the-spot rescue and resuscitation measures adopted by the health team members for saving life's of the victim.
  • D-I-S-A-S-T-E-R Paradigm D: Detection I: Incident Command S: Safety & Security A: Assess Hazards S: Support T: Triage & Treatment E: Evacuation R: Recovery
  • MASS M – Move A – Asses S – Sort S – Send
  • Aim -Rescue -Medical Care -Food and safe drinking water -Prevention of epidemic out break - Monetary Compensation -Rehabilitation
  • NURSES ROLE IN DISASTER MANAGEMENT •Identify Priorities •Maintain Essential Service •Medical Backup
  • RECORDS & IDENTIFICATION OF CASUALTIES -Simple disaster record -Affix small tag to each casualty Non urgent (Green) Urgent condition (Yellow) Emergency Transport (Red) Death (Black)
  • Triage Description Color Immediate Respirations are present, very serious injury that can be fixed quick with out a lot of resources RED Delayed Can wait to be treated for hours to days, dislocations, minor fractures YELLOW Minor “walking Wounded”, cuts, minor wounds GREEN Expectant/ Deceased Not breathing, Massive Head trauma, would take massive resources away from many others to save one BLACK
  • PUBLIC INFORMATION SYSTEM -Maintain casualty list and other data -Have all information related to hospitalization -Efficient communication link between triage and hospital
  • COMMUNITY MEASURES First Aid & Medical Care -Life saving Resuscitation -Allay Panic -Avoid convergence behavior -Immediate rescue and relief -Professional Identification -Direct people to shelters
  • COMMUNITY MEASURES Gather information rapidly -Documentation -Assess number of Casualty Inflow -Arrange drugs and IV fluids -Assess Adequacy of casualty evaluation routs -Adequacy of space and building
  • TRANSPORT
  • HOSPITAL RESPONSE FOR DISASTER •Medical Staff Director •Establishing a physician labor pool. •Credentialing volunteer medical staff. •Assign physician staffing. •Withhold all elective surgery
  • In-Patient Areas •Assessing inpatients for early discharge. • Establishing alternate inpatient care sites within the facility. •Assessing staffing, supply, equipment needs in patient care settings
  • Ancillary Services •Inventorying available blood supply. •Evaluating ancillary services’ capacity to perform services required by emergency.
  • Critical Supplies •Pharmaceuticals •Medical supplies •Food supplies •Linen •Water •Critical Equipment
  • Communications • Other areas/departments within hospital • External agencies
  • POST DISASTER PHASE -Leadership Role -Immunization -Follow up Care -Nutritional Programme -Disposal of Dead -Hygiene and sanitation -Routine Health Services -Special care to children and elderly
  • REHABILITATION -Starts from the moment disaster strikes & ends with the restoration of normality - Medical - Surgical - Psychological - Vocational
  • Mental wellness In any major disaster, people want to know where their loved ones are, nurses can assist in making links. In case of loss, people need to mourn: • Give them space, • Find family friends or local healers to encourage and support them • Most are back to normal within 2 weeks • About 1% to 3%, may need additional help
  • THANK YOU