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The pre-hospital and emergency department interface during disasters: workforce, education and other contemporary issues

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presentation to the ACT Ambulance Service Continuing Medical Education, 25th November 2010.

presentation to the ACT Ambulance Service Continuing Medical Education, 25th November 2010.

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  • Identify other facilities / institutions that can ‘take’ patients UniversityOff-site processing of minor casualtiesTell everyone to go home!
  • 1=completely unprepared to attend2=somewhat unprepared to attend3=neither prepared nor unprepared to attend4=somewhat prepared to attend5=completely prepared to attend.
  • Q5. Is there anything that would need to occur to improve your willingness to attend work when there is a health-disaster? There were 271 responses (61%) to ‘yes’ and 172 (38%) to ‘no’. The detail of improvements were as follows.

The pre-hospital and emergency department interface during disasters: workforce, education and other contemporary issues Presentation Transcript

  • 1. the pre-hospital and emergency departmentinterface during disasters: workforce, education and other contemporary issues
    Jamie Ranse
    Lecturer, University of Canberra
    Chief Nurse, St John Ambulance Australia
    Research Associate, Flinders University
    Email: jamie.ranse@canberra.edu.au
    Blog: www.jamieranse.com
    Twitter: jamieranse
  • 2. overview
    • Background to health care disasters
    • 3. Surge capacity
    • 4. Triage
    • 5. Workforce
    • 6. Education
  • background
    • Defining disasters
    • 7. Australian experience of disasters
    • 8. Natural (bushfires)
    • 9. Off-shore
  • background
    • Lessons learnt
    • 10. Mostly in organisational reports (not public)
    • 11. Resources
    • 12. SARS
    • 13. Bali 1
    • 14. Granville
    • 15. H1N1
    • 16. Notification to the ED
  • surge capacity?
  • 17. surge capacity?
    What is surge capacity?
    Do we have ability to surge?
  • 18. surge capacity?
  • 19. surge capacity?
  • 20. surge capacity?
  • 21. surge capacity?
    • Strategies to enhance the surge capacity of the health system
  • triage
  • 22. triage: principles
    • Greatest good for the greatest number
    • 23. Life over limb
  • triage: in-hospital
    • Various triage systems in the world
  • triage: pre-hospital
  • 24. triage: process
  • 25. triage: process
  • 26. education
  • 27. education
    • Where do we teach disaster education
    • 28. Are we teaching the right stuff
    • 29. Who do we teach with?
    • 30. Mock scenarios
    • 31. Disaster content varied in all programs
    • 32. National framework and consistency
  • education
    Elements of disaster content in courses:
    Community and public health response
    Pre-hospital response
    Hospital response
    Disaster triage
    Sustainability
    Disaster exercises
    Incident systems
    Nursing role in disaster
    Communications Techniques
    Management of the dead and dying
    Disaster plans
    Role of other organisations in disaster response
    Mental health in relation to disasters
    Populations with specific needs
    Types of disasters
    Examples of disasters
    Health effects of disasters
  • 33. workforce
  • 34. workforce
    • Preparedness
    • 35. Roles
    • 36. Willingness
    • 37. Responding to disasters
  • workforce: preparedness
  • 38. workforce: roles
    • Minor injury / illness
    • 39. Primary health
    • 40. Health problem-solving
  • workforce: willingness
    • Varies depending on culture
    • 41. Perceived responsibilities to profession
    • 42. Out-of-work responsibilities
    • 43. Personal beliefs and confidence, and
    • 44. Availability of social and organisational support
  • Results: Willingness
  • 45. workforce: willingness
  • 46. workforce: responding to disasters
    • Who do we send
    • 47. What is the process
    • 48. Cross boarder issues
    • 49. Civilian corps
    • 50. Individual deployments
    • 51. Disaster tourism
  • the pre-hospital and emergency departmentinterface during disasters: workforce, education and other contemporary issues
    Jamie Ranse
    Lecturer, University of Canberra
    Chief Nurse, St John Ambulance Australia
    Research Associate, Flinders University
    Email: jamie.ranse@canberra.edu.au
    Blog: www.jamieranse.com
    Twitter: jamieranse