THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS:
workforce, education and other contemporary issues
J...
overview
• Background to health care disasters
• Surge capacity
• Triage
• Workforce
• Education
background
• Defining disasters
• Australian experience of disasters
• Natural (bushfires)
• Off-shore
background
• Lessons learnt
• Mostly in organisational reports (not public)
• Resources
• SARS
• Bali 1
• Granville
• H1N1...
surge capacity?
• What is surge capacity?
• Do we have ability to surge?
surge capacity?
surge capacity?
surge capacity?
0
20
40
60
80
100
120
140
160
180
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Mon
Tue
Wed
Thu
Fri
Sat
...
surge capacity?
• Strategies to enhance the surge capacity of the
health system
triage: principles
• Greatest good for the greatest number
• Life over limb
triage: in-hospital
• Various triage systems in the world
triage: pre-hospital
triage: process
triage: process
education
• Where do we teach disaster education
• Are we teaching the right stuff
• Who do we teach with?
• Mock scenario...
education
Elements of disaster content in courses:
Community and public health response
Pre-hospital response
Hospital res...
workforce
• Preparedness
• Roles
• Willingness
• Responding to disasters
Preparedness
0
50
100
150
200
250
family preparedness employer's
preparedness
colleagues'
preparedness
staff's preparednes...
workforce: roles
• Minor injury / illness
• Primary health
• Health problem-solving
workforce: willingness
• Varies depending on culture
• Perceived responsibilities to profession
• Out-of-work responsibili...
Willingness to particpate
0
50
100
150
200
250
300
350
400
transport
incident
natural
disaster
pandemic
outbreak
CBR terro...
Improvements
0
50
100
150
200
250
care provisions w orking conditions PPE education/training
course
Other
type of improvem...
workforce: responding to disasters
• Who do we send
• What is the process
• Cross boarder issues
• Civilian corps
• Indivi...
THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS:
workforce, education and other contemporary issues
J...
The pre-hospital and emergency department interface during disasters:  workforce, education and other contemporary issues
The pre-hospital and emergency department interface during disasters:  workforce, education and other contemporary issues
The pre-hospital and emergency department interface during disasters:  workforce, education and other contemporary issues
The pre-hospital and emergency department interface during disasters:  workforce, education and other contemporary issues
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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.

Published in: Health & Medicine
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  • Identify other facilities / institutions that can ‘take’ patients
    University
    Off-site processing of minor casualties
    Tell everyone to go home!
  • 1=completely unprepared to attend
    2=somewhat unprepared to attend
    3=neither prepared nor unprepared to attend
    4=somewhat prepared to attend
    5=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

    1. 1. THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT INTERFACE 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. 2. overview • Background to health care disasters • Surge capacity • Triage • Workforce • Education
    3. 3. background • Defining disasters • Australian experience of disasters • Natural (bushfires) • Off-shore
    4. 4. background • Lessons learnt • Mostly in organisational reports (not public) • Resources • SARS • Bali 1 • Granville • H1N1 • Notification to the ED
    5. 5. surge capacity? • What is surge capacity? • Do we have ability to surge?
    6. 6. surge capacity?
    7. 7. surge capacity?
    8. 8. surge capacity? 0 20 40 60 80 100 120 140 160 180 Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Day PresentationFrequency Total Influenza Presentations Mean Influenza Presentations Mean Total Presentations Mean Total Presentations - Excluding Influenza
    9. 9. surge capacity? • Strategies to enhance the surge capacity of the health system
    10. 10. triage: principles • Greatest good for the greatest number • Life over limb
    11. 11. triage: in-hospital • Various triage systems in the world
    12. 12. triage: pre-hospital
    13. 13. triage: process
    14. 14. triage: process
    15. 15. education • Where do we teach disaster education • Are we teaching the right stuff • Who do we teach with? • Mock scenarios • Disaster content varied in all programs • National framework and consistency
    16. 16. 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
    17. 17. workforce • Preparedness • Roles • Willingness • Responding to disasters
    18. 18. Preparedness 0 50 100 150 200 250 family preparedness employer's preparedness colleagues' preparedness staff's preparedness medical-allied staff preparedness manager's preparedness 1 2 3 4 5 workforce: preparedness
    19. 19. workforce: roles • Minor injury / illness • Primary health • Health problem-solving
    20. 20. workforce: willingness • Varies depending on culture • Perceived responsibilities to profession • Out-of-work responsibilities • Personal beliefs and confidence, and • Availability of social and organisational support
    21. 21. Willingness to particpate 0 50 100 150 200 250 300 350 400 transport incident natural disaster pandemic outbreak CBR terrorist attack Disaster types Counts 1 2 3 4 5 Results: Willingness
    22. 22. Improvements 0 50 100 150 200 250 care provisions w orking conditions PPE education/training course Other type of improvements workforce: willingness
    23. 23. workforce: responding to disasters • Who do we send • What is the process • Cross boarder issues • Civilian corps • Individual deployments • Disaster tourism
    24. 24. THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT INTERFACE 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
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