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Disaster Managment
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Disaster Managment

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  • 1. DISASTER MANAGMENT KEERTHI RAO II YEAR M.S c. (N) JSS COLLEGE OF NURSING
  • 2. DEFINITION Disaster is any occurrence that causes damage, economic disruption, loss of human life and deterioration of health and health service on a scale sufficient to warrant an extraordinary response from outside the affected community or area. (WHO)
  • 3. Contd…. Disaster can be defined as an overwhelming ecological disruption, which exceeds the capacity of a community to adjust and consequently requires assistance from outside. -(PAHO)
  • 4. Contd… “DISASTER” alphabetically means: D – Destructions I – Incidents S – Sufferings A - Administrative. S – Sentiments T – Tragedies E - Eruption of Communicable diseases. R - Research programme and its implementation
  • 5. CLASSIFICATION • NATURAL DISASTER  Metrological disaster Typological disaster Telluric and Teutonic Biological disaster • MAN-MADE DISASTER  Warfare  Civil disaster  Accidents  Technological failures
  • 6. PHASES OF DISASTER MANAGMENT
  • 7. DISASTER PREPAREDNESS • Preparedness should be in the form of money, manpower and materials Evaluation from past experiences about risk Location of disaster prone areas Organization of communication, information and warning system
  • 8. In Disaster Preparedness 1. To facilitate preparation with community 2. To provide updated record of vulnerable populations within community 3. Nurse leads a preparedness effort: 4. Nurse plays multi roles in community 5. Nurse should have understanding of community resources 6. Disaster Nurse must be involved in community organization
  • 9. Contd… Ensuring co-ordination and response mechanisms Development of public education programme Co-ordination with media National & international relations Keeping stock of foods, drug and other essential commodities.
  • 10. DISASTER IMPACT Search, rescue and first aid Field care Triage: Tagging Identification of dead
  • 11. OBJECTIVES OF TRIAGE • Ensure immediate medical intervention in life threatening situations. • Expedite the care of patents through a systematic initial assessment. • Ensure that patients are prioritized for treatment in accordance with the severity of their medical condition. • Reduce morbidity through early medical intervention.
  • 12. Contd… • Improve public relations by communicating appropriate information to friends and relatives who accompany patients. • Improve patients flow within emergency departments and/or disaster management situation. • Provide supervised learning for appropriate personnel
  • 13. PRINCIPLES OF TRIAGE • Every patient should be received and triaged by appropriate skilled health-care professionals. • Triage is a clinic-managerial decision and must involve collaborative planning. • The triage process should not cause a delay in the delivery of effective clinical care.
  • 14. COLOR CODING • Red indicate high priority treatment or transfer • Yellow signals medium priority • Green indicate ambulatory patients • Black indicates dead or moribund patients
  • 15. DISASTER RESPONSE • RELIEF PHASE Acquisition of supplies; Transportation; Storage; and Distribution.
  • 16. Epidemiologic surveillance and disease control  Overcrowding and poor sanitation in temporary resettlements. The accounts in part, for the reported increase in acute respiratory infections etc. following the disasters.  Population displacement may leads to introduction of communicable diseases to which either the migrant or indigenous populations are susceptible.
  • 17. Contd… Disruption and the contamination of water supply, damage to sewerage system and power systems are common in natural disasters. Disruption of routine control programme as funds and personnel are usually diverted to relief work.
  • 18. Contd… Ecological changes may favor breeding of vectors and increase the vector population density. Displacement of domestic and wild animals, which carry with them zoonoses that can be transmitted to humans as well as other animals. Leprosies cases have been reported following large floods. Anthrax has been reported occasionally.
  • 19. In Disaster Response 1. Nurse must involve in community assessment, case finding and referring, prevention, health education and surveillance 2. Once rescue workers begin to arrive at the scene, immediate plans for triage should begin. Triage is the process of separating causalities and allocating treatment based on the victim‘s potential
  • 20. REHABILITATION PHASE • Water supply • Food safety • Basic sanitation • personal hygiene • Vector control
  • 21. In Disaster Recovery • Referrals to hospital as needed • Remain alert for environmental health • Psychological support • Health teaching • Successful Recovery Preparation
  • 22. WHAT ARE THE EFFECTS SEEN AFTER AN DISASTER?
  • 23. HOSPITAL DISASTER PLAN
  • 24. DISASTER MANAGEMENT COMMITTEE Director of the hospital HOD of accidents and emergency services All heads of the departments Nursing superintendent Hospital administrator Representatives of the staff
  • 25. WHAT ARE THE ROLES AND FUNCTIONS OF THE DISASTER MANAGEMENT COMMITTEE?
  • 26. WHICH ARE THE SUPPORT AREAS FOR HOSPITAL DISASTER PLANNING?  Laundry  CSSD  Dietary department  Housekeeping services  Medical records  Public relations  Communications  Transportation  Mortuary  Medic-social worker  Engineering department  Security and safety services  Media relations
  • 27. WHAT DOES DISASTER DRILL MEAN?
  • 28. DEFINITION A disaster drill is an exercise in which people simulate the circumstances of a disaster so that they have an opportunity to practice their responses.
  • 29. BEING A NURSE, WHAT ARE OUR RESPONSIBILTY IN A DISASTER SITUATION?
  • 30. NURSE’S ROLE • Surveillance • Disease and other health event investigation • Outreach • Screening • Referral and follow- up • Case management • Delegated functions • Health teaching • Counseling
  • 31. Contd… • Consultation • Collaboration • Coalition building • Community organizing • Advocacy • Social marketing • Policy development
  • 32. Contd… • Nurse work as a member of assessment team • To be involved in ongoing surveillance

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