View stunning SlideShares in full-screen with the new iOS app!Introducing SlideShare for AndroidExplore all your favorite topics in the SlideShare appGet the SlideShare app to Save for Later — even offline
View stunning SlideShares in full-screen with the new Android app!View stunning SlideShares in full-screen with the new iOS app!
Exploring the role of nurses during the Black Saturday and Victorian bushfires of 2009 in Australia Mr Shane Lenson: Senior Nurse Advisor, Royal College of Nursing, Australia Mr Jamie Ranse: Assistant Professor, Faculty of Health, University of Canberra, Australia Chief Nursing Officer, St John Ambulance Australia
Health Disaster Response Australia's health care response to disasters Familiar with the threat of natural disasters St John Ambulance Australia Clinical accreditation framework Health care professionals in St John Role of St John in the bushfires Cross border arrangements
Aim To describe the clinical experience, disaster training / education, and disaster experience of nurses who participated in the February 2009 Victorian Bushfire response and recovery.
Methodology Design Population and sample Participant recruitment Data collection Data analysis Protection of human participants
Participant demographics Gender Male 7 Female 4 Years experience as a nurse 16 years (2 -45) Years experience as a member of St John 17 (3 -40)
Thematic analysis Being prepared Having an appropriate level of training Having enough resources Having adequate clinical experience Expansive Roles Minimal clinical care Emotional supporter Nurse as coordinator Problem-solver
Having an appropriate level of training “I think I’m pretty well okay in [terms of] training for disaster....I’ve done alot of courses in my time [with St John]” “I felt quite comfortable and quite confident that I was able to deal with whatever was going on ... since my time with St John I have been to bushfires, floods and many large outdoor public events”
Having enough resources “We packed in as much medical gear as we could put into [the car], that including the doctor’s bag, all the resuscitation equipment ... boxes, extra IVs...” “We had routine stock deliveries ... donations from chemists, so we had a myriad of dressings and lots of solutions and treatments, and things that anyone thought might be helpful they’d donate. We had a lot of resources at our disposal. Probably too much, as we used very little...”
Having adequate clinical experience “I was paired with paramedic students ... there was [also] a doctor who volunteered so we’d go out to patients homes if they weren’t prepared to come in.”
Minimal clinical care “[I treated] ... relatively minor things, headache, a scratch from jumping off the truck .... a lot of eye rinses, minor burns...” “People were worried about their medical conditions ... ‘I haven’t had my blood pressure tablets, is my blood pressure okay’... “
Emotional supporter “My nursing experience probably helped a little bit more with the emotional side of people presenting ... people were distressed ... counselling [and] supporting skills that you learn through nursing [assisted me].” “... a lot of the time we were just there to talk to them, just be there as somebody to listen to what they were saying because they didn’t actually need first aid per se.”
Nurse as coordinator “We did a great deal of coordinating...making phone calls and organising services... the GP from Whittlesea had gone down to the disaster relief centre and was ... writing scripts. The chemist had opened after hours to allow people to go and get their scripts filled” “In the EOC ... I liaised with healthcare professionals to find out who was available, and at what notice, for sudden team medical deployment.”
Discussion Disaster Training / Education Disaster Resources Disaster Roles
Limitations One event One organisation Small sample group