2. Nurses play an important role
in providing relief to the people
affected by the disaster by initiating
the preventive measures, being well
prepared and trained to possess the
skill of readiness to help people any
time and implementing the relief
measures.
3. 1. Immediate care provider: the
reflections from the INC, or
International Nursing Council,
initiates and motivates the nursing
community to provide the care
immediately by training the team of
disaster nurses in every health centre
to act immediately in the scenario to
rescue the victems.
4. 2. Government and voluntary
organization: The concerned state
government and the voluntary
organization constitute a core team,
which manages the team of disaster
nurses, health team members,
paramedical workers, and provide
drug, supplies, food and diagnostic
lab equipment to the disaster ares.
5. They establish camps and treat the
affected victims.
3. Human rights:The rights of the
affected victims should not be
violated any time during and after
the disaster.
4. Alternative care: Alternative
refers to using a nonmainstream
approach in place of conventional
6. Medicine. The health of the people
should be maintained by following
the complementary medicine
systems. It generally refers to using
a nonmainstream approch togather
with the conventional medicine
system.This kind of treatment
usually follows the allopathic
medicine to treat the disability as a
result of the disaster where
alternative therapies are used,
7. E.g., Acupuncture, Massage therapy,
Medication, Progressive relaxation
techniques, Spinal manipulation
therapy, etc.
5. Maintain the social justice and
equality: All the victims should
receive equal care impartially in
terms of social class, caste, or race
or religion.
8. 6. Accountability: Every member in
the health team should be
responsibility in the Administration
of the disaster care and should keep
the care recorded.The members are
accountable for the health of the
victims during the disaster.
9. 7. Relief development and planning:
Plan effectively to manage the
disaster by releasing the resources
in time for providing relief to the
victims who experienced the
disaster.
Therefore, nurses play a vital
role as immediate caregiver.They
are held accountable for their work
as
10. they are the relief providers.They
should also respect the right of the
patients, maintains the social justice
and equality and encourage the
perform the alternative health care.
12. 2. be informed of disease and
social behavior pattern associated
with disaster that may be
exacerbated by deteriorated living
condition.
3. be aware of associated physical
and mental health, and
socioeconomic and nursing needs.
13. 4. Lobby institution and
government to prepare in
advance for disaster by
information on potential hazards
and vulneribility and by increasing
the ability to predict and respond
to the situation.
5. Actively participate in strategic
planning and implementing of
disaster plans ensuring nursing
input.
14. 6. Support the development of an
accountable chain of command
within the network or relief
organization and the division of
the affected area.
7. Urge the development and
implementation of relevant
policies, procedure and
legislation.
16. Relief Response
A nurse should also do the
following:
1. In the short term, assist in efforts
to mobilize the necessary
resources( e.g. food, water,
sanitation, shelter, etc.), including
emergency medical assistance,
giving special attention to
17. vulnerable groups such as the sick,
handicapped, children, women,
and the elderly.
2.Work with existing capacities,
skills, resources, and
organizational strutures.
3. In the long term, assist with
resettlement programme,
psychosocial, econimic and legal
18. needs ( e.g. counselling,
documents, mobility)
4. Partner with independent,
objective media, local and
national branches of government
, international agencies and
nongoverment oraganization.
5. Provide care for those who are
providing direct services.
19. HOSPITAL DISASATER MANUAL
A hospital disaster manual is a
written statement of a disaster
plan, which is implemented
during a disaster. It includes the
following.
1. introduction: this should include
the disaster alert code, general
principles of conduct and brief
20. synopsis of the total plan.When
the alert is given, all personnel
must reports to duty and take
over their assigned jobs.
2. Distribution of responsibility:
duties of each individual and
department are put on an action
card.These cards describe in
detail the responsibility and
action to be taken by each
21. And every members of the hospital
staff, starting from the hospital
administration to stretcher
bearers and ward boys.
3. Chronological action plan: the
action should be listed in
chronological order.
A. Initial alert :This may be received
through the casualty itself or
through telephone or through
22. authorities like the police. On receipt
of this information, the concerned
person must gather information
regarding the place, time and type of
emergency, and the estimated
number and type of casualities.
B. Activate hospital plan:The designed
hospital staff activates the disaster
plan. all the department and people
involved get into readiness to attend
23. to casuality and depending upon
the nature and number of
casuality, crisis expansion of
hospital beds in undertaken,
utilizing additional space by
discharging minor cases and
transfers to other hospitals.
C. Formulation of command
nucleus: the command nucleus
should be formed immediately
24. And located in the casuality
department.
D. Management of casualitys: the
next phase in the hospital will
involve further treatment of pts
and collection of information for
the management.
25. DISASTER PLAN
Every hospital, regardless of its
size, requires a prticular plan.This
includes enhansment and
coordination of medical
performance and additional
important skills. Every hospital
should crete one disaster plan to
manage disaster condition.
26. A lots of money can be saved by
timely preparation, which
otherwise can put an additional
cost on the hospital as well as on
pts.
27. Principles of disaster
plan
Mobilization of manpower within
short notice.
Predefined and prepared site with
required infrustructure.
Delegation of competencies to
achieve immediate execution
within short time period
28. Ensuring smooth run of the
routine hospital work
Availability of resources on the
existing base.