policies related to disaster nursing in details

1. Policies related to disaster , post
traumatic stress disorder,
rehabilitation
Prepared by:
Mrs Siddhi Parmar

2. Policies related to
emergency/disaster management
1. “First come, first treated” principle will not
be followed during emergencies.
2. Triage protocol
3. ABCDE care is provided
– Airway
– Breathing
– Circulation
– Disability limitation
– Exposure / environmental control

3. 4. Trauma team and trauma code
5. Management of cardiopulmonary arrest
6. Emergency medicine records
7. Chain of command in the team and system
8. Alternative chains and flexibility standards
9. Procedures involving medico-legal issues
10. Disaster preparedness
11. Disaster drills
12. Infection control measures
13. Quality management of disaster services

4. Disaster Management Team
• Medical Superintendent
• Additional Medical Superintendent
• Nursing superintendent
• Chief medical officer (Casualty)
• HOD’dof all the dept.s
• Blood bank incharge
• Security officers
• Dietician
• Transport officer
• Sanitary personnel

5. Equipments
• Resuscitation equipment
• IV sets and IV fluids
• Disposable needles, syringes & gloves
• Dressing & suturing materials and splints
• Oxygen delivery devices
• Suction catheter and machine
• ECG monitors, defibrillators and
ventilators
• Cut down sets, tracheostomy sets and
lumbar puncture sets
• Linens and blankets

6. Guidelines/Elements of disaster plans
• Chain of authority
• Lines of communication
• Routes & modes of transport
• Mobilization
• Warning
• Evacuation
• Rescue & recovery
• Triage
• Treatment
• Support of victims and families
• Care of dead bodies
• Disaster worker rehabilitation

7. Triage
Protocol/System
Red: High priority for treatment & transfer
Yellow: Medium Priority
Green: Ambulatory patients
Black: Dead or Moribund patients

8. Resources for disaster management
• Administrative system
• Policies, procedures and protocols
• Physical facilities
• Components & equipments
• Emergency/Disaster medical systems
• Staffing and training
• Resources for disaster drills
• Effective evaluation system

9. Coordination & involvement of various Govt.
and Non-Govt. organization
• India
– National disaster management authority of India
– Emergency Management and research Institute
• Worldwide
– International association of emergency managers
– Red cross/red crescent
– United Nations
– World bank
– European union
– International recovery platform

10. Role of Nurse
• Assess the community
• Diagnose community disaster threats
• Community disaster planning
• Implement disaster plans
• Shelter management plans
• Evaluate the effectiveness of disaster
plans

11. Legal aspects of disaster nursing
• Licensure
• Good Samaritan
law
• Good rapport
• Standard care
• Standing order
• Written consent
for operation and
procedures
• Correct identity
• Drug maintenance
• Self discharge of
the patient
• Documentation
• Protection of
patient property
• Reporting

12. Impact on health and after
effects
• Social reaction
• Communicable
diseases
• Population
displacements
• Climatic exposure
• Food & Nutrition
• Water supply &
sanitation
• Mental health
• Damage to the
health
infrastructure

13. Post Traumatic Stress Disorder
(PTSD)
• PTSD is a severe anxiety disorder that
can develop after exposure to any event
that results in psychological trauma.
• Symptoms: Flashbacks and nightmares

14. Diagnosis of PTSD
• History of exposure to a traumatic event
• Persistent re-experiencing
• Persistence avoidance and emotional
numbing
• Persistent symptoms of increased
arousal not present before
• Duration of symptoms for more than 1
month
• Significant impairement

15. Management of PTSD
• Provide sense of safety
• Calm the patient
• Improve self efficacy of the
patient
• Make social connectedness
• Give hope

16. Rehabilitation after Disaster
• Water supply
• Food supply
• Basic sanitation
• Personal hygiene
• Physical rehabilitation
• Psychosocial rehabilitation
• Financial rehabilitation
• Relocation

17. Thank you