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Disaster management at site and at hospital

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Disaster management at site and at hospital

  1. 1. DISASTER MANAGEMENT AT SITE  Disaster Management at site refers to, on- the-spot rescue and resuscitation measures adopted by the health team members for saving life's of the victim.
  2. 2. D-I-S-A-S-T-E-R Paradigm D: Detection I: Incident Command S: Safety & Security A: Assess Hazards S: Support T: Triage & Treatment E: Evacuation R: Recovery
  3. 3. MASS M – Move A – Asses S – Sort S – Send
  4. 4. Aim -Rescue -Medical Care -Food and safe drinking water -Prevention of epidemic out break - Monetary Compensation -Rehabilitation
  5. 5. NURSES ROLE IN DISASTER MANAGEMENT •Identify Priorities •Maintain Essential Service •Medical Backup
  6. 6. RECORDS & IDENTIFICATION OF CASUALTIES -Simple disaster record -Affix small tag to each casualty Non urgent (Green) Urgent condition (Yellow) Emergency Transport (Red) Death (Black)
  7. 7. Triage Description Color Immediate Respirations are present, very serious injury that can be fixed quick with out a lot of resources RED Delayed Can wait to be treated for hours to days, dislocations, minor fractures YELLOW Minor “walking Wounded”, cuts, minor wounds GREEN Expectant/ Deceased Not breathing, Massive Head trauma, would take massive resources away from many others to save one BLACK
  8. 8. PUBLIC INFORMATION SYSTEM -Maintain casualty list and other data -Have all information related to hospitalization -Efficient communication link between triage and hospital
  9. 9. COMMUNITY MEASURES First Aid & Medical Care -Life saving Resuscitation -Allay Panic -Avoid convergence behavior -Immediate rescue and relief -Professional Identification -Direct people to shelters
  10. 10. COMMUNITY MEASURES Gather information rapidly -Documentation -Assess number of Casualty Inflow -Arrange drugs and IV fluids -Assess Adequacy of casualty evaluation routs -Adequacy of space and building
  11. 11. TRANSPORT
  12. 12. HOSPITAL RESPONSE FOR DISASTER •Medical Staff Director •Establishing a physician labor pool. •Credentialing volunteer medical staff. •Assign physician staffing. •Withhold all elective surgery
  13. 13. In-Patient Areas •Assessing inpatients for early discharge. • Establishing alternate inpatient care sites within the facility. •Assessing staffing, supply, equipment needs in patient care settings
  14. 14. Ancillary Services •Inventorying available blood supply. •Evaluating ancillary services’ capacity to perform services required by emergency.
  15. 15. Critical Supplies •Pharmaceuticals •Medical supplies •Food supplies •Linen •Water •Critical Equipment
  16. 16. Communications • Other areas/departments within hospital • External agencies
  17. 17. POST DISASTER PHASE -Leadership Role -Immunization -Follow up Care -Nutritional Programme -Disposal of Dead -Hygiene and sanitation -Routine Health Services -Special care to children and elderly
  18. 18. REHABILITATION -Starts from the moment disaster strikes & ends with the restoration of normality - Medical - Surgical - Psychological - Vocational
  19. 19. Mental wellness In any major disaster, people want to know where their loved ones are, nurses can assist in making links. In case of loss, people need to mourn: • Give them space, • Find family friends or local healers to encourage and support them • Most are back to normal within 2 weeks • About 1% to 3%, may need additional help
  20. 20. THANK YOU

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