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Disaster nursing

disaster nursing

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Disaster nursing

  2. 2. Disaster is defined as any occurrence that causes damage, economic destruction, loss of human life, and deterioration in health and health services on a scale sufficient to warrant an extraordinary response from outside the affected community or area. -WHO
  3. 3. Ecologic disruption or emergencies resulting in death ,injuries, illness or property management that cannot be effectively managed by the application of routine procedures
  5. 5. NATURAL  MAJOR  Flood  Cyclone  Drought  Earthquake  Volcano  Hurricane MINOR  Cold wave  Thunderstorm  Heat waves  Mudslides  Storm
  6. 6. MAN MADE..  MAJOR  Setting of fires  Epidemic  Deforestation  Wars  Biochemical terrorism  Radiological  MINOR  Accidents  Food poisoning  Industrial disaster  Environmental pollution
  7. 7. ₰Disaster as a result of war ,draught, diseases, and political unrest resulting displacement of million s of people from their homes
  8. 8. ₰Community infrastructure and economic welfare are directly and adversely affected by major industrial accidents, unplanned release of nuclear energy, fires or explosion from hazardous substance
  9. 9. ₰Do not affect the hospital infrastructure but do tax hospital resources due to number of patients or type of injuries
  10. 10. ₰Cause disruption of normal hospital function due to injuries or death of hospital person or damage to physical plant as with a hospital fire power failure or chemical spill.
  11. 11. ₰Nature of the event ₰Time of the year or day ₰Health and age characteristics of population effected ₰Availability of the resources
  12. 12. Pre impact Impact Post impact
  14. 14. Response Emergency management mitigation
  15. 15. recovery rehabilita tion reconstr uction evaluation
  16. 16. ₰Earthquake and tornadoes: rapid onset & sudden impact on the community ₰Hurricane & volcanic eruption: sudden impact on the community but there is some advance warning ₰Bioterrorism : sudden and unanticipated , sudden and prolonged impact on the community ₰Drought & famine: gradual onset or chronic genesis (so called “creeping "disaster) and prolonged impact
  17. 17. ₰Proactive planning efforts designed to structure the disaster response prior to its occurrence ₰Communication plans ₰Multiagency coordination ₰Emergency services- emergency shelters with evacuation plans ₰Supplies and equipments
  18. 18. ₰Measures taken to remove the harmful effect of disaster ₰Prevention measures ₰Require significant amount of forethought, planning and implementation
  19. 19. ₰Emergency relief such as saving lives, providing first aid, minimizing and restoring damaged systems such as communications and transportation , providing care and basic life requirement to victim ₰Organized its activities in sectors- fire, police hazardous material management and emergency medical services
  20. 20. ₰Stabilizing and returning the community to normal ₰Rebuilding, repair, relocate, rehabilitate, reconstruct
  21. 21. ₰Phase that receive least attention ₰To determine the specific problems, issues and challenges ₰Future disaster plan is based on the evaluation
  22. 22. ₰Effective planning addresses the problem caused by a variety of potential events Agent specific all hazard
  23. 23. Challenges… ₰ Communication problem ₰ Triage, transportation & evacuation ₰ Leadership issues ₰ Distribution of resources ₰ Coordination of search & rescue efforts ₰ Media issues ₰ Distribution of patients in an equitable fashion ₰ destruction of health care infrastructure ₰ Management of volunteers, donations &large no. of resources
  24. 24. ₰Keep a small disaster supplies kit in the trunk of each car ₰Keep items in airtight plastic bag ₰Replace stored food ,water & batteries every six months ₰Keep emergency medications
  25. 25. ₰Disaster supplies kit ₰Evacuation supplies kit ₰First aid kit
  26. 26. ₰Will, insurance policies, contracts ₰Passports, social security cards, immunization records ₰Credit cards, account numbers ₰Important phone numbers ₰Family records
  27. 27. media Informative Pre & post disaster During Analytical
  28. 28. ₰Anticipating the events and planning accordingly. ₰Hazmat
  29. 29. ₰State of being vulnerable- open to attack, hurt or injury ₰Analysis should be conducted for each hazards and regularly updated
  30. 30. ₰Use the element of hazard analysis and vulnerability analysis ₰Necessitate cooperation of corporate and community group
  31. 31. ₰Prevention or removal of hazards ₰Removal of at risk population ₰Provision of public information and education ₰Establishment of early warning system ₰Mitigation of vulnerabilities ₰Risk reduction ₰Enhancing community to respond
  32. 32. ₰Theoretical foundations for disaster planning ₰As effective as the assumption upon which is based ₰Must go beyond routine ₰Need assessment ₰Leadership ₰Design for local response ₰Vulnerable population ₰Assistance
  33. 33. ₰Training & educational assistance ₰Conduct of damage assessment
  34. 34. ₰Placing the right patient in the right place at the right time to receive right level of care ₰Doing the greatest good for the greatest number
  35. 35. ₰Clinically experienced ₰Good judgment and leadership ₰Calm and cool under stress ₰Decisive ₰Knowledgeable of available resources ₰Sense of humor ₰Creative problem solver ₰Available ₰Experienced and knowledgeable regarding anticipated casualties
  36. 36. ₰Never move a casualty backward ₰Never hold a critical patient for further care ₰ triage providers do not stop to treat patient ₰Never move patient before triage
  37. 37. ₰Threat to one’s life ₰Inflection of physical injury ₰Exposure to the dead and mutilated ₰Witnessing unexpected or violent death ₰Learning of the unexpected and violent death of the loved one ₰Knowledge that infliction of pain and suffering was deliberate
  38. 38. ₰Review of all hazardous topics including natural and accidental man made events ,chemical, traumatic, explosive and nuclear events ₰Role in public health, incident management system & special needs
  39. 39. ₰D : detect ₰I : incident command ₰S : scene security and safety ₰A: assess hazards ₰S: support ₰T: triage and treatment ₰E: evaluation
  40. 40. ₰Performed by the BDLS provider ₰Demonstrate competencies in casualty decontamination, specified essential skills and MCI information system ₰4 skills ₰MASS triage ₰Personal protective equipment and decontamination ₰Disaster skills ₰Human patient simulator
  41. 41. ₰Mortality ₰Injury ₰Infectious diseases ₰Chronic diseases ₰Malnutrition ₰Health risk and chemical contamination
  43. 43. ₰Be honest and developmentally appropriate explanation should be given ₰Encourage expression of feelings ₰Reassure children ₰Encourage daily activities
  44. 44. ₰A mass casualty incident is an unexpected event which stretches the resource of emergency department and this requires the consolidated assistance of the hospital and its support system
  46. 46. ₰An exercise in which people stimulate the circumstances of a disaster so that they have an opportunity to practice their response ₰Self protection & evacuation
  47. 47. ₰Leadership ₰Identify the roles and functions ₰Policy development ₰Government organizations ₰Public health ₰Health promotion ₰Disease prevention ₰Quality care ₰Evidence based practice ₰Education ₰Critical thinking ₰Collaboration
  48. 48. ₰IN NURSING EDUCATION development and validation of core competencies provision of continuous education program and material for practicing nurses inclusion of content and clinical experience in nursing curriculum development of teaching resources and material IN RESEARCH AND DEVELOPMENT related to mass casualty incidence preparedness , response and recovery
  49. 49. ₰Focused on poorer countries ₰According to the culture- ₰Communication and transport difficulties ₰Knowledge and skill
  50. 50. ₰Apex body for disaster management in India EVOLUTION OF NDMA: ₰High powered committee in 1999 ₰Nation committee in 2001 after Gujarat earth quake ₰Tenth five year plan- attached a chapter on disaster management ₰12th finance commission- financial arrangement ₰Creation of NDMA on 23rd December 2005.
  51. 51. ₰Lay down policies on disaster management ₰Approve national plan ₰Approves plan prepared by ministers or departments ₰Coordinate the implementation ₰Recommend provision of funds ₰Provide support to other countries
  52. 52. ₰Multidisciplinary , multiskilled high-tech force of NDMA capable of dealing with all types of natural and man made disasters. ₰Specialized response to natural and manmade disaster. ₰Total 8 battalion and has 45 personnel including engineer, technicians, medical and paramedical and dog squads.
  53. 53. Thank you…