2232020 SafeAssign Originality Reporthttpscourserooma.docx

2/23/2020 SafeAssign Originality Report
https://courserooma.capella.edu/webapps/mdb-sa-
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NURS-FPX4060_007788_1_1201_OEE_03 - NURS-FPX4060 -
WINTER 2020 - SECTION 03
SafeAssign Draft Review
Yaima Thaureaux
on Sun, Feb 23 2020, 6:23 PM
66% highest match
Submission ID: 5dff75ef-6975-4140-84f4-217897d51442
Attachments (1)
NURS-FPX4060_ThaureauxYaima_Assessment3-1.pptx
1 DISASTER RECOVERY PLAN (DRP) YAIMA
THAUREAUX
Capella University
February, 2020
2 DISASTER RECOVERY PLAN
A DRP plan is a plan that is established to take actions prior to,
during & after any occurrence that
may bring disruption to routine activities

The primary objective in a DRP is to restore activities
functioning within the shortest time possible.
A DRP covers procedures to be followed during a disaster and
after the disaster such as reporting to
personnel, actions taken to recover operations, and conducting
activities after a disaster.
(http://safeassign.blackboard.com/)
Word Count: 1,984
Attachment ID: 2605246598
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http://safeassign.blackboard.com/
A DRP may be perceived as a form of preparation for the end of
all activities or worst scenarios
(Wallace & Webber, 2017)
National events like the terrorist attacks of 2001 and Hurricanes
Katrina and Rita have focused
attention on the need for recovery planning. Citizens who are
physically and mentally healthy are
necessary for any community to recover from a disaster. While
there are a plethora of resources to
assist state health agencies in planning for response operations,

there are few resources available to
plan for recovery operations. Part of the challenge in
developing recovery plans is that it can be
difficult to distinguish between response and recovery
activities. While they can be similar, the
intent of the two is different. Disaster response is focused on
the immediate need to protect human
life and the physical infrastructure from the immediate effects
of the disaster. Recovery, on the
other hand, is broader in scope. The goal of recovery is to
ensure the economic sustainability of a
community and the long term physical and mental well-being of
its citizens, to rebuild and repair
the physical infrastructure, and to implement mitigation
activities to reduce the impact of future
disasters. The state health agency has a key role to play in all of
these response and recovery
activities. Any disaster, no matter how large or small, disrupts
the daily activity of a community.
Initial response activities are necessary to protect citizens and
infrastructure, but recovery activities
allow a community to come back from a disaster. At its core,
disaster recovery focuses on a return
to order and normalcy within a community following a disaster
2
3 SHORT-TERM AND LONG-TERM RECOVERY
DRP entails accomplishing short & long-term objectives
Short-term recovery & response happen occur simultaneously
Example include: civil education awareness on health & safety
risks & environmental assessment

Long-term recovery starts when urgent health & safety demands
have been fulfilled & the focus
changes to reconstruction.
Long-term recovery can be a long process, lasting years based
on the extent of the disaster.
It is during this period the community has the biggest chance to
execute mitigation processes that
can limit the future effect of situations that enhance community
risk (Wallace & Webber, 2017)
Disaster recovery includes meeting short- and long-term goals.
Short-term recovery and response
occur simultaneously and examples include public education
campaigns on health and safety risks
and environmental assessment. Addressing the mental health
effects of adisaster may become part
of a long-term recovery process, but is a significant component
of an immediate recovery plan. The
urgent environmental impacts of a disaster should also be
addressed as soon as possible after an
event. 4 LONG-TERM RECOVERY BEGINS WHEN
IMMEDIATE HEALTH AND
SAFETY NEEDS HAVE BEEN MET AND THE FOCUS
SHIFTS TO RECONSTRUCTION.
Long-term recovery can be a lengthy process, taking years
depending on the severity of the disaster.

4 IT IS AT THIS TIME THAT THE COMMUNITY HAS THE
GREATEST
OPPORTUNITY TO IMPLEMENT MITIGATION PROGRAMS
THAT CAN REDUCE
THE FUTURE IMPACT OF CONDITIONS THAT INCREASE
COMMUNITY RISK
3
Map-It
Mobilize
Assess
2 PLAN IMPLEMENT TRACK (HEALTHY PEOPLE 2020)
Mobilize: Identify partners with interest in establishing healthy
communities & will add to the
process
Assess: 5 ASSESS BOTH NEEDS AND ASSETS
(RESOURCES) IN YOUR
COMMUNITY.
2 THIS WILL HELP YOU GET A SENSE OF WHAT YOU
CAN DO, VERSUS WHAT
YOU WOULD LIKE TO DO.

Plan: 2 A GOOD PLAN INCLUDES CLEAR OBJECTIVES
AND CONCRETE STEPS TO
ACHIEVE THEM.
5 THE OBJECTIVES YOU SET WILL BE SPECIFIC TO
YOUR ISSUE OR
COMMUNITY; THEY DO NOT HAVE TO BE EXACTLY THE
SAME AS THE ONES IN
HEALTHY PEOPLE 2020.
Implement: 2 FIRST, CREATE A DETAILED WORKPLAN
THAT LAYS OUT
CONCRETE ACTION STEPS, IDENTIFIES WHO IS
RESPONSIBLE FOR
COMPLETING THEM, AND SETS A TIMELINE AND/OR
DEADLINES.
5 MAKE SURE ALL PARTNERS ARE ON BOARD WITH
THE WORKPLAN.
NEXT, CONSIDER IDENTIFYING A SINGLE POINT OF
CONTACT TO MANAGE THE
PROCESS AND ENSURE THAT THINGS GET DONE.
Track: 2 PLAN REGULAR EVALUATIONS TO MEASURE
AND TRACK YOUR
PROGRESS OVER TIME.
5 CONSIDER PARTNERING WITH A LOCAL UNIVERSITY
OR STATE CENTER FOR
HEALTH STATISTICS TO HELP WITH DATA TRACKING.
SOME THINGS TO THINK
ABOUT WHEN YOU ARE EVALUATING DATA OVER TIME:

Data Quality: 2 BE SURE TO CHECK FOR
STANDARDIZATION OF DATA
COLLECTION, ANALYSIS, AND STRUCTURE OF
QUESTIONS.
LIMITATIONS OF SELF-REPORTED DATA: WHEN YOU
ARE RELYING ON SELF-
REPORTED DATA (SUCH AS EXERCISE FREQUENCY OR
INCOME), BE AWARE OF
SELF-REPORTING BIAS.
4
Chain of Command & Communication btw Commands
Knowledge of what to do, where to go, what steps to execute, &
survive to save a lives
First Responders Point of Contact
Second in command
Third in command
Utility Contacts
Second contact

Third contact
Communication:
Sirens in local communities
6 SHORT WAVE RADIOS FOR POWER OUTAGES
Communication Teams (Wallace & Webber, 2017)
7 HE ICS PROVIDES GUIDANCE FOR HOW TO ORGANIZE
ASSETS TO RESPOND
TO AN INCIDENT (SYSTEM DESCRIPTION) AND
PROCESSES TO MANAGE THE
RESPONSE THROUGH ITS SUCCESSIVE STAGES
(CONCEPT OF OPERATIONS). ALL
RESPONSE ASSETS ARE ORGANIZED INTO FIVE
FUNCTIONAL[10] AREAS:
COMMAND, OPERATIONS, PLANNING, LOGISTICS, AND
ADMINISTRATION/FINANCE.
HE ICS, AS DESCRIBED IN NIMS, REFERS TO THE
COMBINATION OF FACILITIES,
EQUIPMENT, PERSONNEL, PROCEDURES, AND
COMMUNICATIONS OPERATING
WITHIN A COMMON ORGANIZATIONAL STRUCTURE
AND DESIGNED TO AID IN
THE MANAGEMENT OF RESOURCES DURING INCIDENT
RESPONSE. THE ICS IS
BASED ON EIGHT CONCEPTS THAT CONTRIBUTE TO THE
SUCCESSFUL
APPLICATION OF THIS SYSTEM
5

Preparedness training & understanding Your Team
Team leads in ally section of the building in all institutions
6 PREPARE FOR THE WORSE PREPARATION FOR
DISASTER
Supplies
Emergency contacts
6 NEAR BY RESOURCES
Steps to survive & stay alive (Wallace & Webber, 2017)
7 PREPAREDNESS ENCOMPASSES ACTIONS DESIGNED
TO BUILD
ORGANIZATIONAL RESILIENCY AND/OR
ORGANIZATIONAL CAPACITY AND
CAPABILITIES FOR RESPONSE TO AND RECOVERY FROM
HAZARD IMPACTS. IT
INCLUDES ACTIVITIES THAT ESTABLISH, EXERCISE,
REFINE, AND MAINTAIN
SYSTEMS USED FOR EMERGENCY RESPONSE AND
RECOVERY. THE CRITICAL
TASK IN PREPAREDNESS PLANNING IS TO DEFINE THE
SYSTEM (HOW ASSETS
ARE ORGANIZED) AND PROCESSES (ACTIONS AND
INTERACTIONS THAT MUST

OCCUR) THAT WILL GUIDE EMERGENCY RESPONSE AND
RECOVERY. THIS IS
ACCOMPLISHED THROUGH THE DEVELOPMENT OF AN
EFFECTIVE EOP (SEE
BELOW FOR SUGGESTED EOP FORMATS). STAFF
SHOULD BE EDUCATED AND
TRAINED ON THE SYSTEM SO THEY GAIN THE
KNOWLEDGE AND SKILLS
NECESSARY TO ADEQUATELY PERFORM THEIR
ASSIGNED ROLES. IT IS
IMPORTANT TO NOTE THAT THE PROCEDURES AND
SYSTEMS USED TO
CONDUCT PREPAREDNESS ACTIVITIES (COMMITTEE
STRUCTURE AND
MEETINGS, MEMO WRITING, REGULAR EMAIL
NOTIFICATION OF MEETINGS,
ETC.) ARE TYPICALLY NOT ADEQUATE FOR USE
DURING EMERGENCY
RESPONSE. THIS POINT IS OFTEN MISSED BY
ORGANIZATIONS AS THEY
ATTEMPT TO UTILIZE EMERGENCY PREPAREDNESS
COMMITTEES AND THEIR
ASSOCIATED STRUCTURES AND PROCESSES TO
MANAGE RESPONSE TO AN
EVENT. THE EOP DEFINES EFFECTIVE PROCESS AND
PROCEDURES FOR THE
CONTEXT OF EMERGENCY RESPONSE (EMERGENCY

NOTIFICATION
PROCEDURES, ESTABLISHING AN INCIDENT
MANAGEMENT TEAM, PROCESSING
OF INCIDENT INFORMATION, ETC.). IT IS
RECOMMENDED THAT, TO THE
EXTENT POSSIBLE, EMERGENCY RESPONSE PROCESS
AND PROCEDURES BE
USED TO CONDUCT PREPAREDNESS ACTIVITIES.
6
Casualty Evaluation & Triage Triage: a process used to
prioritize emergency care & recognize
casualties who require need urgent medical care due to the
severity or nature of the injury or
disease
6 TRIAGE LABELING SYSTEM:
Red: Immediate (Life threatening injury) Yellow: Delayed (not
life threatening) Green: 6
MINIMAL INJURIES, STABLE, WALKING WOUNDED
Black: Expectant (Near death, dead) (Kreiserb et al. 2016)
riage is a procedure we use to prioritize emergency care and
identify patients who need immediate
medical attention because of the nature or severity of their
injury or illness. If a special situation
arises that we are not equipped to handle at Augusta Health, the
Emergency Department will
transfer you by ambulance or helicopter to an appropriate
facility.
8 S CASUALTY TRIAGE IS THE PROCESS OF
PRIORITIZING MULTIPLE VICTIMS

WHEN RESOURCES ARE NOT SUFFICIENT TO TREAT
EVERYONE IMMEDIATELY.
NO NATIONAL GUIDELINE FOR MASS CASUALTY
TRIAGE EXISTS IN THE UNITED
STATES. THE LACK OF A NATIONAL GUIDELINE HAS
RESULTED IN VARIABILITY
IN TRIAGE PROCESSES, TAGS, AND NOMENCLATURE.
THIS VARIABILITY HAS
THE POTENTIAL TO INJECT CONFUSION AND
MISCOMMUNICATION INTO THE
DISASTER INCIDENT, PARTICULARLY WHEN MULTIPLE
JURISDICTIONS ARE
INVOLVED. THE MODEL UNIFORM CORE CRITERIA FOR
MASS CASUALTY
TRIAGE WERE DEVELOPED TO BE A NATIONAL
GUIDELINE FOR MASS
CASUALTY TRIAGE TO ENSURE INTEROPERABILITY
AND STANDARDIZATION
WHEN RESPONDING TO A MASS CASUALTY INCIDENT.
THE CORE CRITERIA
CONSIST OF 4 CATEGORIES: GENERAL
CONSIDERATIONS, GLOBAL SORTING,
LIFESAVING INTERVENTIONS, AND INDIVIDUAL
ASSESSMENT OF TRIAGE
CATEGORY. Th
7

Recovery Follow-up
Social services communication between various groups of an
organization
Extending support to the community
6 HOMECARE AGENCY TASKS:
Following up on physical and mental health of patients
Making house or phone calls to check on casualties
Psychological counselling Connecting the community to the
resources the urgently require such as
food, water and drugs (Wallace & Webber, 2017)
7 RECOVERY ACTIVITIES RESTORE THE COMMUNITY
TO "NORMAL" AFTER A
MAJOR INCIDENT. THE INITIAL RECOVERY STAGE
(WHICH ACTUALLY BEGINS
IN THE LATE STAGES OF RESPONSE) IS INTEGRATED
WITH RESPONSE
MECHANISMS, AND THE EOP INCIDENT MANAGEMENT
PROCESS SHOULD BE
EXTENDED INTO RECOVERY. THE MANAGEMENT
TRANSITION FROM RESPONSE
TO RECOVERY (BOTH TIMING AND METHODS) MUST BE
CAREFULLY PLANNED
AND IMPLEMENTED TO AVOID PROBLEMS. AS
RECOVERY PROGRESSES,
RECOVERY MANAGEMENT TRANSITIONS TO REGULAR
AGENCY MANAGEMENT
PROCESSES OR SOME INTERMEDIATE METHOD DEFINED
BY THE RESPONSIBLE

ORGANIZATIONS.
8
Review, Regroup, Revise
Meet the response team & collaborate
Assess the teamwork effort of the community team responses
Evaluate the members of the team & ensure they receive needed
care both physically & mentally
Replenish resources both owned & borrowed
Reestablish resources utilized & restore what was borrowed by
other agencies
Evaluate What Worked during the response & Amend What Did
not work (Wallace & Webber,
2017)
9 MITIGATION IS THE EFFORT TO REDUCE LOSS OF LIFE
AND PROPERTY BY
LESSENING THE IMPACT OF DISASTERS AND
EMERGENCIES. MITIGATION
INVOLVES STRUCTURAL AND NON-STRUCTURAL
MEASURES TAKEN TO LIMIT

THE IMPACT OF DISASTERS AND EMERGENCIES.
STRUCTURAL MITIGATION
ACTIONS CHANGE THE CHARACTERISTICS OF
BUILDINGS OR THE
ENVIRONMENT; EXAMPLES INCLUDE FLOOD CONTROL
PROJECTS, RAISING
BUILDING ELEVATIONS, AND CLEARING AREAS
AROUND STRUCTURES. NON-
STRUCTURAL MITIGATION MOST OFTEN ENTAILS
ADOPTING OR CHANGING
BUILDING CODES.
Post-Incident "Organizational Learning"
Post-incident "organizational learning" is achieved through a
timely and objective after-action
report process that is designed to capture the positive aspects
and the shortcomings of the response
system. Findings should be documented in an outline format
that can be organized on a
spreadsheet and tracked. One basic format that has been widely
successful is designed to capture,
for each issue, a brief description of the issue, background
information, recommendations, and
follow-up actions. Improvements should focus on the EOP
organization, processes, and training or
equipment/supply issues, rather than on individual personnel
actions. The review should also

examine how effectively each asset integrated into the overall
system, as well as how the response
tiers coordinated with each other. Indicated changes should be
accomplished based on priority and
incorporated into the appropriate documentation.
9
Reference
10 WALLACE, M., & WEBBER, L. (2017). 10 THE
DISASTER RECOVERY HANDBOOK:
A STEP-BY-STEP PLAN TO ENSURE BUSINESS
CONTINUITY AND PROTECT VITAL
OPERATIONS, FACILITIES, AND ASSETS. Amacom.
2 OFFICE OF DISEASE PREVENTION AND HEALTH
PROMOTION. (ODPHP) (2018).
MAP-IT: 2 A GUIDE TO USING HEALTHY PEOPLE 2020 IN
YOUR COMMUNITY.
RETRIEVED FROM
HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/TOOLS-AND-
RESOURCES/PROGRAM PLANNING
11 KREISBERG, D., THOMAS, D. S. 6 K., VALLEY, M.,
NEWELL, S., JANES, E., &
LITTLE, C. (2016). 6 VULNERABLE POPULATIONS IN
HOSPITAL AND HEALTH
CARE EMERGENCY PREPAREDNESS PLANNING: A
COMPREHENSIVE
FRAMEWORK FOR INCLUSION. PREHOSPITAL AND
DISASTER MEDICINE, 31(2),
211-219. 11
DOI:HTTP://DX.DOI.ORG.LIBRARY.CAPELLA.EDU/10.1017/
S1049023X16000042

Citations (11/11)
1 https://enterprisegrc.com/services/business-continuity-
planning-disaster-recovery-page/business-continuity-
planning-disaster-recovery/233-bcp-dr-
concepts?tmpl=component&print=1&layout=default
2 Another student's paper
3
http://www.effinghamcounty.org/DocumentCenter/View/561/Em
ergency-Operations-Plan-EOP-PDF
5 http://medicinezine.com/information/healthy-people-2020-
implementing-healthy-people-2020/
Matched Text
7
http://www.phe.gov/Preparedness/planning/mscc/handbook/chap
ter1/Pages/emergencymanagement.aspx
8 http://core-cms.prod.aop.cambridge.org/core/search?
filters%5BauthorTerms%5D=Michael%20L.%20Gregg&eventCo

de=SE-AU
9 https://www.co.ellis.tx.us/94/Emergency-Management
Suspected Entry: 77% match
Uploaded - NURS-
FPX4060_ThaureauxYaima_Assessment3-1.pptx
DISASTER RECOVERY PLAN (DRP) YAIMA
THAUREAUX
Source - https://enterprisegrc.com/services/business-
continuity-planning-disaster-recovery-page/business-
continuity-planning-disaster-recovery/233-bcp-dr-
Disaster Recovery Plan (DRP)
Uploaded - NURS-
DISASTER RECOVERY PLAN
Source - Another student's paper
Disaster Recovery Plan
Uploaded - NURS-

PLAN IMPLEMENT TRACK (HEALTHY PEOPLE 2020)
Implement a plan to reach Healthy People 2020
objectives
Uploaded - NURS-
THIS WILL HELP YOU GET A SENSE OF WHAT YOU
CAN DO, VERSUS WHAT YOU WOULD LIKE TO DO
This will help you get a sense of what you can do, versus
what you would like to do
Uploaded - NURS-
A GOOD PLAN INCLUDES CLEAR OBJECTIVES AND
CONCRETE STEPS TO ACHIEVE THEM

A good plan includes clear objectives and concrete
steps to achieve them
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FIRST, CREATE A DETAILED WORKPLAN THAT LAYS
OUT CONCRETE ACTION STEPS, IDENTIFIES WHO
IS RESPONSIBLE FOR COMPLETING THEM, AND
SETS A TIMELINE AND/OR DEADLINES
First, create a detailed workplan that lays out concrete
action steps, identifies who is responsible for completing
them, and sets a timeline and/or deadlines
Uploaded - NURS-
PLAN REGULAR EVALUATIONS TO MEASURE AND
TRACK YOUR PROGRESS OVER TIME
Plan regular evaluations to measure and track your
progress over time
Uploaded - NURS-

BE SURE TO CHECK FOR STANDARDIZATION OF
DATA COLLECTION, ANALYSIS, AND STRUCTURE
OF QUESTIONS
Be sure to check for standardization of data collection,
analysis, and structure of questions
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LIMITATIONS OF SELF-REPORTED DATA
Limitations of Self-Reported Data
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WHEN YOU ARE RELYING ON SELF-REPORTED
DATA (SUCH AS EXERCISE FREQUENCY OR
INCOME), BE AWARE OF SELF-REPORTING BIAS

When you are relying on self-reported data (such as
exercise frequency or income), be aware of self-
reporting bias
Uploaded - NURS-
OFFICE OF DISEASE PREVENTION AND HEALTH
PROMOTION
Office of Disease Prevention and Health Promotion
Uploaded - NURS-
A GUIDE TO USING HEALTHY PEOPLE 2020 IN YOUR
COMMUNITY
A guide to using Healthy People 2020 in your community
Uploaded - NURS-
RETRIEVED FROM
HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/TOOLS-
AND-RESOURCES/PROGRAM PLANNING

Retrieved from
https://www.healthypeople.gov/2020/tools-and-
resources/Program-Planning
Uploaded - NURS-
SHORT-TERM AND LONG-TERM RECOVERY
Source -
http://www.effinghamcounty.org/DocumentCenter/View/
561/Emergency-Operations-Plan-EOP-PDF
Short-term recovery
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LONG-TERM RECOVERY BEGINS WHEN IMMEDIATE
HEALTH AND SAFETY NEEDS HAVE BEEN MET AND
THE FOCUS SHIFTS TO RECONSTRUCTION
RECOVERY The recovery phase of activities begin when
the immediate health and safety needs have been met

and focus shifts to reconstruction
Uploaded - NURS-
IT IS AT THIS TIME THAT THE COMMUNITY HAS THE
GREATEST OPPORTUNITY TO IMPLEMENT
MITIGATION PROGRAMS THAT CAN REDUCE THE
FUTURE IMPACT OF CONDITIONS THAT INCREASE
COMMUNITY RISK
This period of time provides a great opportunity to
implement mitigation programmes to reduce the impact
of conditions that increase risk to the public
Uploaded - NURS-
ASSESS BOTH NEEDS AND ASSETS (RESOURCES)
IN YOUR COMMUNITY
Source - http://medicinezine.com/information/healthy-
people-2020-implementing-healthy-people-2020/
Assess both needs and assets (resources) in your
community
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THE OBJECTIVES YOU SET WILL BE SPECIFIC TO
YOUR ISSUE OR COMMUNITY
The objectives you set will be specific to your issue or
community
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THEY DO NOT HAVE TO BE EXACTLY THE SAME AS
THE ONES IN HEALTHY PEOPLE 2020
they do not have to be exactly the same as the ones in
Healthy People 2020
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MAKE SURE ALL PARTNERS ARE ON BOARD WITH

THE WORKPLAN
Make sure all partners are on board with the workplan
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CONTACT TO MANAGE THE PROCESS AND
ENSURE THAT THINGS GET DONE
Next, consider identifying a single point of contact to
manage the process and ensure that things get done
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CONSIDER PARTNERING WITH A LOCAL
UNIVERSITY OR STATE CENTER FOR HEALTH
STATISTICS TO HELP WITH DATA TRACKING
Consider partnering with a local university or State
center for health statistics to help with data tracking

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SOME THINGS TO THINK ABOUT WHEN YOU ARE
EVALUATING DATA OVER TIME
Some things to think about when you are evaluating data
over time
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SHORT WAVE RADIOS FOR POWER OUTAGES
Short Wave Radios
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PREPARE FOR THE WORSE PREPARATION FOR
DISASTER

Preparation for disaster
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NEAR BY RESOURCES
Near by resources
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TRIAGE LABELING SYSTEM
Triage Labeling System
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walking wounded/stable

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HOMECARE AGENCY TASKS
Homecare Agency Assignments
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K., VALLEY, M., NEWELL, S., JANES, E., & LITTLE, C
K., Valley, M., Newell, S., Janes, E., & Little, C
Uploaded - NURS-
VULNERABLE POPULATIONS IN HOSPITAL AND
HEALTH CARE EMERGENCY PREPAREDNESS
PLANNING

Vulnerable populations in hospital and health care
emergency preparedness planning
Uploaded - NURS-
A COMPREHENSIVE FRAMEWORK FOR INCLUSION
A comprehensive framework for inclusion
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PREHOSPITAL AND DISASTER MEDICINE, 31(2), 211-
219
Prehospital and Disaster Medicine, 31(2), 211–219
Uploaded - NURS-

HE ICS PROVIDES GUIDANCE FOR HOW TO
ORGANIZE ASSETS TO RESPOND TO AN INCIDENT
(SYSTEM DESCRIPTION) AND PROCESSES TO
MANAGE THE RESPONSE THROUGH ITS
SUCCESSIVE STAGES (CONCEPT OF OPERATIONS)
Source -
http://www.phe.gov/Preparedness/planning/mscc/handb
ook/chapter1/Pages/emergencymanagement.aspx
The ICS provides guidance for how to organize assets to
respond to an incident (system description) and
processes to manage the response through its
successive stages (concept of operations)
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ALL RESPONSE ASSETS ARE ORGANIZED INTO
FIVE FUNCTIONAL[10] AREAS
Source -
All response assets are organized into five functional[10]
areas
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COMMAND, OPERATIONS, PLANNING, LOGISTICS,
AND ADMINISTRATION/FINANCE

Source -
Command, Operations, Planning, Logistics, and
Administration/Finance
Uploaded - NURS-
COMBINATION OF FACILITIES, EQUIPMENT,
PERSONNEL, PROCEDURES, AND
COMMUNICATIONS OPERATING WITHIN A
COMMON ORGANIZATIONAL STRUCTURE AND
DESIGNED TO AID IN THE MANAGEMENT OF
RESOURCES DURING INCIDENT RESPONSE
Source -
The ICS, as described in NIMS, refers to the
combination of facilities, equipment, personnel,
procedures, and communications operating within a
common organizational structure and designed to aid in
the management of resources during incident response

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THE ICS IS BASED ON EIGHT CONCEPTS THAT
CONTRIBUTE TO THE SUCCESSFUL APPLICATION
OF THIS SYSTEM
Source -
The ICS is based on eight concepts that contribute to
the successful application of this system
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PREPAREDNESS ENCOMPASSES ACTIONS
DESIGNED TO BUILD ORGANIZATIONAL
RESILIENCY AND/OR ORGANIZATIONAL CAPACITY
AND CAPABILITIES FOR RESPONSE TO AND
RECOVERY FROM HAZARD IMPACTS
Source -
Preparedness encompasses actions designed to build
organizational resiliency and/or organizational capacity
and capabilities for response to and recovery from
hazard impacts

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IT INCLUDES ACTIVITIES THAT ESTABLISH,
EXERCISE, REFINE, AND MAINTAIN SYSTEMS USED
FOR EMERGENCY RESPONSE AND RECOVERY
Source -
It includes activities that establish, exercise, refine, and
maintain systems used for emergency response and
recovery
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THE CRITICAL TASK IN PREPAREDNESS PLANNING
IS TO DEFINE THE SYSTEM (HOW ASSETS ARE
ORGANIZED) AND PROCESSES (ACTIONS AND
INTERACTIONS THAT MUST OCCUR) THAT WILL
GUIDE EMERGENCY RESPONSE AND RECOVERY
Source -
The critical task in preparedness planning is to define the
system (how assets are organized) and processes
(actions and interactions that must occur) that will guide
emergency response and recovery

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THIS IS ACCOMPLISHED THROUGH THE
DEVELOPMENT OF AN EFFECTIVE EOP (SEE
BELOW FOR SUGGESTED EOP FORMATS)
Source -
This is accomplished through the development of an
effective EOP (see below for suggested EOP formats)
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STAFF SHOULD BE EDUCATED AND TRAINED ON
THE SYSTEM SO THEY GAIN THE KNOWLEDGE AND
SKILLS NECESSARY TO ADEQUATELY PERFORM
THEIR ASSIGNED ROLES
Source -
Staff should be educated and trained on the system so
they gain the knowledge and skills necessary to

adequately perform their assigned roles
Uploaded - NURS-
IT IS IMPORTANT TO NOTE THAT THE
PROCEDURES AND SYSTEMS USED TO CONDUCT
PREPAREDNESS ACTIVITIES (COMMITTEE
STRUCTURE AND MEETINGS, MEMO WRITING,
REGULAR EMAIL NOTIFICATION OF MEETINGS,
DURING EMERGENCY RESPONSE
Source -
It is important to note that the procedures and systems
used to conduct preparedness activities (committee
structure and meetings, memo writing, regular email
notification of meetings, etc.) are typically not adequate
for use during emergency response
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THIS POINT IS OFTEN MISSED BY ORGANIZATIONS
AS THEY ATTEMPT TO UTILIZE EMERGENCY
PREPAREDNESS COMMITTEES AND THEIR
Source -

This point is often missed by organizations as they
attempt to utilize emergency preparedness committees
MANAGE RESPONSE TO AN EVENT
and their associated structures and processes to
manage response to an event
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THE EOP DEFINES EFFECTIVE PROCESS AND
PROCEDURES FOR THE CONTEXT OF EMERGENCY
RESPONSE (EMERGENCY NOTIFICATION
MANAGEMENT TEAM, PROCESSING OF INCIDENT
INFORMATION, ETC.)
Source -
The EOP defines effective process and procedures for
the context of emergency response (emergency
notification procedures, establishing an incident
management team, processing of incident information,

etc.)
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IT IS RECOMMENDED THAT, TO THE EXTENT
POSSIBLE, EMERGENCY RESPONSE PROCESS AND
PROCEDURES BE USED TO CONDUCT
PREPAREDNESS ACTIVITIES
Source -
It is recommended that, to the extent possible,
emergency response process and procedures be used
to conduct preparedness activities.[9]
Uploaded - NURS-
RECOVERY ACTIVITIES RESTORE THE COMMUNITY
TO "NORMAL"
Source -
Recovery activities restore the community to "normal"
Uploaded - NURS-

AFTER A MAJOR INCIDENT
Source -
after a major incident
Uploaded - NURS-
THE INITIAL RECOVERY STAGE (WHICH ACTUALLY
BEGINS IN THE LATE STAGES OF RESPONSE) IS
INTEGRATED WITH RESPONSE MECHANISMS, AND
THE EOP INCIDENT MANAGEMENT PROCESS
SHOULD BE EXTENDED INTO RECOVERY
Source -
The initial recovery stage (which actually begins in the
late stages of response) is integrated with response
mechanisms, and the EOP incident management
process should be extended into recovery

Uploaded - NURS-
THE MANAGEMENT TRANSITION FROM RESPONSE
TO RECOVERY (BOTH TIMING AND METHODS)
MUST BE CAREFULLY PLANNED AND
IMPLEMENTED TO AVOID PROBLEMS
Source -
The management transition from response to recovery
(both timing and methods) must be carefully planned
and implemented to avoid problems
Uploaded - NURS-
AS RECOVERY PROGRESSES, RECOVERY
MANAGEMENT TRANSITIONS TO REGULAR
AGENCY MANAGEMENT PROCESSES OR SOME
INTERMEDIATE METHOD DEFINED BY THE
RESPONSIBLE ORGANIZATIONS
Source -
As recovery progresses, recovery management
transitions to regular agency management processes or
some intermediate method defined by the responsible
organizations

Uploaded - NURS-
S CASUALTY TRIAGE IS THE PROCESS OF
PRIORITIZING MULTIPLE VICTIMS WHEN
RESOURCES ARE NOT SUFFICIENT TO TREAT
EVERYONE IMMEDIATELY
Source - http://core-
cms.prod.aop.cambridge.org/core/search?
filters%5BauthorTerms%5D=Michael%20L.%20Gregg&
eventCode=SE-AU
Mass casualty triage is the process of prioritizing
multiple victims when resources are not sufficient to treat
everyone immediately
Uploaded - NURS-
TRIAGE EXISTS IN THE UNITED STATES

eventCode=SE-AU
No national guideline for mass casualty triage exists in
the United States
Uploaded - NURS-
THE LACK OF A NATIONAL GUIDELINE HAS
RESULTED IN VARIABILITY IN TRIAGE PROCESSES,
TAGS, AND NOMENCLATURE
eventCode=SE-AU
The lack of a national guideline has resulted in variability
in triage processes, tags, and nomenclature
Uploaded - NURS-
THIS VARIABILITY HAS THE POTENTIAL TO INJECT
CONFUSION AND MISCOMMUNICATION INTO THE
DISASTER INCIDENT, PARTICULARLY WHEN
MULTIPLE JURISDICTIONS ARE INVOLVED
eventCode=SE-AU
This variability has the potential to inject confusion and
miscommunication into the disaster incident, particularly

when multiple jurisdictions are involved
Uploaded - NURS-
THE MODEL UNIFORM CORE CRITERIA FOR MASS
CASUALTY TRIAGE WERE DEVELOPED TO BE A
NATIONAL GUIDELINE FOR MASS CASUALTY
TRIAGE TO ENSURE INTEROPERABILITY AND
eventCode=SE-AU
The Model Uniform Core Criteria for Mass Casualty
Triage were developed to be a national guideline for
mass casualty triage to ensure interoperability and
STANDARDIZATION WHEN RESPONDING TO A
MASS CASUALTY INCIDENT
standardization when responding to a mass casualty
incident

Uploaded - NURS-
THE CORE CRITERIA CONSIST OF 4 CATEGORIES
eventCode=SE-AU
The Core Criteria consist of 4 categories
Uploaded - NURS-
GENERAL CONSIDERATIONS, GLOBAL SORTING,
ASSESSMENT OF TRIAGE CATEGORY
eventCode=SE-AU
general considerations, global sorting, lifesaving
interventions, and individual assessment of triage
category
Uploaded - NURS-
MITIGATION IS THE EFFORT TO REDUCE LOSS OF
LIFE AND PROPERTY BY LESSENING THE IMPACT
OF DISASTERS AND EMERGENCIES

Source - https://www.co.ellis.tx.us/94/Emergency-
Management
Mitigation is the effort to reduce loss of life and property
by lessening the impact of disasters and emergencies
Uploaded - NURS-
MITIGATION INVOLVES STRUCTURAL AND NON-
STRUCTURAL MEASURES TAKEN TO LIMIT THE
IMPACT OF DISASTERS AND EMERGENCIES
Management
Mitigation involves structural and non-structural
measures taken to limit the impact of disasters and
emergencies
Uploaded - NURS-
STRUCTURAL MITIGATION ACTIONS CHANGE THE
CHARACTERISTICS OF BUILDINGS OR THE

ENVIRONMENT
Management
Structural mitigation actions change the characteristics
of buildings or the environment
Uploaded - NURS-
EXAMPLES INCLUDE FLOOD CONTROL PROJECTS,
RAISING BUILDING ELEVATIONS, AND CLEARING
AREAS AROUND STRUCTURES
Management
examples include flood control projects, raising building
elevations, and clearing areas around structures
Uploaded - NURS-
NON-STRUCTURAL MITIGATION MOST OFTEN
ENTAILS ADOPTING OR CHANGING BUILDING
CODES
Management
Non-structural mitigation most often entails adopting or
changing building codes

Uploaded - NURS-
WALLACE, M., & WEBBER, L
Wallace, M., & Webber, L
Uploaded - NURS-
THE DISASTER RECOVERY HANDBOOK
The disaster recovery handbook
Uploaded - NURS-
CONTINUITY AND PROTECT VITAL OPERATIONS,
FACILITIES, AND ASSETS

A step-by-step plan to ensure business continuity and
protect vital operations, facilities, and assets
Uploaded - NURS-
KREISBERG, D., THOMAS, D
Kreisberg, D., Thomas, D
Uploaded - NURS-
DOI:HTTP://DX.DOI.ORG.LIBRARY.CAPELLA.EDU/10.
1017/S1049023X16000042
doi:http://dx.doi.org.library.capella.edu/10.1017/S10490
23X16000042
NURS-FPX4060_007788_1_1201_OEE_03 - NURS-FPX4060 -

WINTER 2020 - SECTION 03
SafeAssign Draft Review
Yaima Thaureaux
on Sun, Feb 23 2020, 6:23 PM
66% highest match
Submission ID: 5dff75ef-6975-4140-84f4-217897d51442
Attachments (1)
1 DISASTER RECOVERY PLAN (DRP) YAIMA
THAUREAUX
Capella University
February, 2020
2 DISASTER RECOVERY PLAN
A DRP plan is a plan that is established to take actions prior to,
during & after any occurrence that
may bring disruption to routine activities
The primary objective in a DRP is to restore activities
functioning within the shortest time possible.
A DRP covers procedures to be followed during a disaster and
after the disaster such as reporting to
personnel, actions taken to recover operations, and conducting
activities after a disaster.
(http://safeassign.blackboard.com/)

Word Count: 1,984
Attachment ID: 2605246598
66%
http://safeassign.blackboard.com/
A DRP may be perceived as a form of preparation for the end of
all activities or worst scenarios
(Wallace & Webber, 2017)
National events like the terrorist attacks of 2001 and Hurricanes
Katrina and Rita have focused
attention on the need for recovery planning. Citizens who are
physically and mentally healthy are
necessary for any community to recover from a disaster. While
there are a plethora of resources to
assist state health agencies in planning for response operations,
there are few resources available to
plan for recovery operations. Part of the challenge in
developing recovery plans is that it can be
difficult to distinguish between response and recovery
activities. While they can be similar, the
intent of the two is different. Disaster response is focused on
the immediate need to protect human
life and the physical infrastructure from the immediate effects
of the disaster. Recovery, on the
other hand, is broader in scope. The goal of recovery is to
ensure the economic sustainability of a

community and the long term physical and mental well-being of
its citizens, to rebuild and repair
the physical infrastructure, and to implement mitigation
activities to reduce the impact of future
disasters. The state health agency has a key role to play in all of
these response and recovery
activities. Any disaster, no matter how large or small, disrupts
the daily activity of a community.
Initial response activities are necessary to protect citizens and
infrastructure, but recovery activities
allow a community to come back from a disaster. At its core,
disaster recovery focuses on a return
to order and normalcy within a community following a disaster
2
3 SHORT-TERM AND LONG-TERM RECOVERY
DRP entails accomplishing short & long-term objectives
Short-term recovery & response happen occur simultaneously
Example include: civil education awareness on health & safety
risks & environmental assessment
Long-term recovery starts when urgent health & safety demands
have been fulfilled & the focus
changes to reconstruction.
Long-term recovery can be a long process, lasting years based
on the extent of the disaster.

It is during this period the community has the biggest chance to
execute mitigation processes that
can limit the future effect of situations that enhance community
risk (Wallace & Webber, 2017)
Disaster recovery includes meeting short- and long-term goals.
Short-term recovery and response
occur simultaneously and examples include public education
campaigns on health and safety risks
and environmental assessment. Addressing the mental health
effects of adisaster may become part
of a long-term recovery process, but is a significant component
of an immediate recovery plan. The
urgent environmental impacts of a disaster should also be
addressed as soon as possible after an
event. 4 LONG-TERM RECOVERY BEGINS WHEN
IMMEDIATE HEALTH AND
SAFETY NEEDS HAVE BEEN MET AND THE FOCUS
SHIFTS TO RECONSTRUCTION.
Long-term recovery can be a lengthy process, taking years
depending on the severity of the disaster.
4 IT IS AT THIS TIME THAT THE COMMUNITY HAS THE
GREATEST
OPPORTUNITY TO IMPLEMENT MITIGATION PROGRAMS
THAT CAN REDUCE
THE FUTURE IMPACT OF CONDITIONS THAT INCREASE
COMMUNITY RISK
3
Map-It

Mobilize
Assess
2 PLAN IMPLEMENT TRACK (HEALTHY PEOPLE 2020)
Mobilize: Identify partners with interest in establishing healthy
communities & will add to the
process
Assess: 5 ASSESS BOTH NEEDS AND ASSETS
(RESOURCES) IN YOUR
COMMUNITY.
2 THIS WILL HELP YOU GET A SENSE OF WHAT YOU
CAN DO, VERSUS WHAT
YOU WOULD LIKE TO DO.
Plan: 2 A GOOD PLAN INCLUDES CLEAR OBJECTIVES
AND CONCRETE STEPS TO
ACHIEVE THEM.
5 THE OBJECTIVES YOU SET WILL BE SPECIFIC TO
YOUR ISSUE OR
COMMUNITY; THEY DO NOT HAVE TO BE EXACTLY THE
SAME AS THE ONES IN
HEALTHY PEOPLE 2020.

Implement: 2 FIRST, CREATE A DETAILED WORKPLAN
THAT LAYS OUT
CONCRETE ACTION STEPS, IDENTIFIES WHO IS
RESPONSIBLE FOR
COMPLETING THEM, AND SETS A TIMELINE AND/OR
DEADLINES.
5 MAKE SURE ALL PARTNERS ARE ON BOARD WITH
THE WORKPLAN.
CONTACT TO MANAGE THE
PROCESS AND ENSURE THAT THINGS GET DONE.
Track: 2 PLAN REGULAR EVALUATIONS TO MEASURE
AND TRACK YOUR
PROGRESS OVER TIME.
5 CONSIDER PARTNERING WITH A LOCAL UNIVERSITY
OR STATE CENTER FOR
HEALTH STATISTICS TO HELP WITH DATA TRACKING.
SOME THINGS TO THINK
ABOUT WHEN YOU ARE EVALUATING DATA OVER TIME:
Data Quality: 2 BE SURE TO CHECK FOR
STANDARDIZATION OF DATA
COLLECTION, ANALYSIS, AND STRUCTURE OF
QUESTIONS.
LIMITATIONS OF SELF-REPORTED DATA: WHEN YOU
ARE RELYING ON SELF-
REPORTED DATA (SUCH AS EXERCISE FREQUENCY OR
INCOME), BE AWARE OF
SELF-REPORTING BIAS.

4
Chain of Command & Communication btw Commands
Knowledge of what to do, where to go, what steps to execute, &
survive to save a lives
First Responders Point of Contact
Second in command
Third in command
Utility Contacts
Second contact
Third contact
Communication:
Sirens in local communities
6 SHORT WAVE RADIOS FOR POWER OUTAGES
Communication Teams (Wallace & Webber, 2017)
7 HE ICS PROVIDES GUIDANCE FOR HOW TO ORGANIZE

ASSETS TO RESPOND
TO AN INCIDENT (SYSTEM DESCRIPTION) AND
PROCESSES TO MANAGE THE
RESPONSE THROUGH ITS SUCCESSIVE STAGES
(CONCEPT OF OPERATIONS). ALL
RESPONSE ASSETS ARE ORGANIZED INTO FIVE
FUNCTIONAL[10] AREAS:
COMMAND, OPERATIONS, PLANNING, LOGISTICS, AND
ADMINISTRATION/FINANCE.
COMBINATION OF FACILITIES,
EQUIPMENT, PERSONNEL, PROCEDURES, AND
COMMUNICATIONS OPERATING
WITHIN A COMMON ORGANIZATIONAL STRUCTURE
AND DESIGNED TO AID IN
THE MANAGEMENT OF RESOURCES DURING INCIDENT
RESPONSE. THE ICS IS
BASED ON EIGHT CONCEPTS THAT CONTRIBUTE TO THE
SUCCESSFUL
APPLICATION OF THIS SYSTEM
5
Preparedness training & understanding Your Team
Team leads in ally section of the building in all institutions

6 PREPARE FOR THE WORSE PREPARATION FOR
DISASTER
Supplies
Emergency contacts
6 NEAR BY RESOURCES
Steps to survive & stay alive (Wallace & Webber, 2017)
7 PREPAREDNESS ENCOMPASSES ACTIONS DESIGNED
TO BUILD
ORGANIZATIONAL RESILIENCY AND/OR
ORGANIZATIONAL CAPACITY AND
CAPABILITIES FOR RESPONSE TO AND RECOVERY FROM
HAZARD IMPACTS. IT
INCLUDES ACTIVITIES THAT ESTABLISH, EXERCISE,
REFINE, AND MAINTAIN
SYSTEMS USED FOR EMERGENCY RESPONSE AND
RECOVERY. THE CRITICAL
TASK IN PREPAREDNESS PLANNING IS TO DEFINE THE
SYSTEM (HOW ASSETS
ARE ORGANIZED) AND PROCESSES (ACTIONS AND
INTERACTIONS THAT MUST
OCCUR) THAT WILL GUIDE EMERGENCY RESPONSE AND
RECOVERY. THIS IS
ACCOMPLISHED THROUGH THE DEVELOPMENT OF AN
EFFECTIVE EOP (SEE
BELOW FOR SUGGESTED EOP FORMATS). STAFF
SHOULD BE EDUCATED AND
TRAINED ON THE SYSTEM SO THEY GAIN THE
KNOWLEDGE AND SKILLS
NECESSARY TO ADEQUATELY PERFORM THEIR
ASSIGNED ROLES. IT IS
IMPORTANT TO NOTE THAT THE PROCEDURES AND

SYSTEMS USED TO
CONDUCT PREPAREDNESS ACTIVITIES (COMMITTEE
STRUCTURE AND
MEETINGS, MEMO WRITING, REGULAR EMAIL
NOTIFICATION OF MEETINGS,
DURING EMERGENCY
RESPONSE. THIS POINT IS OFTEN MISSED BY
ORGANIZATIONS AS THEY
ATTEMPT TO UTILIZE EMERGENCY PREPAREDNESS
COMMITTEES AND THEIR
MANAGE RESPONSE TO AN
EVENT. THE EOP DEFINES EFFECTIVE PROCESS AND
PROCEDURES FOR THE
CONTEXT OF EMERGENCY RESPONSE (EMERGENCY
NOTIFICATION
MANAGEMENT TEAM, PROCESSING
OF INCIDENT INFORMATION, ETC.). IT IS
RECOMMENDED THAT, TO THE
EXTENT POSSIBLE, EMERGENCY RESPONSE PROCESS
AND PROCEDURES BE
USED TO CONDUCT PREPAREDNESS ACTIVITIES.
6

Casualty Evaluation & Triage Triage: a process used to
prioritize emergency care & recognize
casualties who require need urgent medical care due to the
severity or nature of the injury or
disease
6 TRIAGE LABELING SYSTEM:
Red: Immediate (Life threatening injury) Yellow: Delayed (not
life threatening) Green: 6
Black: Expectant (Near death, dead) (Kreiserb et al. 2016)
riage is a procedure we use to prioritize emergency care and
identify patients who need immediate
medical attention because of the nature or severity of their
injury or illness. If a special situation
arises that we are not equipped to handle at Augusta Health, the
Emergency Department will
transfer you by ambulance or helicopter to an appropriate
facility.
8 S CASUALTY TRIAGE IS THE PROCESS OF
PRIORITIZING MULTIPLE VICTIMS
WHEN RESOURCES ARE NOT SUFFICIENT TO TREAT
EVERYONE IMMEDIATELY.
TRIAGE EXISTS IN THE UNITED
STATES. THE LACK OF A NATIONAL GUIDELINE HAS
RESULTED IN VARIABILITY
IN TRIAGE PROCESSES, TAGS, AND NOMENCLATURE.
THIS VARIABILITY HAS
THE POTENTIAL TO INJECT CONFUSION AND
MISCOMMUNICATION INTO THE
DISASTER INCIDENT, PARTICULARLY WHEN MULTIPLE

JURISDICTIONS ARE
INVOLVED. THE MODEL UNIFORM CORE CRITERIA FOR
MASS CASUALTY
TRIAGE WERE DEVELOPED TO BE A NATIONAL
GUIDELINE FOR MASS
CASUALTY TRIAGE TO ENSURE INTEROPERABILITY
AND STANDARDIZATION
WHEN RESPONDING TO A MASS CASUALTY INCIDENT.
THE CORE CRITERIA
CONSIST OF 4 CATEGORIES: GENERAL
CONSIDERATIONS, GLOBAL SORTING,
ASSESSMENT OF TRIAGE
CATEGORY. Th
7
Recovery Follow-up
Social services communication between various groups of an
organization
Extending support to the community
6 HOMECARE AGENCY TASKS:
Following up on physical and mental health of patients

Making house or phone calls to check on casualties
Psychological counselling Connecting the community to the
resources the urgently require such as
food, water and drugs (Wallace & Webber, 2017)
7 RECOVERY ACTIVITIES RESTORE THE COMMUNITY
TO "NORMAL" AFTER A
MAJOR INCIDENT. THE INITIAL RECOVERY STAGE
(WHICH ACTUALLY BEGINS
IN THE LATE STAGES OF RESPONSE) IS INTEGRATED
WITH RESPONSE
MECHANISMS, AND THE EOP INCIDENT MANAGEMENT
PROCESS SHOULD BE
EXTENDED INTO RECOVERY. THE MANAGEMENT
TRANSITION FROM RESPONSE
TO RECOVERY (BOTH TIMING AND METHODS) MUST BE
CAREFULLY PLANNED
AND IMPLEMENTED TO AVOID PROBLEMS. AS
RECOVERY PROGRESSES,
RECOVERY MANAGEMENT TRANSITIONS TO REGULAR
AGENCY MANAGEMENT
PROCESSES OR SOME INTERMEDIATE METHOD DEFINED
BY THE RESPONSIBLE
ORGANIZATIONS.
8

Review, Regroup, Revise
Meet the response team & collaborate
Assess the teamwork effort of the community team responses
Evaluate the members of the team & ensure they receive needed
care both physically & mentally
Replenish resources both owned & borrowed
Reestablish resources utilized & restore what was borrowed by
other agencies
Evaluate What Worked during the response & Amend What Did
not work (Wallace & Webber,
2017)
9 MITIGATION IS THE EFFORT TO REDUCE LOSS OF LIFE
AND PROPERTY BY
LESSENING THE IMPACT OF DISASTERS AND
EMERGENCIES. MITIGATION
INVOLVES STRUCTURAL AND NON-STRUCTURAL
MEASURES TAKEN TO LIMIT
THE IMPACT OF DISASTERS AND EMERGENCIES.
STRUCTURAL MITIGATION
ACTIONS CHANGE THE CHARACTERISTICS OF
BUILDINGS OR THE
ENVIRONMENT; EXAMPLES INCLUDE FLOOD CONTROL
PROJECTS, RAISING
BUILDING ELEVATIONS, AND CLEARING AREAS
AROUND STRUCTURES. NON-
STRUCTURAL MITIGATION MOST OFTEN ENTAILS
ADOPTING OR CHANGING
BUILDING CODES.

Post-Incident "Organizational Learning"
Post-incident "organizational learning" is achieved through a
timely and objective after-action
report process that is designed to capture the positive aspects
and the shortcomings of the response
system. Findings should be documented in an outline format
that can be organized on a
spreadsheet and tracked. One basic format that has been widely
successful is designed to capture,
for each issue, a brief description of the issue, background
information, recommendations, and
follow-up actions. Improvements should focus on the EOP
organization, processes, and training or
equipment/supply issues, rather than on individual personnel
actions. The review should also
examine how effectively each asset integrated into the overall
system, as well as how the response
tiers coordinated with each other. Indicated changes should be
accomplished based on priority and
incorporated into the appropriate documentation.
9
Reference

10 WALLACE, M., & WEBBER, L. (2017). 10 THE
DISASTER RECOVERY HANDBOOK:
CONTINUITY AND PROTECT VITAL
OPERATIONS, FACILITIES, AND ASSETS. Amacom.
2 OFFICE OF DISEASE PREVENTION AND HEALTH
PROMOTION. (ODPHP) (2018).
MAP-IT: 2 A GUIDE TO USING HEALTHY PEOPLE 2020 IN
YOUR COMMUNITY.
RETRIEVED FROM
HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/TOOLS-AND-
RESOURCES/PROGRAM PLANNING
11 KREISBERG, D., THOMAS, D. S. 6 K., VALLEY, M.,
NEWELL, S., JANES, E., &
LITTLE, C. (2016). 6 VULNERABLE POPULATIONS IN
HOSPITAL AND HEALTH
CARE EMERGENCY PREPAREDNESS PLANNING: A
COMPREHENSIVE
FRAMEWORK FOR INCLUSION. PREHOSPITAL AND
DISASTER MEDICINE, 31(2),
211-219. 11
DOI:HTTP://DX.DOI.ORG.LIBRARY.CAPELLA.EDU/10.1017/
S1049023X16000042
Citations (11/11)
1 https://enterprisegrc.com/services/business-continuity-
planning-disaster-recovery-page/business-continuity-
planning-disaster-recovery/233-bcp-dr-
3
http://www.effinghamcounty.org/DocumentCenter/View/561/Em

ergency-Operations-Plan-EOP-PDF
5 http://medicinezine.com/information/healthy-people-2020-
implementing-healthy-people-2020/
Matched Text
7
http://www.phe.gov/Preparedness/planning/mscc/handbook/chap
ter1/Pages/emergencymanagement.aspx
8 http://core-cms.prod.aop.cambridge.org/core/search?
filters%5BauthorTerms%5D=Michael%20L.%20Gregg&eventCo
de=SE-AU
9 https://www.co.ellis.tx.us/94/Emergency-Management
Uploaded - NURS-

DISASTER RECOVERY PLAN (DRP) YAIMA
THAUREAUX
Source - https://enterprisegrc.com/services/business-
continuity-planning-disaster-recovery-page/business-
continuity-planning-disaster-recovery/233-bcp-dr-
Disaster Recovery Plan (DRP)
Uploaded - NURS-
DISASTER RECOVERY PLAN
Disaster Recovery Plan
Uploaded - NURS-
PLAN IMPLEMENT TRACK (HEALTHY PEOPLE 2020)
Implement a plan to reach Healthy People 2020
objectives
Uploaded - NURS-

THIS WILL HELP YOU GET A SENSE OF WHAT YOU
CAN DO, VERSUS WHAT YOU WOULD LIKE TO DO
This will help you get a sense of what you can do, versus
what you would like to do
Uploaded - NURS-
A GOOD PLAN INCLUDES CLEAR OBJECTIVES AND
CONCRETE STEPS TO ACHIEVE THEM
A good plan includes clear objectives and concrete
steps to achieve them
Uploaded - NURS-
FIRST, CREATE A DETAILED WORKPLAN THAT LAYS
OUT CONCRETE ACTION STEPS, IDENTIFIES WHO

IS RESPONSIBLE FOR COMPLETING THEM, AND
SETS A TIMELINE AND/OR DEADLINES
First, create a detailed workplan that lays out concrete
action steps, identifies who is responsible for completing
them, and sets a timeline and/or deadlines
Uploaded - NURS-
PLAN REGULAR EVALUATIONS TO MEASURE AND
TRACK YOUR PROGRESS OVER TIME
Plan regular evaluations to measure and track your
progress over time
Uploaded - NURS-
BE SURE TO CHECK FOR STANDARDIZATION OF
DATA COLLECTION, ANALYSIS, AND STRUCTURE
OF QUESTIONS
Be sure to check for standardization of data collection,
analysis, and structure of questions

Uploaded - NURS-
LIMITATIONS OF SELF-REPORTED DATA
Limitations of Self-Reported Data
Uploaded - NURS-
WHEN YOU ARE RELYING ON SELF-REPORTED
DATA (SUCH AS EXERCISE FREQUENCY OR
INCOME), BE AWARE OF SELF-REPORTING BIAS
When you are relying on self-reported data (such as
exercise frequency or income), be aware of self-
reporting bias
Uploaded - NURS-
OFFICE OF DISEASE PREVENTION AND HEALTH
PROMOTION

Office of Disease Prevention and Health Promotion
Uploaded - NURS-
A GUIDE TO USING HEALTHY PEOPLE 2020 IN YOUR
COMMUNITY
A guide to using Healthy People 2020 in your community
Uploaded - NURS-
RETRIEVED FROM
HTTPS://WWW.HEALTHYPEOPLE.GOV/2020/TOOLS-
AND-RESOURCES/PROGRAM PLANNING
Retrieved from
https://www.healthypeople.gov/2020/tools-and-
resources/Program-Planning

Uploaded - NURS-
SHORT-TERM AND LONG-TERM RECOVERY
Source -
http://www.effinghamcounty.org/DocumentCenter/View/
561/Emergency-Operations-Plan-EOP-PDF
Short-term recovery
Uploaded - NURS-
LONG-TERM RECOVERY BEGINS WHEN IMMEDIATE
HEALTH AND SAFETY NEEDS HAVE BEEN MET AND
THE FOCUS SHIFTS TO RECONSTRUCTION
RECOVERY The recovery phase of activities begin when
the immediate health and safety needs have been met
and focus shifts to reconstruction
Uploaded - NURS-
IT IS AT THIS TIME THAT THE COMMUNITY HAS THE
GREATEST OPPORTUNITY TO IMPLEMENT
MITIGATION PROGRAMS THAT CAN REDUCE THE
FUTURE IMPACT OF CONDITIONS THAT INCREASE

COMMUNITY RISK
This period of time provides a great opportunity to
implement mitigation programmes to reduce the impact
of conditions that increase risk to the public
Uploaded - NURS-
ASSESS BOTH NEEDS AND ASSETS (RESOURCES)
IN YOUR COMMUNITY
Assess both needs and assets (resources) in your
community
Uploaded - NURS-

THE OBJECTIVES YOU SET WILL BE SPECIFIC TO
YOUR ISSUE OR COMMUNITY
The objectives you set will be specific to your issue or
community
Uploaded - NURS-
THEY DO NOT HAVE TO BE EXACTLY THE SAME AS
THE ONES IN HEALTHY PEOPLE 2020
they do not have to be exactly the same as the ones in
Healthy People 2020
Uploaded - NURS-
MAKE SURE ALL PARTNERS ARE ON BOARD WITH
THE WORKPLAN
Make sure all partners are on board with the workplan
Uploaded - NURS-

CONTACT TO MANAGE THE PROCESS AND
ENSURE THAT THINGS GET DONE
Next, consider identifying a single point of contact to
manage the process and ensure that things get done
Uploaded - NURS-
CONSIDER PARTNERING WITH A LOCAL
UNIVERSITY OR STATE CENTER FOR HEALTH
STATISTICS TO HELP WITH DATA TRACKING
Consider partnering with a local university or State
center for health statistics to help with data tracking
Uploaded - NURS-

SOME THINGS TO THINK ABOUT WHEN YOU ARE
EVALUATING DATA OVER TIME
Some things to think about when you are evaluating data
over time
Uploaded - NURS-
SHORT WAVE RADIOS FOR POWER OUTAGES
Short Wave Radios
Uploaded - NURS-
PREPARE FOR THE WORSE PREPARATION FOR
DISASTER
Preparation for disaster
Uploaded - NURS-
NEAR BY RESOURCES

Near by resources
Uploaded - NURS-
TRIAGE LABELING SYSTEM
Triage Labeling System
Uploaded - NURS-
walking wounded/stable
Uploaded - NURS-

HOMECARE AGENCY TASKS
Homecare Agency Assignments
Uploaded - NURS-
K., VALLEY, M., NEWELL, S., JANES, E., & LITTLE, C
K., Valley, M., Newell, S., Janes, E., & Little, C
Uploaded - NURS-
VULNERABLE POPULATIONS IN HOSPITAL AND
HEALTH CARE EMERGENCY PREPAREDNESS
PLANNING
Vulnerable populations in hospital and health care
emergency preparedness planning
Uploaded - NURS-
A COMPREHENSIVE FRAMEWORK FOR INCLUSION

A comprehensive framework for inclusion
Uploaded - NURS-
PREHOSPITAL AND DISASTER MEDICINE, 31(2), 211-
219
Prehospital and Disaster Medicine, 31(2), 211–219
Uploaded - NURS-
HE ICS PROVIDES GUIDANCE FOR HOW TO
ORGANIZE ASSETS TO RESPOND TO AN INCIDENT
(SYSTEM DESCRIPTION) AND PROCESSES TO
MANAGE THE RESPONSE THROUGH ITS
SUCCESSIVE STAGES (CONCEPT OF OPERATIONS)
Source -
The ICS provides guidance for how to organize assets to

respond to an incident (system description) and
processes to manage the response through its
successive stages (concept of operations)
Uploaded - NURS-
ALL RESPONSE ASSETS ARE ORGANIZED INTO
FIVE FUNCTIONAL[10] AREAS
Source -
All response assets are organized into five functional[10]
areas
Uploaded - NURS-
COMMAND, OPERATIONS, PLANNING, LOGISTICS,
AND ADMINISTRATION/FINANCE
Source -
Command, Operations, Planning, Logistics, and
Administration/Finance
Uploaded - NURS-

COMBINATION OF FACILITIES, EQUIPMENT,
PERSONNEL, PROCEDURES, AND
COMMUNICATIONS OPERATING WITHIN A
COMMON ORGANIZATIONAL STRUCTURE AND
DESIGNED TO AID IN THE MANAGEMENT OF
RESOURCES DURING INCIDENT RESPONSE
Source -
The ICS, as described in NIMS, refers to the
combination of facilities, equipment, personnel,
procedures, and communications operating within a
common organizational structure and designed to aid in
the management of resources during incident response
Uploaded - NURS-
THE ICS IS BASED ON EIGHT CONCEPTS THAT
CONTRIBUTE TO THE SUCCESSFUL APPLICATION
OF THIS SYSTEM
Source -

The ICS is based on eight concepts that contribute to
the successful application of this system
Uploaded - NURS-
PREPAREDNESS ENCOMPASSES ACTIONS
DESIGNED TO BUILD ORGANIZATIONAL
RESILIENCY AND/OR ORGANIZATIONAL CAPACITY
AND CAPABILITIES FOR RESPONSE TO AND
RECOVERY FROM HAZARD IMPACTS
Source -
Preparedness encompasses actions designed to build
organizational resiliency and/or organizational capacity
and capabilities for response to and recovery from
hazard impacts
Uploaded - NURS-
IT INCLUDES ACTIVITIES THAT ESTABLISH,
EXERCISE, REFINE, AND MAINTAIN SYSTEMS USED
FOR EMERGENCY RESPONSE AND RECOVERY
Source -

It includes activities that establish, exercise, refine, and
maintain systems used for emergency response and
recovery
Uploaded - NURS-
THE CRITICAL TASK IN PREPAREDNESS PLANNING
IS TO DEFINE THE SYSTEM (HOW ASSETS ARE
ORGANIZED) AND PROCESSES (ACTIONS AND
INTERACTIONS THAT MUST OCCUR) THAT WILL
GUIDE EMERGENCY RESPONSE AND RECOVERY
Source -
The critical task in preparedness planning is to define the
system (how assets are organized) and processes
(actions and interactions that must occur) that will guide
emergency response and recovery
Uploaded - NURS-

THIS IS ACCOMPLISHED THROUGH THE
DEVELOPMENT OF AN EFFECTIVE EOP (SEE
BELOW FOR SUGGESTED EOP FORMATS)
Source -
This is accomplished through the development of an
effective EOP (see below for suggested EOP formats)
Uploaded - NURS-
STAFF SHOULD BE EDUCATED AND TRAINED ON
THE SYSTEM SO THEY GAIN THE KNOWLEDGE AND
SKILLS NECESSARY TO ADEQUATELY PERFORM
THEIR ASSIGNED ROLES
Source -
Staff should be educated and trained on the system so
they gain the knowledge and skills necessary to
adequately perform their assigned roles
Uploaded - NURS-
IT IS IMPORTANT TO NOTE THAT THE
PROCEDURES AND SYSTEMS USED TO CONDUCT
PREPAREDNESS ACTIVITIES (COMMITTEE
STRUCTURE AND MEETINGS, MEMO WRITING,

REGULAR EMAIL NOTIFICATION OF MEETINGS,
DURING EMERGENCY RESPONSE
Source -
It is important to note that the procedures and systems
used to conduct preparedness activities (committee
structure and meetings, memo writing, regular email
notification of meetings, etc.) are typically not adequate
for use during emergency response
Uploaded - NURS-
THIS POINT IS OFTEN MISSED BY ORGANIZATIONS
AS THEY ATTEMPT TO UTILIZE EMERGENCY
PREPAREDNESS COMMITTEES AND THEIR
Source -
This point is often missed by organizations as they
attempt to utilize emergency preparedness committees

MANAGE RESPONSE TO AN EVENT
and their associated structures and processes to
manage response to an event
Uploaded - NURS-
THE EOP DEFINES EFFECTIVE PROCESS AND
PROCEDURES FOR THE CONTEXT OF EMERGENCY
RESPONSE (EMERGENCY NOTIFICATION
MANAGEMENT TEAM, PROCESSING OF INCIDENT
INFORMATION, ETC.)
Source -
The EOP defines effective process and procedures for
the context of emergency response (emergency
notification procedures, establishing an incident
management team, processing of incident information,
etc.)
Uploaded - NURS-
IT IS RECOMMENDED THAT, TO THE EXTENT
POSSIBLE, EMERGENCY RESPONSE PROCESS AND
PROCEDURES BE USED TO CONDUCT
PREPAREDNESS ACTIVITIES

Source -
It is recommended that, to the extent possible,
emergency response process and procedures be used
to conduct preparedness activities.[9]
Uploaded - NURS-
RECOVERY ACTIVITIES RESTORE THE COMMUNITY
TO "NORMAL"
Source -
Recovery activities restore the community to "normal"
Uploaded - NURS-
AFTER A MAJOR INCIDENT
Source -
after a major incident

Uploaded - NURS-
THE INITIAL RECOVERY STAGE (WHICH ACTUALLY
BEGINS IN THE LATE STAGES OF RESPONSE) IS
INTEGRATED WITH RESPONSE MECHANISMS, AND
THE EOP INCIDENT MANAGEMENT PROCESS
SHOULD BE EXTENDED INTO RECOVERY
Source -
The initial recovery stage (which actually begins in the
late stages of response) is integrated with response
mechanisms, and the EOP incident management
process should be extended into recovery
Uploaded - NURS-
THE MANAGEMENT TRANSITION FROM RESPONSE
TO RECOVERY (BOTH TIMING AND METHODS)
MUST BE CAREFULLY PLANNED AND
IMPLEMENTED TO AVOID PROBLEMS
Source -

The management transition from response to recovery
(both timing and methods) must be carefully planned
and implemented to avoid problems
Uploaded - NURS-
AS RECOVERY PROGRESSES, RECOVERY
MANAGEMENT TRANSITIONS TO REGULAR
AGENCY MANAGEMENT PROCESSES OR SOME
INTERMEDIATE METHOD DEFINED BY THE
RESPONSIBLE ORGANIZATIONS
Source -
As recovery progresses, recovery management
transitions to regular agency management processes or
some intermediate method defined by the responsible
organizations
Uploaded - NURS-
S CASUALTY TRIAGE IS THE PROCESS OF
PRIORITIZING MULTIPLE VICTIMS WHEN
RESOURCES ARE NOT SUFFICIENT TO TREAT
EVERYONE IMMEDIATELY

eventCode=SE-AU
Mass casualty triage is the process of prioritizing
multiple victims when resources are not sufficient to treat
everyone immediately
Uploaded - NURS-
TRIAGE EXISTS IN THE UNITED STATES
eventCode=SE-AU
No national guideline for mass casualty triage exists in
the United States
Uploaded - NURS-
THE LACK OF A NATIONAL GUIDELINE HAS
RESULTED IN VARIABILITY IN TRIAGE PROCESSES,

TAGS, AND NOMENCLATURE
eventCode=SE-AU
The lack of a national guideline has resulted in variability
in triage processes, tags, and nomenclature
Uploaded - NURS-
THIS VARIABILITY HAS THE POTENTIAL TO INJECT
CONFUSION AND MISCOMMUNICATION INTO THE
DISASTER INCIDENT, PARTICULARLY WHEN
MULTIPLE JURISDICTIONS ARE INVOLVED
eventCode=SE-AU
This variability has the potential to inject confusion and
miscommunication into the disaster incident, particularly
when multiple jurisdictions are involved
Uploaded - NURS-
THE MODEL UNIFORM CORE CRITERIA FOR MASS
CASUALTY TRIAGE WERE DEVELOPED TO BE A
NATIONAL GUIDELINE FOR MASS CASUALTY
TRIAGE TO ENSURE INTEROPERABILITY AND

eventCode=SE-AU
The Model Uniform Core Criteria for Mass Casualty
Triage were developed to be a national guideline for
mass casualty triage to ensure interoperability and
STANDARDIZATION WHEN RESPONDING TO A
MASS CASUALTY INCIDENT
standardization when responding to a mass casualty
incident
Uploaded - NURS-
THE CORE CRITERIA CONSIST OF 4 CATEGORIES
eventCode=SE-AU
The Core Criteria consist of 4 categories

Uploaded - NURS-
GENERAL CONSIDERATIONS, GLOBAL SORTING,
ASSESSMENT OF TRIAGE CATEGORY
eventCode=SE-AU
general considerations, global sorting, lifesaving
interventions, and individual assessment of triage
category
Uploaded - NURS-
MITIGATION IS THE EFFORT TO REDUCE LOSS OF
LIFE AND PROPERTY BY LESSENING THE IMPACT
OF DISASTERS AND EMERGENCIES
Management
Mitigation is the effort to reduce loss of life and property
by lessening the impact of disasters and emergencies
Uploaded - NURS-

MITIGATION INVOLVES STRUCTURAL AND NON-
STRUCTURAL MEASURES TAKEN TO LIMIT THE
IMPACT OF DISASTERS AND EMERGENCIES
Management
Mitigation involves structural and non-structural
measures taken to limit the impact of disasters and
emergencies
Uploaded - NURS-
STRUCTURAL MITIGATION ACTIONS CHANGE THE
CHARACTERISTICS OF BUILDINGS OR THE
ENVIRONMENT
Management
Structural mitigation actions change the characteristics
of buildings or the environment
Uploaded - NURS-

EXAMPLES INCLUDE FLOOD CONTROL PROJECTS,
RAISING BUILDING ELEVATIONS, AND CLEARING
AREAS AROUND STRUCTURES
Management
examples include flood control projects, raising building
elevations, and clearing areas around structures
Uploaded - NURS-
NON-STRUCTURAL MITIGATION MOST OFTEN
ENTAILS ADOPTING OR CHANGING BUILDING
CODES
Management
Non-structural mitigation most often entails adopting or
changing building codes
Uploaded - NURS-
WALLACE, M., & WEBBER, L
Wallace, M., & Webber, L

Uploaded - NURS-
THE DISASTER RECOVERY HANDBOOK
The disaster recovery handbook
Uploaded - NURS-
CONTINUITY AND PROTECT VITAL OPERATIONS,
FACILITIES, AND ASSETS
A step-by-step plan to ensure business continuity and
protect vital operations, facilities, and assets
Uploaded - NURS-
KREISBERG, D., THOMAS, D

Kreisberg, D., Thomas, D
Uploaded - NURS-
DOI:HTTP://DX.DOI.ORG.LIBRARY.CAPELLA.EDU/10.
1017/S1049023X16000042
doi:http://dx.doi.org.library.capella.edu/10.1017/S10490
23X16000042
Disaster Preparedness and Management
Introduction
Introduction
Context
You are a nurse manager working the 7:00–3:30 a.m. shift in the
emergency room at your local hospital. You have 10 years
experience in the hospital’s emergency department (ED).
A train has just derailed in the community, causing a range of
casualties. First responders are on site and are relaying
information to you via remote communication systems from
across town. You are responsible for determining how your
team should prioritize incoming casualties. You activate the
disaster response system at your hospital, only to realize that
you are short-staffed due to a recent flu outbreak. Nurses
without ED experience have been reassigned to the ED from
other units.
Nurses Staffing the ED
· Nurse Manager – You have 10 years ED experience and are
certified in disaster management

· Novice nurse with less than 6 months experience
· Registered nurse with 20 years of rehabilitation experience,
but no recent ED experience.
· ED patient care technician
Casualties
Keep in mind that these patients must have equitable access to
care.
· Mayor: Minor lacerations, alert and oriented, demanding
attention and priority care.
· Homeless person: Traumatic amputation of a limb,
hemorrhaging profusely, alert and oriented.
· Mother-in-law/family member: You have had personal issues
with this person recently; open fracture of right femur, bleeding
under control, leg tourniquet, no femoral pulse.
· Immigrant: Recently found to be undocumented; language
barrier; yelling for his family; daughter trapped under a
collapsed bridge; small laceration on right arm; no bleeding.
· Older person: 90-years old, confused and combative; no
visible injuries
· Mother: 6-months pregnant, no fetal heart tones, mother has
no pulse and is unresponsive.
Activity
Activity
As the nurse manager you are responsible for assigning your
staff to help with traffic control, casualty assessment and triage.
You need to determine how your team should prioritize the
incoming casualties.
As a nurse overseeing the triage, assign a triage level for each
casualty. Use the triage labeling system:
· Red (immediate): Life-threatening injuries
· Yellow (delayed): Non-life-threatening injuries
· Green (minimal): Minor injuries; walking wounded/stable
· Black (expectant): Near death/diseased
Mayor: Minor lacerations, alert and oriented, demanding

attention and priority care
a. Red (immediate):Life-threatening injuries
b. Yellow (delayed): Non-life-threatening injuries
c. Green (minimal): Minor injuries; walking wounded/stable
d. Black (expectant): Near death/diseased
Your answer is c.
The correct answer is b.
Though the influential mayor might have been tempting to help
first, there were clearly others with greater immediate needs. No
preferential treatment. May ask to help to provide support to the
walking wounded.
Homeless person: Traumatic amputation of a limb,
hemorrhaging profusely, alert and oriented
a. Red (immediate): Life-threatening injuries
Your answer is a.
The correct answer is a.
Need immediate treatment because of his life-threatening
injuries. Staff needs to remain non-judgmental of life style. The
novice nurse may not know how to handle the traumatic injury,
so you need to assign to the experienced nurse.
Mother-in-law/family member: You have had personal issues
with this person recently; open fracture of right femur, bleeding
under control, leg tourniquet, no femoral pulse.
Your answer is b.
Need immediate treatment because of his life-threatening
injuries. Nurse needs to remain non-judgmental. Assign to

experienced nurse.
Immigrant: Recently found to be undocumented; language
barrier; yelling for his family; daughter trapped under a
Your answer is c.
The correct answer is c.
Novice nurse can care for the wound. The experienced nurse
would be assigned to more traumatic cases. Staff needs to
remain non-judgmental of legal status. Cannot help by
providing emotional support to with walking wounded because
of the language barrier. Nurse manager needs to ask the
technician to call for an interpreter and contact security to
attempt to locate family.
Older person: 90 years old, confused and combative; no visible
injuries
Your answer is a.
May be a head or internal injury. Income does not matter. Nurse
needs to remain non-judgmental. Need immediate care. Assign
to experienced nurse.
Mother: 6-months pregnant, no fetal heart tones, mother has no
pulse and is unresponsive.

Your answer is d.
The correct answer is d.
She is deceased. Other casualties need emergency care.
Based on the triage system, who would you prioritize for care?
a. Immigrant: Recently found to be undocumented; language
barrier; yelling for his family daughter trapped under a
Feedback: Novice nurse can care for the wound. The
experienced nurse would be assigned to more traumatic cases.
Staff needs to remain non-judgmental of legal status. Cannot
help by providing emotional support to with walking wounded
because of the language barrier. Nurse manager needs to ask the
technician to call for an interpreter and contact security to
attempt to locate family.
b. Mayor: Minor lacerations, alert and oriented, demanding
attention and priority care
Feedback: Though the influential mayor might have been
tempting to help first, there were clearly others with greater
immediate needs. No preferential treatment. May ask to help to
provide support to the walking wounded.
c. Mother-in-law/family member: You have had personal issues
with them recently; open fracture of right femur, bleeding under
control, leg tourniquet, no femoral pulse.
Feedback: Need immediate treatment because of his life-
threatening injuries. Nurse needs to remain non-judgmental.
Assign to experienced nurse.
d. Older person: 90-years old, confused and combative; no
visible injuries
Feedback: May be a head or internal injury. Income does not
matter. Nurse needs to remain non-judgmental. Need immediate
care. Assign to experienced nurse.
e. Mother: 6-months pregnant, no fetal heart tones, mother has
no pulse and is unresponsive.
Feedback: She is deceased. Other casualties need emergency

care.
f. Homeless person: Traumatic amputation of a limb,
hemorrhaging profusely, alert and oriented
Feedback: Need immediate treatment because of his life-
threatening injuries. Staff needs to remain non-judgmental of
life style. The novice nurse may not know how to handle the
traumatic injury, so you need to assign to the experienced nurse.
Your answers are c, d and f.
The correct answers are c, d and f.
How might the issues presented here impact future planning for
disasters?
Your answer:
This issues will impact by being prepared in case of a disaster.
Disaster prevention and preparedness are key to minimizing
looses and recovery time. .
Here are some potential takeaways:
· Make sure that the disaster plan is up to date and in a central
location for easy access.
· Disaster preparedness and management training should be
mandatory, at least annually, for all interprofessional staff
hospital-wide.
· The interprofessional staff must know where to locate the
disaster manual for policies.
· Mandatory disaster drills should be conducted annually.

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