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Ms Bincy Joshwa
Disaster nursing
Disaster- Origin ‘Astrum’, latin for star, disastro
‘ill-starred event’ implying a calamity due to
misalignment of stars.
Disasters have existed since ever the history of
mankind and have shaped the destiny and its
people.
Almost 30 million people are affected by disasters
every year.
Disaster
 According to WHO
Any occurrence that causes damage, ecological
disruption, loss of human life or deterioration of
health services on a scale sufficient to warrant
an extraordinary responses from outside the
affected community area.”
Type of disasters
 Based on origin/cause
Natural
 Sudden impact or acute onset
 Slow or chronic onset
Manmade (technological)
Sudden impact or acute
onset
 Geological or climatic
hazards
 Hurricanes/cyclones
 Tornadoes, Earthquakes
 Volcanoes, Floods
 Tsunamis, Wildfires
 Landslides, Avalanches
 Epidemics
 Food, water, vector-born
diseases
 Person-to-person
transmission diseases
Slow or Chronic Onset
Disasters
 Drought
 Famine
 Environmental degradation
 Chronic exposure to toxic substances
 Pest infestation
Man Made Disaster
 Industrial/technological, Transportation (vehicular)
 Deforestation, Material shortages
 Biologic warfare /Bio-terrorism
 Complex Emergencies
 Wars and civil strife, Armed aggression, Insurgency
 Other actions resulting in displaced persons and
refugees
 Terrorist-perpetrated
 Biological - Nuclear,
 Chemical, Explosive
• Human-Generated Disasters
Levels of Disaster
Level 1 disaster ( massive )
 This involves a massive level of damage with
severe impact on multistage scope.
Level 2 disaster:
 Result in major presidential declaration with
moderate federal assistance.
Level 3 disaster:
 Considered as a minor disaster.
 Involves a minimal level of damage but could result
in presidential declaration of an emergency or a
disaster to meet basic needs.
Resources for disaster
 Red cross
 Community and local government
 Civil defense services
Disaster preplanning
 Hospital disaster planning
 Evacuation
 Orderly flow of casualty
 Communication system
Disaster management
 Aim-to provide prompt and effective medical care
to the maximum possible casualty in order to
minimize morbidity and mortality
Disaster management…
 Constitution of disaster management committee
 Responsible for managing disaster situation, taking
administrative decision and reviewing disaster plan and
informing authorities
 Disaster control room
 Command nucleus: MS office
 Rapid response team
 Information and communication
 Disaster beds
 Logistic support systems
 Blood bank
 Training and drills
 Activation of disaster management plan
 Public relations
 Essential services
 Crowd management/security arrangement
 Disposal of dead
 Hospital disaster plan
Principles and legal aspects of
disaster nursing
 All resources are to be brought close to the
disaster site
 Principles of triage(choosing)
 Urgent
 Serious
 Minimal injured
Health services for the non
injured
 Public education and setting of reception centre
 Fall out shelters and trenches
 Welfare centres
 Medical care centres
Standing medical orders
 Initial treatment and medication for the expected
general ilness
 Organisation of immunisation programs against
notifiable dieases
 Responsibility for providing safe food
Prevention of epidemics
 Safe food/water
 Mx of sanitation, proper disposal of dead,
garbage etc, human waste, excreta,
 Disinfection of living areas
 Isolation of infected
 Provision of necessary drugs
 Quarantine of affected population

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Disaster nursing

  • 2. Disaster- Origin ‘Astrum’, latin for star, disastro ‘ill-starred event’ implying a calamity due to misalignment of stars. Disasters have existed since ever the history of mankind and have shaped the destiny and its people. Almost 30 million people are affected by disasters every year.
  • 3. Disaster  According to WHO Any occurrence that causes damage, ecological disruption, loss of human life or deterioration of health services on a scale sufficient to warrant an extraordinary responses from outside the affected community area.”
  • 4. Type of disasters  Based on origin/cause Natural  Sudden impact or acute onset  Slow or chronic onset Manmade (technological)
  • 5. Sudden impact or acute onset  Geological or climatic hazards  Hurricanes/cyclones  Tornadoes, Earthquakes  Volcanoes, Floods  Tsunamis, Wildfires  Landslides, Avalanches  Epidemics  Food, water, vector-born diseases  Person-to-person transmission diseases
  • 6.
  • 7. Slow or Chronic Onset Disasters  Drought  Famine  Environmental degradation  Chronic exposure to toxic substances  Pest infestation
  • 8. Man Made Disaster  Industrial/technological, Transportation (vehicular)  Deforestation, Material shortages  Biologic warfare /Bio-terrorism  Complex Emergencies  Wars and civil strife, Armed aggression, Insurgency  Other actions resulting in displaced persons and refugees  Terrorist-perpetrated  Biological - Nuclear,  Chemical, Explosive • Human-Generated Disasters
  • 9. Levels of Disaster Level 1 disaster ( massive )  This involves a massive level of damage with severe impact on multistage scope. Level 2 disaster:  Result in major presidential declaration with moderate federal assistance. Level 3 disaster:  Considered as a minor disaster.  Involves a minimal level of damage but could result in presidential declaration of an emergency or a disaster to meet basic needs.
  • 10. Resources for disaster  Red cross  Community and local government  Civil defense services
  • 11. Disaster preplanning  Hospital disaster planning  Evacuation  Orderly flow of casualty  Communication system
  • 12. Disaster management  Aim-to provide prompt and effective medical care to the maximum possible casualty in order to minimize morbidity and mortality
  • 13. Disaster management…  Constitution of disaster management committee  Responsible for managing disaster situation, taking administrative decision and reviewing disaster plan and informing authorities  Disaster control room  Command nucleus: MS office  Rapid response team  Information and communication  Disaster beds  Logistic support systems  Blood bank  Training and drills
  • 14.  Activation of disaster management plan  Public relations  Essential services  Crowd management/security arrangement  Disposal of dead  Hospital disaster plan
  • 15. Principles and legal aspects of disaster nursing  All resources are to be brought close to the disaster site  Principles of triage(choosing)  Urgent  Serious  Minimal injured
  • 16. Health services for the non injured  Public education and setting of reception centre  Fall out shelters and trenches  Welfare centres  Medical care centres
  • 17. Standing medical orders  Initial treatment and medication for the expected general ilness  Organisation of immunisation programs against notifiable dieases  Responsibility for providing safe food
  • 18. Prevention of epidemics  Safe food/water  Mx of sanitation, proper disposal of dead, garbage etc, human waste, excreta,  Disinfection of living areas  Isolation of infected  Provision of necessary drugs  Quarantine of affected population