More Related Content
What's hot
What's hot (20)
Viewers also liked
Viewers also liked (20)
Similar to Preparing for emergencies
Similar to Preparing for emergencies (20)
Recently uploaded
Recently uploaded (20)
Preparing for emergencies
- 2. Emergency Preparedness Emergency preparedness is the “comprehensive skills, abilities, knowledge, and actions that are needed to respond and prepare for a threat, actual or suspected, chemical, radiological, nuclear, biological, or explosive in nature” (Baack & Alfred, 2013, p. 282).
- 3. Types of Emergencies • Natural Disasters – any disaster not man-made, including health disasters Floods, hurricanes, earthquakes, wildfires Health disasters: AIDS, Ebola virus, epidemics, pandemics • Man-made disasters – accidental or intentional Accidental: industrial accidents, structural collapse, power outages Intentional: terrorist attacks, mass shootings, anthrax (Sullivan, 2013)
- 4. Levels of Disaster • Level I – Local response • Level II – Regional response • Level III – Statewide or National response (Sullivan, 2013) Where does healthcare fit in? “The healthcare system is now viewed as a foundation of national security that must provide care anytime, anywhere, without fail and in an ever- expanding role” (Cagliuso, 2014/2015, p. 160).
- 5. Popular Disasters • September 11, 2001 • Indian Ocean Earthquake and Tsunami 2004 • Hurricane Katrina 2005 • Haiti Earthquake 2010 • Sandy Hook Elementary School 2012 • Ebola 2014
- 6. The Role of Nursing During Disaster • Caring for the sick and injured • Infection control • Planning to prevent further damage • Triage • Mass immunizations • Mass evacuations • Treatment for mass casualties ( Baack & Alfred, 2013, p. 282)
- 7. Challenges for Nurses • Lack of preparation • Lack of education in school • Lack of understanding disaster communication methods • Lack of understanding the formal disaster plan • Perception of what constitutes disaster preparedness ( Baack & Alfred, 2013, p. 282) Disasters can affect nurses in all areas of care: Community Health Centers, Schools, Hospitals, Nursing Homes, Home Care, Management and Administration
- 8. Challenges to Institutions • Lack of performance metrics • Lack of funding • Limited surge capacity • Unclear federal guidelines and requirements for accreditation • Lack of Coordination (Cagliuso, 2014/2015, p. 156)
- 9. Ways to Prepare • Develop and maintain a current disaster plan (American College of Healthcare Executives, 2014). • Focus the plan to address “likely” events (ACHE, 2014). • Develop a command system (ACHE, 2014). • Assess available resources (ACHE, 2014). • Plan for operations (ACHE, 2014). • Develop resource protocols (ACHE, 2014). • Assess safety of employees, patients, and families (ACHE, 2014). • Enhance communication protocols (ACHE, 2014). • Control and report disease (ACHE, 2014). • Staff education and training (Sullivan, 2013). • Practice EOP biannually (Sullivan, 2013).
- 10. Emergency Operations Plan Components • Activation response • Communication plan • Patient care and coordination plan • Security plan • Traffic flow plan • Data management strategy • Resource availability (Sullivan, 2013)
- 11. National Preparedness Goal • Prevention. Prevent, avoid or stop an imminent, threatened or actual act of terrorism. • Protection. Protect our citizens, residents, visitors, and assets against the greatest threats and hazards in a manner that allows our interests, aspirations, and way of life to thrive. • Mitigation. Reduce the loss of life and property by lessening the impact of future disasters. • Response. Respond quickly to save lives, protect property and the environment, and meet basic human needs in the aftermath of a catastrophic incident. • Recovery. Recover through a focus on the timely restoration, strengthening and revitalization of infrastructure, housing and a sustainable economy, as well as the health, social, cultural, historic and environmental fabric of communities affected by a catastrophic incident (Federal Emergency Management Agency [FEMA], 2015, para. 7)
- 12. Factors Affecting Nurses • Exhaustion and fatigue • Personal safety concerns • Illness • Leaving families to care for others • Grief counseling • Professional accountability (Sullivan, 2013)
- 14. Additional Resources • American Nurses Association Disaster Prepared-ness and Response: http://www.nursingworld.org/ MainMenuCategories/WorkplaceSafety/DPR • Federal Emergency Management Agency, U.S. Government: http://www.fema.gov/ International Council of Nurses Disaster Response Network: http://www.icn.ch/networks/disaster-response-network/ • International Nursing Coalition for Mass Ca-sualty Education Educational Competencies for Registered Nurses Responding to Mass Ca-sualty Incidents: http://www.aacn.nche.edu/ leading-initiatives/education- resources/INCMCECompetencies.pdf • The Joint Commission: www.jointcommission.org/ standards • National Center for Emergency Preparedness: http://www.ncep.vanderbilt.edu/index.html • World Association for Disaster and Emergency Medicine Nursing Section: http://www.wadem.org/nursing.html
- 15. References • American College of Healthcare Executives. (2014). Healthcare executives’ role in emergency preparedness. Healthcare Executive, 29(4), 90-91. Retrieved from http://www.ebscohost.com/ • Baack, S., & Alfred, D. (2013). Nurses’ preparedness and perceived competence in managing disasters. Journal of Nursing Scholarship, 45(3), 281-287. http://dx.doi.org/10.1111/jnu.12029 • Cagliuso, N. (2014/2015). Stakeholders’ experiences with US hospital emergency preparedness: Part 1. Journal of Business Continuity & Emergency Planning, 8(2), 156-168. Retrieved from http://www.ebscohost.com/ • Federal Emergency Management Agency. (2015). National preparedness goal. Retrieved from http://www.fema.gov/ • Feuerstein, C. (2012, November 6). Disaster nursing [Video file]. Retrieved from https://youtu.be/W- S2BXTPKHs • Sullivan, E. J. (2013). Effective leadership and management in nursing (8th ed.). Boston, MA: Pearson.