Disaster Management and Environmental Impacts on Health Flashcards

1
Q

What are the 4 phases of the disaster management cycle?

A
  1. Mitigation
  2. Preparation
  3. Response
  4. Recovery
    - These phases are interrelated and can co-occur
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2
Q

Phase 1

A
  • Mitigation
  • Before event
  • Prevent or minimize risks related to a disaster
  • Identify risks and take action to prevent a disaster or reduce the effects of a disaster
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3
Q

Nurse’s Role in Phase 1 (Mitigation)

A
  • Perform community assessment
  • Identify risks at individual and community level
  • Develop plans for alternate housing
  • Risk reduction activities
  • Plan for evacuation
  • Public policy
  • Community education
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4
Q

Phase 2

A
  • Preparedness
  • Before event
  • Most critical phase
  • Planning and readiness are priorities
  • Activities and measures taken in advance
  • Warnings, recruiting volunteers, training, equipping
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5
Q

Nurse’s Role in Phase 2 (Preparedness)

A
  • Policy
  • Communication
  • Obtaining equipment and supplies
  • Training
  • Sheltering
  • First aid
  • Emergency transport
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6
Q

Phase 3

A
  • Response
  • After event occurs
  • Immediate action in the face of a disaster
  • Mobilization of responders
  • Save as many lives as possible, provide for immediate needs of survivors, reduce long term impact
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7
Q

Nurse’s Role in Phase 3 (Response)

A
  • Provide physical and mental health care
  • Triage
  • Manage scarce resources
  • Infection control
  • Continuous monitoring
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8
Q

Phase 4

A
  • Recovery/Rehabilitation
  • Assist community and affected population
  • Restoring vital services, rebuilding infrastructure and housing
  • Long-term process with short and long term goals
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9
Q

Nurse’s Role in Phase 4 (Recovery/Rehab)

A
  • Continued care and support
  • Monitoring
  • Referrals
  • Assist with re-establishing infrastructure
  • Evaluation that leads to changes in prevention
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10
Q

Who are vulnerable populations?

A
  • Children
  • Limited English proficiency
  • Mental disabilities
  • Pregnant women
  • Homeless persons
  • Homebound elderly
  • Physical disabilities
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11
Q

What are considerations for vulnerable populations?

A
  • Basic supplies
  • Medications
  • Medical equipment
  • Assistive devices
  • Pets
  • Literacy/language
  • Transportation for evacuation or to shelters
  • Shelters/sheltering in place
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12
Q

I PREPARE

A
  • Investigate potential exposures
  • Present work
  • Residence
  • Environmental concerns
  • Past work
  • Activities
  • Referrals and resource
  • Educate
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13
Q

How can nurses decrease environmental influences on health?

A
  • Primary prevention: reducing environmental hazards, educating residents
  • Secondary prevention: monitoring for signs of hazardous blood levels
  • Tertiary prevention: eliminating environmental hazards for re-exposure
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14
Q

What is risk?

A

Characterizing the hazard, mode of transmission, route of exposure, dose, magnitude and probability

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15
Q

What is risk communication?

A
  • Key skill in community and public health nursing

- Disseminate info to create action, ensure safety, prevent harm, or reduce unnecessary fear

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16
Q

What are some components of risk communication?

A
  • Starts with building trust before event (listening)
  • Requires planning
  • Right information (truthful, relevant, health literacy level)
  • Right people (who and how to get message to them)
  • Right time (early, admitting voids)