Disaster Planning T2 Flashcards
An occurrence, natural or man-made that causes human suffering and creates human needs that can not be alleviated without assistance
An event of such magnitude that essential services are disrupted and exceeds resource capabilities
Internal vs. external
Disaster
Internal disasters
Occurs inside a healthcare facility Endangers patient Possible need for evacuation Extra personnel Fire, flood, computer system
External disasters
Event outside of the facility
In the community
May deplete resources
Internal and external disaster example?
Tornado that hits building and surroundings
Types of disasters
Natural
Technological
Bioterrorism
Accidents
Natural Earthquake, tsunami, hurricane, flooding, tornado, blizzard, wildfire Technological Explosive devices, nuclear power malfunction Bioterrorism Anthrax, Accidents Multi vs. Mass casualty
Multi-casualty vs mass casualty:
difference is the scope and scale of the incident, considering the number of victims or casualties
Can be managed by a hospital using local resources
Can contain what is going on with the resources provided
Initiates response plans
Multi casualty
Overwhelms local medical capabilities
May require collaboration of other facilities
May pull from other hospitals for needed resources
Mass-casualty *
Stages of disaster
? stage - preparing and learning disaster strategies. Know how to respond in case of a disaster
? stage- know that there is a disaster close or coming and better prepare (covid-19) watching other states have issues and prepare in advance
? stage- patients need advanced care, work on continuously getting needed supplies
? stage- after impact hit- post impact stage initial start of recovery
? stage- look at what we did right or wrong and how we can change things in the future to make things better
Non disaster stage - preparing and learning disaster strategies. Know how to respond in case of a disaster
Predisaster stage- know that there is a disaster close or coming and better prepare (covid-19) watching other states have issues and prepare in advance
Impact stage- patients need advanced care, work on continuously getting needed supplies
Emergency stage- after impact hit- post impact stage initial start of recovery
Reconstruction/recovery stage- look at what we did right or wrong and how we can change things in the future to make things better
How do disasters have impact of infrastructures
Transportation Electrical Telephone Water Fuel Supplies
Lessons learned in disaster recovery phase?
Potential threats examined Early warning systems “ If you see something, say something campaign” Red, yellow, green
Do not assume the government agencies will provide immediate help
Learn to cope without water and electricity
Disaster preparedness requirements for nursing facilities :
Planning must include what?
Which organization requires this?
To ensure safety of clients and staff.
What is the goal of preparedness ?
Planning
Since 2005 JCAHO expects communication and coordination between emergency departments to occur
Planning must include disaster recovery, Practice disaster plans: fire, mass casualty accidents, chemical spills, active shooter, evacuation plan
Goal of preparedness: effectively meet the extraordinary need for resources
Staff must actively participate and take them seriously
Nursing homes practice as well
Gatekeeper”
Sorts patients into priority levels based on illness or injury severity
Highest acuity receives quickest intervention
Triage
Patient has immediate threat to life or limb, and requires immediate treatment
Patient should be treated quickly but immediate threat to life does not exist at the moment
Patient can usually wait several hours for care without risk
Emergent
Urgent
Non urgent
Goal for mass casualty triage?***
Way of sorting the victims
Emergent-Immediate-Non-emergent
Immediate-Delayed-Dead
Red-Yellow-Green-Black
Providing the greatest benefit to the greatest number of people **
Key process in any multi/mass casualty event
Rapidly sort ill or injured patients
Emergent/red: see now or die
Wait a short time: yellow
Walking wounded: green
Expected to die/are dead: black
Normal vs mass casualty triage
?
