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PUBLIC HEALTH > EMERGENCY PREPAREDNESS AND RESPONSE > Flashcards

EMERGENCY PREPAREDNESS AND RESPONSE Flashcards

1
Q

name and describe:

Classification of disasters:

(3)

A
  1. natural disasters - geological events triggered by nature and changes in weather
  2. biological disasters - from living agents such as disease, insects, pests
  3. human made disasters - relate to human error or human action that cause significant damage
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2
Q

People most affected by disasters are:

A
  • people living in low income countries
  • people living in poor housing
  • rural areas
  • children and older adults
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3
Q

In Canada, ____ and ____ are most common natural disasters

A

forest fires and floods

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4
Q

According to the Canadain Department of Disasters

an event is classified as a disaster if it meets one or the more of the following criteria

A
  • 10 or more peolpe killed
  • 100+ people affected, injured, infected, evacuated, made homeless
  • Event has historical significance
  • national or international appeal to assistance
  • significant interruption to normal processes that affect communities
  • community cannot recover on it’s own
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5
Q

Nursing knowledge that can help prepare for disaster preparedness

A
  1. technical skills
  2. epidemiology
  3. physiology
  4. pharmacology
  5. psychological knowledge
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6
Q

CNA Code of ethics re: disaster management

A

during a natural or human made disaster, registered nurses have a duty to provide care using appropriate precautions (right equipment, right choices) based on knowledge and training

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7
Q

RE: Disaster preparedness and response

the CNA position statement highlights the importance of:

A
  • nursing playing an integral role in all aspects of emergencies (preparation, mitigation, response, recovery)
  • strong interprofessional collaboration
  • relevant and timely education and management skills to respond effectively
  • planning at all government levels including NGOs
  • continued investment in planning and preparation for disasters
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8
Q

Disasters:

Are nurses prepared?

A
  • not well-prepared for disasters
  • difficulties making decisions during disasters as to who to prioritize care for
  • majority of nursing students lack knowledge d/t lack of curriculum
  • facilities not well prepared
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9
Q

Recommendations for Nursing Education from CNA and ANA

A

educate nursing students to:
* act responsibly and safely in the event of a disaster
* practice collaboratively with other health care team members
* provide holistic care to clients from diverse cultural backgrounds
* shift care from focus on individual care to caring for communities and at-risk populations

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10
Q

Suggestions arising from ‘the perfect storm’ simulation

A
  • need for better documentation that is less complicated
  • better patient tracking
  • clearer role delegation and identification (communication)
  • need for more human resources
  • facility setup
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11
Q

How was the 2022 May Windstorm managed in Ptbo?

A
  • mayor called for Emergency act to increase access to emergency response, redcross, and employ an emergency management team
  • EMT called hydro, police, EMS and healthcare orgs to deploy resources
  • all of above brought around emergency response table as central line of communication for what is required
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12
Q

Which healthcare workers are most affected by COVID?

A

Lowerpaid PSWs - mostly marginalized and racialized women

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13
Q

Define:

moral distress

A

knowing the right thing to do, but being prevented from doing it

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14
Q

Define

Moral courage

A

capacity to overcome fear and stand for core values; to speak out and do what is right

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15
Q

Define:

Moral residue

A

lingering feeling after the initial situation; occurs after serious perceived compromise and loss of moral integrity

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16
Q

Define:

Moral resilience

A

ability and willingness to speak and take right and action regardless of adversity

17
Q

List:

Components of Moral Distress

A
  1. internal constraints
  2. external constraints
  3. clinical situations
18
Q

Explore:

Internal constraints re: moral distress

A
  • lack of self-confidence
  • maladaptive coping
  • religious conflicts
  • spiritual conflicts
19
Q

Explore:

External contraints re: moral distress

A
  • lack of collegiality
  • hierarchial structure
  • poor communication
  • inadequate staffing
  • restrictive policies
20
Q

Explore:

Clinical Situations re: moral distress

A
  • futile treatment
  • inappropriate care
  • inadequate pain relief
  • incompetent coworkers
  • hastening dying
  • false hope
21
Q

Discuss:

Components of emergency preparedness

A
  • emergency response plans
  • training and exercises
  • community outreach
22
Q

Discuss:

Components of emergency response

A
  • life saving
  • incident stabilization
  • property preservation
  • evacuation and mass care
23
Q

Discuss:

Components of emergency mitigation

A
  • public education
  • hazard assessments
  • infrastructure improvements
24
Q

Discuss:

Emergency recovery:

A
  • economic recovery
  • debris management
  • housing
  • health and social services
25
Q

Five steps to creating a risk mitigation plan

A
  1. identify the risk
  2. perform a risk assessment
  3. prioritize
  4. track risks
  5. implement and monitor progress
26
Q

Emergency Preparedness: Mitigation

Public Safety Canada:

A
  • promotes a common emergency management plan, including training exercises, national alerting system
  • gives money and powers to provinces
27
Q

Emergency Preparedness: Mitigation

Emergencies Act Canada

A

grants federal government special powers to promote safety and security

28
Q

Emergency Preparedness: Mitigation

Emergency Management Act

A

coordinating among federal institutions and provinces, territories and other entities; emergency managemnet activities

29
Q

Emergency Preparedness: Mitigation

Emergency Management Act and Civil Protection Act Ontario

A

requires federal ministries to assess risk and develop, test, and maintain emergency management plans

30
Q

Emergency Preparedness: Mitigation

Municipal Emergency Management Programs

A

every municipality shall develop and implement emergency management programs and the council of municipality shall adopy emergency management plan by law

31
Q

Ontario Health Systems Emergency Branch (HSEMB)

Mission

A

build and promote sustainable emergency management capacity within the publiic health and healthcare systems through:
* meaningful engagement
* guidance
* direction and
* collaboration

32
Q

Ontario Health Systems Emergency Branch (HSEMB)

Mandate

A
  • anticipate threats to human health and the public health and healthcare systems by monitoring, identifying, and analyzing risks
  • develop and maintain health emergency management plans and programs
  • strengthen capacity and readiness, willingness, and ability to respond through information sharing, training and exercises
  • respond to incidents and emergencies by coordinating the public health and health care systems
33
Q

List:

Principles and Phases of Incident Management System

(5)

A
  1. communication
  2. coordination
  3. collaboration
  4. flexibility
  5. scalability*
34
Q

Global Recovery

to end the COVID-19 pandemic, we must address

A

social, environmental, and economic hardships brought on by the pandemic (i.e. hunger, interrupted learning, other multitude of injustices)

35
Q

Ontario Recovery Plan

4 project categories

A
  1. making government services more digitally accessible
  2. reducing red tape and simplifying policies while protecting public health and safety
  3. improving government purchasing
  4. creating more responsive and flexible public services

PUBLIC HEALTH (6 decks)

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