Introduction to Disaster Nursing Flashcards
Any community emergency that seriously affects people’s lives and property and exceeds the capacity of the community to respond effectively to the emergency
DISASTER
● A serious disruption of the functioning of a community or a society involving widespread human, material, economic or environmental losses and impacts, which exceeds the ability of the affected community or society to cope using its own resources
DISASTER
NDRRMC
National Disaster Risk Reduction and Management Council
● “Nurses, as the largest group of committed health personnel, often working in difficult situations with limited resources, play vital roles when disasters strike, serving (4)
first responders, triage officers, and care providers, coordinators of care and services, providers of information and counselors
Unforeseen or sudden occurrence, especially danger, demanding immediate action
Emergency
A dangerous phenomenon, substance, human activity or condition that may cause loss of life, Injury or other health impacts, property damage etc
Hazard
Epidemic limited to localized increase in the incidence of disease
Outbreak
Combination of probability of an event and its negative consequences
Risk
Refers to electricity, energy, water, sanitation, health and education
Basic Services
Combination of all the strengths and resources available within a community that can reduce the level of risk of a disaster (physical, institutional, social or economic means)
Capacity
Persons or groups of persons who have been forced or obliged to flee or leave their homes or places of habitual residence due to effects or consequences of disaster
Internally Displaced Population (IPD)
TYPES OF DISASTERS
Small Scale
Medium Scale
Large Scale
Disasters that have impacts limited to relatively small local areas
Small Scale
Disasters that are smaller than national geographic scales. Defined by a threshold of impacts causing reaction from multiple administrative regional authorities
Medium Scale
Disasters that require emergency response at a national or higher scale. Impacts cross administrative boundaries including international borders
Large Scale
bring back basic services like water and sanitation
Metropolitan Waterworks and Sewerage System
whole environment the whole disaster is going in = manmade also
Department of Environment and Natural Resources
rehabilitation and recovery
Department of Science and Technology
ITDS, evacuees
Department of Social Welfare and Development
NEDA
National Economic and Development Authority
PNP
Philippine National Police
ICN COMPETENCIES
Preparation and planning Communication Incident management systems Safety and Security Assessment Intervention Recovery Law and Ethics
actions taken apart from any specific emergency to increase readiness and confidence in actions to be taken during an event
1 Preparation and planning
approaches to conveying essential information within one’s place of work or emergency assignment and documenting decisions made
2 Communication
the structure of disaster/emergency response required by countries/organizations/institutions and actions to make them effective
3 Incident management systems
assuring that nurses, their colleagues and patients do not add to the burden of response by unsafe practices
4 Safety and Security
gathering RELEVANT data about assigned patients/families/communities on which to base subsequent nursing actions
5 Assessment
clinical or other actions taken in response to assessment of patients/families/communities within the incident management of the disaster event
6 Intervention
any steps taken to facilitate resumption of pre-event individual/family/community/ organization functioning or moving it to a higher level
7 Recovery
the legal and ethical framework for disaster/emergency nursing
8 Law and Ethics
Level I:
any nurse who has completed a programme of basic, generalised nursing education and is authorised to practice by the regulatory agency of his/her country.
GENERAL PROFESSIONAL NURSE
Examples of Level I
staff nurses in hospitals, clinics, public health centres; all nurse educators.
Level II:
any nurse who has achieved the Level I competencies and is or aspires to be a designated disaster responder within an institution, organisation or system.
ADVANCED OR SPECIALIZED NURSE
Examples of Level II
supervising or head nurses; nurses designated for leadership within an organization’s emergency plan; nurses representing the profession on an institution or agency emergency planning committee, preparedness/ response nurse educators.
Level I Preparation and Planning
- preparedness plan
- drills/exercises
- up-to-date knowledge
- describe approaches to accommodate vulnerable population
Level II Preparation and Planning
- drills/exercises at least annually
- nursing improvement actions
- roles and responsibilities
- actions to vulnerable
- Level I
Level I Communication
- disaster terminology correctly
- priority information
- communication skills
- multilingual resources
- documentation
Level II Communication
- communication systems
- communication expectations
- leadership teams
- critical documentation
Level I Incident Management
- national structure
- specific disaster plan
- observations and experiences post event eval
- professional practice
Level II Incident Management
- organisational incident plan
- participates in post-event evaluation
- improvement in nursing practice based on event assessment
- emergency planning guidance
Level I Safety and Security
- maintain safety
- basic infection control
- regular assessment
- PPE
- reports possible risk
Level II Safety and Security
- materials supporting nursing decision making
- timely alternative infection control
- access to medical and mental health treatment
- explains PPE
- eliminate risk
Level I - Assessment
I.5.I Reports symptoms or events
I.5.2. Performs rapid physical and mental health assessment
I.5.3. Maintains ongoing assessment
Level II- Assessment
II.5.1 up-to-date information on potential emergency events and the process for reporting them
II.5.2 Develops event-specific guidance on rapid physical and mental health assessment
II.5.3. Includes principles of disaster/emergency triage
II.5.4. Identifies event-specific vulnerable population (s) and actions needed to protect them
Level I - Intervention
I.6.1. basic first aid
I.6.2. Isolates individuals/families/clusters
I.6.3. contamination assessment or decontamination of individuals
I.6.4. Engages patients, their family members or assigned volunteers, within their abilities
I.6.5. priority needs and available resources
I.6.6 surge capacity activities as assigned (e.g. mass immunization)
I.6.7 management of large numbers of deceased in respectful manner
Level II - Intervention
II.6.1. emergency plans and institutional policy include the expectation that basic first aid
II.6.2. organizationally specific guidance on implementation of isolation
II.6.3. range of CBRNE exposures and the exposure-related decontamination methods
II.6.4. expanded patient, patient’s family or volunteer participation
II.6.5. nursing reassignments
II.6.6 Guides nursing participation in surge activities
Level I - Recovery
I.7.1 maintain or resume functioning during and post event
I.7.2 assists assigned patients/families/communities
I.7.3 referrals for ongoing physical and mental health needs
I.7.4. transition de-briefing
Level II - Recovery
II.7.1 nursing roles, responsibilities and needs to leadership
II.7.2 up-to-date referral resource lists
Level I - Law and Ethics
I.8.1. emergency-specific laws, policies and procedures
I.8.2 institutional or national disaster ethical framework
I.8.3. utilitarian principles
Level II - Law and Ethics
II.8.1. development of emergency-specific policy and procedure guidance
II.8.2 development of disaster/emergency frameworks for allocation of resources
II.8.3. develops guidance and support for nurses expected to apply utilitarian principles
ISDR
International Strategy to Disaster Reduction
• Result of an ecological disruption or threat that exceeds the adjustment capacity of the affected community
NATURAL DISASTERS
• Direct and adverse effect of major industrial accidents, unplanned release of nuclear energy, fires or explosions from hazardous materials
TECHNOLOGICAL DISASTERS
cause disruption of normal hospital function due to injuries or deaths of hospital personnel or damage to the facility itself, as with a hospital fire, power failure, or chemical spill
• Internal disasters
those that do not affect the hospital infrastructure but tax hospital resources due to numbers of patients or types of injuries
• External disasters
an intense low pressure system which is characterized by strong spiral winds towards the center, called the “Eye”
CYCLONES
● In a counter-clockwise flow in the
northern hemisphere.
maximum winds from 35 kph to 63 kph
○ Tropical Depression
maximum winds from 64 kph to 118 kph
○ Tropical Storm
maximum winds exceeding 118 kph.
○ Typhoons
● Large, powerful and violent tropical cyclone.
● It is a low pressure area rotating counterclockwise and containing rising warm air that forms over warm water in the Western Pacific Ocean.
TYPHOONS
Atlantic Ocean
○ Hurricane
Indian Ocean
○ Cyclone
● Described as a violently rotating column of air extending from a thunderstorm to the ground.
TORNADO
develop from severe thunderstorms in warm, unstable air along and ahead of cold fronts.
● Tornadoes
● 69% of all tornadoes
● less than 5% of tornado deaths
● lifetime 1-10+ minutes
● winds less than 110 mph
Weak Tornadoes