Overview: Prepping communities Flashcards
What is the NDLS concept?
Critical to healthcare prep
Uniform, coordinated approached to mass casualty management from all hazards
How is NDLS best accomplished?
Standardized education and training
What is the mission of NDLS?
The implement and maintain a nationwide foundation in education and training resulting in a measurable impact in disaster prep to a critical mass of healthcare work force
D.I.S.A.S.T.E.R.
Detection, Incident management, Security and safety, Assess hazards, Support, Triage/Treatment, Evacuation, Recovery
What is a disaster?
When the need exceeds the resources
What is a mass casualty incident?
A healthcare disaster where the number of causalities is greater than the ability of the healthcare system to care for them
Healthcare need exceeds resources
What is all-hazards preparedness?
Plans and training for incidents regardless of the cause, man-made or naturally occuring
What are some man-made hazards?
Terrorism, Bioterrorism, Structural collapse, Fires, Explosions
What are some natural hazards?
Hurricanes, Floods, Tornadoes, Emerging Infectious Diseases
What is terrorism?
An act intended to inflict harm upon a civilian population to coerce or intimidate
What is bioterrorism?
An act of terrorism using biological agents (e.g. anthrax)
What is WMD?
Weapons of Mass Destruction
What is WME?
Weapons of Mass Effect
What is CBRNE?
Chemical, Biological, Radiological, Nuclear, Explosive
What are the parts of detection?
Not all disasters are obvious, possible insidious onset, resources overwhelmed, detect event cause, communicate “disaster” status
What are the parts of incident management?
National incident management system, mandated by homeland security, incident command, provides orderly chain of command and control, clearly defined roles, “span of control”
What are the basics of incident command?
Unified command;
Planning, logistics, operations, finance
What is Hospital Emergency Incident Command System (HICS)?
Incident command system specific for hospitals that meets JCAHO requirements for disaster management command and control
What are the parts of security and safety?
Secure ingress and egress (scene, hospital), prevent self transport, ID and mitigate obvious threats to secuirty
What is priority one while assessing hazards?
Protect self and team first, don’t become part of the problem, utilize personal protective equipment, medical decontamination methods
After priority one has been satisfied in assessing hazards what happens next?
Protect public, patients, and environment (in that order)
What are the parts of support?
What are the resources needed, who has them, when will they arrive
What are the parts of triage?
Sorting pts into severity of injury and likelihood of survival
What does MASS mean as a triage system?
Move, Assess, Sort, Send
What are the triage categories of “ID-me”?
Immediate, Delayed, Minimal, Expectant, Dead
What are the parts of treatment?
Treatment continues until all pts transported to healthcare areas, resources unavailable to provide treatment (comfort is care)
Treatment location and documentation
What are the parts of evacuation?
Pts to be removed from scene, public evac of elderly, poor, nursing homes, hospital evac in catastrophic event
What is the recovery part?
Long-term goal of event, minimize event impact
Begins when incident occurs, ends often years later
What are the operational and logistic considerations of recovery?
Personnel, vehicles, equipment
