ADN

260

/RN

12

Community Health NursingASN 260

Chapter 12-Iggy

Community Emergency Preparedness & responseS. Tapp MSN BSN RN

1

ADN

260

/RN

12

Objectives• The student will be able to: Identify components of and key personnel roles in an

Emergency Preparedness and Response Plan

Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents

2

ADN

260

/RN

12

Components of Disaster Management• Disaster- an event that causes human suffering and demands

more resources than are available in the community, may be man-made or natural

• Preparation- • Federal Response Plan- a gov. plan which includes FEMA, US

Public Health Services, CDC & others- guides the coordinated efforts of all

• Identification and assessment of population at risk B4 disaster• Have established communication protocol in place• Have mock drills/mock disasters to practice plan

3

ADN

260

/RN

12

Components of Disaster Management - Continued• Disaster response• Agencies have different responsibilities

• Federal Emergency Management Agency (FEMA), Office of Emergency Management (OEM), Red Cross

• Assessment of how big area is affected• Nursing role includes triage, prioritizing care, transferring

• Disaster recovery• The length of time it takes to restore the community• Sanitation control• PTSD• Nursing role includes triage officer, counseling, home care,

reassessment of needs of the population4

ADN

260

/RN

12

Agents of BioterrorismCategory A – smallpox, botulism toxin, anthrax

Highest Priority agents Pose a risk to national security Easily transmitted High mortality rates

Category B – typhus, cholera Second highest priority Moderately easy to disseminate High morbidity, low mortality rates

Category C – Hantavirus Third highest priority Emerging pathogens Easy to produce Potential for high morbidity & mortality rates

5

ADN

260

/RN

12

Triage

Triage usual conditions

• Emergent- life threatening

• Urgent- major injuries/ stat treatment

• Non urgent- minor injuries

Triage Mass causality

• Emergent- life threat- RED tag• Urgent- major injuries-

YELLOW tag• Non urgent-minor

injuries- GREEN tag• Expectant- death

eminent- BLACK tag

6

ADN

260

/RN

12

Disaster Recovery/Resolution• Prevent exhaustion of nursing staff• Have adequate supplies to maintain normal operations• Debriefing- prevent PTSD (see p. 165)

7

ADN

260

/RN

12

Objectives Review• The student will be able to: Identify components of and key personnel roles in an

Emergency Preparedness and Response Plan

Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents

8

ADN

260

/RN

12

9