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DISASTER MANAGEMENTAT SITE AND AT HOSPITAL
DISASTER MANAGEMENT AT SITEDisaster Management at site refers
to, on-the-spot rescue and resuscitation measures adopted by the health team members for saving life's of the victim.
D-I-S-A-S-T-E-R ParadigmD: Detection I: Incident CommandS: Safety & SecurityA: Assess HazardsS: SupportT: Triage & TreatmentE: EvacuationR: Recovery
MASSM – MoveA – AssesS – SortS – Send
Aim
-Rescue
-Medical Care
-Food and safe drinking water
-Prevention of epidemic out break
- Monetary Compensation
-Rehabilitation
NURSES ROLE IN DISASTER MANAGEMENT
•Identify
Priorities
•Maintain
Essential
Service
•Medical Backup
RECORDS & IDENTIFICATION OF CASUALTIES
-Simple disaster record-Affix small tag to each casualtyNon urgent (Green)Urgent condition (Yellow)Emergency Transport (Red)Death (Black)
Triage Description Color
Immediate Respirations are present, very serious injury that can be fixed quick with out a lot of resources
RED
Delayed Can wait to be treated for hours to days, dislocations, minor fractures
YELLOW
Minor “walking Wounded”, cuts, minor wounds
GREEN
Expectant/Deceased
Not breathing, Massive Head trauma, would take massive resources away from many others to save one
BLACK
PUBLIC INFORMATION SYSTEM
-Maintain casualty list and other data
-Have all information related to hospitalization
-Efficient communication link between triage and hospital
COMMUNITY MEASURESFirst Aid & Medical Care-Life saving Resuscitation-Allay Panic-Avoid convergence behavior-Immediate rescue and relief-Professional Identification-Direct people to shelters
COMMUNITY MEASURESGather information rapidly-Documentation-Assess number of Casualty Inflow-Arrange drugs and IV fluids -Assess Adequacy of casualty evaluation routs-Adequacy of space and building
TRANSPORT
HOSPITAL RESPONSE FOR DISASTER
•Medical Staff Director
•Establishing a physician labor pool.
•Credentialing volunteer medical staff.
•Assign physician staffing.
•Withhold all elective surgery
In-Patient Areas•Assessing inpatients for early discharge.
• Establishing alternate inpatient care sites within the facility.
•Assessing staffing, supply, equipment needs in patient care
settings
Ancillary Services•Inventorying available blood supply.
•Evaluating ancillary services’ capacity to perform services required by emergency.
Critical Supplies� Pharmaceuticals� Medical supplies� Food supplies� Linen� Water� Critical Equipment
Communications• Other areas/departments within
hospital• External agencies
POST DISASTER PHASE-Leadership Role-Immunization-Follow up Care-Nutritional Programme-Disposal of Dead-Hygiene and sanitation-Routine Health Services-Special care to children and elderly
REHABILITATION-Starts from the moment disaster strikes & ends with the restoration of normality
- Medical- Surgical- Psychological- Vocational
Mental wellness In any major disaster, people want to know where their loved ones are, nurses can assist in making links.In case of loss, people need to mourn:
• Give them space, • Find family friends or local healers to encourage and support them• Most are back to normal within 2 weeks• About 1% to 3%, may need additional help
THANK YOU