2. WORLDS GREATEST DISASTERS 3. Gujarat Earthquake 4. DISASTERS Disasters are events that inflict significant damage to life or property and that substantially overwhelm the local communitys resources. 5. DISASTER NURSING THE GOAL OF DISASTER NURSING is ensuring that the highest achievable level of care is delivered through identifying, advocating, and caring for all impacted populations throughout all phases of a disaster event, including active participation in all levels of disaster planning and preparedness. 6. Concept and Meaning of Disaster Nursing D- Detection I- Incident command S- Safety and security A- Assess S- Support T- Triage and treatment E- Evaluation R- Recovery 7. Principles of disaster Nursing Prevent the disaster Primary prevention Secondary prevention Tertiary prevention Minimize casualties Prevent further casualties Rescue the victims First aid Evacuate Medical care Reconstruction 8. Classification of Disaster Natural disasters Ex: Hurricanes, flood, cyclones, earthquakes, land slides, wind storm, epidemics and draught Man made disasters Fire explosion, Accidents of passenger vehicles, bomb blast, terrorism, riots and violence 9. Policies related to emergency/disaster management 1. First come, first treated principle will not be followed during emergencies. 2. Triage protocol 3. ABCDE care is provided Airway Breathing Circulation Disability limitation Exposure / environmental control 10. 4. Trauma team and trauma code 5. Management of cardiopulmonary arrest 6. Emergency medicine records 7. Chain of command in the team and system 8. Alternative chains and flexibility standards 9. Procedures involving medico-legal issues 10. Disaster preparedness 11. Disaster drills 12. Infection control measures 13. Quality management of disaster services 11. Disaster Management cycle/Phases PreparednessPrevention ResponseRecovery 12. Disaster Preparedness Personal preparedness Professional preparedness Community preparedness 13. Disaster Management Team Medical Superintendent Additional Medical Superintendent Nursing superintendent Chief medical officer (Casualty) HODd of all the dept.s Blood bank incharge Security officers Dietician Transport officer Sanitary personnel 14. Equipments Resuscitation equipment IV sets and IV fluids Disposable needles, syringes & gloves Dressing & suturing materials and splints Oxygen delivery devices Suction catheter and machine ECG monitors, defibrillators and ventilators Cut down sets, tracheostomy sets and lumbar puncture sets Linens and blankets 15. Guidelines/Elements of disaster plans Chain of authority Lines of communication Routes & modes of transport Mobilization Warning Evacuation Rescue & recovery Triage Treatment Support of victims and families Care of dead bodies Disaster worker rehabilitation 16. Triage Protocol/System Red: High priority for treatment & transfer Yellow: Medium Priority Green: Ambulatory patientsBlack: Dead or Moribund patients 17. Resources for disaster management Administrative system Policies, procedures and protocols Physical facilities Components & equipments Emergency/Disaster medical systems Staffing and training Resources for disaster drills Effective evaluation system 18. Coordination & involvement of various Govt. and Non-Govt. organization India National disaster management authority of India Emergency Management and research Institute Worldwide International association of emergency managers Red cross/red crescent United Nations World bank European union International recovery platform 19. Role of Nurse Assess the community Diagnose community disaster threats Community disaster planning Implement disaster plans Shelter management plans Evaluate the effectiveness of disaster plans 20. Legal aspects of disaster nursing Licensure Good Samaritan law Good rapport Standard care Standing order Written consent for operation and procedures Correct identity Drug maintenance Self discharge of the patient Documentation Protection of patient property Reporting 21. Impact on health and after effects Social reaction Communicable diseases Population displacements Climatic exposure Food & Nutrition Water supply & sanitation Mental health Damage to the health infrastructure 22. Post Traumatic Stress Disorder (PTSD) PTSD is a severe anxiety disorder that can develop after exposure to any event that results in psychological trauma. Symptoms: Flashbacks and nightmares 23. Diagnosis of PTSD History of exposure to a traumatic event Persistent re-experiencing Persistence avoidance and emotional numbing Persistent symptoms of increased arousal not present before Duration of symptoms for more than 1 month Significant impairement 24. Management of PTSD Provide sense of safety Calm the patient Improve self efficacy of the patient Make social connectedness Give hope 25. Rehabilitation after Disaster Water supply Food supply Basic sanitation Personal hygiene Physical rehabilitation Psychosocial rehabilitation Financial rehabilitation Relocation 26. Thank you.