disaster management at site and at hospital
TRANSCRIPT
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DISASTER MANAGEMENTAT SITE AND AT HOSPITAL
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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.
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D-I-S-A-S-T-E-R ParadigmD: Detection I: Incident CommandS: Safety & SecurityA: Assess HazardsS: SupportT: Triage & TreatmentE: EvacuationR: Recovery
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MASSM – MoveA – AssesS – SortS – Send
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Aim
-Rescue
-Medical Care
-Food and safe drinking water
-Prevention of epidemic out break
- Monetary Compensation
-Rehabilitation
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NURSES ROLE IN DISASTER MANAGEMENT
•Identify
Priorities
•Maintain
Essential
Service
•Medical Backup
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RECORDS & IDENTIFICATION OF CASUALTIES
-Simple disaster record-Affix small tag to each casualtyNon urgent (Green)Urgent condition (Yellow)Emergency Transport (Red)Death (Black)
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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
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PUBLIC INFORMATION SYSTEM
-Maintain casualty list and other data
-Have all information related to hospitalization
-Efficient communication link between triage and hospital
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COMMUNITY MEASURESFirst Aid & Medical Care-Life saving Resuscitation-Allay Panic-Avoid convergence behavior-Immediate rescue and relief-Professional Identification-Direct people to shelters
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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
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TRANSPORT
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HOSPITAL RESPONSE FOR DISASTER
•Medical Staff Director
•Establishing a physician labor pool.
•Credentialing volunteer medical staff.
•Assign physician staffing.
•Withhold all elective surgery
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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
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Ancillary Services•Inventorying available blood supply.
•Evaluating ancillary services’ capacity to perform services required by emergency.
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Critical Supplies� Pharmaceuticals� Medical supplies� Food supplies� Linen� Water� Critical Equipment
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Communications• Other areas/departments within
hospital• External agencies
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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
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REHABILITATION-Starts from the moment disaster strikes & ends with the restoration of normality
- Medical- Surgical- Psychological- Vocational
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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
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THANK YOU