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