Role of intensive care and emergency nurses in disasters

Post on 28-May-2015

1.916 views 0 download

Tags:

description

Ranse J. (2011). Role of intensive care and emergency nurses in disasters; presented to students of the University of Canberra – Postgraduate Critical Care Nursing, Canberra, ACT, 30th August.

Transcript of Role of intensive care and emergency nurses in disasters

ROLE OF INTENSIVE CARE AND EMERGENCY NURSES IN DISASTERS

Jamie RanseAssistant Professor

University of Canberra

www.jamieranse.com

twitter.com/jamieranse

youtube.com/jamieranse

linkedin.com/in/jamieransehttp://lifelineenergy.org/blog/wp-content/uploads/2011/03/jap-11.jpg

overview

• Define disaster• Role

• In-hospital• Out-of-hospital

• Willingness• Ability• Education• Other ‘things’

Img: http://www.prcs.org.pk/disaster.asp

disaster definition

disaster definition

Queensland and Victorian extreme weather events, 2011

Cyclone Tracy, 1974Granville train crash and bridge collapse, 1977

Ash Wednesday, 1983

Newcastle earthquake, 1989

Canberra bushfires, 2003

Black Saturday and Victorian bushfires, 2009

Pandemic (H1N1), 2009

SARS outbreak, 2003

Indian Ocean tsunami, 2004

Bali bombings, 2005

Java earthquake, 2006

Yogyakarta air crash, 2007

SIEV explosion Ashmore Reef, 2009

Pacific tsunami, 2009

Pakistan floods, 2010

SIEV sinking Christmas Island, 2010

Christchurch Earthquake, 2011

role

In-hospital

role: in-hospital

• What is your role?– Little research / literature, therefore anecdotal – Triage– Decontamination– Accommodate surge

surge capacity?

• Strategies in surge• Workforce• Influenza

surge capacity?

0

20

40

60

80

100

120

140

160

180

Wed

Thu F

riS

atS

unM

onT

ueW

edT

hu Fri

Sat

Sun

Mon

Tue

Wed

Thu F

riS

atS

unM

onT

ueW

edT

hu Fri

Sat

Sun

Mon

Tue

Wed

Thu F

ri

Day

Pre

sen

tati

on

Fre

qu

ency

Total Influenza Presentations

Mean Influenza Presentations

Mean Total Presentations

Mean Total Presentations - Excluding Influenza

surge capacity?

surge capacity?

role

out-of-hospital

role: out-of-hospital

project 1: results

mock disaster type

project 1: results

roles

project 2: results

role

role: out-of-hospital

willingness

ability

• Undergraduate• In-service• Post-graduate

education

aim

Describe the disaster content in post-graduate emergency nursing programs in Australia

Img http://tenancyplus.blogspot.com/2011/06/natural-disasters-and-their-effect-on.html

results: disaster content overview

Elements of disaster content in courses:Community and public health responsePre-hospital responseHospital responseDisaster triageSustainabilityDisaster exercisesIncident systemsNursing role in disasterCommunications TechniquesManagement of the dead and dyingDisaster plansRole of other organisations in disaster responseMental health in relation to disastersPopulations with specific needsTypes of disastersExamples of disastersHealth effects of disasters

• Undergraduate• In-service• Post-graduate• Other

education

other ‘things’

• Disasters happen out of hours• Volunteering

• Disaster tourists• Government / registered NGO? • Your employer• A list? • Response versus recovery

ROLE OF INTENSIVE CARE AND EMERGENCY NURSES IN DISASTERS

Jamie RanseAssistant Professor

University of Canberra

www.jamieranse.com

twitter.com/jamieranse

youtube.com/jamieranse

linkedin.com/in/jamieransehttp://lifelineenergy.org/blog/wp-content/uploads/2011/03/jap-11.jpg