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Disaster Nursing

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Disaster Nursing Christina Barrick * * Objectives Describe examples of natural and manmade disasters. attack. Describe the different phases of a disaster. – PowerPoint PPT presentation

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Title: Disaster Nursing


1
Disaster Nursing
  • Christina Barrick

2
Objectives
  • Describe examples of natural and manmade
    disasters. attack.
  • Describe the different phases of a disaster.
  • Discuss the nurses role in managing the disaster
    victim.
  • Compare the reactions of children and the
    elderly.
  • Discuss the role of the nurse in primary,
    secondary, and tertiary care.
  • Apply principles of triage to select situations.
  • Describe the principles of disaster management.

3
What is a Disaster?
  • Forces overwhelm a community.
  • Services are compromised.
  • Outside assistance is required.

4
Characteristics of Disaster Agents
  • Predictability
  • Frequency
  • Controllability/Mitigation
  • Time speed, duration
  • Scope
  • Intensity
  • Community Implications

5
Manmade Disasters Terrorism
  • D.O.D estimates that as many as 26 nations
    possess chemical or biological agents.
  • 10 countries are believed to possess biological
    agents as weapons
  • Attack can take many forms
  • Aerosolized agents

6
Nuclear Attack
7
Nuclear and Radiological Attack
  • Dirty Bomb
  • Appeal to terrorists
  • Availability

8
Natural Disaster Tsunami
9
Phases of a Disaster
  • Pre-disaster
  • Warning
  • Impact
  • Emergency
  • isolation
  • rescue
  • remedy
  • Recovery

10
Immediate Physical Management of the Disaster
Victim
  • Validate what you hear
  • Perform a thorough assessment
  • Assess for other injuries/illnesses even when
    symptoms are absent
  • Is the condition life-threatening
  • What is past medical history?
  • Do not ignore patient fears or complaints

11
Management of the Psychosocial Aspects of a
Disaster Victim
  • Pre-disaster Preparations and Warning Phase
  • reactions apathy to panic
  • interventions mock drills, leadership
  • important goal
  • interventions mental health services

12
Management of the Psychosocial Aspects of a
Disaster Victim
  • Impact and Emergency Phase
  • reaction disaster syndrome
  • Interventions prevent isolation, rumor control

13
Management of the Psychosocial Aspects of a
Disaster Victim
  • Recovery Phase
  • reaction
  • interventions

14
Reactions of Children to a Disaster
  • Developments level
  • Familys reactions
  • Separation anxiety
  • School refusals
  • Enuresis
  • Guilt

15
Reactions of Children to a Disaster
  • Interventions
  • Research
  • www.fema.gov/kids

16
Elderly Reactions
  • Generally cope better
  • Prob. related to chronic illness/resources
  • Fear loss of independence
  • Interventions
  • assistance with clean up
  • financial, legal, and tax info.
  • refer to a support team
  • refer to appropriate comm. agencies

17
Caregivers Reactions
  • Same as Victim
  • Role Strain
  • Concerns over Personal Safety Family
  • Possessiveness towards victims
  • Nurse - parent identification with pediatric
    victims
  • Interventions
  • clear disaster plans disaster exercises

18
Criteria for Post Traumatic Stress Disorder
  • The trauma is universally recognized
  • Re-experience the trauma
  • Demonstrate either emotional numbing or decrease
    in normal events

19
Three Tier Triage System
  • First Priority
  • Second Priority
  • Third Priority

20
Three Tier Triage System
  • Special Cases
  • pregnancies
  • injured disaster personnel
  • family of rescue worker
  • agitated of violent patients

21
Role of the Nurse at the Disaster Site
  • Insure safety
  • First Aid
  • Emergency care

22
Role of the Nurse in a Shelter
  • Objective temporary means of caring
  • Assessment
  • Planing
  • 24/7 nursing and ancillary coverage
  • Supplies
  • Implementation
  • Evaluation

23
Role of the CHN in a Community Setting After a
Disaster
  • Goal Achieve the best possible level of health
    for persons in a community after a disaster
  • Primary Prevention
  • Secondary Prevention
  • Tertiary Prevention

24
Prevention Levels in Disaster Management
  • Primary Prevention
  • Secondary Prevention
  • Tertiary Prevention

25
Principles of Disaster Management
  • Prevent the disaster
  • Minimize casualties
  • Prevent further casualties
  • Rescue the victims
  • First aid
  • Evacuate
  • Medical care
  • Reconstruction
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