community health nursing asn 260 chapter 12-iggy mass casualty incidents s. tapp msn bsn rn adn...
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Community Health Nursing ASN 260
Chapter 12-IggyMass Casualty IncidentsS. Tapp MSN BSN RN
AD
N 2
60/R
N 1
2
1
Objectives• The student will be able to:
• Identify components of and key personnel roles in an emergency preparedness and response plan
• Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents
AD
N 2
60/R
N 1
2
2
Disaster• Disaster—an event in which illness or injuries exceed resource
capabilities of a community or medical facility:• Violence• Illness outbreaks• Severe weather• Earthquakes• Avalanches• Fire
• Man made, naturally occurring, or both AD
N 2
60/R
N 1
2
3
Disaster Management• Four levels
• Disaster prevention/mitigation• Disaster preparedness• Disaster response• Disaster recovery
4
AD
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60/R
N 1
2
Multi-Casualty Events and Mass Casualty Events• Multi-Casualty Event—can be managed by a hospital using
local resources
• Mass Casualty Event—local medical capabilities are overwhelmed and may require the collaboration of multiple agencies and health care facilities to handle the crisis
AD
N 2
60/R
N 1
2
5
Super Storm Sandy
AD
N 2
60/R
N 1
2
6
Impact of Recent Disasters
• Events of September 11, 2001• HAZMAT training• Emergency preparedness
AD
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60/R
N 1
2
7
Emergency Preparedness and Response• In mass casualty or disaster situations, a military form of
triage is implemented with the overall goal of doing the greatest good for the greatest number of people
• Safety concerns for providers in the field
AD
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60/R
N 1
2
8
Disaster Triage Tag System
• Red Tag—emergent
• Yellow Tag— can wait a short time for care
• Green Tag—nonurgent or “walking wounded”
• Black Tag—are expected to die or are dead
AD
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60/R
N 1
2
9
Notification and Activation of Emergency Preparedness Plans• Radio or cellular communication between the ED and EMS
providers at the scene
• Media broadcast message via radio, television, or electronic announcements
• DMAT team AD
N 2
60/R
N 1
2
10
Hospital Incident Command System• Common organizational model for disaster management• Roles formally structured under the hospital or long-term care
facility incident commander with clear lines of authority and accountability for specific resources
• Emergency Operations Center or Command Center• Hospital incident commander• Medical command physician• Triage officer
AD
N 2
60/R
N 1
2
11
Role of Nursing in Hospital Incident Command System • Meet patient needs • Personal emergency preparedness plan• Personal readiness supplies or “go bag”
AD
N 2
60/R
N 1
2
12
Basic Supplies for Personal Preparedness (3-Day Supply)
AD
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60/R
N 1
2
13
Objectives Review• The student will be able to:
• Identify components of and key personnel roles in an emergency preparedness and response plan
• Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents
AD
N 2
60/R
N 1
2
14
15
AD
N 2
60/R
N 1
2