the clinical background and disaster experience of nurses who participated in the 2009 victorians...

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The pre-hospital role of nurses: The 2009 Black Saturday Victorian Bushfires Mr Jamie Ranse: Clinical Manager, Emergency Department – Calvary Health Care ACT Chief Nursing Officer, St John Ambulance Australia Mr Shane Lenson: Manager of Emergency Department Services– Calvary Health Care ACT Mr Brett Aimers: State Professional Officer, St John

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Paper presented at the Canberra Hospital – Clinical Grand Rounds for Nurses and Midwives, Canberra, ACT, 25th March 2010.

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Page 1: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

The pre-hospital role of nurses: The 2009 Black Saturday Victorian Bushfires

Mr Jamie Ranse: Clinical Manager, Emergency Department – Calvary Health Care ACT Chief Nursing Officer, St John Ambulance Australia

Mr Shane Lenson: Manager of Emergency Department Services– Calvary Health Care ACT

Mr Brett Aimers: State Professional Officer, St John Ambulance Australia (Victoria)

Page 2: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Overview

• Background• Aims• Method• Results• Discussion

Page 3: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Background: Black Saturday Bushfires 2009

• 7th February:– Temperature 48.8oC, wind 115km/hr

• Loss:– 2,000 properties– 61 businesses– 173 lives– Numerous displaced persons

Page 4: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Background: Disaster Response

• Australia's health care response to disasters– Familiar with the threat of natural disasters– Real world disasters not tested

• St John Ambulance Australia– Clinical accreditation framework– Health care professionals in St John– Role of St John in the bushfires– Cross boarder arrangements

• Education• Previous experiences

Page 5: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Aim

To describe the clinical experience, disaster training / education, and disaster experience of nurses who participated in the February 2009 Victorian Bushfire response and recovery.

Page 6: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Method

• Exploratory and descriptive• Purposive sample

– ~35 Victorian nurses– ~20 Nurses from other jurisdictions– Identified from a membership database

• Survey• Descriptive statistics• Response rate 45%

Page 7: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Participant demographics

Page 8: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Work area and years of experience

Page 9: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Qualifications

Page 10: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Course type and participation

Page 11: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Mock disaster type and participation

Page 12: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Roles during the Black Saturday Bushfires

Page 13: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Results

• Nursing and Midwifery Experience: Nursing Years

Page 14: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

Discussion

• Males overrepresented• More medical / surgical nursing experience• Postgraduate qualifications in critical care• Disaster education• Disaster training – not bushfire related• Experience – bushfires• Roles – caring for firefighters in staging areas

Page 15: The clinical background and disaster experience of nurses who participated in the 2009 Victorians Bushfire

The pre-hospital role of nurses: The 2009 Black Saturday Victorian Bushfires

Mr Jamie Ranse: Clinical Manager, Emergency Department – Calvary Health Care ACT Chief Nursing Officer, St John Ambulance Australia

Mr Shane Lenson: Manager of Emergency Department Services– Calvary Health Care ACT

Mr Brett Aimers: State Professional Officer, St John Ambulance Australia (Victoria)