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ROLE OF COMMUNITY HEALTH NURSE IN DISASTER MANAGEMENT

MD.YUSUF.ALIB.sc (N), PGDHHM

welcomeMd Yusuf Ali

Md Yusuf Ali

INTRODUCTIONAct in time, Save life holds true to disaster management. Disaster occurrence is a global phenomenon. It can occur at anywhere at any time. Disaster occurrence in any countries affects its health and economic conditions. Most types of natural disaster are to reoccur in the same areas or countries. Furthermore with the changing ecosystem, deforestation, misuse of land we have every reason to believe that frequency of disasters such as floods, will increase in the coming decades. Md Yusuf Ali

Md Yusuf Ali

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DEFINITIONDISASTER - Any occurrence that causes damage, economic disruption, loss of human life and deterioration in health and the health services on a scale sufficient to warrant an extra ordinary response from outside the affected community or area.

Md Yusuf Ali

Md Yusuf Ali

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DISASTER MANAGEMENT-It can be defined as the effective organization direction and utilization of available counter-disaster resources

Md Yusuf Ali

Md Yusuf Ali

PHASES OF DISASTER MANAGEMENT:1.Preventive phase-(Mitigation, storm shelter, warning system etc.)2.Personal preparedness Professional preparedness Community preparedness3.Response phase

4.Recovery phaseMd Yusuf Ali

Md Yusuf Ali

NURSES ROLE IN COMMUNITY ASSESSMENT Assess the community

(E.g.-Local climate conductive for disaster)Past history of disasterAvailable community disaster center Personal available in the community Local agencies Health care facilities available.

Md Yusuf Ali

Md Yusuf Ali

DIAGNOSIS Diagnose community disaster threats.Determine the actual and potential disaster threats. Community disaster planning.

PLANNING Develop disaster plan: *Aim: To provide prompt and effective medical care to the maximum possible in order to minimize morbidity and mortality. Md Yusuf Ali

Md Yusuf Ali

*Objectives Prepare the staff and institutional resources. Create a community awareness.

Plan for * Constitution of disaster management committee * Disaster control room. * To refer the calamities to treat * Rapid response team * Information and communication. * Disaster beds * Logistic support system-equipment and supplies. * Training . Md Yusuf Ali

Md Yusuf Ali

Elements of disaster plan:Chain of authorityLines of communicationModes of transportMobilizationWarning Rescue and recovery Triage Treatment Support of victims and families Care of dead bodies Disaster worker rehabilitation.Md Yusuf Ali

Md Yusuf Ali

Activation of disaster management plans:Develop a standard operating procedureReception area-Disaster content room.Triage Documentation at control room Public relation Essential services-eg.water and power and food Crowd management/security arrangements. Md Yusuf Ali

Md Yusuf Ali

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Activities needed in planning:Identify local community communication systemIdentify disaster personnel like private and professional voluntary etc.Identify regional back up agencies and personnel Identify specific responsibilities for various personnel involved in the disaster plan. Set up an emergency medical system and chain of activation. Identify location and accessibility of equipments and supplies. Check proper functioning of emergency equipments. Identify outdated supplies and replace. Md Yusuf Ali

Md Yusuf Ali

Implement disaster plans:Focus on primary prevention activities to prevent occurrence of man made disaster. Practice community disaster plans with all personnal-eg. Triage, Supply of food ,water. practice using equipment, obtaining and distributing supplies.

Md Yusuf Ali

Md Yusuf Ali

Shelter management plans: Nurse can act as shelter managers Listen to the victims Encourage victims to overcome the crisis Delegate tasks to team members and co-ordinate activities Provide the basic resources. like food, water etc Provide compassion and dignity to the victim.

Md Yusuf Ali

Md Yusuf Ali

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Md Yusuf Ali

Md Yusuf Ali

ROLE OF NURSE IN DIFFERENT PHASESDisaster phases. Passing message to the near by hospitals Getting ready with emergency equipment Discharging the patients Creating awareness.

Md Yusuf Ali

Md Yusuf Ali

Response phase.Identify the population Triaging the victimCare for injured persons Transporting patientsArranging for physical facilities for the victim.Recovery phase.CounselingContinuing careVocational trainingBehavior modificationRehabilitation Md Yusuf Ali

Md Yusuf Ali

Risk reduction phase.Awareness about disasterTraining to peopleMass health educationEducation about warning signs of disaster.Md Yusuf Ali

Md Yusuf Ali

NURSES RESPONSIBILITY

PRE-PLANNING: developing a responsible planStorage of equipment and suppliesFollow the protocol of notificationDesignation of an alternative reporting

site for health care workersVery familiar with the equipment and

supplies to useUse of personal protective devicesKnowledge on potential hazards at the disaster sites. E.g.: unstable building structure

Md Yusuf Ali

Md Yusuf Ali

COMMUNITY PREPAREDNESSEducationFirst aid programMaking each home to storeEmergency telephone numbersBattery operated radioFlash lightFirst aid kitThree day supply of waterMedical information &family physician detailsPersons to be notified in emergency

Md Yusuf Ali

Md Yusuf Ali

ROLE AND RESPONSIBILITIES OF THE DISASTER MANAGEMENT BOARDDevelop a National Disaster Action planHelping the ministries and agenciesWorking with local authoritiesProviding documentation and information servicesMonitoring and referring the Govt. Md Yusuf Ali

Md Yusuf Ali

During an emergency:Ensure the effective communication and informationActivity and operate National emergency Private secretarial service and expert advice to the National Disaster management Council and inter ministerial disaster management co-ordination committee.Provide information with the economic relations divisions and the ministry of information. Md Yusuf Ali

Md Yusuf Ali

During post disaster recovery:Co-operate with the planning commission and line agencies on reconstruction requirementsEnsure the risk reduction measures.Under take final evaluation.

Md Yusuf Ali

Md Yusuf Ali

CONCLUSION Community health nurses are an integral part of disaster planning and implementation efforts. They are involved as planners, educators, direct care givers and assessment supervisors. They serve as a community survey assessment or triage officers after the disaster has occurred. Hence participate actively in disaster management as a community health nurse and protect the health of the community before, during and after disaster.Md Yusuf Ali

Md Yusuf Ali

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TAKE HOME MESSAGE: DISASTER CAN OCCUR AT ANY TIME ANY FORM OR TO ANY ONE. BE PREPARED TO MEET THE CHALLENGES AFTER THE EFFECT OF DISASTER. Md Yusuf Ali

Md Yusuf Ali

THANK YOU

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