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DIASTER MANAGEMENT

Learning Objectives-Disaster ManagementDescribe and discuss the role of the nurse in different types of disasters.Identify the nurses role in disaster preparednessDiscuss the role of the nurse in the coordination, assessment and treatment of disaster victims.Discuss the role of a nurse following a disaster.Learning Objectives- BioterrorismIdentify the different types of bioterrorism

Identify and describe chemical, biologic and radiologic agents used in terrorist attacks

Identify the different types of injuries involved in biologic disasters and acts of terrorism

Learning ObjectivesIdentify and discuss the protective equipment and decontamination process in the event of a biological disaster

Discuss the nursing management and expected outcomes applicable in the response, triage and treatment of victims of biological catastrophes and bioterrorism events.Types NaturalPandemicsTransportationTechnological Terrorism

Nurses are the main health professionals in touch with the community. They have exceptional knowledge of the most vulnerable populations, and this information can be immediately used in a disaster. Nursing recognizes the physical and the psychosocial impact of disasters on well being of individuals, families and community. Nurses deal not only with the physical stresses of a disaster, but potentially more importantly the fear, dangers, stressand uncertainties of disasters.

Nurses in disasters provide support and help the public in regain confidence in rebuilding their lives and living through hard times. Understanding and finding a meaning to suffering helps in healing and in reducing impact on physical health.

5Emergency and Disaster Preparedness Competencies for NursesAgency Role

Chain of Command

Emergency Response Plan

Emergency/Disaster DrillsEmergency and Disaster Preparedness Competencies for NursesProper use of equipment

Emergency communication methods

Communication Roles

Limits and ResourcesEmergency and Disaster Preparedness Competencies for NursesCreative Problem Solving and Evaluation

Appropriate actions for emergency situations

Continuing Education

Evaluate and improve response in emergency drillsPlanning for DisastersPre-Disaster PlanningAssessing Community Vulnerability and Capabilities.

Mass Casualty IncidentAn incident that results in 100 or more casualties and overwhelms health care facilities and emergency services.

Estimating Victims of Mass CasualtyTotal number= approximately two times the number of victims that arrive in first hour

30% will require admission

of those requiring admission will need surgery within 8 hoursEmergency Severity Index

Triage- Different in Mass CasualtyTriage occurs in