Program Outline Disaster Strikes: How Do You Respond? · and strengthen disaster planning and...

Program Outline Disaster Strikes: How Do You Respond? Brenda Gray, PharmD, CNSC, BCNSP, VA-BC, CVAA-c, PRS [email protected] Kevn McNamara, PharmD, CNSC, CSP, CVAA-c, PRS [email protected] Clinical Pharmacy Partners LLC Authors have no disclosures. Disaster Strikes: How Do You Respond? Disclosures

Authors have no commercial relationships relevant to the topic being presented” Presentation Overview/Summary Disasters, natural and manmade, occur every day. Disasters can be as minor as interruptions in power or phone to complete devastation to a practice or a patient home. Proper preparation can be the key in managing the situation and avoiding the development of a crisis or emergency. All nutrition support practices and patients should have a disaster management plan that evaluates vulnerabilities, outlines action to take and provides resources to successfully manage the patient care during and after disaster. Recent natural disasters, including historic storms and fires, have challenged even the best disaster preparedness plans for organizations and patients. Plans that were prepared and practiced unfortunately fell short in many cases. Understanding the impact of each of the most common disasters can guide the development of a strong disaster preparedness plan. Knowing the resources available to support disaster recovery can lead to a more coordinated disaster response leading to better patient outcomes. Exploring lessons learned from those affected by these recent disasters can further strengthen disaster preparedness plans for both organizations as well as patients. Learning Objectives At the conclusion of the presentation, the learner will be able to:

1. Identify common disasters that impact nutrition support practices and patients and describe the key components of a successful disaster plan.

2. Evaluate gaps that were found in plans during recent disasters and how lessons learned by those practices and patients can be applied to other practices and delineate steps to evaluate and strengthen disaster planning and recovery.

3. List resources that should be considered for inclusion in a disaster plan and/or response kit

Key Takeaways/Fast Facts • Disasters can come with or without warning and be natural or man-made. • A proper plan can prevent a disaster from creating a crisis for the patient and/or the organization. • Preparation is a team approach and involves assessing, planning, educations and practice. • Assessing disaster responses can bring valuable insights and lessons to improve disaster plans. • Successful disaster management can avoid many adverse outcomes.

Learning Assessment Questions 1. Question 1: True or false: Natural disasters are unpredictable and always impact patients

negatively. A. True B. False

2. Question 2: True or False: Man-made disasters are always easier to manage than natural

disasters.

mailto:[email protected]

Program Outline Disaster Strikes: How Do You Respond?

A. True B. False

3. Question 3: In a disaster, patients should obtain nutrition supplies from:

A. Local emergency shelter B. Red Cross C. Nutrition Provider D. Oley Foundation

4. Question 4: True or False: Once written the disaster plan should not be changed A. True B. False

5. Question 5: Patients who go to shelters should:

A. Place PN on dry ice B. Use hand sanitizer C. Expect assistance from the medical staff D. . Should call 911 if they need pump batteries

Learning Assessment Answers:

1. Answer = False – with proper planning, one can often limit the impact of a disaster 2. Answer = False – any type of disaster can be difficult to manage without preparation 3. Answer = C – other providers are not likely to have supplies or be able to get them to the patient 4. Answer = False – plan should be regularly evaluated and updated 5. Answer = B – always use extra precautions in a contained public area, never use dry ice directly

on PN, don’t expect readily available assistance unless arrangements made in advance, use 911 only for life threatening emergencies

References 1. FEMA patient handouts (WWW.FEMA.GOV) 2. American Red Cross “SPECIAL NEEDS EMERGENCY PREPAREDNESS” HANDOUT” 3. http://www.jacksonhealth.org/library/plans/hurricane-response-plan-12.pdf 4. HHS: Healthcare System Recovery Timeline A White Paper for Texas 5. Saulnier, D. (2017). No Calm After the Storm: A Systematic Review of Human Health Following

Flood and Storm Disasters. Prehospital and Disaster Medicine. 6. ASPR TRACIE. (2017). Major Hurricanes: Potential Public Health and Medical Implications 7. FEMA. (2013). A Citizen’s Guide to Disaster Assistance, Unit 3- Overview of Federal Disaster

Assistance. 8. Accreditation Standards (TJC, ACHC, URAC, CMS CHAP) 9. https://asprtracie.hhs.gov

https://asprtracie.hhs.gov/

3/13/2019

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Disaster Strikes: How Do You Respond?

ASPEN 2019 Nutrition Science & Practice Conference

Brenda Gray, PharmDTampa, FL

Kevn McNamara, PharmDFort Myers, FL

Special thanks to colleagues at FEMA, American Red Cross and those in disaster impact areas

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Disclosures

Authors have no commercial relationships to disclose

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Learning Objectives

• Identify common disasters that impact nutrition support practices and patients and describe the key components of a successful disaster plan.

• Evaluate gaps that were found in plans during recent disasters and how lessons learned by those practices and patients can be applied to other practices and delineate steps to evaluate and strengthen disaster planning and recovery.

• List resources that should be considered for inclusion in a disaster plan and/or response kit

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Types of Disasters Affecting Nutrition Support Services

Natural disasters – hurricanes, tornadoes, forest fires, ice storms, floods, avalanche, blizzard, polar vortex

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Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats, pipe leak or breakage (gas or water)

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Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats

Work stoppages – shipping strikes, local labor issues

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Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats

Work stoppages – shipping strikes, local labor issues

Shortages – products, supplies, interchanging products

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Challenges For Organizations

Safe environment to provide care

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Staffing to provide care

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Communication to coordinate care

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Communication to coordinate care

Acquiring products and supplies

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Challenges For Patients

Emergency needs – injuries, access issues, power for pumps, ice/refrigeration

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Emergency needs –injuries, access issues, power for pumps, ice/refrigeration

Infection control –appropriate water for handwashing, lighting

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Storage needs –safe, secure, temperature appropriate

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Storage needs – safe, secure, temperature appropriate

Communication plan

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Storage needs – safe, secure, temperature appropriate

Communication plan Inventory needs

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DISASTER PLAN DEVELOPMENT

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Components of a Successful Disaster Plan

Plan don’t PANIC!!!!!!!

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Plan don’t PANIC!!!!!!! Risk Assessment and Delineation of Needs

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Identification of Resources

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Contact Lists and Important Documents

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Risk Assessment and Delineation of

Needs


Contact Lists and Important

Documents

Specific Actions for Common

Emergencies

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Risk Assessment and Delineation

of Needs


Contact Lists and Important

Documents

Specific Actions for Common Emergencies

Plan Implementation and Evaluation

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Education Issues

Preparation steps

Response plans

Recovery Activities

Living in shelters and alternative

housing

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A CASE STUDY IN DISASTER MANAGEMENT

JOPLIN,

MISSOURI

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HURRICANE

SANDY

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HURRICANE

HARVEY

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JACKSON

HEALTH

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THE CAMP

FIRE

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HURRICANE

MARIA

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Resources

CIVIL AGENCIES (FEDERAL, STATE,

LOCAL, ETC)

ASSOCIATIONS AND SUPPORT GROUPS

RELIGIOUS OR SOCIAL ORGANIZATIONS

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QUESTIONS

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Learning Assessment Questions

True or false: Natural disasters are unpredictable and always impact patients negatively.

KM1

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True or false: Natural disasters are unpredictable and always impact patients negatively.

False – with proper planning, one can often limit the impact of a disaster

KM1 can the bottom box be deleted?Kevn McNamara, 2/26/2019

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True or False: Man-made disasters are always easier to manage than natural disasters.

KM2

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True or False: Man-made disasters are always easier to manage than natural disasters.

False – any type of disaster can be difficult to manage without preparation

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In a disaster, patients should obtain nutrition supplies from:

A. Local emergency shelter

B. Red Cross

C. Nutrition Provider

D.Oley Foundation

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In a disaster, patients should obtain nutrition supplies from:

A. Local emergency shelter

B. Red Cross

C. Nutrition Provider

D. Oley Foundation

C – other providers are not likely to have supplies or be able to get them to the patient

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True or False: Once written the disaster plan should not be changed

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True or False: Once written the disaster plan should not be changed

False – plan should be regularly evaluated and updated

KM2 can the bottom box be deletedKevn McNamara, 2/26/2019

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Patients who go to shelters should:

A. Place PN on dry ice

B. Use hand sanitizer

C. Expect assistance from the medical staff

D. Call 911 if they need pump batteries

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Patients who go to shelters should:

a. Place PN on dry ice

b. Use hand sanitizer

c. Expect assistance from the medical staff

d. Should call 911 if they need pump batteries

B – always use extra precautions in a contained

public area, never use dry ice directly on PN, don’t expect readily available assistance

unless arrangements made in advance, use 911 only for life

threatening emergencies

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References• FEMA patient handouts (WWW.FEMA.GOV)

• American Red Cross “SPECIAL NEEDS EMERGENCY PREPAREDNESS” HANDOUT”

• http://www.jacksonhealth.org/library/plans/hurricane-response-plan-12.pdf

• HHS: Healthcare System Recovery Timeline A White Paper for Texas

• Saulnier, D. (2017). No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters. Prehospital and Disaster Medicine.

• ASPR TRACIE. (2017). Major Hurricanes: Potential Public Health and Medical Implications

• FEMA. (2013). A Citizen’s Guide to Disaster Assistance, Unit 3- Overview of Federal Disaster Assistance.

• Accreditation Standards (TJC, ACHC, URAC, CMS CHAP)

• https://asprtracie.hhs.gov

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Program Outline Disaster Strikes: How Do You Respond? · and strengthen disaster planning and...

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Transcript of Program Outline Disaster Strikes: How Do You Respond? · and strengthen disaster planning and...