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DISASTER PREPAREDNESS

DISASTER PREPAREDNESS. Definition: Any situation/event that overwhelms existing resources or ability to respond. Definition of Disaster: External. Multi patient incident event resulting in fewer than 10 casualties Multi casualty incident

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DISASTER PREPAREDNESS

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  1. DISASTER PREPAREDNESS

  2. Definition: • Any situation/event that overwhelms existing resources or ability to respond.

  3. Definition of Disaster:External • Multi patient incident • event resulting in fewer than 10 casualties • Multi casualty incident • results in 100 or fewer casualties, strains facilities • Mass casualty incident • results in more than 100 casualties, overwhelms existing facilities

  4. Definition of Disaster:Internal • Any situation that results in the health care facility becoming partially or totally inoperable

  5. Disaster Response Assessment: • Loss of life • Physical injuries • Psychological trauma • Property damage • Environmental destruction • Economic/Business loss

  6. Emergency Preparedness Plan • Disaster command center • Administrative operations center • Medical operations center • Nursing operations center

  7. Emergency Preparedness Plan • Personnel operations center • OR operations center • Security operations center • ED operations center

  8. Response • Confirm disaster activation response • ED operations center • Assignments of on-duty supervisor • Staff assignments • Evacuation of patients from ED • Secure environment • ED staffing considerations • Communication

  9. Response continued • Disaster casualty patient coordination • Triage • Acuity assessment • Disaster tags • Registration log • Treatment area • All documentation on disaster packet • Tracking with disaster tags • Family

  10. Stress Management • Stress reducers • Assess staff during breaks or rounds • Educate staff regarding delayed stress reaction • Critical Incident Stress Debriefing.

  11. Deactivation of Disaster • Support resources meeting demand • Institutional needs assessment • Critique—what worked, what needs improvement

  12. Weapons of Mass Destruction • Radiation exposure • Chemical exposure • Biological agents • Viral agents • Toxin agents • Visual DX Resource

  13. Radiation • Depends on dose • Symptoms- • Nausea, vomiting, or bloody diarrhea within 3 hours • Radiation safety officer • Decontamination of all patients • Safety of decontamination team

  14. Chemical • Industrial or terrorist • Recognition of agent • PPE • Decontamination • Specific agents

  15. Biological agents • Occur naturally in environment • Types of biological agents • Bacteria: anthrax, plague, tularemia • Viruses: smallpox, ebola, VEE • Toxins: botulism, staphylococcal enterotoxin B, ricin

  16. Viral agents • Onset of signs and symptoms 7 – 10 days • Quarantine • Supportive therapy • No approved antiviral medication

  17. Toxins • Botulism • Neurotoxin • Ricin • Blocks protein synthesis • Onset 8-24 hours • Staphylococcal enterotoxins • Sudden onset of high fever, headache, & chills in aerosol exposures

  18. Review Question • Mass casualty tags for stretcher patients are placed on the patient’s: A. Stretcher B. Ankle C. Wrist D. neck

  19. Review Question • Mass casualty tags for stretcher patients are placed on the patient’s: A. Stretcher B. Ankle C. Wrist D. neck

  20. Review Question What are the three principle routes of exposure for chemical hazardous materials? A. Feet, hands and lungs B. Roads, farms and industrial plants C. Inhalation, skin absorption and ingestion D. Inhalation, injection and direct contact

  21. Review Question What are the three principle routes of exposure for chemical hazardous materials? • Feet, hands and lungs • Roads, farms and industrial plants • Inhalation, skin absorption and ingestion • Inhalation, injection and direct contact

  22. Review Question Important information about hazardous chemicals which is supplied by the manufacturer can be found on: A. Truck placards B. Material safety data sheets C. Packing containers D. Shipping manifests

  23. Review Question Important information about hazardous chemicals which is supplied by the manufacturer can be found on: A. Truck placards B. Material safety data sheets C. Packing containers D. Shipping manifests

  24. Questions?

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