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Chapter 12. Concepts of Emergency and Disaster Preparedness. Disaster. Disaster — an event in which illness or injuries exceed resource capabilities of a community or medical facility: Violence Illness outbreaks Severe weather Earthquakes Avalanches Fire.
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Chapter 12 Concepts of Emergency and Disaster Preparedness
Disaster • Disaster—an event in which illness or injuries exceed resource capabilities of a community or medical facility: • Violence • Illness outbreaks • Severe weather • Earthquakes • Avalanches • Fire
Multi-Casualty Events and Mass Casualty Events • Multi-Casualty Event—can be managed by a hospital using local resources. • Mass Casualty Event—local medical capabilities are overwhelmed and may require the collaboration of multiple agencies and health care facilities to handle the crisis.
Impact of Recent Disasters • Events of September 11, 2001 • HAZMAT training • Emergency preparedness
Emergency Preparedness and Response (Cont’d) • In mass casualty or disaster situations, a military form of triage is implemented with the overall goal of doing the greatest good for the greatest number of people. • Safety concerns for providers in the field.
Disaster Triage Tag System • Red Tag—emergent (class I) patients • Yellow Tag—patients who can wait a short time for care (class II) • Green Tag—nonurgent or “walking wounded” (class III) • Black Tag—patients who are expected to die or are dead (class IV)
Notification and Activation of Emergency Preparedness Plans • Radio or cellular communication between the ED and EMS providers at the scene • Media broadcast message via radio, television, or electronic announcements • DMAT team
Hospital Incident Command System • Common organizational model for disaster management • Roles formally structured under the hospital or long-term care facility incident commander with clear lines of authority and accountability for specific resources • Emergency Operations Center or Command Center • Hospital incident commander • Medical command physician • Triage officer
Role of Nursing in Hospital Incident Command System • Meet patient needs • Personal emergency preparedness plan • Personal readiness supplies or “go bag”
Event Resolution • Debriefing: • Critical incident stress debriefing • Administrative review • Psychosocial response of survivors to mass casualty events