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Your Role in Emergency Planning Objectives

Your Role in Emergency Planning Objectives. Upon completion of this lecture, you will be better able to: Assess your school emergency response time Analyze your school emergency preparedness Plan appropriate responses for student illness or injury

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Your Role in Emergency Planning Objectives

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  1. Your Role in Emergency Planning Objectives Upon completion of this lecture, you will be better able to: Assess your school emergency response time Analyze your school emergency preparedness Plan appropriate responses for student illness or injury Describe at least 7 variables to consider when planning for emergency care Discuss the components involved in crisis management Describe at least 4 factors that help to identify students at risk for violent behavior Illinois EMSC

  2. Your Role in Emergency Planning As a school nurse you have an instrumental role in developing a comprehensive management plan for school emergencies. Illinois EMSC

  3. Your Responsibilities in Emergency Planning • Evaluate first aid and emergency care delivery • Identify potential problems in school environment • Work with the school medical advisor • Coordinate first aid and CPR training for staff • Develop emergency plans for students with known health problems Illinois EMSC

  4. Your Responsibilities in Delivering Immediate Care • Initiate appropriate interventions when students are ill or injured • Manage emergency care at the scene • Counsel students and staff Illinois EMSC

  5. Your Responsibilities in Communicating with Others • Parents and caregivers • Primary health provider • School administrator, teachers and staff Illinois EMSC

  6. SPECIAL CONSIDERATIONS • Cultural Diversity • Children with Special Health Care Needs Illinois EMSC

  7. SPECIAL CONSIDERATIONS • AGE AND DEVELOPMENTAL LEVEL OF STUDENTS • LACK OF HEALTH CARE ACCESS • RESPONSE OF LOCAL EMS Illinois EMSC

  8. PLANNING FOR EMERGENCIES Assess your existing emergency plan Illinois EMSC

  9. Assessing the Emergency Care Plan • WHO could require care ? • WHAT could be the illness or injury ? • WHERE could it happen ? • WHEN could it occur ? • HOW should you respond ? Illinois EMSC

  10. ASSESSING COMMUNITY RESPONSE • EMS Coordinator • EMS dispatch • Response time • Level of responders • EMS protocols • Local law enforcement Illinois EMSC

  11. COMMUNITY RESPONSE • Hospital • Emergency Department • Variables in decision • Transport times • Trauma center • Pediatric center Illinois EMSC

  12. Emergency Responders • Emergency Department Nurse/Physician • Bystanders/Good Samaritan • Medical First Responder • Emergency Medical Technician • EMT-B • EMT-I • EMT-P Illinois EMSC

  13. IS YOUR SCHOOL FULLY PREPARED? • Written policies/standing orders • Standing orders reviewed and signed by MD annually • Transport policies clearly defined • Personnel educated • Duties outlined • Safety procedures developed • Adequate equipment and supplies • Investigate sources for securing funds for supplies Illinois EMSC

  14. School Communications System • Notifying EMS • Notifying school staff • Notifying parent/guardian • Public Information dissemination • Providing informational updates Illinois EMSC

  15. School Personnel • All school employees assigned to respond and provide care in an emergency should: • Be knowledgeable of Universal Precautions • Be offered the Hepatitis B vaccine • Have personal protective equipment (PPE) available • Report all exposures • Follow-up with a medical evaluation following an incident Illinois EMSC

  16. Triage • EMERGENT • Students requiring emergent care are those with an illness or injury requiring immediate medical attention • URGENT • Students requiring medical intervention within two hours • NON-URGENT • Students may or may not require referral for routine medical care Illinois EMSC

  17. Transport Options • Based on condition of student • Available options • EMS ground transport • EMS air transport • Parent/guardian • Other responsible adult • School staff Illinois EMSC

  18. Telephone Triage • Rely on a sense of hearing • Develop an ability to interpret auditory cues • Learn to work with other senses • Ask questions • Rely on the caller for key information • Develop one’s intuition • Understand the loss of power and control • Use verbal communication effectively Illinois EMSC

  19. Telephone Triage Pitfalls to Avoid When giving advice over the phone, avoid the following pitfalls - • Failure to correctly evaluate the nature or urgency of the situation • Failure to speak directly with the student • Failure to document the call Illinois EMSC

  20. Documentation • Comprehensive and consistent • Ease and efficiency • Record for continuity of care • Record of nursing care for legal protection • Standard format facilitates acceptance • Data collection valuable in planning Illinois EMSC

  21. Follow-Up Activities • Complete incident reports • Conduct follow-up review • Evaluate outcome • Collect data Illinois EMSC

  22. Special Situations • Refusal of care • Parent/guardian • Student • Other • Religious objections • DNR • Automated External Defibrillators Illinois EMSC

  23. Crisis Management • Natural disasters • Manmade disasters • Terrorist attacks • Violent incidents Illinois EMSC

  24. Your Role and Responsibility in Crisis Management • Recognize patterns of illness • Maintain a high index of suspicion • Assess potential emergency risks to the school population • Assess adequacy of emergency preparedness training and drills • Prepare to function on front lines during adverse events • Plan for the health care needs of special needs students during a disaster • Coordinate both short-term and long-term recovery phases after a traumatic event • Become involved in local emergency planning Illinois EMSC

  25. Children and Terrorism Special Considerations • Short stature puts them closer to ground where aerosolized biological, chemical and radiologic agents settle • Thinner skin • Greater surface-to-mass ratio • Smaller circulating volume than an adult • Developmental level • Psychological needs • At risk for dehydration and hypothermia Illinois EMSC

  26. Communication During a Crisis Warning Codes • Code Red • Code Yellow • Code Blue • Code White • Code Green Illinois EMSC

  27. Coping with Violence Youth violence • A critical public health problem • Need for violence prevention programs • Identify students at risk for violent behavior • Implement appropriate interventions Illinois EMSC

  28. Summary • School nurses play a key role in providing emergency care and managing student illness and injury in the school environment. • Collaborate with others to develop an emergency plan and crisis management plan. • Remain attune to current standards of practice and local/state regulations. Illinois EMSC

  29. ANY QUESTIONS?? Illinois EMSC

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