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

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

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

  8. 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 Response

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

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

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

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

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

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

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

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

  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. Policy pe 1-13: disasters POLICY: All Union Hospital employees are to be familiar with their responsibilities and duties in the event of fire, internal disaster or external disaster. Participation in fire and disaster drills is required. PURPOSE: To ensure the efficient operation of services during a disaster; to ensure that all employees are familiar with, and able to perform their assigned tasks during a disaster, to ensure that all employees are familiar with the use of fire-fighting equipment and to ensure that the fire plan and internal and external disaster plans are current and effective.

  19. PROCEDURE: 1. The organization maintains a Emergency Preparedness Team, composed of the Vice President of Human Resources, the Director of Safety, the Security Coordinator, Nursing Service Supervisors, Nursing representatives and Director of Public Relations. 2. The Emergency Preparedness Team is responsible for the fire and disaster plans and operation. 3. The Emergency Preparedness Team conducts rehearsals of realistic drills, involving all services, on the following time table: a. Disaster Plan - semi-annually b. Fire Drills - quarterly for each shift, with varied conditions 4. Patients are not evacuated during disaster drills. 5. The Emergency Preparedness Team will evaluate each drill and file a written report of each drill with the Safety and Security Department. 6. In the event of a real disaster, the Emergency Preparedness Team will initiate and direct action, evaluate the action and file a written report with the Safety and Security Department describing services provided in the disaster. 7. The Emergency Preparedness Team is responsible for reviewing and revising disaster plans as needed. 8. Department Directors are responsible for ensuring, and documenting, that all of their employees receive annual training on fire and disaster plans. NOTE: Reference department specific policies and procedures concerning Fire, Internal Disaster and External Disasters.

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