Professional Documents
Culture Documents
Disaster Nursing
Disaster Nursing
Introduction
Types of disaster
Levels of disaster
Level iii disaster – considered a minor disaster. These are involves minimal level of
damage
Level ii disaster- considered a moderate disaster. The local and community resources has
to be mobilized to manage this situation
Level i disaster- considered a massive disaster- this involves a massive level of damage
with severe impact.
Disaster mitigation
Disaster mitigation refers to actions or measures that can either prevent the occurrence of
a disaster or reduce the severity of its effects. (American Red Cross).
Mitigation activities include awareness and education and disaster prevention measures.
Prevention phase
Preparedness phase
Response phase
Recovery phase
Prevention phase
Identify community risk factors and to develop and implement programs to prevent
disasters from occurring.
Preparedness phase
Personal preparedness
Professional preparedness
Hospitals
Health professionals
Pharmacies
Public health departments
Rescue personnel
Fire fighters
Municipal or government officials
Media
Medical examiners
Medical supply manufactures
Police
Community preparedness
The level of community preparedness for a disaster is only as high as the people and
organization in the community make it.
Community must have adequate warning system and a back up evaluation plan to remove
people from the area of danger
Response phase
The level of disaster varies and the management plans mainly based on the severity or extent of
the disaster.
Recovery phase
During this phase actions are taken to repair, rebuilt, or reallocate damaged homes and
businesses and restore health and economic vitality to the community.
Psychological recovery must be addressed.Both victims and relief workers should be
offered mental health activities and services.
to provide prompt and effective medical care to the maximum possible in order to
minimize morbidity and mortality
Objectives
To optimally prepare the staff and institutional resources for effective performance in
disaster situation
To make the community aware of the sequential steps that could be taken at individual
and organizational levels
The following members would comprise the disaster management committee under the
chairmanship of medical superintendent/ director
The medical superintendent will identify various specialists, nurses and pharmacological
staff to respond within a short notice depending up on the time and type of disaster.
The list of members and their telephone numbers should be displayed in the disaster
control room.
Information and communication
the disaster control team would be responsible for collecting, coordinating and
disseminating the information about the disaster situation to the all concerned.
Disaster beds
Resuscitation equipments
Iv sets, iv fluids,
Disposable needles, syringes and gloves
Dressing and suturing materials and splints
Oxygen masks, nasal catheters, suction machine and suction catheters
Ecg monitors, defibrillators, ventilators
Cut down sets, tracheostomy sets and lumbar puncture sets
Linen and blankets
Keys of these cupboards should be readily available at the time of disaster
Mock exercise and drills at regular intervals are conducted to ensure that all the staff in
the general and those associated with management of causalities are fully prepared and
aware of their responsibilities.
Chain of authority
Lines of communication
Routes and modes of transport
Mobilization
Warning
Evacuation
Rescue and recovery
Triage
Treatment
Support of victims and families
Care of dead bodies
Disaster worker rehabilitation
Public relations.
Essential services.
Crowd management/ security arrangement.
Assessment - the local climate conducive for disaster occurrence, past history of disasters
in the community, available community disaster plans and resources, personnel available
in the community for the disaster plans and management, local agencies and
organizations involved in the disaster management activities, availability of health care
facilities in the community etc.
Determine the actual and potential disaster threats (eg; explosions, mass accidents,
tornados, floods, earthquakes etc).
Critically evaluate all aspects of disaster plans and practice drills for speed, effectiveness,
gaps and revisions.
Evaluate the disaster impact on community and surrounding regions
Evaluate the response of personnel involved in disaster relief efforts.
Conclusion