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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 hospital • Secure environment • staffing considerations • Communication Response

  9. Disaster casualty patient coordination • Triage (before and after arrival to hospital) • 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 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 • Viruses: smallpox, ebola, • 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

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