Community Health Nursing ASN 260 Chapter 12-Iggy Mass Casualty Incidents S. Tapp MSN BSN RN ADN 260/RN 12

Objectives The student will be able to: Identify components of and key personnel roles in an emergency preparedness and response plan Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents ADN 260/RN 12

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 Man made, naturally occurring, or both ADN 260/RN 12 Disasters – cause human suffering, demands more resources than are available

Disaster Management Four levels Disaster prevention/mitigation Disaster preparedness Disaster response Disaster recovery ADN 260/RN 12 Prevention/mitigation – activities to prevent, eg – increased survellience, improved inspections, identification of risk Preparedness – national/state/local levels Response – initial assessment, classification, Recovery – when danger no longer exists, lasts until economic & civil life is restored, PTSD are common

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 ADN 260/RN 12

Super Storm Sandy ADN 260/RN 12

Impact of Recent Disasters Events of September 11, 2001 HAZMAT training Emergency preparedness ADN 260/RN 12

Emergency Preparedness and Response 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 ADN 260/RN 12

Disaster Triage Tag System Red Tag—emergent Yellow Tag— can wait a short time for care Green Tag—nonurgent or “walking wounded” Black Tag—are expected to die or are dead ADN 260/RN 12

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 ADN 260/RN 12

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 ADN 260/RN 12

Role of Nursing in Hospital Incident Command System Meet patient needs Personal emergency preparedness plan Personal readiness supplies or “go bag” ADN 260/RN 12

Basic Supplies for Personal Preparedness (3-Day Supply) ADN 260/RN 12

Objectives Review The student will be able to: Identify components of and key personnel roles in an emergency preparedness and response plan Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents ADN 260/RN 12

ADN 260/RN 12