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

2. 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

3. 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

4. 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

5. 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

6. Super Storm Sandy
ADN 260/RN 12

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

8. 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

9. 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

10. 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

11. 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

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

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

14. 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

15. ADN 260/RN 12