Course Question
Disaster - ✔✔A natural or human-made incident that requires resources beyond what the
affected population has available. Generally expensive.
Disasters cause - ✔✔disruption, destruction, or devastation requiring external assistance and
can be worldwide.
Disasters can affect - ✔✔-Individuals: Disproportionately strike at risk individuals
-Families
-Communities
Local/state resources first - ✔✔must document have used all resources available before federal
assistance can be received
CERT - ✔✔Community Emergency Response Team
FEMA - ✔✔Federal Emergency Management Agency
Hazard planning is encouraged at - ✔✔Local/state/federal level
Nurse role in disaster/recommended training - ✔✔•Psychological first aid
•Public Health Triage
•Rapid Needs Assessment
•Stop the bleed/Tourniquets
•PPE- intensive training
,•Chemical/biological/Nuclear/Radiological training
Disaster Management - ✔✔Prevention
Preparedness
Response
Recovery
Prevention - ✔✔•reducing risks, vaccines, safer buildings, land development restrictions,
environmental protections, Strategic National Stockpile,
•Mitigation
•Protection
Prepardness - ✔✔Personal, Professional, Community
-Activities, actions, procurements, planning, training, and inter-jurisdictional cooperation
designed to INCREASE response readiness to identified hazards in the community
PHN role in preparedness - ✔✔Becoming aware of community and workplace disaster plans
(for the different healthcare entities and different businesses in the community)
Full-scale exercise - ✔✔as close to the real thing as possible. It is a lengthy exercise which takes
place on location using, as much as possible, the equipment and personnel that would be called
upon in a real event.
Tabletop exercise - ✔✔discussion-based sessions where team members meet in an informal,
classroom setting to discuss their roles during an emergency and their responses to a particular
emergency situation. A facilitator guides participants through a discussion of one or more
scenarios.
Response - ✔✔•local, regional- PHNs, State, Federal- National Response
, -Goal is greatest good for the greatest number (Utilitarian framework)
PHN role in Response - ✔✔-Be familiar with community plans
-Be familiar with community service agencies (salvation army, red cross, medical reserve corps)
-To recognize NIMS (national incident management system) and Hospital Incident Command
System)
-Triage victims
Hospital Incident Command System (HICS) - ✔✔-Establishes a coordinated response among
various agencies
-Common organizational structure
-Plain language used for communication (no acronyms)
-Used by hospitals to manage threats, planned events, or emergency incidents
-System helps everyone be on the same page
Joint Commission - ✔✔Entity that sets standards for healthcare organizations and issues
accreditation to those organizations that meet their standards
Requirement by Joint Commission in workplace - ✔✔The organization must test its Emergency
Operations Plans twice per year, either in response to an actual emergency or in a planned
exercise (tabletop session is not an acceptable substitute for exercise)
CMS (Center for Medicare and Medicaid) Requirements for Prepardness - ✔✔-Emergency Plan
-Policies and Procedures
-Communications plan
-Training and testing program
Emergency Plan (CMS requirements) - ✔✔must have a plan based on risk assessment (HVA)