1.A)For This Writer, The Definition Of Disaster Is When

As a nurse, it’s crucial for our jobs to be a priority due to the needs of others. We must always be safe because not only are we liable, we are also trusted in the public’s eye as being

The most important aspect in managing a disaster situation is preparedness. The simulation Disaster in Franklin County highlights the role of public health personnel, with emphasis on the public health nurse because the nurse is often a first responder to such a disaster. This helps to examine the roles, actions, coping methods, and techniques used by a nurse in a disaster scenario.

In day to day operations, uncertainties do occur. Henceforth it would be important to have a contingent and well detailed disaster preparedness plan and procedures. Healthcare systems, on a day to day basis, are faced with emergencies in form of disasters. As a result, majority of medical centers have well-structured exit plans in the event of a disaster occurring("Hospital Disaster Preparedness: Your Guide to Getting Started - Emergency Preparedness", 2011). However, this essay will aim at interviewing one of the top disaster preparedness staffat the Houston Methodist Hospital. In the interview, I will seek to identify the top three disasters that the Houston Methodist Hospital is prepared for. Similarly, in the interview, I would seek to identify the top lessons learnt from disaster preparedness at the hospitals.As it concludes it would summarize the findings with regards to the interview stated below. Below is an excerpt from the interview to answer the two aforementioned questions.

Techniques that were used or could have been used to calm the fears of the people interviewed are to use short and concise statements. Perform active listening and confirm statements by repeating it back to the person being spoken with, use confrontation avoidance, and De-escalation. The other nursing personnel could be prepared to help in responding to a similar emergency with a much larger affected area (e.g., the effect of Hurricane Katrina). Through the development of a well-organized disaster response plan. Public health staff requires National Incident Management System (NIMS) training. Emergency preparedness training should be performed at least every six months. There needs to be a method of communication in case power lines, towers and electricity are

“A disaster is an event that is a natural or man-made occurrence that can disrupt or destroy the lives of those it affects” (Stanhope & Lancaster, 2014). “Management of a disaster includes four phases; prevention, preparedness, response and recovery” (Stanhope & Lancaster, 2014). To date there have been 154 hospital-based shootings, which resulted in 235 dead or injured. (C.Catlett, 2012). The purpose of this paper is to identify emergency preparedness and response to hospital based shootings, and the role of the public health nurse in such a disaster.

The purpose of this theory is to express the nurses’ influences, actions, and outcomes with regard to caring for critically ill patients (McEwen, 2014). The synergy model for patient care was created to link nursing practice with patient outcomes and this is explicitly stated in the model’s concept. This requires nurses to be proficient in the multitude of nursing practice. When nurse competencies and patient needs synergize, optimal patient outcomes can result (AACN, n.d.; McEwen, 2014). During the early 1990s, the AACN strategically set forth to identify a model that described nursing practice. In 1993, the AACN Certification Corporation established a think tank to draft a document that identified nursing concepts of practice, specifically certified nursing

Nurses play a role in all the stages of disaster management (Nies & McEwen, 2015). There are two types of disasters that may affect a community; man-made and or natural. Man-made

Continuing on the issue of communication and perception, in a published article, (AACN BOLD VOICES), 2012 Jan; 4(1): 17, “ Red Cross Removes Practice Barriers to Nurse’s Role During Disaster. A change in American Red Cross policy allows nurses the practice flexibility they need to use all their skills and training when treating patients in disaster situations. They said within the chaos that can occur during a disaster, no amount of written material can address every health situation that may arise, Red Cross chief nurse Sharon Stanley says in the article. The nurse-led disaster health services community response model allows the Red Cross health team to provide the best in care while partnering with community health care systems on the ground to better address disaster client needs, she adds. Giving nurses flexibility in such situations better enables them to work with people

I successfully passed the National Council Licensure Examination (NCLEX-RN) on my first attempt and received the opportunity to begin my career in orthopedics, stroke, and trauma at a level-one trauma, acute-care community hospital. I am grateful for this opportunity because it allowed me to apply my personal traits, mentioned previously, along with newly understood knowledge. Over the last two years I have mastered my time management, prioritization, and delegation skills to care for my patients and their family’s appropriately. My career thus far has allowed me to develop a special interest in critical care. I love being involved with my patients, providing clinical care, education, and support through patient-centered care. Therefore, my plans after completion of my bachelor’s in science degree in June of 2018 is to complete my critical care registered nurse certification and begin my journey in a master’s in science program to become a nurse

| Lesson Outline: Allocated teacher-NExplaining legal requirements : Duty of care: A duty of care is implied when the person who is requiring your assistance is in your workplace. E.g. patient, co-worker or visitor. Consent of an unresponsive patient is assumed in an emergency situation. (Crouchman, 2009; Milne & Mellman-Jones, 2010).Cultural awareness/sensitivity: We need to mindful of varying cultures when assisting patients, as different cultures prefer to be unexposed which is necessary when defibrillation is required. Eg, Muslims (Hattersley & Keogh, 2009). Confidentiality: Following an emergency situation it is vital to refrain from speaking to others outside the workplace about the patient to ensure the patient’s privacy and dignity. Think about how you would feel if you where in the patient’s situation. (Maeder, Martin-Sanchez, Croll, & Ambrosoli, 2012)?Limitations: Remember that once you start you can’t stop until you’re physically unable to or help arrivesDebriefing: Participating in the debriefing process is vital due to the enormity of the situation, enabling the nurse to express

In the Franklin Country disaster, major public health personnel, including the public health nurse clearly understood their role. Their immediate response was to focus on urgent life and safety issues. The public health department established an Incident Command System (ICS) that was designed to help organize it to respond to emergencies. The ICS provided a common language as well as the standardization necessary for communicating and cooperating with other agencies and the EOC. The public health group contributed at the EOC briefings updating on the public health concerns.

During the team formation, a number of challenges manifested. Firstly, it was the fact that there were nurses from other units. Hence, there were fears that they may not be well informed with procedures undertaken in our unit. However, this challenged was effectively addressed by assigning the nurses from other units a nurse from our unit to help her during the emergency period.

The article by Sylvia Baack and Danita Alfred attempted in earnest to determine the preparedness of nurses to manage disaster situations. The research was based on an online study on nurses by asking them to fill out questionnaires that would then determine how they felt about disaster situations and how best to handle them (Baack & Alfred, 2013). The use of the 620 nurses was prudent as it provided a significant sample space to handle the possibility of bias. The scope of the research was however limited to the Texas state of America. This meant that the responses given represented the general feeling among southern states as Texas is among the southern part of the country. Nevertheless, given that no information was sought about where these nurses were trained, it is arguable that their vocational training could have been distributed among all states in the nation or fairly among a majority of the states.

“Because hospital staff members working under time constraints and heavy workloads could potentially be at high risk of misinterpreting or delivering inaccurate information” (Patterson, 2015, p. 153), it is important to give clear information in a timely manner. “Not only will hospitals in the heart of the disaster have to deal with a mass influx of patients, they will also find themselves inundated with family members and volunteers, who present their own challenges” (Meyers, 2006, p. 19). As nurse leaders, we need to make certain that our employees have a disaster plan of their own so they can focus on the patient care.

At the Center for Domestic Preparedness, I attended the course Incident Complexities Responder Actions for Chemical, Biological, Radiological, Nuclear and Explosives Incidents. This course trained individuals to recognize hazardous materials, chemical agents, biological agents, radiological materials, and explosive devices. Hands-on training involved a disaster simulation room with triage, the correct use of hazmats suits, and bomb recognition. This course gave me the skills and ability to provide safe care specific to the situation.