Community Nursing Week 5 discussion post
A disaster, man-made or natural, is defined as any type of incidence that causes destruction, death, or damage that impacts the capability of the community to respond to using accessible resources (Nies & McEwen, 2015). For this week’s discussion post, I will describe the role and responsibilities of the nurse in relation to a disaster. I will also explain how my community is prepared to deal with a natural disaster, including protocols or guidelines that are in place.
The prevention stage is the first stage in the disaster management stages. This stage includes educating the community on what steps to take to prepare for disasters. The preparedness and planning stage includes planning within
Natural disasters may lead to many ethical challenges that are different from normal medical practices. Disasters can vary when comparing to their time, place and extent. Therefore, ethical questions may not always have such simple solutions. Ethical values and principles in every aspect of health-care are very important. Reviewing legal and organizational regulations, developing health-care related guidelines, and disaster recovery plans, establishing on-call committees as well as an adequate in-service training of health-care workers for ethical capability are of the most important of steps. It is only by making efforts before disasters, that ethical challenges can be minimized in disaster responses.
The disaster nurses are known to be more professional in nursing skills to meet the nursing physical needs that results from the disaster. They mainly focus on health of communities and the entire population. This paper analyzes the role of major public health personnel and public health nurse in disaster management, with particular interest in the flood event occasioned by a tornado. It also describes chain of commands used in simulation for community health nurse and actions that can be taken by the community health nurse to solve the situation after disaster.
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.
Problems resulting from disasters linger for quite some time after the acute phase in a disaster and victims may have issues arise that they were not aware of initially. Community health nurses are often a primary point of contact for many of these situations and must be prepared for various problems. Sometimes, they are called on to simply reassure the victim that they are not alone in the situation and that help will continue to come. When a nurse allows a victim to discuss their concerns, the nurse can quickly expedite referrals to the appropriate area if it is out of their scope of practice. Occasionally, just having the validation and reassurance from a professional instills hope that things will get better soon. In the situation where the
The public health nurse has many resources available to help assist residents after a natural disaster. The priorities after a disaster such as a flood are for providing services in high-risk areas such as adequate and safe water, basic sanitation facilities, liquid and solid waste disposal, shelter, food protection, and personal hygiene. The public health nurse has access to written literature that can be provided to residents who are safe to remain in their homes, which describe food and water safety as well as hygiene measures. If residents are willing to leave an unsafe living environment, the public health nurse is able to locate shelters for temporary safe housing.
The four phases of a disaster plan will consist of Preparedness Efforts, Mitigation Measures, Response Phase, and the Recovery Function. This is where I will describe each part in its own section of this essay.
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.
Nursing revolves, not merely about looking after patients, but creating awareness in the society about self care nursing and prevention strategies and to communicate with their patients in a holistic manner, so as to satisfy their physical, mental and spiritual health needs. Various nursing theorists have repeatedly
Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.
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
CDC has a goal to reduce potential outbreaks of the preventable disease in a large group setting from the disaster with the use of vaccines (CDC, 2013). The public nurse is educating those communities regarding the importance of strengthening their immune system with receiving vaccines. The community and individuals will also be education on where to get the vaccines and how to manage themselves after vaccination for the event of the second complication. The community health nurses have a central role in providing prevention of disease and promotion health education after catastrophic like an earthquake.
Whenever a disaster strikes an unsuspecting community, from natural weather events like hurricanes and tornadoes to the manmade catastrophes caused by contamination, local community health nurses become a lifeline for stricken victims, providing medical care, basic sanitation, and nutritional sustenance. While treating the ailments of the sick and dressing the wounds of the injured are the chief priorities for any nursing professional, community health nurses typically administer care within a close-knit population group, and this familiarity often requires the offering of spiritual support as well. The immediate aftermath of any major disaster, whether natural or manmade, is a chaotic time when panic, fear, and uncertainty can easily run rampant, and community health nurses must prepare themselves to handle the nonmedical aspects of assisting patients through their recovery. Setting aside one's personal views on organized religion or faith, alleviating a patient's outward symptoms can only be effective to a certain point when they are grieving for the sudden loss of a loved one, or contemplating an uncertain future after their property and
Specific measures taken before disasters strike, to ensure effective response constitute preparation. This phase may include specific contingency planning, emergency exercises, training, installation and use of warning systems.
Risk for disasters is a part of life; emergency situations occur more frequently than many people believe. A wise person plans for the worse, and hopes for the best. After a disaster, how well a community can recover will depend largely on how well they prepared in advance. Risk management includes identifying any potential risks to a community and proactively planning to minimize the threat. Proactive organization of resources and people to respond to emergencies can mean the difference between a community’s ability to regroup and recover, and the loss of life. To better
Urgency of acute care varies depending on the situation but can range to anything from emergency surgeries, to injuries, chronic illnesses, and also for the recovery of those procedures. Majority of the patients in acute care settings are critically ill. Nursing responsibilities in acute care settings are vital to patient’s recovery due to the front line position nurses play as well as the wide variety of tasks carried out. Assessments are made during every encounter the nurse has with the patient along with monitoring the patient’s progress. Nurses are responsible for recognizing symptoms the patient may be experiencing due to illness or injury and whether they fall in the spectrum of normal reactions. Vital signs are measured routinely and can be indicators of the patient’s current status. When vitals are questioned diagnostic tests can be arranged to further assess possible comorbidities the patient may have. Care plans are made to plan interventions the health care team can take to help patients through challenges they face, both physical and mental. Nurses administer medications as well as first aid as needed. They are responsible for maintaining special equipment patients may require including monitors and ventilators are well.