Role of the Major Public Health Personnel in the Franklin County Disaster

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.

Within the Public Health Department, like in the county structure, there is an Operations Chief, responsible for all the actions taken by the department. This is someone with experience in the field, supervisory experience, and an understanding of the structure and function of the department. Under the Operations Chief, there are officers for Logistics, Planning, Finance/Administration, Public Information and Liaison.

In the Disaster in Franklin County simulation (Regents of the University of Minnesota [UMN], 2006), there were several key personnel in the incident command team. This concept is utilized in real disasters when the Public

In the event of a disaster, the community relies upon the public health personnel to evaluate the needs of the community, assess the available resources, provide reliable information, and coordinate health activities. It is essential that local health workers are trained professionals who are reassuring and organized to address health, social, cultural and material concerns of the community. Local health personnel coordinate social services, transportation, available health services, volunteers, outside assistance, public utilities and rescue work (HELP, 1989).

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.

Communication is essential between health care facilities and the CDC. For example, the facilities experience an emergency and follow certain quarantine protocols and alert the local public health department and the CDC. The CDC organizes secure transmission tactics to merge and notify public health officials at local, state, and federal levels. The institute deploys scientific and logistical proficiency, personnel, and vital medical resources to the area of the emergency. The CDC (2012) explains the implementation of the essential medical assets for protection of communities in the state of an emergency:

5. Describe the community resources and partners (e.g., mission, activities, Web sites) currently involved with the health concern.

The role of the major public health personnel, including the public health nurse, is to provide the public with accurate information, and to assure the community, as well as ensure the immediate safety and well-being of the members of the community, while being competent compassionate and accessible. The public health director was contacted by the incident commander to attend the incident briefing due to immediate and long term public health impacts. The fire chief gave report concerning how many people were confirmed dead, what time it occurred and what county(s) were affected. He made the public aware if any hazardous materials had been released and where and whether

Supplies could be needed in one area, but without communication that area might not be able to reach out for those supplies. Communication amongst first responders is important for information sharing, so that information can flow between different jurisdictions and agencies. When looking at the efforts of first responders, communication is the one constant variable, which without communication all efforts would be in vain. (Newman & Clarke, 2008) The National Incident Management System (NIMS) places an emphasis on the importance of communication when dealing with response efforts. The National Incident Management System shows how having a unified command systems can benefit the response efforts to disaster. However, without proper and efficient communication, a unified command system cannot proceed efficiently.

Emergency services face vast difficulties in the operations field when handling emergency situations, whether it comes from handling a minor accident to a catastrophic catastrophy. Many of the difficulties do not come from the actual incident, but instead they arise from forming a rescue team containing different agencies and people. For the benefit off all individuals participating, it is imperative that there be a unified command structure in place to effectively coordinate and oversee the tasks that need to be accomplished. The need of a unified command was seen from the hardships faced in incidents, bringing forth the development of the Incident Command System that was designed to be used in an array of conditions, to bring all

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.

During this lecture, which took place on January 24th, our class had the opportunity to discuss the 10 essential services of public health. Each serves a specific function and importance to the overall structure of the public health system. Each of the following services have a specific order and answer a set of questions which map out their purpose and contributions to the system.

Today, the Incident Command System (ICS) is a major component of NIMS and is widely used in emergency management response. However, this was not always the case. According to David A. McEntire and Gregg Dawson, authors of the article, “The intergovernmental Context,” ICS was originally developed by the fire service in 1970. Its purpose was to assist in the command of wildfire events. It was unique because it standardized operations, yet offered flexibility so that it could be used on any number of events, regardless of size or type (McEntire & Dawson, 2007, p. 63).

The response to any emergency is considered to be very critical and therefore should be as efficient as possible. In the healthcare sector, responses to situations are counted by the seconds. From natural disasters to epidemics, the only chance left to respond to any of this occurrence could only be counted in seconds. That means life is either saved or lost in a matter of seconds. Putting in place certain responses to these unexpected occurrences, such as crises management communication plan, help save lives and arrest crises from aggravating. Failure to have crises management communication plan is considered by many commentators to be a crisis in itself. Accepted medical care is highly dependent on effective communication between healthcare providers and the patients; among healthcare providers and the outside world. The characteristics of crises make it necessary for prior planning and effective communication among stakeholders in the health sector (Klaene and Sanders, 2006; Ronen, 2006).

Over the past few decades, the significance, magnitude and consequence of risk management and communication have been brought before the world over and over again in a number of situations related to health, terrorist activities, natural disasters etc. When one turns the pages of history, it is rather obvious that lack of planning and absence of resources due to unpreparedness makes it difficult for the concerned authorities to manage an emergency or epidemic a problematic and traumatic task. The chaotic situations can turn out to be more nerve-racking and tense when preparations are not made before hand (U.S. Department of Health and Human Services 2002).