The Blocker Burn Unit At The University Of Texas Medical Branch ( Utmb )

Kindred hospital philosophy focuses on quality and customer service. There are several divisions in Kindred; the Nursing Center Division consists of about 90 nursing and rehabilitation centers and assisted living facilities. These nursing centers provide medical services to treat the residents who live within an area and the patients who come to the facilities for short-term and rehabilitative care. Kindred hospital has variety of medical services at different levels of intensity including intensive care unit, transitional hospital care, short-term rehabilitation, skilled nursing, home health, hospice care, post-acute and sub-acute care. Kindred offer strong relationships with acute-care hospitals;

The impact of Hurricane Katrina’s landfall in August 2005 had catastrophic implications to the healthcare infrastructure in portions of coastal and southern Mississippi, including hospitals being closed due to severe damage. The healthcare response system of the time relied almost exclusively on support resources from the federal government (Federal Emergency Management Agency, 2010). By design, these teams were not able to support the local healthcare system for several days, leaving a void of services for the citizens that were hardest hit by the storm. Also during this time, the healthcare system of Mississippi faced several other critical challenges including the need for rapid assessment of impacted facilities, movement of patients between hospitals, and coordination of emergency medical services (Darsey, 2013). It is important to note that the disruption of the healthcare system resulted in challenges associated with a vulnerable population’s normal routine being severely disrupted. Additional complicating factors were a high incidence of exacerbation of chronic illnesses due to environmental conditions, loss of medications, emotional stressors, and other causes associated with the interruption of their normal level of care (Currier, King, Wofford, Daniel, & deShazo, 2006). These response challenges, coupled with the void in timely healthcare services, led to the creation of the State Medical Response System (SMRS) of Mississippi.

Ingelson as a “Diva Physician”. It was also noted that the OR time book by Dr. Ingelson is underutilized by 3 hours each week. The underutilization of the OR is very costly to the hospital because other physicians are unable to use the OR. This inefficiency and special treatment resulted in the of lack of support and indifference noticed by the other Physicians towards the Ingelson Burn Center. Nurses also felt that Dr. Ingelson was difficult to work with which is a result of a high nurse turnover at the Burn Center. Furthermore, at the cost of the hospital, Dr. Ingelson also received benefits, such as limousine rides, that other employees did not.

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.

Gulf Coast Hospital (GCH) is a 350-bed facility that is located in the heart of New Orleans, Louisiana. Louisiana is located on the gulf coast of the United States. The gulf coast is subject to severe storms including hurricanes. On August 29, 2005, Louisiana was struck by Hurricane Katrina. The flooding from Katrina destroyed most of the patient files stored in the basement of the facility. Measures were put into place prior to the catastrophic event that allowed patients to obtain their medical records to be treated at another facility and to help with the identification process of those who lost their lives. These measures will be discussed in detail in this paper.

The attacks on the morning of September 11, 2001 left the American people in shock and awe. The attacks left nearly 3,000 people dead in New York, the Pentagon, and in Pennsylvania including 343 firefighters and paramedics, 23 New York City police officers, and 37 Port Authority police officers (history.com, 2010). Most people had not seen firsthand the kind of devastation that was brought upon this nation in their lifetimes. The police, firefighters, and port authority officers of New York responded quickly in an effort to save as many lives as possible. Many of them lost their lives during the collapse of the World Trade Center buildings. What is not as frequently cited is the number of health concerns that still plague the thousands of first responders that tried to help the victims of the vicious attacks. According to the Center for Disease Control’s World Trade Center Health Program (2012), there are currently 32 conditions and injuries and 60 types of cancers that are currently covered by the program. This is a continually growing list of health hazards that still affect those responding to the call to assist in recovery efforts over 15 years later. When the police and firefighters entered those buildings they did not know what would happen, but they accepted that risk. Some would lose their lives, but those that survived would have to deal with the health

and Dentistry and Director of the Program in Disaster Mental Health in the Department of Psychiatry and the UR Center for Disaster Medicine and Emergency Preparedness. For over a decade, he has responded to numerous national disasters as a volunteer with the American Red Cross. He has also developed comprehensive disaster mental health training programs for the New York State Office of Mental Health and the New York State Department of Health currently being disseminated throughout every county, state psychiatric center and acute healthcare facility throughout New York State.

The CHD Preparedness and Support Unit in the Bureau of Preparedness and Response (BPR) shares the Florida Department of Health (DOH) responsibility for ensuring the state’s public health and health care systems are prepared to respond to disasters and other public health emergencies. Therefore, the Unit is responsible for promoting and supporting preparedness activities at the local level by developing, evaluating and providing technical assistance for accomplishing the CHD Expectations; serving as liaison and point of contact for questions, concerns and needs related to CHD Preparedness, and by seeking and allocating funds locally according to cooperative agreements and statutory authority.

Position 64001558 was assigned to the Evaluation and Analysis Unit within the BPR, and its duties and responsibilities are concentrated in non-nursing related areas of evaluation of public health and medical capabilities, development of risk and vulnerability assessments, and monitoring disaster preparedness tools such as the National Health Security Preparedness Index (NHSPI) and HSS Healthcare Emergency Preparedness Information Gateway (TRACEI). As a Government Operations Consultant III, position 64001558 will not provide nursing consultation to the Bureau and will not be involved in coordinating clinical resources for public health

Texas Health Presbyterian Hospital Denton is a 255-bed hospital featuring more than forty three specialties, the hospital is located adjacent to a major highway which is used to transport hazardous materials, commuters and cargo. Texas Health Presbyterian Denton is a suburb of the Dallas-Fort Worth metroplex, which has an estimated population of seven million residents and covers a geographical area of approximately 9,000 square miles. The Dallas-Fort Worth metroplex is the largest metropolitan area in the South and the fourth largest in the United States. The purpose of this paper will be to evaluate the Texas Health Presbyterian Denton’s Emergency Operation’s Plan to determine if it address a comprehensive response to threats, emergencies and disasters while safeguarding the welfare of its citizens.

From the perspective of a health care administrator, I will identify, develop, and discuss strategic issues in planning a model by prioritizing issues facing a community when dealing with a natural disaster using the four MAPP assessments that align with the shared community mission. Lastly, I explain how you would promote collaborations among clinical professionals, explain methods that encourage physician leadership in patient care enhancement, and explain quality initiatives that reduce organizational risk and support patient safety.

Situation: You are working the day shift on the medical-surgical unit in a small district hospital. Your assignment includes an 18-year-old female college student, admitted the previous night. She was caught in a house fire and sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

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

Even though childhood is an exciting period of growth and development during which children exercise vivid curiosity to explore the world around them, their active and inquisitive temperament combined with their immature motor skills place them at a high risk of injuries. Burns and scalds are one of the most serious injuries threatening the well-being of developing children. The Center for disease control states that more than half of the pediatric burn victims are below the age of 6 and children between the ages of 1 to 4 records the highest mortality and morbidity (CDC, 2008, McKinney, Nelson, James, Ashwill, & Murray, 2013). According to Center for Research Injury and Policy (CRIP) (as cited by Jennings et al., 2015), the United States record 120, 000 pediatric burns every year, which claims about 2,500 lives annually, and results in 100,000 visits in hospital emergency departments.

For much of Florida, Hurricane Irma brought great devastation; in total, 58 deaths were directly attributed to it. However, for one nursing home, The Rehabilitation Center at Hollywood Hills, the aftermath was even worse than the storm. On Monday morning, it was discovered that a fallen tree had knocked out the cooling system at the facility. Though calls were made to their air-conditioning service company and to their power company, no person was sent to fix it. According to the power company, Florida Power & Light, the nursing home was not a “top-tier” priority, while nearby Memorial Regional Hospital was. As temperatures rose into the low 90’s, fans and portable air-conditioners were brought in from the hospital in a drastic attempt to cool the building. The nursing home then notified Broward County Emergency Operations Center that it had lost power, but did not request additional assistance. Some residents and visitors became concerned about the rising temperatures, but no calls were made to emergency services. However, on Wednesday morning, the heat became too much to bear. At 3am, 4am, and 5am, emergency services were dispatched to the nursing home to transport patients with cardiac and respiratory issues. Noticing that many ambulances had been dispatched in a short span of time, the local fire department sent additional firefighters to inspect the