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presentation to the ACT Ambulance Service Continuing Medical Education, 25th November 2010.
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THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS: workforce, education and other contemporary issues
Jamie RanseLecturer, University of CanberraChief Nurse, St John Ambulance AustraliaResearch Associate, Flinders University
Email: jamie.ranse@canberra.edu.au Blog: www.jamieranse.comTwitter: jamieranse
overview
• Background to health care disasters• Surge capacity• Triage• Workforce• Education
background
• Defining disasters• Australian experience of disasters
• Natural (bushfires) • Off-shore
background
• Lessons learnt• Mostly in organisational reports (not public)• Resources
• SARS• Bali 1• Granville • H1N1
• Notification to the ED
surge capacity?
surge capacity?
• What is surge capacity?• Do we have ability to surge?
surge capacity?
surge capacity?
surge capacity?
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Total Influenza Presentations
Mean Influenza Presentations
Mean Total Presentations
Mean Total Presentations - Excluding Influenza
surge capacity?
• Strategies to enhance the surge capacity of the health system
triage
triage: principles
• Greatest good for the greatest number • Life over limb
triage: in-hospital
• Various triage systems in the world
triage: pre-hospital
triage: process
triage: process
education
education
• Where do we teach disaster education• Are we teaching the right stuff • Who do we teach with?• Mock scenarios• Disaster content varied in all programs• National framework and consistency
education
Elements of disaster content in courses:Community and public health responsePre-hospital responseHospital responseDisaster triageSustainabilityDisaster exercisesIncident systemsNursing role in disasterCommunications TechniquesManagement of the dead and dyingDisaster plansRole of other organisations in disaster responseMental health in relation to disastersPopulations with specific needsTypes of disastersExamples of disastersHealth effects of disasters
workforce
workforce
• Preparedness• Roles• Willingness• Responding to disasters
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100
150
200
250
family preparedness employer'spreparedness
colleagues'preparedness
staff's preparedness medical-allied staffpreparedness
manager'spreparedness
workforce: preparedness
workforce: roles
• Minor injury / illness• Primary health • Health problem-solving
workforce: willingness
• Varies depending on culture• Perceived responsibilities to profession • Out-of-work responsibilities• Personal beliefs and confidence, and • Availability of social and organisational support
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
3 0 0
3 5 0
4 0 0
t r a n s p o r ti n c i d e n t
n a t u r a ld i s a s t e r
p a n d e m i co u t b r e a k
C B R t e r r o r i s ta t t a c k
Results: Willingness
0
5 0
1 0 0
1 5 0
2 0 0
2 5 0
c a r e p r o v is io n s w o r k in g c o n d i t io n s P P E e d u c a t io n / t r a in in gc o u r s e
O t h e r
t y p e o f i m p r o v e m e n t s
workforce: willingness
workforce: responding to disasters
• Who do we send• What is the process• Cross boarder issues• Civilian corps• Individual deployments• Disaster tourism
THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS: workforce, education and other contemporary issues
Jamie RanseLecturer, University of CanberraChief Nurse, St John Ambulance AustraliaResearch Associate, Flinders University
Email: jamie.ranse@canberra.edu.au Blog: www.jamieranse.comTwitter: jamieranse
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