Community Health Nursing ASN 260

Chapter 12-IggyMass Casualty IncidentsS. Tapp MSN BSN RN

AD

N 2

60/R

N 1

2

1

Objectives• The student will be able to:

• Identify components of and key personnel roles in an emergency preparedness and response plan

• Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents

AD

N 2

60/R

N 1

2

2

Disaster• Disaster—an event in which illness or injuries exceed resource

capabilities of a community or medical facility:• Violence• Illness outbreaks• Severe weather• Earthquakes• Avalanches• Fire

• Man made, naturally occurring, or both AD

N 2

60/R

N 1

2

3

Disaster Management• Four levels

• Disaster prevention/mitigation• Disaster preparedness• Disaster response• Disaster recovery

4

AD

N 2

60/R

N 1

2

Multi-Casualty Events and Mass Casualty Events• Multi-Casualty Event—can be managed by a hospital using

local resources

• Mass Casualty Event—local medical capabilities are overwhelmed and may require the collaboration of multiple agencies and health care facilities to handle the crisis

AD

N 2

60/R

N 1

2

5

Super Storm Sandy

AD

N 2

60/R

N 1

2

6

Impact of Recent Disasters

• Events of September 11, 2001• HAZMAT training• Emergency preparedness

AD

N 2

60/R

N 1

2

7

Emergency Preparedness and Response• In mass casualty or disaster situations, a military form of

triage is implemented with the overall goal of doing the greatest good for the greatest number of people

• Safety concerns for providers in the field

AD

N 2

60/R

N 1

2

8

Disaster Triage Tag System

• Red Tag—emergent

• Yellow Tag— can wait a short time for care

• Green Tag—nonurgent or “walking wounded”

• Black Tag—are expected to die or are dead

AD

N 2

60/R

N 1

2

9

Notification and Activation of Emergency Preparedness Plans• Radio or cellular communication between the ED and EMS

providers at the scene

• Media broadcast message via radio, television, or electronic announcements

• DMAT team AD

N 2

60/R

N 1

2

10

Hospital Incident Command System• Common organizational model for disaster management• Roles formally structured under the hospital or long-term care

facility incident commander with clear lines of authority and accountability for specific resources

• Emergency Operations Center or Command Center• Hospital incident commander• Medical command physician• Triage officer

AD

N 2

60/R

N 1

2

11

Role of Nursing in Hospital Incident Command System • Meet patient needs • Personal emergency preparedness plan• Personal readiness supplies or “go bag”

AD

N 2

60/R

N 1

2

12

Basic Supplies for Personal Preparedness (3-Day Supply)

AD

N 2

60/R

N 1

2

13

Objectives Review• The student will be able to:

• Identify components of and key personnel roles in an emergency preparedness and response plan

• Identify agents that could potentially be used in a terrorist event and the nurse’s role in assessment and care of clients exposed to these agents

AD

N 2

60/R

N 1

2

14

15

AD

N 2

60/R

N 1

2