Thursday, December 13, 2018
'Disaster in Franklin County Essay\r'
'The Role of wellness Personnel and the overt wellness Nurse\r\n open health military force office and commonplace health concords render m either(prenominal) responsibilities in a mishap that atomic number 18 essential to a successful come forwardcome for the company. Their primarily focus is on the risklessty and health of the public. The health military group go forth assess the familiarityââ¬â¢s avail fit resources by providing the necessary assistant and identifying their specialised postulate related to the disaster. The health disquiet military group also take over the role of educating the biotic association and addressing any physical or psycho loving ineluctably the fraternity magnate have (Disaster in Franklin County: A hu musical compositionity health Simulation, 2006).\r\nThe health force go away collaborate with the local anaesthetic health department to assemble resources that are needful during a disaster and coordinate with con federation serve to ensure the publicââ¬â¢s staple needs are met. These services involve social services, volunteers and fork over give-up the ghosters (Disaster in Franklin County: A creation wellness Simulation, 2006). The health military unit issue health advisories and allocate resources to turn back the needs of the disaster. This could include providing transportation to remove pack from their homes during a flood. It is also essential that the health personnel office communicates effectively with the public and media to add updated info on how to obtain process, how to obtain basic necessities, potential health hazards and to reassure the people of Franklin that they are safe (Disaster in Franklin County: A humanitys wellness Simulation, 2006).\r\nThe public controlââ¬â¢s role during a disaster involves choke patients in the want nourish for first-aid skills and administering medical checkup specialty. However to a greater extent emphasis is being pl aced on population-based public health and disaster facility. Public health harbours have formed an increased association about the communityââ¬â¢s baseline health status, demographics, environment and exciting resources. Public health nurses now have an sensibleness of endangered populations in the community, who may be at risk of infection in times of disasters. This includes the elderly, dis fitd, mental illness and non- verbalize side of meat residents (Berman, Erb, Kozier, & antiophthalmic factor; Synder 2006).\r\nThe public health nurse give conduct door to door interviews. This is performed to complete a community assessment to retard who requires medical examination attention, who has any special needs, such as essential medications and medical equipment (oxygen, nebulizer, and dialysis) and if the community has sanitary food and water. The nurse moldiness also propose imperative teaching to wait on keep the public safe, such as providing information about the local crisis call centers for additional care and support and local shelter. The nurse throne appertain them to proper resources such as social role players, counselors and shelters (Disaster in Franklin County: A Public health Simulation, 2006).\r\nChain of mastery\r\nThe chain of command that was used in the Franklin County excuse includes the concomitant dominanceer, functions dent Chief, Medical/ health tree wooden leg director, Public wellness Groups, Public wellness treat Supervisor and the Public health Nurse. The Incident Commander is the decision- making final authority. The military operations Section Chief has the responsibility for managing all operations, supervising cheeks in accordance with the incident action plan and directs its execution. The Operation Section Chief also directs the preparation of running(a) plan, requests resources, suffers expedient changes to the action plan when necessary and reports such to the incident commander (Wikiped ia, 2013).\r\nThe Medical/ health branch director go forth direct, supervise and evaluate consort activities of medical and care for. Public wellness Groups go forth proctor health status and identify health problems, by investing health problems and health hazards in the community. They depart evaluate the effectiveness, accessibility and quality of personal and population-based health services. Public wellness Groups also develop policies and plans and go through laws and regulations to protect the health and safety of the community. The Public wellness Nursing supervisor is responsible for providing direction and assistance to the Public wellness Nurse and evaluating their work (Wikipedia, 2013).\r\nThe Public health nurse communicates directly to the County Public Health Director who is Zachary Burke. Zachary Burke works under the Operation Section Chief who is Rebecca Brower. Rebecca Brower directly speaks to Chris Newhouse, who is the EOC Commander. The Public Health Nu rse will also collaborate with some other specialists such as epidemiologists, biostatisticians, environmentalists, social workers and such during a disaster (Disaster in Franklin County a Public Health Simulation, 2006).\r\nThe Community Nurse has many a(prenominal) available resources to the Franklin community when he or she encounters a problem that is non within her scope of practice. A social worker can care individuals who are experiencing problems associated with housing, unemployment and finances. A social worker can also refer individuals crucifixion from emotional distress to a counselor.\r\nAn environmental Health Specialist can help maintain a safe environment by identifying potential environmental problems such as a gas escape cock or chemical spill. They can help instill the community on safety hazards and find solutions to exit any threat to the public by supervise any possible dangers or environmental threats to the community (Disaster in Franklin County a P ublic Health Simulation, 2006).\r\nThe American chromatic Cross can provide many resources that can help ease the communityââ¬â¢s suffering caused by a disaster. The American rosy Cross offers a great deal of emergency brake assistance such as shelters, wantoning supplies, nurture kits, first aid, food, clothing home repairs, household items, medical supplies, emergency transportation and etc. The American crimson Cross can also provide referrals to the organization and other agencies providing disaster assistance. Another resource that could clear the community is the Federal requisite precaution Agency. This organization provides disaster assistance to individuals or families whose property has been damage or destroyed and whose red inkes are not covered by insurance.\r\nActions by the Public Health Nurse\r\nThe first residence that the nurse performed a door to door interview was a man named Matt Westlund. Matt Westlund begins to tell the Public Health Nurse that h is basement is flooded and the shelf in his shed had collapsed which caused all types of chemicals to spill. Mr. Westlund is seeking help on how to clean this chemical mess up. The public Health nurse responsibility is to seek help from an environmental Health Specialist (EHS). The EHS will assess and determine the most inhibit way to clean up the house held hazards waste. The nurse essential(prenominal)(prenominal) insist that Mr. Westlund does not attempt to clean up this mess and to clutch until the Environmental Health Specialist arrives. The Public Health Nurse must provide Mr. Westlund with information regarding how to clean a flood up (Disaster in Franklin County a Public Health Simulation, 2006).\r\nThe second resident is women named Susan Fuhr. Susan is exceedingly frustrated and annoyed. This household is soon lacking the basic supplies such as electricity, diapers, water and baby formula. The Public Health nurse can give Mrs. Fuhr the excerpt for her family to stay at a shelter for a few days where thither are red-hot meals, electricity and plenty other supplies. If Mrs. Fuhr refuses to go to the shelter she can then refer them to social services. A social worker can help provide the Fuhr family with the proper resources to help Mrs. Fuhr take care of her new-sprung(a) baby and the Public Health Nurse can provide them with one week of supplies (Disaster in Franklin County a Public Health Simulation, 2006).\r\nRosario Alvarez is a Spanish speaking woman who was unable to answer the nurseââ¬â¢s questions because of a language barrier. Mrs. Alvarez requires Spanish materials on safe food, water and a generator. At this time there is no urgent matter that needs to be addressed. The Public Health Nurse can sic for a translator to comprise a click with this family within a week to address safety regarding food, water and the generator (Disaster in Franklin County a Public Health Simulation, 2006).\r\nJason Fugate has a history of hypertensi on and currently ran out of rakehell pressure medications. The Public Health Nurseââ¬â¢s priority is to find out Mr. Fugateââ¬â¢s medical history and to take his blood pressure. If his systolic blood pressure is greater than 150mmHg, Mr. Fugate will be advised to leave his home and go to the shelter where his antihypertensive medication can be administered. Since Mr. Fugate blood pressure is 112/73, I would arrange his medication to arrive by the next day (Disaster in Franklin County a Public Health Simulation, 2006).\r\nIt is all important(predicate) that Mr. Fugate is sensible on his options and drop outs him to make his own decision. Mr. Fugate must be readyd on the signs and symptoms of hypertension and when to seek medical attention. The public nurse must also make sure that he has the basic essentials such as clean water, food, electricity and a working cry line in case of an emergency. It is important that the nurse will follow up with all residents to make sure th eir issues were addressed.\r\nAddressing the communityââ¬â¢s fears\r\nAfter the disaster, the community nurse must be willing to provide physical and emotional comfort to all the residents of Franklin County. The residents will suffer from anxiety, fear, sorrow and post-traumatic stress dis magnitude. The community will be mourning the loss of their loved ones and the loss of their valuables such as their homes and treasured items such as pictures.\r\nIt is important that the community nurse offers guidance and support to these families by offering resources and making referrals specific to apiece familyââ¬â¢s needs. The key to any recovery from a disaster is providing the community with the appropriate resources to help them rebuild their life. The basic resources include food, shelter and safety. Other important resources are family and friends.\r\nThe community nurse can educate the community members on how to cope, use others for support and how to break further help if needed. It is essential that the community nurse reassures them that they are safe and in good hands. The community nurse must allow them to verbalize their concerns, opinions, and needs to help them with the healing process. The nurse must be calm, compassionate, and confident in order to help this community move forward and feel safe.\r\nNursing personnel preparedness\r\nThe first priority of the treat personnel is to find out what his or her role is during an emergency crisis. They must be competent with their nursing skills and have the appropriate intimacy regarding an emergency response plan. The nurse must be educated on disaster preparedness and protocols to be able to respond adequately to a cosmic disaster (Berman, Erb, Kozier, & Synder 2006).\r\nThe Nursing personnel must also be aware of their community disaster plan and the warning signs associated with natural disasters in that specific area. It is important that they learn the local and rural area resources, so that they can make referrals to people when a disaster strikes. It is fundamentally important that the nurse is able to problem solve, critically think, and be able to work independently under stressful emplacements with very circumstantial resources and equipment (Berman, Erb, Kozier, & Synder 2006).\r\nThe nursing personnel must understand the chain of command, the lines of authority, and communication during an emergency. They must be familiar with the potential health conditions that could develop during and after a disaster. Nurses must take an active role in participating in a disaster develop program and emergency drills. They must be aware of standard personal protective equipment and when it is required. An extensive acquaintance of infection control and barrier precautions will help the nurse prevent the spread of infection (Berman, Erb, Kozier, & Synder 2006).\r\nThe nurse should first form a parturiency force that includes a civil defense officer, unav owed relief organizational representative, city/county officials, political leadership and media representatives. Together, the task force should involve the American Red Cross who has the expertise in guiding and ontogeny the disaster plan. The disaster plan should include supplies, equipment, transportation, shelter, human resources, government officials, emergency and disaster specialists, weather specialists, recovery,\r\n reasoning by elimination plan and supportive care (Berman, Erb, Kozier, & Synder 2006).\r\nNursing personnel must also be able to implement the four phases of the emergency management when a disaster occurs. This includes preparedness, response, recovery and mitigation. Nurses need to use nursing judgment to make decisions such as, where resources will be used and triaging patients to the appropriate level of care. The nursing personnel could be prepared to help in responding to large scale emergencies by taking Incident Command System (ICS) certificatio n leads. These are provided by the depicted object Incident Management System (NIMS) and the Federal Emergency Management Agency (FEMA). The ICS provides education to nursing personnel regarding emergency preparedness, incident management, and emergency response during a disaster. This is an excellent opportunity for the nursing personnel to gain knowledge and skills needed to serve their community efficiently and effectively during a natural or synthetical disaster (Emergency Management Institute, 2013).\r\nNurses can also win from taking the Integrated Emergency Management channel (IEMC), offered by the Emergency Management Institute (EMI) branch of the FEMA. This course provides emergency related scenarios that help running the nurseââ¬â¢s knowledge, awareness, flexibility, leadership, decision-making, and interpersonal skills under extreme pressure in the Emergency Operations union (EOC) environment. After completion of the IEMC training for emergency preparedness, nur ses will be able to apply their new skills, abilities and knowledge when a disaster strikes. This will also allow nurses to respond effectively under stressful situations (Emergency Management Institute, 2013).\r\nAnother program that can benefit nursing personnel is the topic Fire Academy (NFA). This course provides education and training in hazardous materials, emergency response to terrorism, arson prevention, detection, community risk reduction, bolt prevention and protection (Emergency Management Institute, 2013).\r\nIn addition, the National Disaster Management System also develop an organization, which is called the National Nurse Response Team (NRRT). This was open up to provide additional resources during a disaster. This program is make up of a team of volunteer nurses that help during an emergency. Nurses within this program are certified and must stay current with training in order to provide help during a disaster. The training includes bioterrorism, biologic warfa re, and disaster response (Public Health Emergency, 2009). Nurses that are not interested in becoming certified for disaster preparedness should then consider continuing education units (CEU) disaster relief training. This will at to the lowest degree provide a nurse with the basic knowledge to help serve their community if an emergency situation does occur.\r\nReferences\r\nBerman, A., Kozier, B., Erb, G., & Synder, S., J. Fundamentals of Nursing Concepts, Process and Practice. (2006). hurrying Saddle River, New Jersey.\r\nDisaster in Franklin\r\nCounty\r\n12\r\nDisaster in Franklin County a Public Health Simulation. 2006. Retrieved from: https:// cpheo1.sph.umn.edu/fcs/index.asp\r\nEmergency Management Institute. 2013. Retrieved from: http://training.fema.gov/IS/NIMS.aspx Public Health Emergency. 2009. Retrieved from: https://www.phe.gov/ zeal/responders/ ndms/teams/Pages/nnrt.aspx\r\nWikipedia. (2013). Incident Command System. Retrieved from: http://en.wikipedia.org/wiki/ Incident_Command_System\r\n'
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