Disaster Management &
Role of Nurses
Dr. Virendra Singh Choudhary
Introduction
•A catastrophic situation in which the day
today patterns of life are suddenly
disrupted and people are plunged into
helplessness and suffering and need
protection, clothing, shelter, medical care
and other necessities of life.
( International Red Cross)
Disaster in India
•Traditionally vulnerable to natural
disasters
•In 1990-2000 an average of about 4344
people lost their lives and 30 million were
affected by disasters every year.
•1990-2000 an international decade for
natural disaster reduction.
Current Disasters in India
•Super cyclone in Orissa in Oct,1999
•Bhuj earthquake in January, 2001
•Tsunami waves in Dec,2004
Types
•Natural
•Man made
•Others
Phases of Disaster
•Warning phase
•Period of impact
•Rescue phase
•Relief phase
•Rehabilitation phase
•Reintegration phase
Conceptualization of Disaster
experience process
preparedness
warning
threat
impact
assessment
rescue
Immed. action
Initial recovering
rehabilitation
prevention
Disaster management in India
•New approach the development can not
be sustainable unless disaster mitigating is
built in the development process.
•Multidisciplinary
•Cost effectiveness
National Disaster Framework
•Levels at which it works
•Covers institutional mechanisms, disaster
prevention strategy, early warning
systems, disaster mitigation, preparedness
and response and human development
•Multidisciplinary
Components of Disaster
Management
•Policy
•Legal and techno approach
•Disaster prevention and mitigation
•Funding mechanism
•Specific schemes
•Disaster risk management programme
capacity building
•Human resource development
National policy on Dx Mx
•Holistic and proactive approach
•Funds
•Mitigation
•Project in hazard prone area
•Community involvement
•Close interaction
•Chain of commands
•Capacity building measures
National policy on Dx Mx
•S.O.P. and Disaster management plans
•Lifeline building in seismic zones
•Revising existing relief codes
•Seeking international cooperation
Legal and technological framework
•Disaster management act
•Disaster management code
Disaster prevention and mitigation
•Four Components
•Environmental protection & sustainable
development
Funding Mechanism
•Finance commission
•Govt of India
Specific schemes
•Flood preparedness and response,
•Earthquake risk mitigation,
•Landslide and cyclone mitigation
Disaster risk management
programme & capacity building
•169 districts
•17 multi hazard prone states
•Prepare their own programme
•8643 villages,1046 gram panchayat,
188 blocks, 82 districts
•29,000 elected members of panchayat Raj
Institutions have been prepared
Human resource development
•Upgradation
•Functions
•Preparing training modules
•Training programmmes
•Development of information material
Awareness
•Effective compaign
•Use of media
•Govt. statationary
•School curriculum
•IEC material
Disaster preparedness
•Mitigation and preparedness go hand in
hand
•Specialist response team
•Setting up of search and rescue team
•Regional response centre
•Health preparedness
•Hospital preparedness
Disaster preparedness
•Incident command system
•Emergency support function plan
•India disaster resource network
•Emergency operation centres
•national emergency communication
network
•GIS absed data base
Disaster preparedness
•Strengthening of fire services
•Strengthening of civil defence
•Handling of hazardous material
•Special attention to northen eastern states
Disaster preparedness at hospital
level
•Defined mechanism
•Disaster cupboard
•Policy for disaster management
•Disaster preparedness team
•Disaster plan:
Aim
Type
Problems
Disaster committee
Triage
•Sorting out
•On the basis of benefit from medical care
Principles of triage
1.Every person to be triaged
2.Clinico management decision,
collaborative work
3.No delay in delivery of care
Components of triage system
•Personnel
•Communicaton and information
•Space requirement
•Equipment supplies
•Ducumentation system
Method of triage
•Continuous process
•Repeated assessments
•Two methods
Categories of triage
•First priority or immediate treatment
•Second priority or delayed treatment
•Third priority or expectant treatment
Tagging
•Red
•Green
•Yellow
•black
Nursing responsibility
•Effective and efficient allocation of the
resources
•Fast and critical thinking
•Identification and tagging the patient
•Documentation
•Notification
•Stablisation
conclusion
•Aim of the disaster plan is to make safer
and secure India through sustained
collectives efforts, synergy of national
capacities and people’s participation