PRESENTED BY:
MR.TUSHAR KEDAR
ASS. LECTURER
Disaster nursing
Topics
1.Meaning of Disaster Nursing
2.Definition of Disaster
3.Types of Disaster
4.Principal of disaster management
5.Disaster Management
6.Role of Nurses in Disaster Nursing
7.International Agencies assist for Disaster
Nursing
DISASTER ALPHABETICALLY MEANS..
D- DESTRUCTION
I- INCIDENTS
S- SUFFERINGS
A- ADMINISTRATIVE, FINANCIAL FAILURES
S- SENTIMENTS
T- TRAGIDIES
E- ERRUPTION OF COMMUNICABLE DISEASES
R-RESEACH PROGRAMME AND ITS
IMPLEMENTATION
Definition of Disaster
“An occurrence, either natural or manmade
that causes human suffering and creates
human needs that victims cannot alleviate
without assistance.
Man made disaster
Conventional Warfare
Explosions
Toxic materials
Civil unrest (riots)
Transportation accidents
Fires
Pollution
Terrorist attacks
PHASES OF DISASTER-
There are mainly three phases of disaster-
PRE-IMPACT PHASE-
It is the initial phase of disaster. Prior to the actual
occurrence a warning is given at the sign of the first
possible danger to the community.
IMPACT PHASE-
It occurs when the disaster actually happens. It is the
time of enduring hardships or injury and of trying to
survive. This is the time when the individuals help
neighbours and families at the scene a time of ‘ holding
on’ until help arrives. This phase may last for several
minutes for example- [after an earthquake, plane crash,
or explosion] or for several days or weeks [ for example-
in a flood, famine or an epidemic]
POST IMPACT PHASE-
Recovery begins during the emergency phase and ends with
both the return of normal community order and
functioning. This phase can event last for life time for
example- victims of atomic bombing of Hiroshima.
Principles of Disaster Management
•1) prevent the occurrence of disaster whenever
possible.
•2) provide first aid to the injured
•3) provide definitive medical care
• 4) disaster management is the responsibility of all
sphere of government
5) disaster management should use resources that exist
for day-to-day purpose
6) individual are responsible for their own safety
7) disaster management planning should focus on large
scale events.
8) disaster management planning should not recognize
the different between incident and disaster.
Disaster Management
There are Three fundamental aspects of Disaster
Management
1. Preparedness phase
2.Response phase
3.Recovery phase
4.Prevention /Mitigation
phase
1. Disaster Preparedness Phase
Activities prior to a disaster
It is an on going multi sectoral activity
Example :
Preparedness plans
Emergency exercise
Training
Warning symptoms
2. Disaster Response Phase
Activities During a disaster
Example:
Search ,rescuer and first aid
Field Care
Triage
Tagging
Identification of Dead
Search ,rescuer and first aid :
•The most immediate helps comes from the
uninjured persons
Field Care:
•Most injured person converge spontaneously
to health facilities.
•Bed availability and surgical services should
be Maximised.
•Provision makes for food and shelter.
Triage:
•It is an Rapidly classifying the injured on the basis of their
injuries.
•Triage is the only approach that can provide maximum
benefit to the greatest number of injured in a major
disaster situation.
•Triage colour coding system:
1.Red colour - Indicates High Priority treatment
and transport
2. Yellow colour-Medium priority
3. Green colour -Ambulatory patients
4. Black colour-Dead patients
3.Disaster Recovery phase
Activities following a disaster
Example:
Provision of supply
Transportation
Storage
Vaccination
Nutrition
Temporary housing
Long medical care
Counselling
4.Prevention /Mitigation phase
Activities that reduces the effects of disaster
Examples:
Improved building codes
Reduction and protection of vulnerable population
Public education
Flood mitigation works
The Nursing Role in Disaster
Management
ROLE OF NURSE
Assess the Community Diagnose Community Disaster Threats
Community Disaster Planning
Implementation Disaster Plan
Evaluate Effectiveness of Disaster Plan
The Nursing Role in
Disaster
Management
Nurses work in all phases of disaster management. Some of the
community disaster strategy for nurses include:
1.Assess the Community:
-Is there a current community disaster plan in place?
-Previous disaster experiences?
-How is the local terrain conductive to disaster
formation( hurricanes, tornados, blizzards)
-What are local industry?
-What personnel are available for disaster interventions?
(Nurses,doctors)
-What are local agencies and organization?
(hospital,schools,Red cross)
2.Diagnose Community Disaster Threats:
•Determine actual and potential disaster
threats.(eg. toxic waste,explosions,road
accidents,hurricanes,
tornandos,floods,earthquicks)
3.Community Disaster Planning:
•Develop a disaster plan to prevent or deal with
identified disaster threats.
•Identify a local community communicable
system.
•Set up of an emergency medical systems and
chain for activation.
4.Impliment Disaster plan:
Focus on primary prevention activities to prevent
occurrence of man made disaster.
Practice using equipments, obtaining and distributing
supplies.
5.Evaluate effectiveness of Disaster plan:
Critically evaluate all aspects of disaster plan and
practical drills for speed, effectiveness, gaps and revision.
Evaluate the disaster impact on community and
surrounding regions.
Evaluate response of personnel involved in disaster relief
efforts.
INTERNATIONAL AGENCIES
1.World health organisation(WHO.)
2.UNICEF
3.World Food programme (WFP.)
4.United Nation office for the co-ordination of
Humanitarian affairs.
5.Food and agriculture organisation (FAO.)
6.Organisation of America State (OAS.)
7.Cambridge Disaster Emergency Response Agency.
8.Co-operative for American Relief
Everywhere(CARE)
9.International committee of Red Cross.
10.International council of Voluntary agency.