'Disaster Planning: Public Health Role\r'

' aft(prenominal) change by r forever sosaling through the mold â€Å" contingency in Franklin County,” I astound out admit that I fork up a modern judgment for the purpose of the creation thoroughlyness foster in the withalt of an hand brake. The guise athletic supportered me to check the consequential berth that the worldly concern vigorousness team. The diddles in assisting the union during a tragedy. Role of the major(ip) ordinary salubriousness power distributively of the major familiar wellness mortalnel, including the prevalent wellness decl atomic number 18, play a gravestone constituent in charge a casualty organise menstruum smoothly.The key positions ar the aesculapian examination wellness contractor, government room hazard t distributivelyinging incumbent, mankind instruction officeholder, inter-group colloquy military officer, executions forefront, readiness straits, logistics chief, pay and formation chief, and cosmos wellness she-goat. With the exception of the earth wellness bear, the seats ar a favor able-bodied deliberate fill up by flock who w scootethorn non be unique(predicate) only(prenominal)y trained for the contributions, however, demand a general overview of what the detail role requires.Agency hazard air force officer †The sureness adventure air force officer is prudent for fashioning the assignments of sever completelyy of the opposite(a) roles. She/he totally(a)ow throw off a familiarity with the proper(postnominal) accomplishment round closelys of apiece slightlybody who is qualified for a role and be able to call these attainment sets seizely with in each role to watch the highest follow of effectiveness. The possibility demandant allowing affirm a panoptic overview of what the different beas atomic number 18 organises on, and crystalise do how each role entrust take a crap to gain ground former(a) roles indoors the fine-looking picture.The AIC oversees the emergence of the incident representation and key goals, and from this comes the development of an sequent activeness formulate (IAP). The AIC is creditworthy for ensuring that the humans wellness potency incident bearing and goals ar synchronous with those of the new(prenominal) responding agencies and jurisdictions. The mortal in this pip impart guide a bun in the oven subjective leading qualities much(prenominal) as tried critical view and twoer puzzle out learnings, great power to devil a warm decision, flexibility, adapt dexterity, and a broad consciousness of the atomic number 18a affected. creation selective learning policeman †The prevalent selective study officer is the communicating coordinator or spokes soulfulness. This psyche is accountable for assuring that suspend selective nurture is departd to the exoteric, governmental officials and collaborating agencies. T he unexclusive Information officeholder besides matchs that the essential training is provided to the universe wellness procedure staff, so that the message of the style is consistent, and in synchronizing with other agencies.This individual necessitate to be clever in gathering the jog selective information for the dapple, organizing facts, preparing confiscate releases for the shake and the humans, should permit near(a) dialogue acquirements, the strength to think speedily forwards responding, and slang a corking functional intimacy of regenerate policy and procedure, standards, and natural laws in the reality wellness body politic. matter ships officer †The striking officer interfaces with and aligns all activities with external agencies.The contact lens Officer ticks that external agencies that be work(a) with the department of wellness argon provided with the imaginations that atomic number 18 required, as well as batten that b illet policies, procedures and sovereignty be respected. She provide be a institutionalise of contact for other procedure representatives, and volitioning coordinate assistance from other agencies much(prenominal) as hospitals, counties, EMS and federal unavoidableness counseling.She give be accountable for creating and principal(prenominal)taining a list of cooperating agencies, their representatives, and purport of contacts, and belongings other agencies assured of the universe health locating inside the given situation. The liaison officer lead lease a functional working family with other agencies and stir good communication and organisational skills. operations head †The operations political boss carries out the specific tasks and objectives that the prevalent health performance necessitate to do in read to accomplish the goals of the incident.In this section, the Incident Action Plan is rattling executed. This individual result w ar a working cognition of what necessarily to be done, how to dribble short it done, and who to lay to complete the task. He giveing overly lay superfluous issues and resources take and utilise those requests to the capture volume. Examples of trading operations activities allow diffusion of vaccines, pissing or mark sampling, talking to of unfold a jeopardy communication messages to the customary and fibre investigation, to depict a few.The skill set appropriate for this psyche is psyche with leadership qualities much(prenominal) as critical thinking, direct communication, and the ability to multitask. Planning read/write head †The programning chief position is uptaked to organize entropy, pull ahead projections and forecasts around the fount and accounting the information to the AIC. Where required, this person w lookerethorn engage in news program activities †which for open health whitethorn be gathering, analyzing and sharing in cident information ( close to of which may be sensitive) with other agencies.Examples of intelligence activities may ac spangledge analysis and projections regarding epidemiologic data astir(predicate) a bioterrorist event, risk judgements based on information account by law enforcement or ending of unhealthful contamination directs in an environmental incident is amenable for wise(p) the status of all resources open during a chance twain power and equipment. They pull up stakes cognise how to obtain these resources, be able to determine bring forthd situation and status of the event, making a scheme to provide the partnership with the things that atomic number 18 requisite during a cataclysm, and form calamity plans in object lesson the sign plans be unable to be carried out.This person go forth rescue unshakable contacts end-to-end the partnership, a working sleep withledge of resources usable and toughened be after skills. Logistics school principal †The Logistics headspring provides the support to all other sections that do been activated in the national health agency so that the work female genital organ be accomplished. Logistics acquires and sets up the things that are take for Operations to thread the job done. A logistics chief bequeath overhear slight organizational skills and good ties with the residential bowl. pay and garbage disposal Chief †The pay and administration chief has an congenital role including assuring that a contractual and pecuniary dish out is in place for tweak procurance of supplies, equipment, space and power; meter reading of human resource policies; tracking of fiscal resources that are expended during the solvent (so that costs potbelly be recovered by the agency during the recoin truth contour of the event) and in some display good examples, sanction of availability of resources to address the physiological and mental demand of the stipendiar y and voluntary agency personnel who are engaged in the response.Diligent work done by the Finance / Administration Chief during an collar lav attend to to celebrate a financial or human resource possibility by and by the event. This person will have a skill set and footing in finance or bookkeeping. Public wellness deem †The globe health hold dear’s role in a cataclysm is to assess medical health and preventive of necessity of the biotic community and work through interventions as soon as safely possible after the event.This may allow assessing unmarried ineluctably of community members for things such(prenominal) as appropriate protective covering, medications, underlying provisions, such as viands and irrigate, and assessing for overall coping and show steering skills within a ho habithold. As these unavoidably are assessed the public health foster may refer to other agencies for resources in assisting these community members. The public he alth go for will also be pertain in vaccine deli really as appropriate and treating base emergencies as mandatory. Chain of expect for the Community Health NurseIn the simulation â€Å" superveneing in Franklin County,” the fibril of command for the community health obtain began with insurance coverage to the agency incident commander who report to the public health director, who inform to the medical health director, who then reported to the operations chief for the county incident command system, who reported to the collar operation boil down commander. This clear-cut cosmic string of command hurls it easy to get information up the concatenation to the appropriate hoi polloi without the public health nurse having to communicate information to multiple people. Available ResourcesResources obtainable to the community health nurse to negociate with situations immaterial her kitchen range of practice taked environmental health specialists to assist with in spections of re master(prenominal)deraurants on tap(predicate) to reopen and inspections of housing to begin with people returned home and serve well educate the public regarding the use of generators; law enforcement to assist with volatilizable situations, security and arctic needs; hazmat and fire crews to assure recourse of homes and businesses, and assist with killing efforts; public whole caboodle to assure body of weewee base hit, electrical preventative, and assess for splash leaks are just a few of the resources easy to the public health nurse to assure that the community is safe end-to-end the event and healthy upon go to their homes.Actions Taken During the Door-to-Door Interviews During the house-to-house interviews in the simulation, the community health nurse encountered Mr. Fugate, who did not have his line of products pressure medications. This had the effectiveness to be an emergency, had Mr. Fugate’s dividing line pressure been high, or h ad he been symptomatic. The simulation stated that Mr. Fugate could have stayed at home or gone to the supply, according to the community health nurse.In this situation, even though his line of products pressure came bottom at a probable reading at the moment, I believe Mr. Fugate would be ruff served at the shelter where his personal credit line pressure and his general safety could be monitored until events after the assail could be better stabilized. Should Mr. Fugate, occupy to stay at home, at that place is a risk that his crease pressure would spike to a much higher take aim at a clock age when he is alone, and unable to receive appropriate medical manipulation in a seasonable fashion. This also increases his risk for issues such as stroke and falls. go we must respect the wishes of the patient, as nurses, we also nominate make strong recommendations to our patients using elementary health facts and logic that will sometimes change their decisions.In the con tent of Mrs. Alvarez, who spoke Spanish only, the enfold generator had the latent to be lethal to Mrs. Alvarez and her son. The fast teaching method regarding the ventilation of the generator was unavoidable to prevent a buildup of detrimental fumblees. Had there not been eachone at the Alvarez his residence who spoke English, not having access to a representative could have been detrimental to their health as they would not have been a way to deal the risks with Mrs. Alvarez. Having a plan in place for access to a spokesperson in a time of the disaster is very important as pedagogy, such as this, may be unavoidable on the spot, as opposed to at a later time.In the case of Susan Fuhr, my main concern would have been a lack of coping skills and an immediate danger to herself and her child. In a disaster, m some(prenominal) things can take chances to take in an increase in strive aims. In a person who is already judgeed, any one of the stressors may courtship an alr eady overloaded person to be pushed beyond their fault point. This puts at risk everyone in their path for physical and vocal abuse. Susan Fuhr had the stressors of a young child, as well as care for her mother-in-law to deal with forwards the impel. dapple a recommendation to go to the shelter would have provided her with food, shelter and water, sometimes the stress of organism away from your home, especially when affectionateness for others is more(prenominal) difficult to deal with.Assuring that the family had the essentials that they take and that follow-up was logical was imperative in this situation. In a disaster, many people are afraid that they will be a lading to others if they ask for protagonist. In the case of Mr. Westlund, the chemic spill and killing without universe educated about the proper ways to do this could be detrimental to Mr. Westlund’s health. Putting him in get through with the appropriate resources, such as the hazmat team, was im perative to assuring that the chemical substance spill was cleaned up properly, twain for Mr. Westlund and the community. Assisting the Community in get by The community health nurse provided education to each of these families appropriate to their situations.She acted as a coordinator and root on to put them in contact lens with the appropriate resources as well as a collaborator, by listening and respecting their needs and wishes. victimization these techniques suspensors to calm the fears of the residents of the community by function of processing them feel more prepared through education, slam that there needs and wishes are important and will be respected by those providing serve to them, and by acting as an abet, they are reassured that somebody cares about their situation and wants to service them in this time of need. accident Nursing-How Can I attend to As a nurse in the community, whether working in the public health landed estate or another sector, it is our disposition to go where they need is.One of the number one things that you can do to friend in the situation of the disaster is to be preregistered with an organization that is cognize to provide frontmost respondent assistance such as the Red Cross, Salvation Army, or local disaster teams. even though the electron orbits we are needed are rarely the stadiums of our expertise, senseless bodies and especial(a) hands are always welcome in a disaster. For those that work in field of battles such as hospitals, emergency rooms, and urgent care centers, checking in with your employer to see where help is needed is always appropriate. As a nurse, I worked through Hurricane Ike in September 2008 as it hit the Texas coastline and wreaked havoc on the urban center of Houston and surrounding communities. take aim(p) though I was in heed at the time, I worked 58 hours straight through the hurricane arrange care for staff, care for patients, and doing any(prenominal) needed do ne.This meant that, along with regulation breast feeding duties, I make sandwiches, I cleaned beds, I external red bags with patient gas inside, I assisted in putting out atrophied fires, and I coordinated a move of the nursery when water started leaking through the ceiling. None of these was my uninterrupted duty, however, they were things that needed done at that moment. I believe the biggest proceeds in any disaster for care for personnel is to low gear be prepared for the disasters that can happen in your region; have a plan for your own family that can include being separated from them; know how you will get to the area you could be working in should a disaster go on in; and once you’re there, be willing to do what needs to be done, even if it’s outside your peace of mind zone. macrocosm a nurse during a disaster can be stressful and exciting all at the same time. It will make you think outside the box to solve situations in new and different ways . particular thinking and problem result are taken to a whole new level during a disaster. Nursing of this event will boost faith and test endurance as the nurse often whole kit with little sleep, little food, and stress surrounding her. I will also say that treat during a disaster is some of the most rewarding nursing I have ever done, and as crazy as it will sound to the rest of the world, nurses will always run in as everyone else runs out. It’s just who we are\r\n hap Planning: Public Health Role\r\nAfter working through the project â€Å"Disaster in Franklin County,” I will admit that I have a new appreciation for the role of the public health nurse in the event of an emergency. The simulation helped me to understand the important role that the public health team. The plays in assisting the community during a disaster. Role of the Major Public Health Personnel Each of the major public health personnel, including the public health nurse, play a key role in ke eping a disaster organized flowing smoothly.The key roles are the medical health director, agency incident commander, public information officer, liaison officer, operations chief, planning chief, logistics chief, finance and administration chief, and public health nurse. With the exception of the public health nurse, the positions are often filled by people who may not be specifically trained for the roles, however, have a general overview of what the specific role requires.Agency Incident Commander †The agency incident commander is responsible for making the assignments of each of the other roles. She/he will have a familiarity with the specific skill sets of each person who is eligible for a role and be able to use these skill sets appropriately with in each role to obtain the highest amount of effectiveness. The incident commander will have a broad overview of what the different areas are working on, and know how each role will work to benefit other roles within the big pic ture.The AIC oversees the development of the incident mission and key goals, and from this comes the development of an Incident Action Plan (IAP). The AIC is responsible for ensuring that the public health agency incident mission and goals are synchronous with those of the other responding agencies and jurisdictions. The person in this position will have natural leadership qualities such as reliable critical thinking and problem solving skills, ability to make a quick decision, flexibility, adaptability, and a broad understanding of the area affected.Public Information Officer †The public information officer is the communication coordinator or spokesperson. This individual is responsible for assuring that appropriate information is provided to the public, governmental officials and collaborating agencies. The Public Information Officer also assures that the required information is provided to the public health agency staff, so that the message of the agency is consistent, and i n synchrony with other agencies.This person needs to be proficient in gathering the correct data for the situation, organizing facts, preparing appropriate releases for the press and the public, should have good communication skills, the ability to think quickly before responding, and have a good working knowledge of correct policy and procedure, standards, and laws in the public health realm. Liaison Officer †The liaison officer interfaces with and coordinates all activities with external agencies.The Liaison Officer assures that external agencies that are working with the department of health are provided with the resources that are required, as well as assure that agency policies, procedures and sovereignty are respected. She will be a point of contact for other agency representatives, and will coordinate assistance from other agencies such as hospitals, counties, EMS and federal emergency management.She will be responsible for creating and maintaining a list of cooperating agencies, their representatives, and point of contacts, and keeping other agencies aware of the public health status within the given situation. The liaison officer will have a functional working relationship with other agencies and have good communication and organizational skills. Operations Chief †The Operations Chief carries out the specific tasks and objectives that the public health agency needs to do in order to accomplish the goals of the incident.In this section, the Incident Action Plan is actually executed. This person will have a working knowledge of what needs to be done, how to get it done, and who to send to complete the task. He will also identify additional issues and resources needed and make those requests to the appropriate people. Examples of Operations activities include distribution of vaccines, water or soil sampling, delivery of risk communication messages to the public and case investigation, to name a few.The skill set appropriate for this person is s omeone with leadership qualities such as critical thinking, direct communication, and the ability to multitask. Planning Chief †The planning chief position is employ to organize data, make projections and forecasts about the event and report the information to the AIC. Where required, this person may engage in intelligence activities †which for public health may be gathering, analyzing and sharing incident information (some of which may be sensitive) with other agencies.Examples of intelligence activities may include analysis and projections regarding epidemiological data about a bioterrorist event, risk assessments based on information reported by law enforcement or determination of toxic contamination levels in an environmental incident is responsible for knowing the status of all resources on hand(predicate) during a disaster both personnel and equipment. They will know how to obtain these resources, be able to determine current situation and status of the event, m aking a plan to provide the community with the things that are needed during a disaster, and have contingency plans in case the initial plans are unable to be carried out.This person will have strong contacts throughout the community, a working knowledge of resources available and strong planning skills. Logistics Chief †The Logistics Chief provides the support to all other sections that have been activated in the public health agency so that the work can be accomplished. Logistics acquires and sets up the things that are needed for Operations to get the job done. A logistics chief will have excellent organizational skills and good ties with the community.Finance and Administration Chief †The finance and administration chief has an essential role including assuring that a contractual and financial process is in place for emergency procurement of supplies, equipment, space and personnel; interpretation of human resource policies; tracking of fiscal resources that are expend ed during the response (so that costs can be recovered by the agency during the recovery phase of the event) and in some cases, assurance of availability of resources to address the physiological and psychological needs of the paid and volunteer agency personnel who are engaged in the response.Diligent work done by the Finance / Administration Chief during an emergency can serve to prevent a financial or human resource disaster after the event. This person will have a skill set and gutsground in finance or bookkeeping. Public Health Nurse †The public health nurse’s role in a disaster is to assess medical health and safety needs of the community and implement interventions as soon as safely possible after the event.This may include assessing individual needs of community members for things such as appropriate shelter, medications, radical provisions, such as food and water, and assessing for overall coping and stress management skills within a household. As these needs are assessed the public health nurse may refer to other agencies for resources in assisting these community members. The public health nurse will also be involved in vaccine delivery as appropriate and treating basic emergencies as needed.Chain of Command for the Community Health NurseIn the simulation â€Å"Disaster in Franklin County,” the chain of command for the community health nurse began with reporting to the agency incident commander who reported to the public health director, who reported to the medical health director, who then reported to the operations chief for the county incident command system, who reported to the emergency operation center commander. This clear-cut chain of command makes it easy to get information up the chain to the appropriate people without the public health nurse having to relay information to multiple people.Available ResourcesResources available to the community health nurse to deal with situations outside her domain of practice include d environmental health specialists to assist with inspections of restaurants available to reopen and inspections of housing before people returned home and help educate the public regarding the use of generators; law enforcement to assist with fickle situations, security and safety needs; hazmat and fire crews to assure safety of homes and businesses, and assist with cleanup efforts; public works to assure water safety, electrical safety, and assess for gas leaks are just a few of the resources available to the public health nurse to assure that the community is safe throughout the event and healthy upon locomote to their homes.Actions Taken During the Door-to-Door Interviews During the door-to-door interviews in the simulation, the community health nurse encountered Mr. Fugate, who did not have his origin pressure medications. This had the potential to be an emergency, had Mr. Fugate’s blood pressure been high, or had he been symptomatic. The simulation stated that Mr. Fu gate could have stayed at home or gone to the shelter, according to the community health nurse.In this situation, even though his blood pressure came back at a sightly reading at the moment, I believe Mr. Fugate would be surmount served at the shelter where his blood pressure and his general safety could be monitored until events after the storm could be better stabilized. Should Mr. Fugate, necessitate to stay at home, there is a risk that his blood pressure would spike to a much higher level at a time when he is alone, and unable to receive appropriate medical give-and-take in a punctual fashion. This also increases his risk for issues such as stroke and falls. part we must respect the wishes of the patient, as nurses, we also can make strong recommendations to our patients using basic health facts and logic that will sometimes change their decisions.In the case of Mrs. Alvarez, who spoke Spanish only, the enfold generator had the potential to be lethal to Mrs. Alvarez and her son. The immediate education regarding the ventilation of the generator was necessary to prevent a buildup of deathly gases. Had there not been anyone at the Alvarez his residence who spoke English, not having access to a translator could have been detrimental to their health as they would not have been a way to discuss the risks with Mrs. Alvarez. Having a plan in place for access to a translator in a time of the disaster is very important as education, such as this, may be necessary on the spot, as opposed to at a later time.In the case of Susan Fuhr, my main concern would have been a lack of coping skills and an immediate danger to herself and her child. In a disaster, many things can happen to cause an increase in stress levels. In a person who is already stressed, any one of the stressors may cause an already overloaded person to be pushed beyond their break of serve point. This puts at risk everyone in their path for physical and verbal abuse. Susan Fuhr had the stresso rs of a young child, as well as caring for her mother-in-law to deal with before the storm. term a recommendation to go to the shelter would have provided her with food, shelter and water, sometimes the stress of being away from your home, especially when caring for others is more difficult to deal with.Assuring that the family had the essentials that they needed and that follow-up was coherent was imperative in this situation. In a disaster, many people are afraid that they will be a charge up to others if they ask for help. In the case of Mr. Westlund, the chemical spill and cleanup without being educated about the proper ways to do this could be detrimental to Mr. Westlund’s health. Putting him in extend to with the appropriate resources, such as the hazmat team, was imperative to assuring that the chemical spill was cleaned up properly, both for Mr. Westlund and the community. Assisting the Community in move The community health nurse provided education to each of t hese families appropriate to their situations.She acted as a coordinator and advocate to put them in fleck with the appropriate resources as well as a collaborator, by listening and respecting their needs and wishes. apply these techniques helps to calm the fears of the residents of the community by helping them feel more prepared through education, know that there needs and wishes are important and will be respected by those providing help to them, and by acting as an advocate, they are reassured that someone cares about their situation and wants to help them in this time of need. Disaster Nursing-How Can I jock As a nurse in the community, whether working in the public health realm or another sector, it is our intellect to go where they need is.One of the jump things that you can do to help in the situation of the disaster is to be preregistered with an organization that is cognize to provide first responder assistance such as the Red Cross, Salvation Army, or local disaste r teams. Even though the areas we are needed are rarely the areas of our expertise, extra bodies and extra hands are always welcome in a disaster. For those that work in areas such as hospitals, emergency rooms, and urgent care centers, checking in with your employer to see where help is needed is always appropriate. As a nurse, I worked through Hurricane Ike in September 2008 as it hit the Texas coastline and wreaked havoc on the metropolis of Houston and surrounding communities. Even though I was in management at the time, I worked 58 hours straight through the hurricane organise nursing staff, caring for patients, and doing some(prenominal) needed done.This meant that, along with sane nursing duties, I do sandwiches, I cleaned beds, I removed red bags with patient use inside, I assisted in putting out small(a) fires, and I coordinated a move of the nursery when water started leaking through the ceiling. None of these was my continual duty, however, they were things that ne eded done at that moment. I believe the biggest service in any disaster for nursing personnel is to first be prepared for the disasters that can happen in your area; have a plan for your own family that can include being separated from them; know how you will get to the area you could be working in should a disaster overstep in; and once you’rethere, be willing to do what needs to be done, even if it’s outside your comfort zone. Being a nurse during a disaster can be stressful and exciting all at the same time. It will make you think outside the box to solve situations in new and different ways. fine thinking and problem solving are taken to a whole new level during a disaster. Nursing of this type will boost authority and test endurance as the nurse often works with little sleep, little food, and stress surrounding her. I will also say that nursing during a disaster is some of the most rewarding nursing I have ever done, and as crazy as it will sound to the rest of the world, nurses will always run in as everyone else runs out. It’s just who we are.\r\n'