Community Nursing Assignment Paper.
Community Nursing Assignment Paper.
Instructions
Community emergencies can have a devastating impact to a community whether the emergency is caused by infectious disease or natural disaster. For this assignment, you will focus on emergency preparedness in relation to your clinical practice.Community Nursing Assignment Paper.
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Start with this activity:
Select an emergency preparedness guide using one of the two pathways below and develop your paper by answering the questions below.
If you are a SENTARA EMPLOYEE: Visit Sentara’s Emergency Management/Hospital Incident Command System webpages by following these instructions:
- Log into your Sentara Wavenet account.
- Copy and paste this address into your internet browser: https://wavenet.sentara.com/channels/empres/emergencyop/slh/Pages/Annex-L.aspx
- You should be on the page Annex K – HICS/Incident Response Guides
- Scroll down the page and select one of the Incident Response Guides for Hospital Command Centerto review.
- Write your paper answering the questions posted below.Community Nursing Assignment Paper.
If you are a NON-SENTARA EMPLOYEE:
- Follow this link to Appendix F Incident Response Guides: http://hicscenter.org/Shared%20Documents/IRGs/All%20Incident%20Response%20Guide.pdf
- Select a guide to review from the Hospital Incident Planning and Response Guides.
- Write your paper answering the questions below.
To complete your assignment:
Using the resources provided through your readings and required web link, you are to develop a 2-3 page paper regarding your professional practice disaster preparedness plan. Your paper should use proper APA formatting (title page, running head, page numbers, double-spaced, Times New Roman font, reference page(s), etc.). The 2-3 page limitation does not include the title page and reference page(s). Your paper should answer and discuss the following questions: Community Nursing Assignment Paper.
- Which Hospital Incident Response Guidedid you review?
- What are some of the problems and challenges associated with this disaster response?
- How can these problems and challenges be addressed during the preparedness phase?
- What is the nurse’s role in disaster preparedness?
- Mission: To safely manage the operations of the facility during a power outage and minimize time to
restore service.
Directions
□ Read this entire response guide and review incident management team chart
□ Use this response guide as a checklist to ensure all tasks are addressed and completed
Objectives
□ Maintain emergency power systems
□ Maintain patient care management and safety
□ Minimize impact on hospital operations and clinical services
□ Evacuate patients to other facilities, if appropriate
□ Communicate situation to staff, patients, the media and community officials
Immediate (Operational Period 0-2 Hours)
□
COMMAND
(Incident Commander):
Activate the facility Emergency Operations Plan
Activate Command Staff and Section Chiefs, as appropriate
(Liaison Officer):
Notify local emergency management/EOC of hospital situation status and obtain incident
information and estimated timelines for restoration of power
Notify local EMS and ambulance providers about the situation and possible need to evacuate
Communicate with other healthcare facilities to determine:
• Situation status
• Surge capacity
• Patient transfer/bed availability
• Ability to loan needed equipment, supplies, medications, personnel, etc.
• Contact the Regional Hospital Coordination Center, if exists, to notify about the situation
and request assistance with patient evacuation destinations322
□
COMMAND
(Public Information Officer):
Inform staff, patients and families of situation and measures to provide power and protect life
Prepare media staging area
Conduct regular media briefings, in collaboration local emergency management, as
appropriate
(Safety Officer):
Evaluate safety of patients, family, staff and facility and recommend protective and corrective
actions to minimize hazards and risks
□
OPERATIONS
Evaluate the emergency power supply and appropriate usage within the facility
Initiate power conservation measures
Assess patients for risk and prioritize care and resources, as appropriate
Secure the facility and implement limited visitation policy
Ensure continuation of patient care and essential services
Consider partial or complete evacuation of the facility, or relocation of patients and services
within the facility
Maintain communications systems and other utilities and activate redundant (back up)
systems, as appropriate
Implement business continuity plans and protection of records
□
PLANNING
Establish operational periods, incident objectives and develop the Incident Action Plan, in
collaboration with the Incident Commander
Prepare for patient and personnel tracking in the event of evacuations
Monitor weather conditions
□
LOGISTICS
Maintain other utilities and activate alternate systems as needed
Investigate and provide recommendations for auxiliary power (i.e., battery powered lights,
etc)
Provide for water, food and rest periods for staff
Obtain supplies to maintain functioning of emergency generators (i.e., fuel, parts, etc.)
Obtain supplemental staffing, as needed
Prepare for transportation of evacuated patients
Validate and/or activate the backup communications systems
Intermediate and Extended (Operational Period 2 to Greater than 12 Hours).Community Nursing Assignment Paper.
323
□
COMMAND
(Incident Commander):
Update and revise the Incident Action Plan and prepare for demobilization
Continue to update internal officials on the situation status
Monitor evacuation, if activated
(PIO):
Continue with briefings and situation updates with staff, patients and families
Continue patient information center operations, in collaboration with Liaison Officer.Community Nursing Assignment Paper.
(Liaison Officer):
Continue to notify local EOC of situation status, critical issues and request assistance, as
needed
Continue to communicate with local utilities incident details and duration estimates
Continue patient information center operations, in collaboration with PIO
Continue communications with area hospitals and facilitate patient transfers
(Safety):
Continue to evaluate facility operations for safety and hazards and take immediate corrective
actions.Community Nursing Assignment Paper.
□
OPERATIONS
Continue evaluation of patients and patient care
Determine if any equipment can be taken off emergency power to minimize load on
generators
Cancel elective surgeries and procedures
Prepare the staging area for patient transfer/evacuation
Initiate ambulance diversion procedures
Continue or implement patient evacuation
Ensure the transfer of patient’s belongings, medications and records upon evacuation.Community Nursing Assignment Paper.
Continue evaluation and provision of emergency power
Ensure facility security and restricted visitation
Ensure provision of water and food to patients, visitors and families
Continue to maintain other utilities
Monitor patients for adverse affects of heath and psychological stress
Prepare demobilization and system recovery plan
324
□
PLANNING
Continue patient, bed and personnel tracking
Update and revise the Incident Action Plan
Prepare the demobilization and system recovery plans
Plan for repatriation of patients
Ensure documentation of actions, decisions and activities.Community Nursing Assignment Paper.
□
LOGISTICS
Contact vendors to schedule regular deliveries of fuel to maintain emergency power
Contact vendors on availability of supplies and fresh food
Continue provision of emergency power to critical areas
Continue to provide staff for patient care and evacuation
Monitor staff for adverse affects of heath and psychological stress.Community Nursing Assignment Paper.
Monitor, report, follow up on and document staff or patient injuries
Continue to provide transportation services for internal operations and patient evacuation
□
FINANCE/ADMINISTRATION
Continue to track costs and expenditures and lost revenue
Continue to facilitate contracting for emergency power and other services.Community Nursing Assignment Paper.
Demobilization/System Recovery
□
COMMAND
(Incident Commander):
Determine hospital status and declare restoration of normal power and termination of the
incident
Notify state licensing, accreditation or regulatory agency of sentinel event
(Liaison Officer):
Communicate final hospital status and termination of the incident to local EOC, area hospitals
and officials
Assist with the repatriation of patients transferred
(PIO):
Conduct final media briefing and assist with updating staff, patients, families and others of the
termination of the event.Community Nursing Assignment Paper.
(Safety Officer):
Ensure facility safety and restoration of normal operations
325
□
OPERATIONS
Restore normal patient care operations
Ensure restoration of power and services
Repatriate evacuated patients
Discontinue ambulance diversion and visitor limitations
Ensure business continuity of operations and return to normal services.Community Nursing Assignment Paper.
□
PLANNING
Finalize the Incident Action Plan and demobilization plan
Compile a final report of the incident and hospital response and recovery operations
Ensure appropriate archiving of incident documentation
Conduct after-action reviews and debriefing
Write after-action report and corrective action plan for approval by the Incident Commander
to include the following:
• Summary of actions taken
• Summary of the incident
• Actions that went well
• Area for improvement
• Recommendations for future response actions.Community Nursing Assignment Paper.
□
LOGISTICS
Perform evaluation and preventative maintenance on emergency generators and ensure their
readiness
Restock supplies, equipment, medications, food and water
Ensure communications and IT/IS operations return to normal.Community Nursing Assignment Paper.
□
FINANCE/ADMINISTRATION
Compile a final report of response costs and expenditures and lost revenue for approval by
the Incident Commander
Contact insurance carriers to assist in documentation of structural and infrastructure damage
and initiate reimbursement and claims procedures
326
Documents and Tools
□ Hospital Emergency Operations Plan
□ Hospital Evacuation Plan
□ Emergency Power Plans
□ Emergency Communications Plans
□ Facility and Departmental Business Continuity Plans.Community Nursing Assignment Paper.
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