Disaster/Pandemic preparedness

Nurses COVID

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I was looking the the other Disaster/Pandemic thread that Florida1 started. She mentioned that after the hurricanes, that they had problems getting basic supplies and food stores were often closed for weeks after the storm.

That concerns me. I wonder in case of disasters like hurricanes, earthquakes and pandemics if the nurses who work in the area have problems like that. I'd be worried about leaving my family if there was no heat or electric. After loosing electric in the ice storms in the Carolinas a few years back, my husband bought us a generator. I try to keep enough gas stored so that I could run that and maybe have an extra tank of gas for getting back and forth to work, if things were shut down. I never want to wait in the cold on those gas lines again; or have to risk driving around to find necessities!

What disasters have you been through? What lessons did you learn about what things would make life easier if it happens again to you? What can we learn from your experience, and how can we prepare for so we dont have to go through th esame problems you did?

Where there any sepcial tricks or issues that came up that helped you at work? Any special problems that nurses in disasters face?

I have a confession- my home first aid kit is pretty anemic right now :) DH burned his hand prety badly at work last week. I hadnt checked my kit in awhile, and was shocked to see how low I was on some stuff. I only had one roll banfage and had to make a run to WallyWorld the next day! If the stores were shut or the roads iced in or otherwise impassible that would have been an issue. Maybe not life threatening- but its a small example of how not being well prepared can be a problem.

I'd have been so embarrased to admit to hubby I couldnt take care of it, or come thru when he needed me to.

What do you do to prepare? I'm going to restock my kit, and get some more OTC stuff to keep on hand too. What else should I be thinking about?

Laura

Specializes in IM/Critical Care/Cardiology.
Grassroot Preparedness Group Showing the Way

http://afludiary.blogspot.com/2008/02/readymom-alliance-rides-again.html

Don't know how to prepare your family? This group can help.

Great post. Really encourages us as HUMANS to be concerned about serious matters and leave the rest behind. Thank You indigo girl.

Sharona

Specializes in Too many to list.

Getting the Right Combination of Strains in the Seasonal Flu Vaccine

This year, they guessed wrong:

http://www.scottmcpherson.net/journal/2008/2/11/who-cdc-say-my-bad-on-lack-of-flu-vaccine-protection.html

And for next year, here's the scoop:

http://crofsblogs.typepad.com/h5n1/2008/02/branswell-who-n.html

Specializes in IM/Critical Care/Cardiology.
Getting the Right Combination of Strains in the Seasonal Flu Vaccine

This year, they guessed wrong:

http://www.scottmcpherson.net/journal/2008/2/11/who-cdc-say-my-bad-on-lack-of-flu-vaccine-protection.html

And for next year, here's the scoop:

http://crofsblogs.typepad.com/h5n1/2008/02/branswell-who-n.html

Indigo Girl:

Hope this post finds you well and settled. Thanks for the blog leads. The directions for ORS are invaluable.

Miss Ya,

Sharona

Specializes in IM/Critical Care/Cardiology.
I find myself wondering how many people who have bothered to read this thread have actually undertaken ANY sort of preps.

The federal government in particular, and to a lesser degree various state and local governmental bodies have been promoting preparedness for.... well, for whatever, up to and including an infectious disease pandemic, for several years now. But how many people have actually listened and taken the messages to heart?

Ayrman

Our family has, and with laidback al's input along with indigogirls's input, my favorites box is full, full, full,. We had an epidemic of whooping cough 7 years ago in our community. Jr. High students were effected mostly, I caught the virus and enen though there was knowledge amongst the local docs and public health, I still went undiagnosed for 4 months. I, myself will never underestimate the possibilities arising that could include the USA on a pandemic level. Of course it's easier to slam Nurses week, than to be informed about a potential life-threatening outbreak. IMO

Specializes in Too many to list.
Indigo Girl:

Hope this post finds you well and settled.

Thanks, sharona. I am well though far from settled. I am just thankful to

have internet access again...

It's been a difficult transition, but it could have been worse. Glad to be back.

Much thanks to Laidback Al for covering this information on Thread 3 as well.

I am very grateful.

Hi all! I'm currently a nursing student in a disaster preparedness course. I was just curious to know if anyone could give me information on the ICU nurse's role. Links to relative websites, journals, or even the names of any books would be GREATLY appreciated!

Thanks!

Hi all! I'm currently a nursing student in a disaster preparedness course. I was just curious to know if anyone could give me information on the ICU nurse's role. Links to relative websites, journals, or even the names of any books would be GREATLY appreciated!

Thanks!

I am sure someone else can give you some information on a nurse's role in ICU, because I am not a nurse. But I am interested in general preparedness for a pandemic.

One of the big concerns for HCW should be a severe influenza pandemic. Based on my limited understanding of the hospital and medical facilities, there is not nearly enough PPE to cover any immediate surges, much less a patient onslaught with a 30%+ AR from a pandemic. Certainly a high CFR will only make the situation worse. There will be not be enough ventilators within a few days once a pandemic strain strikes locally. In such a situation, home health care by family and friends will be the ONLY viable solution. While you are getting professional training as a nurse, most people providing home health care during a pandemic will not have that training and background.

Where There is No Doctor was originally written more than 20 years ago to help farmers with no medical experience cope with medical issues in a remote area in northern Mexico. Today, this book is still valuable to help lay people understand medical issues and provide limited first aid to sick people without immediate access to a doctor. This book is available for purchase, but the publisher, Hesperian Foundations, makes it available for free, online, as pdf files. They also have other on-line books such as, A book for Midwives, Where There is No Dentist, etc.

If you believe that your family and friends will be taking care sick people once a pandemic starts, you should have these individuals read, copy, and save these online books for future reference.

Link to online books: http://www.hesperian.org/publications_download.php#wtnd

Thanks for the info! I re-read my previous post and I don't think I was quite clear enough... I was looking for info on the ICU nurse's role during a disaster. Specifically.. how the role changes when a disaster occurs, what the training needs might be, and significant issues that might arise (Ex: Shortage of nurses, and what to do if technology is is not available).

Thank you again Laidback Al, your information was relevant and useful.

I am sure someone else can give you some information on a nurse's role in ICU, because I am not a nurse. But I am interested in general preparedness for a pandemic.

One of the big concerns for HCW should be a severe influenza pandemic. Based on my limited understanding of the hospital and medical facilities, there is not nearly enough PPE to cover any immediate surges, much less a patient onslaught with a 30%+ AR from a pandemic. Certainly a high CFR will only make the situation worse. There will be not be enough ventilators within a few days once a pandemic strain strikes locally. In such a situation, home health care by family and friends will be the ONLY viable solution. While you are getting professional training as a nurse, most people providing home health care during a pandemic will not have that training and background.

Where There is No Doctor was originally written more than 20 years ago to help farmers with no medical experience cope with medical issues in a remote area in northern Mexico. Today, this book is still valuable to help lay people understand medical issues and provide limited first aid to sick people without immediate access to a doctor. This book is available for purchase, but the publisher, Hesperian Foundations, makes it available for free, online, as pdf files. They also have other on-line books such as, A book for Midwives, Where There is No Dentist, etc.

If you believe that your family and friends will be taking care sick people once a pandemic starts, you should have these individuals read, copy, and save these online books for future reference.

Link to online books: http://www.hesperian.org/publications_download.php#wtnd

Specializes in Too many to list.

CDC Releases Scorecard On State's Readiness

The first comprehensive review of*all 50*State's level of preparedness to* handle biological threats such as pandemics and terrorism..

http://afludiary.blogspot.com/2008/02/cdc-releases-scorecard-on-state.html

Specializes in Too many to list.

HS advisor fields online pandemic preparedness queries - FluWiki

http://www.flutrackers.com/forum/showpost.php?p=135003&postcount=1

FluWiki, an online resource and community forum, has its finger on the pulse of pandemic influenza planning issues and avian flu news, but today it featured something unusual: a dialogue with a top federal science advisor who's directly involved in the government's pandemic preparations.

William Raub, PhD, science advisor to Health and Human Services (HHS) Secretary Mike Leavitt, fielded six multipart questions from the FluWiki community, covering issues such as vaccine prioritization, food and medication stockpiling, the federal government's role in pandemic planning, and how HHS plans to publicize the role of community mitigation measures.

Specializes in Too many to list.

I have posted this somewhere before. It's time to revisit it this

document and some of its notable quotes. So you can't prepare

for one year? Aim for three months of emergency supplies if you

can. The 1918 pandemic lasted for around 18 months. Hard to

believe that this could happen again, but obviously the govt thinks

that it could.

http://www.singtomeohmuse.com/parent/wiki%20files/Becoming_Self-Sufficient.pdf

Richard L. CaƱas, Director, New Jersey Office of Homeland Security and Preparedness:

There will be no school. There will be no work. All we'll be doing is trying to

keep ourselves alive. You're going to be staying home for one year.

M Leavitt, Secretary, United States Department of Health and Human Services:

The threat is both real and formidable. We could be battling 5,000 different

fronts at the same moment. We could have a period of over a year as we

see the waves of the pandemic come and go. The lethal avian flu that is

spreading rapidly around the world could soon infect wild birds and do-

mesticated flocks in the United States. No one knows when the virus will

pose a threat to people. But, it's just a matter of time. It may be very

soon, when wild birds and, possibly, poultry flocks contract the disease.

Any community that fails to prepare, with the expectation that the federal

government will come to the rescue, will be tragically wrong.

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