Disaster/Pandemic preparedness - page 21

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... Read More

  1. by   Student4Life23
    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.

    Quote from Laidback Al
    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
  2. by   indigo girl
    CDC Releases Scorecard On State's Readiness

    Quote from afludiary.blogspot.com/

    The first comprehensive review of*all 50*State's level of preparedness to* handle biological threats such as pandemics and terrorism..
  3. by   indigo girl
    HS advisor fields online pandemic preparedness queries - FluWiki


    Quote from http://www.cidrap.umn.edu/cidrap/content/influenza/panflu/news/feb1908wiki.htm

    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.
  4. by   indigo girl
    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.


    Quote from http://www.singtomeohmuse.com

    Richard L. Caas, 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.
    Last edit by indigo girl on May 3, '08
  5. by   sharona97
    Quote from Student4Life23
    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.
    Student4life: Are you currently working in an ICU facility? Ask your HR department. Ask your in house hospital standards dept ( for lack of better word, sorry, whomever works with nosocomial inf, employee safety, etc), no answers, keep asking even if it results with a request for an audience with the head of the hospital. This is a very important question. Good Luck!
  6. by   indigo girl
    The Human Condition of Denial Is Alive and Well in Switzerland

    Even though the govt went out of its way to instruct the populace to prepare,
    most will not. Who will they be expecting to help them?

    Quote from afludiary.blogspot.com

    There seems to be some built-in reluctance among many people to prepare for a crisis. As if, by doing so, they were committing some form of societal sacrilege by doubting the safety and stability of their surroundings.
  7. by   indigo girl

    Non pharmaceutical Interventions: A Closer Look

    Quote from afludiary.blogspot.com

    The idea behind NPI's is to slow down the transmission of the virus. Prevention is the keyword, and the best thing about NPI's is that most don't require special equipment or supplies.

    Individually, none of these items is likely to make much of a difference, but when `layered' on top of one another, they can reduce the number of people infected at the same time.

    School Closings are going to be controversial, but in the minds of many people, they will be integral in the slowing down of a pandemic...

    There are plans to close schools for as long as 3 months at a time, once a pandemic virus begins to spread in this country. Not everyone is onboard with this policy, and it will certainly cause hardships.

    The alternative, however, is far worse. Pandemic influenza viruses often have shown a proclivity for the young, and the H5N1 virus is no exception. So far, half of all deaths recorded from the bird flu virus have been in people under the age of 20.

  8. by   indigo girl
    California's Triage Plan In A Mass Casualty Event

    In this kind of event, it appears that they will accept the services of just about
    anyone that offers to help. Health care workers could include pharmacists, vets,
    and vet technicians, retired and unlicensed nurses and docs, medical and nursing
    students, former military medics...

    Read the article. It's an eye opener. Other states have already said that they
    will use these types of volunteers also but no other state has a 1900 page
    document with scope of the California plan.

    Quote from www.sacbee.com

    Older, sicker patients could be allowed to die in order to save the lives of patients more likely to survive a massive disaster, bioterror attack or influenza pandemic in California.

    The 1,900-page document lays the practical - and ethical - groundwork for local and county health departments, hospitals, emergency responders and any able-bodied health care worker likely to be called upon in a catastrophe.

    It provides for scenarios in which patients could be herded into school gymnasiums for life-saving care or animal doctors could stitch up the human wounded and set their broken bones.

    The guidelines say California's strict nurse-patient ratios can be ignored, and nurses can be assigned to jobs for which they have no experience.

  9. by   pickledpepperRN
    It is frightening that a janitor who was once a medic could start an IV.
    We need current competency.

    We need a better plan.
    Last edit by pickledpepperRN on Mar 2, '08
  10. by   indigo girl
    A message from the US govt for Americans living and working abroad:
    (hat tip PFI/Monotreme)

    Remain in Country During a Pandemic


    Quote from travel.state.gov

    If the WHO declares a pandemic, Americans who are overseas should be prepared to remain in country for an extended period. You should avoid non-essential travel beyond your home and workplace and you should limit activities that could expose you to others who may be ill. Based on varying conditions abroad, Americans should prepare contingency plans and emergency supplies (non-perishable food, potable water or water-purification supplies, medication, etc.) for the possibility of remaining in country for at least two and up to twelve weeks. Visit www.pandemicflu.gov to see examples of comprehensive planning checklists for individuals, businesses, schools, and other groups.
  11. by   Laidback Al
    monotreme poses the question that many are asking after waiting years for a pandemic to begin.

    stand down or prep up?


    is it time to stop worrying about h5n1 and "go on with our lives" as some would say? or are we on the verge of a high cfr pandemic that requires expensive and extensive expenditures of funds? . . . .

    i see reasonable preparations for sip [sheltering in place] as a civic duty. by being prepared to remain in your home for an extended period of time, you decrease the drain on scarce resources during a critical time period and contribute to driving down r0. reasonable efforts towards self-sufficiency such as home gardening should be seen as a patriotic duty during a high cfr pandemic just as they were during the depression and wwii. for those with the inclination, learning how to properly use firearms may be a way to contribute to neighborhood security and to serve as a welcome backup to law enforcement during a potentially destabilising event like a high cfr pandemic. improving one's physical condition is a critical preparedness step if one hopes to survive the rigors of a high cfr pandemic, imo. . . . .
  12. by   indigo girl
    The American Red Cross has a series of preparedness videos designed to educate citizens
    and prepare them for the next pandemic. They would not have done this if they did not
    believe in the necessity to do so. These videos come via the group, Prepared Citizens LLC:

    (hat tip sophiazoe at http://birdflujourney.typepad.com/)
  13. by   packerbacker
    So I have to give a presentation on which I must discuss the Phases of a disaster: Prevention, Response, Recovery (especially related to nurses) Any ideas? I am trying to brain storm on a direction to take the presentation.

    What is the main role of nurse during a disaster in your opinion?