1. Mrs. Brinston

2. a. Disasters can hit like a bomb, causing injury, death, and power-phone-water outage. b. A plan of action dispels the chaos so that pt care can continue as smoothly as possible.

3. a. Forces that are either external or internal to your facility cause disasters. i. External Emergencies (affect many people in the community) 1. Natural disasters (flood, hurricanes, tornadoes, winter storms) 2. Mass Casualty disasters (fires, explosions, car crash, hazardous materials, infectious outbreaks, food poisoning, shortage of food or water) 3. National emergencies (nuclear power accidents, terrorist, acts of war) ii. Internal Emergencies (originate from within your facility) 1. Fire and explosion 2. Radiation leak, hazardous material exposures 3. Severe weather damage 4. Violence against the facility or occupants 5. Loss of power and resources

4. a. What disasters could hit our area? i. Hurricanes, tornadoes, earthquakes, foods, ice storms, power outages, airplane crashes, terrorist attack?

5. a. Was developed to deal with specific disasters b. Your hospital’s complies with the following standards set by: i. JCAHO (Joint Commission on Accreditation of Health Organizations) ii. OSHA (Occupational Safety and Health Administration) iii. FEMA (Federal Protection Association iv. NEPA (National Fire Protection Association v. American Red Cross vi. State and local emergency agencies

6. a. Nothing is left to chance b. Chain of Command c. Command Center d. Alert Procedure e. Emergency Communication f. Contingency plan (plan B) g. Alternate power sources h. Triage set up i. Care priority j. Evacuation plan k. Track pt. location and notification of family

7. a. Everyone in the hospital is part of the disaster plan team b. When disaster strikes, your emergency plan comes to life and funs on people-power.

8. a. Drills are required by JCAHO (to skills strong and current) b. Before the drill you will learn what to do c. Recognize various alarm codes d. Find and use first aid supplies, fire extinguishers and other emergency equipment e. Evacuate pt, staff etc.

9.  Your hospital is part of a community wide disaster plan with other facilities, public safety workers and other emergency support agencies (police/firefighters/ems/etc.)

10. a. Prepare – supplies, food, water, pharmaceuticals, backup strategy (pt records, data) b. Prevent – fire, hazardous materials, read labels (MSDS) c. Protect – quarantined treatment areas, decontamination procedures (special showers), Training,PPE, home plan,

11. a. Certain disasters can happen anywhere: 3 examples i. A bomb threat ii. Major Electrical Outage due to Storm iii. A mass casualty Such as a school bus accident b. What would you do???? a. http://www.youtube.com/watch?v=rgZ6PcLTsjw&feature=rela ted&safety_mode=true&persist_safety_mode=1 http://www.youtube.com/watch?v=rgZ6PcLTsjw&feature=rela ted&safety_mode=true&persist_safety_mode=1 b. http://www.youtube.com/watch?v=aODQ_ae_o8Q&feature= related&safety_mode=true&persist_safety_mode=1 http://www.youtube.com/watch?v=aODQ_ae_o8Q&feature= related&safety_mode=true&persist_safety_mode=1 c. http://www.youtube.com/watch?v=z_eefRW2AMI&feature=r elated&safety_mode=true&persist_safety_mode=1 http://www.youtube.com/watch?v=z_eefRW2AMI&feature=r elated&safety_mode=true&persist_safety_mode=1 d. http://www.youtube.com/watch?v=pvoEiBnpCc8&safety_mo de=true&persist_safety_mode=1 http://www.youtube.com/watch?v=pvoEiBnpCc8&safety_mo de=true&persist_safety_mode=1 e. http://www.youtube.com/watch?v=bSMxU5l0qQo&safety_m ode=true&persist_safety_mode=1 http://www.youtube.com/watch?v=bSMxU5l0qQo&safety_m ode=true&persist_safety_mode=1

12. a. It takes everyone to handle a disaster b. The key is to i. Prevent the disaster ii. Prepare yourself to handle it iii. Protect your pt, yourself, and family