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NSG 411 Community Health Nursing Bioterrorism & Natural Disaster Presentation: Earthquakes
Transcript of NSG 411 Community Health Nursing Bioterrorism & Natural Disaster Presentation: Earthquakes
Update the earthquake disaster plan
Provide educational programs and organize drills
Keep updated records of vulnerable populations
Monitor and report any environmental hazards
Know resources available for after the disaster strikes Before the Quake After the Quake During the Quake if inside, stay inside
get on your knees and hands
cover your neck and head
hold on until the shaking stops
do not stay in a doorway, go under a table
if in bed, stay in bed and protect your head with a pillow
avoid things that can fall (bookcases, china cabinets, hanging pictures, and glass objects) if outside, stay outside
get down low to the ground
avoid buildings, fuel/power/utility lines, and sink holes if in a car, drive to the shoulder or curb and stop.
avoid stopping near over / under passes, utility poles, and overhead wires.
stay in the car if a wire lands on it
turn on the radio to listen for emergency information. Steps to prepare your family:
Prepare an emergency kit and make a family communications plan
Practice what to do if a quake strikes
Make an evacuation plan
Establish a priority list; important items that can be carried with you
Write down important phone numbers, addresses, medical information, and banking information
Keep important documents in a fire-proof safe Emergency Food Safety
Throw out canned goods that are leaking or bulging
Before using food in your emergency supplies, use perishables in your freezer or refrigerator.
Discard all unrefrigerated or cooked foods after 2 hours at room temp.
Consume only foods that are normal in color, texture, and odor. Supplies Role of PHN
Preparedness Home Water Safety
Bringing water to a rolling boil for 1 minute will kill most harmful parasites and bacteria. Water may also be treated with iodine tablets, chlorine tablets, or
unscented household chlorine bleach
If you do not have enough water stored, water from the water heater, toilet tank is safe to drink
Water from spas and swimming pools can be used for cleaning and personal hygiene, but not for drinking
Never drink water from hot water boilers, radiators, or Water beds Food Preparation Safety
Losing electricity, gas, and water may complicate food preparation.
Have the following items handy:
Knives, forks, and spoons
Paper plates, cups, and towels
heavy-duty aluminum foil
camp stove; charcoal or gas grill
cooking fuel, such as charcoal.
charcoal fumes are deadly when concentrated. NEVER use indoors)
NOTE : Sparks from cooking in a fireplace may escape into the attic and start a fire. Do not use the fireplace for cooking until it has been inspected for damage. National Preparedness Public Health Preparedness Agencies
Many federal agencies under the Department of Health and Human Services (HHS) manage public health emergencies. The Centers for Disease Control and Prevention (CDC), the Health Resources and Service Administration (HRSA), and the Office of Public Health Emergency Preparedness (OPHEP) are three important agencies that are responsible for public health preparedness. After the attacks of September 11, 2001, the federal Department of Homeland Security (DHS) was created and assigned responsibility for emergency planning, prevention, and response. The DHS includes the Federal Emergency Management Agency (FEMA), which is accountable for national emergency preparation and response (Miller, Hsiao, Ranji, & Salganicoff, 2008).
The National Incident Management System (NIMS) is another public health preparedness agency whose mission is to reduce the loss of life and property and harm to the environment. The NIMS proactively guides all levels of government as well as nongovernmental organizations and the private sector in protecting against, preventing, responding to, recovering from, and mitigating the effects of incidents (no matter the cause, size, location, or complexity) (Department of Homeland Security, 2012).
Why be prepared?
Predicted quake along
San Adreas fault
is long overdue Why be prepared?
Another "big quake" predicted in the New Madrid seismic zone of the central
U.S. (Arkansas, Missouri, Tennessee, and
Kentucky) before 2035
Less severe quakes can interrupt your normal living patterns and cause substantial injury Earthquake Scientist James Roddy states that the United States needs to take more preventative action to prepare for disasters.
Erwann Michel-Kerjan, Managing Director of the Risk Management and Decision Processes Center at the Wharton School, states that on a scale of zero to ten, with zero being the worst-prepared ever and ten being the best-prepared for earthquakes, the U.s. scores five, Japan scores eight, and Haiti scores zero.
American Society of Civil Engineers' Ronald Hamburger believes a 7.8-magnitude quake in Los Angeles, San Francisco or Seattle would cause the collapse of one or two high rise buildings in those cities.
Regarding our nuclear power plants, serious and significant gaps exist in how prepared the U.s. is for a radiation emergency event.
(CNN, 2011) Is the U.S. Prepared? What does this all really mean to us?
"We're the first generation in modern history that understands the risks and consequences of an event like what happened in Japan," says James Roddy, Earthquake Scientist."How we prepare for it here literally defines us as a people" (CNN, 2011). (U-T San Diego, 2011) (CDC, 2012) Include:
first aid kit
survival kits for the home, automobile, and workplace
emergency food, water
Store enough supplies to last at least 3 days Reduce hazards in your home
Secure shelves to walls
Place large/heavy objects on low shelves
Fasten heavy items (pictures and mirrors) securely to walls
Brace overhead light fixtures
Use flexible pipe fittings to avoid gas/water leaks
Secure large appliances (water heater, refrigerator, furnace
and gas appliances) to the wall studs and bolting to the floor
Ensure the residence is firmly anchored to its foundation
Store hazardous chemical products in a secure, well- ventilated area
Identify safe spots in each room to hide in a disaster (ie. under a sturdy table or against an inside wall).
Hold earthquake drills with your family members (FEMA, 2012) Is the San Diego Community Prepared?
Research continues to better design homes, schools, bridges, hospitals, and dams to keep the community functioning in a disaster.
The development of more stringent building codes and enforcement policies for our hospitals, schools, commercial buildings and residences continues.
Implementation of incentives are needed to encourage retrofitting old buildings and building better structures.
Elected officials need to assure all municipal buildings and emergency service facilities (schools, fire and police stations and state-run hospitals) are all ready to avoid failure during an earthquake. (U-T San Diego, 2011) Disaster Preparedness
San Diego Emergency Services
The Red Guide to Recovery
American Red Cross
The Great Shakeout
www.shakeout.org San Diego County Disaster
Preparedness/Emergency/Recovery Resources Emergency Survival Program
Family Disaster Planning
Pet Disaster Planning
San Diego County CERT
Community Protection and Evacuation Plan www.sdcounty.ca.gov/oes/community/oes_jl_CPEP.html References
American Heritage Science Dictionary. (2012). earthquake. Retrieved from science.yourdictionary.com: http://science.yourdictionary.com/earthquake
Centers for Disease Control and Prevention. (2011). During an Earthquake. Retrieved from http://emergency.cdc.gov/disasters/earthquakes/during.asp
FEMA (2012). Ready: Prepare. Plan. Stay Informed. Retrieved from: http://www.ready.gov/earthquakes
Centers for Disease Control and prevention. (2012). Emergency preparedness and response. Retrieved from: http:// emergency.cdc.gov/disasters/earthquakes/prepared.asp
Centers for Disease Control and Prevention. (2008). Food and Water Concerns. Retrieved from http://emergency.cdc.gov/disasters/earthquakes/food.asp
CNN. (2011). 'Prophet of doom' calls for better U.S. quake preparation. Retrieved from CNN.com: http://www.cnn.com/2011/WORLD/asiapcf/03/15/disaster.preps/index.html
Department of Homeland Security. (2012). National Incident Management System. Retrieved from Federal Emergency Management Agency: http://www.fema.gov/national-incident-management-system
Miller, B., Hsiao, A., Ranji, U., & Salganicoff, A. (2008). The State of Public Health Preparedness. Retrieved from KaiserEDU.org: http://www.kaiseredu.org/Issue-Modules/The-State-of-Public-Health-Preparedness/Background-Brief.aspx
Scripps Health. (2012). How We Prepare. Retrieved from scripps.org: http://www.scripps.org/
Stanhope, M., & Lancaster, J. (2010). Foundations of nursing in the community: Community -oriented practice. St. Louis, MO: Mosby Elsevier.
U-T San Diego (2011). Are we prepared for an earthquake? Retrieved from: http://www.utsandiego.com/news/2011/mar/20/are-we-prepared-for-an-earthquake/ By Stacy Lewandowski & Kara Sunderland NSG 411: Community Health Nursing
9/7/2012 (Stanhope & Lancaster, 2010) (Centers for Disease Control and Prevention, 2011) (Centers for Disease Control and Prevention, 2011) The Scripps Health System is dedicated to disaster preparedness. Their disaster preparation program includes assessing risk, coordinating training drills and planning for potential disruptions.
Scripps has an "all-hazards” approach in planning for emergencies; with policies and procedures in place for response to an unforeseen event such as an earthquake, wildfire, utility failure, mass casualty event, environmental contamination, or epidemic.
Employee drills are conducted on various scenarios at the facility level as well as larger organizations throughout the San Diego region.
For additional information about Scripps’ readiness plans and activities, contact Norris.firstname.lastname@example.org. Local Hospital Prepardness
for CT 83.58 (Scripps Health, 2012) (CDC, 2012) (CDC, 2012)