Now is the Time, Personal Preparedness Can’t Wait!

On August 25, 2017, Hurricane Harvey made landfall in Texas leading to catastrophic flooding in Houston and surrounding areas.  Less than two weeks later, Hurricane Irma slammed into the Caribbean and Florida, causing flooding, damage, and widespread power outages.  Most hospitals in the impacted areas sheltered-in-place requiring nurses and other critical staff to stay at the facilities for extended periods.

While these disasters had some advance warning, many aspects of the disaster were uncertain including the extent and location of flooding, power outages, etc. Other disasters, such as tornadoes or earthquakes, strike with little or no warning. Previous studies have found that lack of personal preparedness, concern/fear for family and pets, concern for the effect of the disaster on self and personal property, and transportation difficulties pose major barriers to disaster response. Although many agree that healthcare organizations should address the personal preparedness of their employees, little is known about the degree to which the U.S. nursing workforce is personally prepared to respond to disasters for extended periods of time.

The Society for the Advancement of Disaster Nursing believes personal preparedness of the nursing workforce is paramount. This week, SADN members will be hosting a presentation on personal preparedness at the Emergency Nurses 2017 Conference in St. Louis, MO (Details below).

Title: Now is the Time, Personal Preparedness Can’t Wait!
Date: Thursday, September 14, 2017
Presentation time 3:15 PM – 4:15 PM
Room: 267

We hope conference attendees will be able to join us for this session.

For nurses who are not attending this conference, we recommend you undertake the following steps to get prepared as soon as possible:

  1. Assemble disaster supplies kit for home, work, and car
  2. Create a family disaster plan. Your family may not be together if a disaster strikes, so it is important to know which types of disasters could affect your area and have a plan in place that addresses how you’ll contact one another and reconnect if separated. Tailor this plan to any special needs your family has, including care of pets.
  3. Practice and update your plan regularly, just like a fire drill.
  4. Familiarize yourself with your organization’s emergency operations plan and know your role if a disaster strikes.

See https://www.fema.gov/media-library-data/20130726-1549-20490-4633/areyouready_full.pdf for more information on becoming personally prepared.

Alicia Gable, MPH

Check out our newest postings under the ‘Resources & Links’ Tab-Including important information for hurricane responders

General Disaster Response and Recovery Information

  • Tips for Survivors of a Disaster or Other Traumatic Event: Managing Stress—This SAMHSA tip sheet gives stress prevention and management tips for dealing with the effects of trauma, mass violence, or terrorism. It lists tips to relieve stress, describes how to know when to seek professional help, and provides accompanying resources. http://store.samhsa.gov/shin/content/SMA13-4776/SMA13-4776.pdf This tip sheet is also available in Spanish at http://store.samhsa.gov/shin/content//SMA13-4776SPANISH/SMA13-4776SPANISH.pdf.
  • Psychological First Aid (PFA)—Developed jointly by the National Center for Posttraumatic Stress Disorder and the National Child Traumatic Stress Network, PFA is an evidence-informed modular approach for assisting people in the immediate aftermath of disaster and terrorism: to reduce initial distress, and to foster short- and long-term adaptive functioning. http://www.ptsd.va.gov/professional/materials/manuals/psych-first-aid.asp
  • Effects of Traumatic Stress After Mass Violence, Terror, or Disaster—This web page from the National Center for Posttraumatic Stress Disorder (PTSD) describes the emotional, cognitive, physical, and interpersonal reactions that disaster survivors may experience and discusses potentially severe stress symptoms and PTSD, anxiety disorders, and depression. The page also provides information about how survivors can reduce their risk of psychological difficulties and recover from disaster stress. http://www.ptsd.va.gov/professional/trauma/disaster-terrorism/stress-mv-t-dhtml.asp

Hurricane- and Flood-Specific Information

  • Hurricanes and Tropical Storms—The SAMHSA Disaster Distress Helpline provides information on who is most at risk for emotional distress from hurricanes and tropical storms and where to find disaster-related resources. http://www.samhsa.gov/find-help/disaster-distress-helpline/disaster-types/hurricanes Call 1-800-985-5990 or text TalkWithUs to 66746 Spanish Speakers Call 1-800-985-5990 and press “2” From the U.S., text Hablanos to 6674

Resources for Children, Youth, Parents and Other Caregivers, and Schools

Resources Focused on Older Adults

Resources for Disaster Responders

  • Disaster Mental Health for Responders: Key Principles, Issues and Questions—This Centers for Disease Control and Prevention (CDC) web page presents information that may be helpful to disaster survivors and first responders during and after a disaster. The page opens with guiding principles and also features survivor needs and common responses to disasters, signs that someone may need a mental health referral, common signs of stress among disaster responders, and examples of ways to care for yourself after a disaster. http://emergency.cdc.gov/mentalhealth/responders.asp
  • Psychological First Aid: How You Can Support Well-Being in Disaster VictimsThis fact sheet by the National Child Traumatic Stress Network explains how disaster response workers can use Psychological First Aid to help people in distress after a disaster. http://www.cstsonline.org/assets/media/documents/CSTS_psychological_first_aid.pdf

American Red Cross: Call for Health & Mental Health Professionals

Call for volunteers:

 

In response to Hurricane Harvey, the Direct Deployment Process (Through the American Red Cross) for qualified health and mental health professionals has been activated.

The link to Volunteer Connection on this page is a special entry point that should only be used by eligible health and mental health volunteers:  www.redcross.org/hurricane-harvey-health-professionals.

Once the Direct Deployment volunteers have completed their DRO assignment, their Volunteer Connection profile will be passed to their region.

Please share this widely with your colleagues.  The American Red Cross will be needing all hands on deck.

Hurricane Harvey

Our thoughts and prayers are with the residents of Texas as they brave the relentless onslaught of Hurricane Harvey. We thank all the emergency responders, including volunteers, for their heroic efforts to rescue so many individuals stranded by the floodwaters. We commend our fellow nurses working in Texas, whose current efforts under severe circumstances, accentuate the importance of having a well-trained and prepared nursing workforce, capable of responding to disasters.

Free Nursing CEUs

AGENCY FOR TOXIC SUBSTANCES & DISEASE REGISTRY (ATSDR)/CDC offers free courses along with continuing education credits* on topics related to disaster nursing. Visit the website at https://www.atsdr.cdc.gov/csem/csem.html
Courses include Taking an Exposure History: https://www.atsdr.cdc.gov/csem/csem.asp?csem=33&po=0

*Continuing Nursing Education by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC)

According to their website: ‘ATSDR Case Studies in Environmental Medicine (CSEM) are self-instructional, continuing-education primers designed to increase primary care providers’ knowledge of hazardous substances and aid in the evaluation of patients potentially exposed to hazardous substances. Each CSEM comes with additional companion products such as Grand Rounds in Environmental Medicine and Patient Education/Care Instruction Sheets.’

Emergency Preparedness for Every Emergency

Check out the CMS website which provides numerous resources and guidelines related to emergency preparedness in the United States

Below is a sample of what you will find on the website:

Mission

Enable Federal, State, Tribal, Regional, and local governmental agencies, and health care providers to respond to every emergency in a timely, collaborative, organized, and effective manner.

The Centers for Medicare & Medicaid Services (CMS) Survey and Certification Group (SCG) has developed this site to provide useful information to CMS Central and Regional Offices, State Survey Agencies (SAs), their State, Tribal, Regional, and local emergency management partners, and health care providers, for developing effective and robust emergency plans and responses.

This Web site provides information and tools, utilizing an “all hazards” approach for disruptive events such as:
• Pandemic flu (e.g., H1N1 influenza virus)
• Hurricanes
• Tornados
• Fires
• Earthquakes
• Power outages
• Chemical spills
• Nuclear or biological terrorist attack
• Etc.

This Web site provides “one-stop shopping” to obtain both mandated and voluntary emergency preparedness information and tools.

The Web site will be updated regularly to provide helpful guidance regarding issues such as:
• Clarifying the roles, responsibilities and actions of CMS Central and Regional Survey & Certification (S&C) Offices.
• Clarifying the roles, responsibilities, and actions of SAs.
• Effective emergency planning across all health care provider types to ensure the well-being of vulnerable populations – whether in long-term care, acute care, or community-based facilities — during a disruptive event.

Deadline for ARC Conference Abstracts Extended to August 31, 2017!

This year’s deadline for ARC Conference Call for Abstract submissions has been extended to August 31! Please go to http://www.arc4em.org/call-for-abstracts to learn more and to submit.


Check out the updated 3-day Joint Conference agenda, including panel session descriptions and speakers, by visiting http://www.arc4em.org/events-meetings/agenda.

2017 ARC Conference
Mark your calendar! This year’s Annual Conference—in conjunction with the National Healthcare Coalition Resource Center’s 6th Annual National Healthcare Coalition Preparedness Conference—will be held at the Sheraton San Diego Hotel & Marina on November 28-30.

 

 

Academic-Practice Partnerships Can Improve Preparedness

The United States needs a healthcare and public health workforce that possesses the knowledge, skills, and abilities to respond to any disaster or public health emergency in a timely and appropriate manner. The level of readiness and willingness to participate is critical to the success of any large-scale disaster response. The role of healthcare professionals across a broad range of specialties and during all phases of a disaster should be understood as disaster competence will be critical to population outcomes. The absence of a clearly articulated vision and framework for disaster education is not without consequences. An unprepared workforce has the potential to limit the effectiveness of local, state and federal response plans, limit organization surge capacity and to negatively impact health outcomes in populations impacted by disasters.

A team of researchers from the University of Missouri – Saint Louis, Saint Louis University, and Johns Hopkins recently undertook a multi-pronged approached to identify essential educational needs and core competencies, as well as to assess the status of integration of state and local-level population focused training. Data were synthesized from in-depth discussions with key informants, review of relevant documents, guided discussions at key partner stakeholder meetings, review and abstraction from available core competencies and other government planning documents, the survey of medical, public health, and nursing programs and interviews with experts.

We developed a toolkit using a collaborative and partner-centered approach to disaster preparedness and response which is designed for interdisciplinary workforce development. We are posting all of the toolkits on https://disasternursing.org/toolkit/ and are dedicated to making them all available in the Creative Commons. The modules, curriculum, and workshop all reflect collaboration between public health and primary care. The flexible guidance will help primary care providers to apply theoretical principals during disaster response and preparedness activities with a population focus. A workforce that is continually learning and collaborative is essential to prepared communities. All are welcome to attend the workshop that is scheduled for July 27, 2017. You can register at https://disasternursing.org/events/ . The event is free, but registration is required.

 

 

The International Council of Nurses (ICN) Biennial Congress — Barcelona, Spain

Report on the International Council of Nurses (ICN) Biennial Congress in Barcelona, Spain

By
Mary Pat Couig, PhD, MPH, RN, FAAN

The International Council of Nurses (ICN) held its biennial Congress in Barcelona, Spain, 27 May – 1 June 2017. Founded in 1899, ICN is a federation of more than 130 national nurses associations and represents over 16 million nurses globally. ICN’s website is: http://www.icn.ch

This year’s conference theme, Nurses at the Forefront Transforming Care, provided a framework for presentations, discussions, and posters on issues affecting nurses and patient care around the globe: health care systems, sustainable health care, conflicts and disasters, safety and quality in the workplace and professional practice and innovative policies. The full program can be found at: http://www.icnbarcelona2017.com/en

On Monday 29 May, Mr. Ian Norton, Dr. Pilar Fernandez and Professor Aiko Yamamoto presented on disaster preparedness, response and resilience. Mr. Norton presented on the World Health Organization’s Emergency Medical Teams (EMT) Initiative. The EMT initiative assists organizations and member states to build infrastructure and strengthen health systems with quality approved medical teams in emergencies. This initiative is focused on helping countries develop their own teams who can respond quickly. The EMT website is: http://www.who.int/hac/techguidance/preparedness/emergency_medical_teams/en/

Professor Yamamoto provided an update on the Disaster Nursing Global Leader Degree Program, a collaborative between 5 universities in Japan. The goal of the program is to develop global disaster nursing leaders to ensure human security. Professor Yamamoto gave an overview of the past achievements and future work in the areas of long-term recovery, community-based resiliency, comprehensive family oriented approaches, disaster ethics, and new practices. More information can be found at the website: http://www.u-hyogo.ac.jp/cnas/english/dngl/

Congratulations to Ms. Annette Kennedy, ICN’s new president.

Tener_MaryPat_ICN2017

Photo: Tener Goodwin Veenema, PhD, MS, MPH, RN, FAAN and Mary Pat Couig, PhD, MPH, RN, FAAN. SADN poster presentation.

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