1 / 63

Disaster Health and Sheltering

Disaster Health and Sheltering . Part I: Independent Study National Student Nurse Program Narration by: Janice Springer, Red Cross Disaster Health Services Advisor Cheryl Schmidt, Red Cross Nursing Education Subject Matter Expert. Red Cross Principles. Humanity Impartiality Neutrality

liberty
Download Presentation

Disaster Health and Sheltering

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Disaster Health and Sheltering Part I: Independent Study National Student Nurse Program Narration by: Janice Springer, Red Cross Disaster Health Services Advisor Cheryl Schmidt, Red Cross Nursing Education Subject Matter Expert

  2. Red Cross Principles Humanity Impartiality Neutrality Independence Voluntary service Unity Universality

  3. Red Cross Nursing: Our Legacy and Future

  4. Mississippi Flood Response, Courtesy of American Red Cross, May 2011

  5. Red Cross Shelters 6

  6. Joplin Missouri Tornado Response, Courtesy of American Red Cross, May 2011

  7. PANDEMIC RESPONSE

  8. Course Purpose To familiarize student nurses with Red Cross Disaster Health Services through Disaster Health and Sheltering, promoting volunteerism and community preparedness and post disaster resiliency.

  9. Representing the Red Cross To each individual with whom you come in contact, you are the Red Cross!

  10. Personal Preparedness You might be better prepared to help in your community if you have your own preparedness plan. STOP and take a minute to review some of the must haves in personal preparedness, both for your family and in your workplace.

  11. What’s In YOUR Go Bag? 1. 2. 3. 4. 5.

  12. Role of Disaster Health Services • Provides health assessments, treatment, and referrals as needed to people affected by disasters. • Coordinates with local public health authorities and local medical, nursing and other health resources.

  13. In Certain Instances: Disaster Health Services may supplement existing service delivery systems for community health care.

  14. Disaster Health Services Competencies • Critical thinking • Assessment • Technical skills • Illness and disease management • Information and healthcare technologies • Ethical behavior • Character based on values • Confidentiality

  15. Client Commitments for Disaster Health Services • Respect confidentiality • Accommodate diverse needs • Follow Disaster Health Services Guidance • Make effective referrals • Identify and prevent potential health problems • Maintain ethics • Document accurately and appropriately • Work as a team • Involve community partners • Use resources wisely

  16. Individual Injury and Illness: Sudden Onset HS Workers Assess and Treat/Refer Clients most often for: • Bone, muscle, and joint injuries • Respiratory distress • Lacerations and puncture wounds • Exposure to extreme weather conditions • Rashes • Burns

  17. What HS Workers Assess and Treat/Refer (cont.) Stress-related Symptoms • Fluctuation in normal vital signs • Gastrointestinal upset • Headache • Labor can begin earlier than expected • Irritability • Exhaustion • Presenting symptoms may vary • Malaise • Pain

  18. Mini-Case #1 • What will you be considering for care of this client and her family?

  19. Mini-Case Study #2 • One shelter couple has slept pretty much continuously for 3 days. You are concerned as the shelter nurse, as is the Disaster Mental Health worker. As the couple gets up on the 4th day, both of them have respiratory viral infections. Both Disaster Health Services and Mental Health reach out to them and help them move to a better sleep/exercise schedule. • What are your concerns related to this ongoing for 3 days?

  20. Mini Case answers Concerns include: • depression • overwhelmed • exhausted • at risk for pneumonia • blood clots • dehydration

  21. More disaster-related client needs… Aggravation of Chronic Health Conditions • Hypertension • Cardiac problems • Respiratory problems (e.g., asthma) • Gastrointestinal problems • Diabetes • Allergies • Mental health changes

  22. What HS Workers Do. . . • Screen and assess clients to meet access/functional needs. • Care for disaster-related or -aggravated injuries or illnesses. • Assist to provide durable medical equipment, consumable medical supplies, personal care assistance for health maintenance. • Provide casework for disaster related health needs, to include fiscal assistance for health and/or medical needs. • Replace immediate-need prescriptions. • Replace essential eyeglasses, prosthetic devices, hearing aids and other equipment lost as a result of the disaster. • Provide referrals to community health agencies.

  23. What HS Workers Do (cont.) • Determine whether the condition or loss of DME is disaster-related and to what extent client resources are available for immediate needs . • Use other available resources first before Red Cross donated dollars are spent.

  24. Client Interview Sample Questions for Replacement Assessment: • What happened to the glasses, medication, equipment? • Is the loss or need disaster-related? • Does the client need help with replacement? • Is third-party coverage available? • Who is the health care provider who ordinarily cares for the client? (Is there a prescription?)

  25. Who are Red Cross Clients? All members of the affected community, which include: • Non-English speaking • Persons with Disabilities • Clients who come with or without care-givers • Affluent communities • Culturally diverse communities **Disaster Health Services may also care for Red Cross workers when Staff Wellness volunteers are not available

  26. Where HS Workers Are • Integrated Care Teams (for condolence or in-patient visits) • Emergency Aid Stations • Outreach • Community Settings (e.g., bulk distribution sites, Service Centers) • Home Visits

  27. Other HS assignment settings (cont’d) • Emergency Operations Center (EOC) Liaison • Aviation and Transportation Disaster support • Repatriation Team

  28. HALFWAY THERE!

  29. Sheltering • Short term housing with sites determined by a pre-disaster shelter survey tool • Sites frequently in churches, schools • Shelter becomes a disaster community where individuals/families/groups receive mass care services (e.g., eating, sleeping shelter) as well as disaster health and mental health services • Accommodation made to meet needs of persons with disabilities and/or access and functional needs • Partnerships between the local Health Department and Disaster Health Services is key

  30. Add another photo here

  31. Possible answers: (These are a few of many possible.) A tent only provides minimal protection from the environment (think temperature, incoming storms, etc.). Rain/mud may impact mobility-restricted clients from access to restroom facilities. Tents can be confining. Often have no floors in the tent. Accessibility is a concern for individuals with functional limitations. 33

  32. Shelter Considerations for Disaster Health Services • Registration: Assessment for vulnerabilities or need for extra health or mental health support • Dormitory set-up and its impact on families, persons who will need extra care, bathroom proximity • Communicable disease management • What other things come to mind???

  33. Identifying client needs • Begins at Registration • Staff makes two observations and asks two questions Observations for 1. Ability to proceed with registration-medically or behaviorally incapable of proceeding 2. Support needs-do they use a wheel chair, have a service animal or need hearing support.

  34. Two questions: • Is there anything you or a member of your family needs right now to stay healthy while in the shelter? Yes / No If NO, is there anything you will need in the next 6-8 hours? Yes / No • Do you/family member have a health, mental health, disability, or other condition about which you are concerned? Yes / No

  35. Process Steps • Cot-to-Cot methodology • CMIST as a framework for assessment • Includes principles of surveillance

  36. CMIST • CMIST is an acronym that describes a system to help identify access and functional needs of clients in shelters. • C = Communication • M = Maintaining Health • I = Independence • S = Services, Support and Self-Determination • T = Transportation

  37. CommunicationNeed: Action:

  38. Maintaining HealthNeed Action

  39. INDEPENDENCENeed Action

  40. Services, Support and Self-DeterminationNeed : Action:

  41. TransportationNeed: Action:

  42. Follow through Actions: •  No needs identified •  Contact Shelter Manager •  Contact Disaster Mental Health Services •  Agency, please provide agency name ___________________________________________________________ • Other_________________________________________________________ _______________________________________________________________ • Follow-up/Resolution/date___________________________________________ _______________________________________________________________ • Disaster Health Services print name/signature/date______________________________________

  43. Cot to Cot • Proceed with a systematic plan to meet each family within a reasonable time frame. • The ideal time frame is 6-8 hours, however, due to immediate needs, it may take a full 24 hours to begin to “know” your shelter community. • In a shelter of large population, consider assigning “neighborhoods” or sections for client support. • Illness and injury reports use a Client Health Record. Functional support, such as communication, can be documented on the CMIST job form which is kept by Disaster Health Services.

  44. Case study A shelter has been opened in a community that has just experienced a flood. Over 80% of the homes and businesses in the downtown area have been affected. You are currently assigned to work at the registration desk of the shelter to assist in interviewing and registering community members as they enter the building. Mr. Jones, a single male who lives independently in the community, enters the shelter. He uses a wheelchair for mobility and has great difficulty hearing. In interviewing Mr. Jones, you learn that he has to catheterize himself to empty his bladder and requires dialysis twice a week at a local facility unaffected by the flood.

  45. Mr. Jones • What are your immediate concerns as a nurse? • What are his risk factors? • What are his equipment needs? • Will he have transportation needs? • Can he be safely accommodated in this shelter?

  46. CMIST model and Mr. Jones • Communication---he is hard of hearing • Medical—health needs include catheterization • Behavioral Health—does he have risk factors?? • Independence-what is he going to need to remain independent? Perhaps a care-giver? • Mobility—will he need help inside the shelter with w/c? • Supervision—will he be able to self-cath in this setting? • Transportation—how will he get to dialysis?

  47. Behavioral health situations that might require higher level of care • Clients with serious symptoms, e.g., acute anxiety or severe depression symptoms, clients who are disruptive to other residents • Client disclosure of psychiatric condition or past experience that would make staying in the shelter unsustainable • Clients experiencing significant distress due to the shelter environment, even after accommodations have been made (e.g., increased staffing, medications management) • Active use of illegal drugs or alcohol in the shelter, which is against Red Cross sheltering policy

More Related