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    Disaster Nursing

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    Jan Joseph Banzuela
    The document provides guidance for nurses on responding to different types of disasters. It outlines the steps to take for fires, which include rescuing clients, pulling the alarm, confining the fire, and using an appropriate fire extinguisher. For floods, it recommends having an emergency supply kit and communication plan. It also describes warning levels for heavy rainfall from yellow to red and the corresponding responses. Overall, the document offers disaster response procedures for nurses across multiple scenarios.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Disaster Nursing

    Uploaded by

    Jan Joseph Banzuela
    11 views109 pages
    The document provides guidance for nurses on responding to different types of disasters. It outlines the steps to take for fires, which include rescuing clients, pulling the alarm, confining the fire, and using an appropriate fire extinguisher. For floods, it recommends having an emergency supply kit and communication plan. It also describes warning levels for heavy rainfall from yellow to red and the corresponding responses. Overall, the document offers disaster response procedures for nurses across multiple scenarios.

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    Disaster-nursing

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    The document provides guidance for nurses on responding to different types of disasters. It outlines the steps to take for fires, which include rescuing clients, pulling the alarm, confining the fire, and using an appropriate fire extinguisher. For floods, it recommends having an emergency supply kit and communication plan. It also describes warning levels for heavy rainfall from yellow to red and the corresponding responses. Overall, the document offers disaster response procedures for nurses across multiple scenarios.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    11 views109 pages

    Disaster Nursing

    Uploaded by

    Jan Joseph Banzuela
    The document provides guidance for nurses on responding to different types of disasters. It outlines the steps to take for fires, which include rescuing clients, pulling the alarm, confining the fire, and using an appropriate fire extinguisher. For floods, it recommends having an emergency supply kit and communication plan. It also describes warning levels for heavy rainfall from yellow to red and the corresponding responses. Overall, the document offers disaster response procedures for nurses across multiple scenarios.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 109

    DISASTER

    NURSING
    By Rusell Fernandez Peralta, RN, MAN
    FIRE
    FIRE
    R – ESCUE – remove all clients
    A – LARM – activate alarm
    system
    C- ONFINE- close door and windows
    E- XTINGUISH – extinguish the
    fire using appropriate fire
    extinguisher
    USING FIRE EXTINGUISHER

    P –ULL… the Pin

    A- IM… at the base of the fire

    S- QUEEZE… the handles / Lever


    S- WEEP… the fire from side to side
    FLOOD
    FLOOD
    K- NOW….where to go
    E-MERGENCY SUPPLY KIT

    E-MERGENCY ALERTS …Setting up


    P- LAN A COMMUNICATION…with family
    EMERGENCY KIT
    WATER FIRST AID KIT
    FOOD DOCUMENTS
    RADIO MATCHES

    CELLPHONE CASH
    FLASHLIGHT WHISTLE
    EMERGENCY ALARMS

    1st ALARM : BE ALERT - 1 MINUTE ALARM


    2ND ALARM : PREPARE FOR EVACUATION
    3RD ALARM: EVACUATE TO DESIGNATED

    CENTER
    4TH ALARM: FORCED EVACUATION
    HEAVY RAINFALLS
    WARNING LEVELS
    YELLOW – 7.5-15 MM HEAVY
    RAIN
    1-2 HRS
    FLOODING IS POSSIBLE
    RESPONSE: MONITOR
    HEAVY RAINFALLS
    WARNING LEVELS
    ORANGE – 15 – 30 MM HEAVY
    RAIN
    1-2 HOURS
    FLOOD IS THREATENING
    RESPONSE : ALERT
    HEAVY RAINFALLS
    WARNING LEVELS
    RED – MORE THAN 30 MM
    1- 2 HOURS
    SERIOUS FLOODING IN LOW
    LYING AREAS
    RESPONSE: EVACUATION
    ELECTROCUTION
    ELECTROCUTION
    SWITCHING OFF… the current at its
    source
    UNPLUG …the appliance tools
    MOVE …the person away from the appliance
    STAND… on a rubber mat or stack of
    newspaper
    EARTHQUAKE
    EARTHQUAKE
    DUCK – onto your hands
    and knees
    COVER- your head and neck
    HOLD- onto your shelter
    EARTHQUAKE
    FIND A WAY OUT
    KEEP DISTANCE FROM
    BUILDINGS
    GO TO ASSEMBLY AREA
    IMPALED
    OBJECTS
    IMPALED OBJECTS
    C – CHECK THE WOUND FOR
    IMPALED OBJECT
    A- APPLE PRESSURE
    R- REMOVAL IS NOT ADVISED
    E – ENSURE BANDAGE IS EFFECTIVE
    S- SEEK MEDICAL TREATMENT
    EMERGENCY
    DEPARTMENT
    TRIAGE

    RED, YELLOW, GREEN,


    BLACK
    QUICK QUIZ
    1.HYPERTENSION
    2.HIGH GRADE FEVER

    3.DOG BITE
    4.CLIENT WITH DELUSION OF GRANDEUR
    5.PATIENT WITH SEVERE CHEST WOUN
    QUICK QUIZ
    6. CLIENT WITH SEIZURE EPISODE
    7. DIFFICULTY OF BREATHING, SEVERE

    8. WITH SIMPLE FRACTURE


    9. NO PULSE PATIENT WHO STRANGULATE
    10. PATIENT WITH 55 STUB WOUNDS
    RED
    EMERGENT
    PRIORITY 1

    NEEDS IMMEDIATE RESPONSE FOR

    10 MINUTES
    EXAMPLES
    TRAUMA
    CHEST PAIN

    CHEMICAL SPLASHES ON EYES


    LIMP AMPUTATIONS
    ACUTE NEUROLOGIC DEFICITS
    SEVERE RESPIRATORY AND CARDIAC DISTRESS
    POSTURING
    DECORTICATE – Abnormal
    extension
    DECEREBRATE – Abnormal
    flexion
    YELLOW
    URGENT
    PRIORITY 2
    Can be delayed for 30
    minutes
    - stable for the moment
    EXAMPLES
    F- FEVER
    H-HYPERTENSION
    A-ABDOMINAL PAIN

    A- ASTHMA WITH RESPIRATORY DISTRESS


    C-CLIENT WITH RENAL STONES
    S-SIMPLE FRACTURE
    GREEN
    NON-URGENT
    PRIORITY 3
    MINIMAL RESPONSE

    UP TO 120 MINUTES


    EXAMPLES

    MINOR LACERATIONS

    COLD SYMPTOMS

    SPRAIN
    BLACK
    EXPECTANT
    SUPPORTIVE intervention,
    ACLS Method
    EXAMPLES
    CARDIAC ARREST
    SEPTIC SHOCK

    SEVERE HEAD /CHEST


    INJURY
    QUICK QUIZ
    LOSS &
    GRIEVING
    Pinatay mo ang puso ko,
    Pinatay mo AKO!
    LOSS
    NAWALAN…
    ACTUAL OR POTENTIAL
    SOMETHING YOU VALUED IS CHANGED
    OR NO LONGER AVAILABLE
    EX. LOSS OF BODY IMAGE, SO, WORK,
    PERSONAL
    TYPES OF LOSS
    ACTUAL LOSS – Recognized by others
    PERCEIVED LOSS – experienced by one
    person but cannot be verified by others
    ANTICIPATORY LOSS- experienced
    before the loss actually occur
    TYPES OF LOSS
    SITUATIONAL LOSS – loss one’s job,
    death of child, functional ability
    DEVELOPMENTAL LOSS- losses that
    occur in the process of normal
    development…
    Like departure of grown children, retirement,
    Death af aged parents
    SOURCES
    OF LOSS
    SAAN NGA BA?
    1. ASPECT OF ONESELF
    2. OBJECT EXTERNAL TO
    ONESELF
    3. SEPARATION
    4. VALUED/LOVED PERSON
    GRIEF,
    BEREAVEMENT,
    MOURNING
    GRIEF
    Total response to the
    emotional experience related
    to loss.
    Essential for mental health
    Helps to cope
    BEREAVEMENT
    Subjective response to
    death/loss of their loved
    ones.
    MOURNING
    Behavioral process thru which
    grief eventually resolved
    Influenced by culture, spiritual
    beliefs, custom
    TYPES OF
    GRIEF
    RESPONSES
    NORMAL
     Self-limiting
     Symptoms gradually deminish
     Increasing acceptance of reality
    of death
     Steady integration of loss
    ABBREVIATED
    Brief but genuinely felt
    For object loss
    Not important
    Loss is Easily replaced
    ANTICIPATORY
    Experience in advance
    of the event…
    DISENFRANCHISED
    Unable to acknowledge
    the loss to other persons
    Socially unacceptable loss
    - suicides, abortions
    COMPLICATED
    Unhealthy grief
    pathologic in nature
    Ways to cope is
    maladaptive
    TYPES OF
    COMPLICATED

    GRIEF
    UNRESOLVED
    Extended in length and
    severity
    Same as normal but,
    Deny, difficult to grieve
    INHIBITED
    Absence of grief
    Still denial
    Avoidance of
    expression
    EXAGGERATED
    The use of dangerous
    acts as method to lessen
    pain of grieving.
    STAGES OF
    GRIEVING
    DABD
    A
    Kubler-ross
    DENIAL
    REFUSE TO BELIEVE
    NSG: VERBAL SUPPORT
    ANGER
    DIRECT ANGER TO NURSE,
    SO, FAMILY
    NSG: HELP CLIENT TO
    UNDERSTAND THAT ANGER IS
    NORMAL RESPONSE
    BARGAINING
    BARGAIN TO AVOID LOSS
    NSG: LISTEN ATTENTIVELY
    ENCOURAGE TO TALK TO
    RELIEVE GUILT AND
    IRRATIONAL FEAR
    DEPPRESION
    GRIEVES OVER WHAT HAS
    HAPPENED
    NSG: ALLOW TO EXPRESS SADNESS
    COMMUNICATE NON VERBALLY
    TOUCH
    ACCEPTANCE
    MAY HAVE DECREASED
    INTEREST IN SURROUNDINGS
    BEGINS MAKING PLANS
    NSG: Encourage to participate
    as much as possible in the
    treatment prog.
    DEATH &
    DYING
    SIGNS OF
    IMPENDING
    CLINICAL
    DEATH
    1. LOSS OF MUSCLE TONE

    Relaxation of facial muscles


    Difficulty speaking and swallowing
    GI activities decreased
    Urinary and rectal incontinence
    Diminished body movement
    2.SLOWING OF CIRCULATION

    Diminished sensation
    Cyanosis, mottling of extremities
    Cold skin, first feet, hands, ears, and nose
    Slower, weaker pulse
    Decreased blood pressure
    3. RESPIRATORY CHANGES

    Rapid, shallow, irregular


    respirations
    Noisy breathing
    Mouth breathing
    4. SENSORY IMPAIREMENT

    Blurred Vision
    Impaired senses of taste
    and smell
    NURSING
    INTERVENTIONS FOR
    DYING CLIENTS
    1. HELPING CLIENTS DIE WITH
    DIGNITY

    RESTORE AND SUPPORT FEELINGS


    OF CONTROL
    WILL AND HOPE
    SUPPORT CLIENT’S NEED
    HELP CLIENT TO ACCEPT HIS/HER
    LOSES
    PHYSIOLOGIC NEEDS
    OF DYING CLIENTS
    PROVIDE PERSONAL HYGIENE
    CONTROLLING PAIN
    RELIEVING RESPIRATORY
    DIFFICULTIES
    NUTRITION AND HYDRATION
    SENSORY CHANGES MEASURES
    PROVIDE SPIRITUAL
    SUPPORT
    ENSURE SPIRITUAL NEEDS OF
    CLIENT
    FACILITATE EXPRESSIONS OF
    FEELING, PRAYER, MEDITATION
    DISCUSSION WITH CLERGY
    SUPPORTING FAMILY
    USE OF THERAPEUTIC
    COMMUNICATION
    PROVIDE EMPATHETIC AND CARING
    PRESENCE
    EXPLAIN WHAT IS HAPPENING
    ENCOURAGE TO VIEW THE BODY -
    DIED
    PHYSIOLOGIC NEEDS
    OF DYING CLIENTS
    PROVIDE PERSONAL HYGIENE
    CONTROLLING PAIN
    RELIEVING RESPIRATORY
    DIFFICULTIES
    NUTRITION AND HYDRATION
    SENSORY CHANGES MEASURES
    SIGNS OF
    DEATH
    HEART-LUNG DEATH
    CESSATION OF PULSE
    RESPIRATIONS
    BLOOD PRESSURE
    CEREBRAL DEATH
    CEREBRAL CORTEX
    IRREVERSIBLY
    DESTROYED
    INDICATIONS OF
    DEATH
    TOTAL LACK OF RESPONSE
    TO EXTERNAL STIMULI
    NO MUSCULAR MOVEMENT
    NO REFLEXES
    FLAT ENCEPHALOGRAM
    POSTMORTEM
    CARE
    RIGOR MORTIS

    STIFFENING /RIGIDITY
    2-4 HRS AFTER DEATH
    ALGOR MORTIS
    DECREASE IN TEMP
    1C or 1.8 F per hour
    LIVOR MORTIS

    DISCOLORATION OF BODY
    BLUISH PURPLE
    NURSING
    RESPONSIBILTIES
    TREAT THE BODY WITH
    RESPECT AND DIGNITY
    POSITION THE BODY –
    SUPINE
    EYELIDS AND MOUTH
    SHOULD BE CLOSED
    WASH THE SOILED AREA
    PLACE CLEAN GOWN, COMB HAIR
    REMOVE ALL JEWELRIES
    PUT WRIST IDENTIFICATION TAG
    BODY WRAP IN SHROUD. LARGE
    PIECE MATERIAL TO
    ENCLOSE BODY.
    PUT TAG OUTSIDE
    TAKE TO MORGUE
    ORGAN
    DONATION
    Heart and Lungs – 4-5 hours
    Liver and Pancreas – 18 hours

    Cornea and Kidney – 72 hours


    QUICK QUIZ
    1

    SMALL FIRE IN THE WARD, FIRST TO DO…


    A. EXTINGUISH
    B. ALARM

    C. RESCUE
    D. CONFINE
    2.
    Bakit sya pa? bakit hindi na lang yung
    pangit naming kapitbahay

    A. bargaining
    B. acceptance
    C. depression
    D. denial
    3.

    Unable to acknowledge the loss..

    A. anticipatory
    B. disenfranchised
    C. abbreviated
    4.

    Grief in advance of the event

    A. anticipatory
    B. disenfranchised
    C. abbreviated
    5.

    Unhealthy grief that is pathologic in nature.

    A. anticipatory
    B. disenfranchised
    C. abbreviated
    D. complicated grief
    6.

    Not form of complicated grief…

    A. unresolved
    B. delayed
    C. prolonged
    D. inhibited
    7.
    Refuse to believe that loss is
    happening..

    A. bargaining
    B. denial
    C. anger
    D. depression
    8.

    All are types of loss except..

    A. situational loss


    B. actual loss
    C. inhibited loss
    9.

    For impaled object, nurse must..

    A. remove the object


    Apply pressure
    Check the wound for impaled object
    D. apply bandages
    10.

    Stiffening of the body…

    A. algor
    B. rigor
    C. livor
    11.

    Discoloration of the body…


    A. algor
    B. rigor
    C. livor
    12.

    Temperature decreases after death


    A. algor
    B. rigor
    C. livor
    13.

    Cessation of pulse, respirations, and


    BP
    A. cerebral
    B. heart lung
    C. clinical death
    14.

    All are indications of death except.

    A. no muscular movement


    B. no reflexes
    C. active encephalogram
    D. no response to stimuli
    15.

    For emergency alerts for flood, 3rd


    alarm means..
    A. be alert
    B. Evacuate to designated centers
    C. forced evacuation
    D. prepare for evacuation
    16.

    For emergency alerts for flood, 4th


    alarm means..
    A. be alert
    B. Evacuate to designated centers
    C. forced evacuation
    D. prepare for evacuation
    17.

    A pedia patient has convulsion

    A. Delayed
    B. non-urgent
    C. emergent
    D. expectant
    18.

    A geria patient who has high grade fever

    A. Delayed
    B. non-urgent
    C. emergent
    D. expectant
    19.

    A girl who is crying and had


    hallucinations and delusion of
    persecution
    A. Delayed
    B. Non-urgent
    C. emergent
    D. expectant
    20.

    A client who is on electrocution, nurse do


    first…
    A. Remove the client
    B. Switch off the main switch
    C. Remove all the appliances
    D. Go away from the client

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