FAR EASTERN UNIVERITY INSTITUTE OF NURSING st SY 11-12 1 SEMESTER EMERGENCY DISASTER NURSING OUTLINE DAY1 I.

Introduction to emergency nursing 1. Definition of terms a. Emergency A situation where a sudden incident or event has occurred and normally used local responses will suffice to care for the situation without calling in outside help. b. First aid Immediate care given to person who has been injured / sudden ill Includes self-help / home care if medical assistance is delayed or not available. An immediate or emergency treatment given to a person who has been injured before complete medical and surgical treatment can be secured. c. Emergency nursing Nursing care provide to prevent imminent severe damage or death or to avert serious injury. Activities that exemplify emergency nursing are basic life support, cardiopulmonary resuscitation and control of hemorrhage. Roles of emergency nurse : care provider, educator, manager and advocate. Types of emergency 1. Bio-terrorism viruses, bacteria or other agent use to cause illness or death of people. 2. Mass casualties refers to incidence such as fire, explosion, mass transit accidents. 3. Chemical exposure to hazardous chemical agent 4. Outbreaks refers to flu epidemics, virus etc. 5. Radiation nuclear plant, bomb. 6. Natural disasters refers to natural phenomena such as typhoon, floods. 7. Terrorism refers to the deliberate act of murder and destruction.

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Emergency medical dispatch (EMD) A (alpha) low priority B (beta) medium C (charlie) required advance life support D (delta) highest priority, required advance life support E (echo) maximum possible priority *to determine appropriate number of response

Major incidence CHALET [Causality, Hazards, Access, Location, Emergency services, Type of incidence] ETHANE [Exact location, Type of incidence, Hazards, Access, Number of causality, Emergency required] IV. Agencies involve in dealing emergencies 1. Police/Military ensures the security of the persons property. 2. Fire services deals with the potential harmful fire and rescue operations. 3. Emergency Medical Services (EMS) attempt to decrease loss of life and damage to health. [ambulance and paramedics] 4. Secondary emergency services specialist rescue. V. Emergency management 1. Define emergency management Traditionally refers to care given to patients with urgent and critical needs. Managing factors change with creating the framework which community reduced vulnerability to hazards and cope with disaster. 2. Vision and Mission of Emergency management VISION seeks to promote safer, less vulnerable communities, capacity to cope with hazards and disasters. MISSION protect community by coordinating and integrating all activities necessary to build sustain and improve capability to mitigate. 3. Principles of emergency management 1. Comprehensive all hazards, all phases and all stake holders. 2. Progressive future and preparedness 3. Risk driven risk management principles. (hazards identification, risk analysis nad impact analysis) 4. Integrated ensures unity and effort among all level of government and all element of community. 5. Coordinated synchronize activities of all relevant stake holders to achieve common purpose.

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III. System of classifying emergency 1. Incidents where no life, health property is immediately at risk. 2. Incidents that have the most potential risk to life, health or property. AMPDS Category A Immediate life threat B Immediate health threat C Not emergency but still require response D No response is required after clinical question ask.

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Phases of emergency management a. Phase 1 Risk perception b. Phase 2 preparedness c. Phase 3 warning d. Phase 4 physical impact e. Phase 5 psychological impact f. Phase 6 response g. Phase 7 recovery h. Phase 8 mitigation/reconstruction

(1) Preparedness (2)response (4) Mitigation (3) recovery VI. Guidelines in giving emergency care 1. Getting started a. Plan of action b. Gathering of needed materials c. Initial response d. Instruction to helpers VII. Emergency action principle 1. Define emergency action principle 2. Steps of emergency action principles a. Survey the scene (assessment principles) b. Activate medical assistance or transfer facilities Phone first: for adult. GOAL; defibrillator Phone fast: child and infant GOAL; o2 c. Do primary survey of the victim d. Do secondary survey of the victim DCAPBTLS

VIII. Golden rule in giving emergency care Dos a. Obtain Consent b. Think of the Worst c. Respect Victims Modesty & Privacy d. Do think the worst. Its best to administer first aid for the gravest possibility e. Remember to identify yourself to the victim f. Provide comfort and emotional support g. Be calm and as direct as possible h. Do care for the most serious victim i. Loosen tight clothing of the victim Donts j. let the patient see his own injury k. Make any unrealistic promises l. Do not assume that the victims obvious injuries are the only ones. IX. Components of emergency nursing A.D.P.I.E. Prepared by Abubacar, Alinor D. BSN221