Program Outline Disaster Strikes: How Do You Respond? · and strengthen disaster planning and...
Transcript of Program Outline Disaster Strikes: How Do You Respond? · and strengthen disaster planning and...
Program Outline Disaster Strikes: How Do You Respond? Brenda Gray, PharmD, CNSC, BCNSP, VA-BC, CVAA-c, PRS [email protected] Kevn McNamara, PharmD, CNSC, CSP, CVAA-c, PRS [email protected] Clinical Pharmacy Partners LLC Authors have no disclosures. Disaster Strikes: How Do You Respond? Disclosures
Authors have no commercial relationships relevant to the topic being presented” Presentation Overview/Summary Disasters, natural and manmade, occur every day. Disasters can be as minor as interruptions in power or phone to complete devastation to a practice or a patient home. Proper preparation can be the key in managing the situation and avoiding the development of a crisis or emergency. All nutrition support practices and patients should have a disaster management plan that evaluates vulnerabilities, outlines action to take and provides resources to successfully manage the patient care during and after disaster. Recent natural disasters, including historic storms and fires, have challenged even the best disaster preparedness plans for organizations and patients. Plans that were prepared and practiced unfortunately fell short in many cases. Understanding the impact of each of the most common disasters can guide the development of a strong disaster preparedness plan. Knowing the resources available to support disaster recovery can lead to a more coordinated disaster response leading to better patient outcomes. Exploring lessons learned from those affected by these recent disasters can further strengthen disaster preparedness plans for both organizations as well as patients. Learning Objectives At the conclusion of the presentation, the learner will be able to:
1. Identify common disasters that impact nutrition support practices and patients and describe the key components of a successful disaster plan.
2. Evaluate gaps that were found in plans during recent disasters and how lessons learned by those practices and patients can be applied to other practices and delineate steps to evaluate and strengthen disaster planning and recovery.
3. List resources that should be considered for inclusion in a disaster plan and/or response kit
Key Takeaways/Fast Facts • Disasters can come with or without warning and be natural or man-made. • A proper plan can prevent a disaster from creating a crisis for the patient and/or the organization. • Preparation is a team approach and involves assessing, planning, educations and practice. • Assessing disaster responses can bring valuable insights and lessons to improve disaster plans. • Successful disaster management can avoid many adverse outcomes.
Learning Assessment Questions 1. Question 1: True or false: Natural disasters are unpredictable and always impact patients
negatively. A. True B. False
2. Question 2: True or False: Man-made disasters are always easier to manage than natural
disasters.
Program Outline Disaster Strikes: How Do You Respond?
A. True B. False
3. Question 3: In a disaster, patients should obtain nutrition supplies from:
A. Local emergency shelter B. Red Cross C. Nutrition Provider D. Oley Foundation
4. Question 4: True or False: Once written the disaster plan should not be changed A. True B. False
5. Question 5: Patients who go to shelters should:
A. Place PN on dry ice B. Use hand sanitizer C. Expect assistance from the medical staff D. . Should call 911 if they need pump batteries
Learning Assessment Answers:
1. Answer = False – with proper planning, one can often limit the impact of a disaster 2. Answer = False – any type of disaster can be difficult to manage without preparation 3. Answer = C – other providers are not likely to have supplies or be able to get them to the patient 4. Answer = False – plan should be regularly evaluated and updated 5. Answer = B – always use extra precautions in a contained public area, never use dry ice directly
on PN, don’t expect readily available assistance unless arrangements made in advance, use 911 only for life threatening emergencies
References 1. FEMA patient handouts (WWW.FEMA.GOV) 2. American Red Cross “SPECIAL NEEDS EMERGENCY PREPAREDNESS” HANDOUT” 3. http://www.jacksonhealth.org/library/plans/hurricane-response-plan-12.pdf 4. HHS: Healthcare System Recovery Timeline A White Paper for Texas 5. Saulnier, D. (2017). No Calm After the Storm: A Systematic Review of Human Health Following
Flood and Storm Disasters. Prehospital and Disaster Medicine. 6. ASPR TRACIE. (2017). Major Hurricanes: Potential Public Health and Medical Implications 7. FEMA. (2013). A Citizen’s Guide to Disaster Assistance, Unit 3- Overview of Federal Disaster
Assistance. 8. Accreditation Standards (TJC, ACHC, URAC, CMS CHAP) 9. https://asprtracie.hhs.gov
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Disaster Strikes: How Do You Respond?
ASPEN 2019 Nutrition Science & Practice Conference
Brenda Gray, PharmDTampa, FL
Kevn McNamara, PharmDFort Myers, FL
Special thanks to colleagues at FEMA, American Red Cross and those in disaster impact areas
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Disclosures
Authors have no commercial relationships to disclose
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Learning Objectives
• Identify common disasters that impact nutrition support practices and patients and describe the key components of a successful disaster plan.
• Evaluate gaps that were found in plans during recent disasters and how lessons learned by those practices and patients can be applied to other practices and delineate steps to evaluate and strengthen disaster planning and recovery.
• List resources that should be considered for inclusion in a disaster plan and/or response kit
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Types of Disasters Affecting Nutrition Support Services
Natural disasters – hurricanes, tornadoes, forest fires, ice storms, floods, avalanche, blizzard, polar vortex
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Types of Disasters Affecting Nutrition Support Services
Natural disasters – hurricanes, tornadoes, forest fires, ice storms, floods, avalanche, blizzard, polar vortex
Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats, pipe leak or breakage (gas or water)
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Types of Disasters Affecting Nutrition Support Services
Natural disasters – hurricanes, tornadoes, forest fires, ice storms, floods, avalanche, blizzard, polar vortex
Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats
Work stoppages – shipping strikes, local labor issues
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Types of Disasters Affecting Nutrition Support Services
Natural disasters – hurricanes, tornadoes, forest fires, ice storms, floods, avalanche, blizzard, polar vortex
Manmade disasters and civil disturbances – power failures, fires, hazardous spills, curfews, terrorist threats
Work stoppages – shipping strikes, local labor issues
Shortages – products, supplies, interchanging products
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Challenges For Organizations
Safe environment to provide care
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Challenges For Organizations
Safe environment to provide care
Staffing to provide care
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Challenges For Organizations
Safe environment to provide care
Staffing to provide care
Communication to coordinate care
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Challenges For Organizations
Safe environment to provide care
Staffing to provide care
Communication to coordinate care
Acquiring products and supplies
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Challenges For Patients
Emergency needs – injuries, access issues, power for pumps, ice/refrigeration
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Challenges For Patients
Emergency needs –injuries, access issues, power for pumps, ice/refrigeration
Infection control –appropriate water for handwashing, lighting
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Challenges For Patients
Emergency needs –injuries, access issues, power for pumps, ice/refrigeration
Infection control –appropriate water for handwashing, lighting
Storage needs –safe, secure, temperature appropriate
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Challenges For Patients
Emergency needs –injuries, access issues, power for pumps, ice/refrigeration
Infection control –appropriate water for handwashing, lighting
Storage needs – safe, secure, temperature appropriate
Communication plan
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Challenges For Patients
Emergency needs –injuries, access issues, power for pumps, ice/refrigeration
Infection control –appropriate water for handwashing, lighting
Storage needs – safe, secure, temperature appropriate
Communication plan Inventory needs
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DISASTER PLAN DEVELOPMENT
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!!
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!! Risk Assessment and Delineation of Needs
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!! Risk Assessment and Delineation of Needs
Identification of Resources
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!! Risk Assessment and Delineation of Needs
Identification of Resources
Contact Lists and Important Documents
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!!
Risk Assessment and Delineation of
Needs
Identification of Resources
Contact Lists and Important
Documents
Specific Actions for Common
Emergencies
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Components of a Successful Disaster Plan
Plan don’t PANIC!!!!!!!
Risk Assessment and Delineation
of Needs
Identification of Resources
Contact Lists and Important
Documents
Specific Actions for Common Emergencies
Plan Implementation and Evaluation
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Education Issues
Preparation steps
Response plans
Recovery Activities
Living in shelters and alternative
housing
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A CASE STUDY IN DISASTER MANAGEMENT
JOPLIN,
MISSOURI
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A CASE STUDY IN DISASTER MANAGEMENT
HURRICANE
SANDY
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A CASE STUDY IN DISASTER MANAGEMENT
HURRICANE
HARVEY
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A CASE STUDY IN DISASTER MANAGEMENT
JACKSON
HEALTH
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A CASE STUDY IN DISASTER MANAGEMENT
THE CAMP
FIRE
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A CASE STUDY IN DISASTER MANAGEMENT
HURRICANE
MARIA
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Resources
CIVIL AGENCIES (FEDERAL, STATE,
LOCAL, ETC)
ASSOCIATIONS AND SUPPORT GROUPS
RELIGIOUS OR SOCIAL ORGANIZATIONS
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QUESTIONS
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Learning Assessment Questions
True or false: Natural disasters are unpredictable and always impact patients negatively.
KM1
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Learning Assessment Questions
True or false: Natural disasters are unpredictable and always impact patients negatively.
False – with proper planning, one can often limit the impact of a disaster
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KM1 can the bottom box be deleted?Kevn McNamara, 2/26/2019
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Learning Assessment Questions
True or False: Man-made disasters are always easier to manage than natural disasters.
KM2
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Learning Assessment Questions
True or False: Man-made disasters are always easier to manage than natural disasters.
False – any type of disaster can be difficult to manage without preparation
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Learning Assessment Questions
In a disaster, patients should obtain nutrition supplies from:
A. Local emergency shelter
B. Red Cross
C. Nutrition Provider
D.Oley Foundation
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Learning Assessment Questions
In a disaster, patients should obtain nutrition supplies from:
A. Local emergency shelter
B. Red Cross
C. Nutrition Provider
D. Oley Foundation
C – other providers are not likely to have supplies or be able to get them to the patient
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Learning Assessment Questions
True or False: Once written the disaster plan should not be changed
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Learning Assessment Questions
True or False: Once written the disaster plan should not be changed
False – plan should be regularly evaluated and updated
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KM2 can the bottom box be deletedKevn McNamara, 2/26/2019
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Learning Assessment Questions
Patients who go to shelters should:
A. Place PN on dry ice
B. Use hand sanitizer
C. Expect assistance from the medical staff
D. Call 911 if they need pump batteries
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Learning Assessment Questions
Patients who go to shelters should:
a. Place PN on dry ice
b. Use hand sanitizer
c. Expect assistance from the medical staff
d. Should call 911 if they need pump batteries
B – always use extra precautions in a contained
public area, never use dry ice directly on PN, don’t expect readily available assistance
unless arrangements made in advance, use 911 only for life
threatening emergencies
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References• FEMA patient handouts (WWW.FEMA.GOV)
• American Red Cross “SPECIAL NEEDS EMERGENCY PREPAREDNESS” HANDOUT”
• http://www.jacksonhealth.org/library/plans/hurricane-response-plan-12.pdf
• HHS: Healthcare System Recovery Timeline A White Paper for Texas
• Saulnier, D. (2017). No Calm After the Storm: A Systematic Review of Human Health Following Flood and Storm Disasters. Prehospital and Disaster Medicine.
• ASPR TRACIE. (2017). Major Hurricanes: Potential Public Health and Medical Implications
• FEMA. (2013). A Citizen’s Guide to Disaster Assistance, Unit 3- Overview of Federal Disaster Assistance.
• Accreditation Standards (TJC, ACHC, URAC, CMS CHAP)
• https://asprtracie.hhs.gov
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