Disaster Recovery and Health Equity in Villa Health Community, Exams of Nursing

Download Disaster Recovery and Health Equity in Villa Health Community and more Exams Nursing in PDF only on Docsity! Disaster Recovery Plan NURS -FPX4060 Practicing in the Community to Improve Population Health Assessment Latest 2024 Assured Success Slide 1 Villa Health Disaster Recovery Plan by ……… Slide 2 Disaster Plan and Recovery (Mobilize collaborative partners) A disaster is considered anything out of the ordinary that happens and prevents access to key processes. Planning makes it possible to manage the entire life cycle of a potential disaster. Strategic and operational planning establishes priorities, identifies expected levels of performance and capability requirements, provides the standard for assessing capabilities, and helps stakeholders learn their roles (U.S. Homeland Security, 2020). A major component of a disaster plan is the recovery phase; recovery is defined as the activities that occur before, during and after a disastrous event. Following a disaster, survival rates depend on health care facilities’ ability to provide care under duress and to handle a sudden influx of large numbers of victims. Much depends on the staff, supplies, equipment, structure, and systems that are required to treat a significant increase in patients seeking medical and nursing care (Veenema, 2016). The disaster recovery process is focused on restoring and revitalizing communities that have been impacted by the disaster, such as the train derailment disaster that affected the Villa Health community. Both planning and recovery are essential components for proper management and restoration of community disasters. After speaking with the Vila Health hospital and community officials, it is clear their disaster recovery plan needs revised. Slide 3 MAP-IT Framework Adopted from the Health People 2020 initiative the MAP-IT framework is used to plan and evaluate public health interventions such as disaster recovery. The framework outlines a likely to die in a natural disaster. Obstacles arise such as impairments that affect one’s ability to escape a situation, and their ability to recognize and communicate that a is disaster is occurring. Slide 5 The resources within VCRH’s health system greatly affect the care that can be delivered, both VCRH’s ambulances are aging and in need of overhaul. Also, much of the hospital’s basic infrastructure and equipment is old and showing wear, the hospital has run at persistent deficits and has been unable to upgrade. According to the director of facilities supplies are also in short supply, as they run out of essential resources during the disaster. The city is in the midst of a financial crisis, with bankruptcy looming, and has instituted layoffs at the police and fire departments. Also, may be looking at downsizing nursing staff. Without funding and a proper budget, the hospital and emergency services cannot function effectively. Slide 6 Disaster Recovery Plan (Plan to lessen health disparities and improve access to services) Medical Care Improvement The disaster recovery process focuses on restoring, redeveloping, and revitalizing communities impacted by a disaster. This would include increasing the hospital and clinical care standards at which they function during a disaster. Medical care must promote the use of limited resources to benefit the population as a whole. As well as training medical professionals to shift their work pattern from general daily care to a model (emergency response system) that accommodates the sudden unanticipated surge in the demand for health care. This model may force them to make very difficult legal, ethical, and moral decisions; examples include triaging who gets care first and who does not get care at all, allocating limited numbers of ventilators, and deciding who has access to lifesaving medications. (Veenema, 2016). Ideally, these will include a centralized structure for control (incident command system), a framework for the allocation of scarce resources, and effective adaptation of standards for crisis care. Despite the ethical strain that is imposed on medical staff, the emergency response system implies a decrease in health disparities and is supported by the Department of Homeland Security; EOC = emergency operations center; NRP = National Response Plan. Source: (U.S. Department of Homeland Security) Slide 7 Rehabilitation (implement a plan to reach healthy people 2020) Lack of access, or limited access, to health services greatly impacts an individual’s health status and recovery from disasters. Health-related rehabilitation potentially results in decreased morbidity due to disabling injuries sustained during a natural disaster and is, therefore, an essential component of the medical response plan within communities. Significant systematic challenges to effective delivery of rehabilitation interventions during disaster include a lack of trained responders as well as a lack of medical recordkeeping, data collection, and established outcome measures (Reinhardt, 2011). Since a person's functional needs require attention in the immediate living environment as well as in the greater community, a range of activities including provision of accessible and appropriate home care; housing; transportation; and educational, vocational, and social opportunities is necessary. main source of authorities for the Federal Emergency Management Agency's (FEMA's) disaster assistance programs. Under this act, the President is authorized to issue major disaster or emergency declarations, resulting in the distribution of wide-ranging federal aid to individuals and families, certain nonprofit organizations, and public agencies (Committee on Post-Disaster Recovery, 2015). If the governor of an affected state is slow in executing the state’s emergency response plan, the president may provide accelerated federal assistance where it is necessary to save lives or prevent severe damage. The Stafford Act covers major disasters and emergencies defined as any natural catastrophe or fire, flood, or explosion, regardless of cause, which is of sufficient severity to warrant assistance under the act to alleviate the damage, loss, or hardship caused by the event. Three types of assistance are authorized; individual assistance—provides immediate direct and financial assistance to individuals for housing and other disaster related needs, hazard mitigation—provides grants to affected governments to implement long-term hazard mitigation measures after a major disaster declaration, public assistance—provides aid to eligible applicants seeking assistance with eligible costs for eligible work performed at eligible facilities (Committee on Post-Disaster Recovery, 2015). Slide 10 Enhance Communication The actions of first responders, including local fire, police, and emergency medical services (EMS), are driven by the procedures and protocols developed by those responding agencies. The Vila Health hospital workers identified an issue when communicating with local emergency services, lack of communication lead to ineffective triage and waste of resources. It is imperative that all voluntary healthcare professionals learn the chain of command within their disaster response system. The chain of command is critical to making sure services and resources are utilized in a timely manner without duplication. The World Health Organization Regional Office has developed the hospital emergency response checklist to assist hospital administrators and emergency managers in responding effectively to the most likely disaster scenarios. The checklist includes clear and accurate internal and external communication guidelines and