SOLUTIONS GRADED A+ LATEST UPDATE
Continuity of care: Priority action prior to discharging a client home care
- discharge planning is essential component of the continum of care, and is ongoing
assessment that anticipates the future needs of the client
- discharge planning requires ongoing communication between the client, nurse,
providers, family and other health care providers. The goal of discharge planning is to
enhance the well-being of the client by establishing appropriate options for meeting
health care needs of the client
Communicable Diseases, Disasters, and Bioterrorism: Care for clients following a
mass causality; disaster response
-different agencies, governmental, and nongovernmental, are responsible for different
levels of disaster response. Some agencies include Federal Emergency Management
Agency (FEMA), the CDC, U.S. Department of Homeland Security (DHS), American
Red Cross, Office of Emergency Management (OEM), and the public health system
Communicable Diseases, Disasters, and Bioterrorism: Care for clients following a
mass causality; disaster response assessment
The assessment includes: How many people are affected? How many are injured or
dead? How much fresh water and food is available? What are the areas of risk or
sanitation problems?
Communicable Diseases, Disasters, and Bioterrorism: Care for clients following a
mass causality; Participation in disaster response includes
-Activating the disaster management plan
-Performing triage and directing those affected, coordinating evacuation, quarantine and
opening of shelters
-Triaging involves identifying those who have serious versus minor injuries, prioritizing
, care of the victims, and transferring those requiring immediate attention to medical
facilities
Communicable Diseases, Disasters, and Bioterrorism: Care for clients following a
mass causality; Participation in disaster recovery includes...
-Making home visits and reassessing the health care needs of the affected population
-Providing and coordinating care in shelters
-Providing stress counseling and assessing for PTSD or delayed stress reactions, and
making referrals for psychological treatment
Communicable Diseases, Disasters, and Bioterrorism: Public Health Nurse
Contribution to a Community Disaster Plan
-Participation in risk assessment
What are the populations at risk within the community?
Have there been previous disasters, natural or man-made?
What size of an area or population is likely to be affected in the worst-case scenario?
What is the community disaster plan?
What kind of warning system is in place?
What type of disaster response teams (volunteers, nurses, health professionals,
emergency medical technicians, firemen) are in place?
What kind of resource facilities (hospitals, shelters, churches, food-storage facilities) are
available in the event of a disaster?
What type of evacuation measures (boat, motor vehicle, train) will be needed?
What type of environmental dangers (chemical plants, sewage displacement) may be
involved?
Communicable Diseases, Disasters, and Bioterrorism: Public Health Nurse
Contribution to a Community Disaster Plan; disaster planning
-developing a disaster response plan based on the most probable disaster threats.
-Identifying the community disaster warning system and communication center, and
learning how to access it
-Identifying the first responders in the community disaster plan
-Making a list of agencies that are available for the varying levels of disaster
management at the local, state and national levels