Pub Date : 2006-10-01DOI: 10.1016/j.dmr.2006.08.001
Belinda Joy Deal RN, MSN, CEN, Rebecca A. Fountain RN, MSN, Carol Ann Russell-Broaddus RN, MSN, Melinda Stanley-Hermanns RN, MSN, BC
Hurricanes Katrina and Rita forced many individuals along the coast of Texas and Louisiana to seek shelter inland. Among the evacuees were residents with special needs and residents of nursing homes and group homes caring for mentally retarded and physically disabled persons. Many nurses volunteered to provide health care for those in need. This article discusses challenges and opportunities that were encountered by nurses volunteering in special-needs shelters. Issues related to human and physical resources, patient care, and confidentiality are discussed including lessons learned. As nurses who cared for evacuees in the shelter, it is hoped some of the lessons learned can be utilized in future disasters.
{"title":"Challenges and Opportunities of Nursing Care in Special-Needs Shelters","authors":"Belinda Joy Deal RN, MSN, CEN, Rebecca A. Fountain RN, MSN, Carol Ann Russell-Broaddus RN, MSN, Melinda Stanley-Hermanns RN, MSN, BC","doi":"10.1016/j.dmr.2006.08.001","DOIUrl":"10.1016/j.dmr.2006.08.001","url":null,"abstract":"<div><p>Hurricanes Katrina and Rita forced many individuals along the coast of Texas and Louisiana to seek shelter inland. Among the evacuees were residents with special needs and residents of nursing homes and group homes caring for mentally retarded and physically disabled persons. Many nurses volunteered to provide health care for those in need. This article discusses challenges and opportunities that were encountered by nurses volunteering in special-needs shelters. Issues related to human and physical resources, patient care, and confidentiality are discussed including lessons learned. As nurses who cared for evacuees in the shelter, it is hoped some of the lessons learned can be utilized in future disasters.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 4","pages":"Pages 100-105"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26406966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-10-01DOI: 10.1016/S1540-2487(06)00080-0
{"title":"Information for Readers","authors":"","doi":"10.1016/S1540-2487(06)00080-0","DOIUrl":"https://doi.org/10.1016/S1540-2487(06)00080-0","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 4","pages":"Page A4"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1540-2487(06)00080-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136543294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.07.002
{"title":"News and Insights","authors":"","doi":"10.1016/j.dmr.2006.07.002","DOIUrl":"https://doi.org/10.1016/j.dmr.2006.07.002","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Pages 95-96"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.07.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/S1540-2487(06)00047-2
{"title":"Information for Readers","authors":"","doi":"10.1016/S1540-2487(06)00047-2","DOIUrl":"https://doi.org/10.1016/S1540-2487(06)00047-2","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Page A4"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1540-2487(06)00047-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.06.002
Thomas May PhD, Mark P. Aulisio PhD
The problem of surge capacity in the wake of a terror-related emergency has lead to a number of interesting proposals designed to mitigate the effects of crowds as well as deficiencies in patient care capacities. The most controversial of these is a proposal to close hospital doors in the wake of a mass casualty terror event. However, several specific challenges posed by mass casualty events make closing hospitals doors undesirable. These include the need for efficient movement of resources, maintenance of social order, and providing the moral reassurance needed by the general public in times of crisis. Importantly, these challenges are related to features of terrorist events that distinguish such events from circumstances of "normal" surge that might result in, for example, closure of emergency rooms.
{"title":"Access to Hospitals in the Wake of Terrorism: Challenges and Needs for Maintaining Public Confidence","authors":"Thomas May PhD, Mark P. Aulisio PhD","doi":"10.1016/j.dmr.2006.06.002","DOIUrl":"10.1016/j.dmr.2006.06.002","url":null,"abstract":"<div><p><span>The problem of surge capacity in the wake of a terror-related emergency has lead to a number of interesting proposals designed to mitigate the effects of crowds as well as deficiencies in patient care capacities. The most controversial of these is a proposal to close hospital doors in the wake of a mass casualty terror event. However, several specific challenges posed by mass casualty events make closing hospitals doors undesirable. These include the need for efficient movement of resources, maintenance of social order, and providing the moral </span>reassurance needed by the general public in times of crisis. Importantly, these challenges are related to features of terrorist events that distinguish such events from circumstances of \"normal\" surge that might result in, for example, closure of emergency rooms.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Pages 67-71"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26195722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/S1540-2487(06)00046-0
{"title":"Information for Authors","authors":"","doi":"10.1016/S1540-2487(06)00046-0","DOIUrl":"https://doi.org/10.1016/S1540-2487(06)00046-0","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Page A3"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1540-2487(06)00046-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136554187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.05.002
Lisa Marie Bernardo PhD, MPH, RN, Michael Beach MSN, CRNP, Ann M. Mitchell PhD, RN, Kathleen Zoldos
{"title":"Disaster Preparedness at the University of Pittsburgh School of Nursing: Four Years of Progress","authors":"Lisa Marie Bernardo PhD, MPH, RN, Michael Beach MSN, CRNP, Ann M. Mitchell PhD, RN, Kathleen Zoldos","doi":"10.1016/j.dmr.2006.05.002","DOIUrl":"10.1016/j.dmr.2006.05.002","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Pages 77-79"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.05.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26195725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.07.001
Margaret M. McMahon RN, MN, CEN
{"title":"A Call for Action","authors":"Margaret M. McMahon RN, MN, CEN","doi":"10.1016/j.dmr.2006.07.001","DOIUrl":"10.1016/j.dmr.2006.07.001","url":null,"abstract":"","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"65-6"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26195721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.03.001
Mary Ireland RN, PhD, Emerson Ea MS, APRN-BC, CEN, Emma Kontzamanis MA, RN, Chantal Michel RN, BSN, CEN, SAE
It is not practical to wait for a disaster, whether natural or human-made, to learn how to respond and provide specialized care. The Long Island University School of Nursing in Brooklyn, New York, has developed a specific educational experience for undergraduate nursing students enrolled in community health. The course is offered in the senior semester and includes didactic material based on the International Nursing Coalition for Mass Casualty Education–recommended competencies. Students are given the opportunity to apply the learning and develop additional skills by participating in a mock drill. Although anecdotal comments from the students indicate that the coursework has been helpful, additional research is planned to evaluate the program.
{"title":"Integrating Disaster Preparedness Into a Community Health Nursing Course: One School's Experience","authors":"Mary Ireland RN, PhD, Emerson Ea MS, APRN-BC, CEN, Emma Kontzamanis MA, RN, Chantal Michel RN, BSN, CEN, SAE","doi":"10.1016/j.dmr.2006.03.001","DOIUrl":"10.1016/j.dmr.2006.03.001","url":null,"abstract":"<div><p>It is not practical to wait for a disaster, whether natural or human-made, to learn how to respond and provide specialized care. The Long Island University School of Nursing in Brooklyn, New York, has developed a specific educational experience for undergraduate nursing students enrolled in community health. The course is offered in the senior semester and includes didactic material based on the International Nursing Coalition for Mass Casualty Education–recommended competencies. Students are given the opportunity to apply the learning and develop additional skills by participating in a mock drill. Although anecdotal comments from the students indicate that the coursework has been helpful, additional research is planned to evaluate the program.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Pages 72-76"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26195723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2006-07-01DOI: 10.1016/j.dmr.2006.05.001
William G. Manley RN, CEN, Paul M. Furbee MA, Jeffery H. Coben MD, Sharon K. Smyth BA, Daniel E. Summers RN, BSN, CEN, EMT-P, Ronald C. Althouse PhD, Rodney L. Kimble BA, EMT-P, Aaron T. Kocsis RN, MS, James C. Helmkamp PhD
Disaster preparedness has always been an area of major concern for the medical community, but recent world events have prompted an increased interest. The health care system must respond to disasters of all types, whether the incidents occur in urban or rural settings. Although the barriers and challenges are different in the rural setting, common areas of preparedness must be explored. This study examines the experiences of rural hospital emergency departments with threat preparedness. Data were gathered through a nationwide survey to describe emergency department experience with specific incidents, as well as the frequency of occurrence of these events. Expanding surge capacity of hospitals and developing a community-wide response to natural or human-made incidents is crucial in mitigating long-term effects on the health care system. Analysis of preparedness activities will help identify common themes to better prioritize preparedness activities and maximize a hospital's response capabilities.
{"title":"Realities of Disaster Preparedness in Rural Hospitals","authors":"William G. Manley RN, CEN, Paul M. Furbee MA, Jeffery H. Coben MD, Sharon K. Smyth BA, Daniel E. Summers RN, BSN, CEN, EMT-P, Ronald C. Althouse PhD, Rodney L. Kimble BA, EMT-P, Aaron T. Kocsis RN, MS, James C. Helmkamp PhD","doi":"10.1016/j.dmr.2006.05.001","DOIUrl":"10.1016/j.dmr.2006.05.001","url":null,"abstract":"<div><p>Disaster preparedness has always been an area of major concern for the medical community, but recent world events have prompted an increased interest. The health care system must respond to disasters of all types, whether the incidents occur in urban or rural settings. Although the barriers and challenges are different in the rural setting, common areas of preparedness must be explored. This study examines the experiences of rural hospital emergency departments with threat preparedness. Data were gathered through a nationwide survey to describe emergency department experience with specific incidents, as well as the frequency of occurrence of these events. Expanding surge capacity of hospitals and developing a community-wide response to natural or human-made incidents is crucial in mitigating long-term effects on the health care system. Analysis of preparedness activities will help identify common themes to better prioritize preparedness activities and maximize a hospital's response capabilities.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 3","pages":"Pages 80-87"},"PeriodicalIF":0.0,"publicationDate":"2006-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26195726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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