disaster management and incident command Flashcards

1
Q

national incident management system (NIMS)

A

standardized approach, est by homeland security after 9/11

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2
Q

incident

A

natural disaster, act of terrorism, failing infrastructure, transportation

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3
Q

NIMS: benefits

A

standard organizational structures, processes, procedures
national standards for planning, training, exercising
personel qualification standards
interoperable comm processes, procedures systems
info management with commonly accepted architecture
support tech and infrastructure, comm systems, info systems, specialized tech

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4
Q

web

A

look at/draw on board

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5
Q

incident commander

A

create unified command btw responding agencies
answer to gov
point of contact
eval incident
create and oversee plan of action
determine needs based on size of incident

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6
Q

benefits of incident commander

A

use of common lang and clear text ensures better comm
point of command for modular organizational structure limiting duplication in efforts
has final operational say and control

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7
Q

safety officer

A

monitor hazards in day to day operations
no further incidents
enforce safety plan for scene operations
assist in dev emergency repsonse plans if further incidents ensue

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8
Q

public info officer

A

comm info to public and media
comm facts and viewpoint of responding/controlling agency
usually local for victim names
usually only speaks to response efforts and operations: disclosure/announce deaths to media/press

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9
Q

liaison officer

A

relay info btw incident commander, general staff, other angencies
large scale repsonse usually has group that report to chief
daily and hourly briefs
key purpose to asssist in comm btw departments and field reponse efforts

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10
Q

finance/admin section

A

doc all expenses to be reimbursed (fed and state $)
track: time unit hrs worked, cost of supply procurement, cost of compensation and claims, track $ of bringing supplies in and out

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11
Q

logistics section

A

branches: service and support
facilities, med repsonse, food and H2O, equip and supplies
movement of equip and supplies: many services contracted by FEMA in advance

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12
Q

planning section

A

in charge of problem solving issues as they come up
predict and plan next phase of response
dev of demobilization plan (start when response initiated), incident/emergency action plan

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13
Q

operations section

A

manage and plan day to day response
oversee all field operations
have chain of command with system of reporting to comm field operations back to command
prevent redundant clear comm

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14
Q

standard comm

A

post 9/11
radio freq -> prevent redundant
standard naming of equipment assets -> firetrucks (most have command center in trunk)
NIFOG outlines naming and freq

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15
Q

mobilizaiton and deployment

A

needed resources identified + sources from local and national agencies
agencies notified and informed of reosurces needed, along with expected response time
each resource is responsible for tracking cost to submit to finance
upon arrival, incident commander will brief the individuals and provide them with theri detail -> plan of day

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16
Q

medical incident command

A

3 wings: triage, tm, transport
all responses overseen by designated med director

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17
Q

triage

A

triage and tag all pts, remove from site, work closely with tm and extrication supervisor, ensure adequate personnel to quickly and efficiently assess pts, est morgue prn (out of way and concealed from public eye), doc triage process
prioritize and sort sick or injured for tm according to seriousness of condition or injury

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18
Q

treatment

A

reparate pts into priority groups
assign to treat
ensure sufficient supplies and personnel
maint security (away from further R or exposure) of tm area and that pts are decontaminated
work with transport supervisor to arrange transport
provide updates to EMS director

19
Q

transportation

A

in charge of all pt movement from tm area
est loading zeon for pt transport
determine appropriate destination for pt based on needs (trauma v burn facility)
track and doc all pt transport

20
Q

additional supervisors on med scene: staging

A

run staging location
est entrance and exit to site, main job to prevent traffic congestion

21
Q

additional supervisors on med scene: physician on scene

A

provide on site med direction

22
Q

additional supervisors on med scene: rehab

A

onsite rehab, monitor personnel for s/s stress and fatigue (rest and hydrate)

23
Q

multiple casualty incidents

A

3+ pts
req mutual aids (not enough local resources) and strains resources
declare if more resources needed
MCE if >100

24
Q

MCI: types - open incidents

A

unknown amount of casualties
req search and rescue
normally long and ongoing

25
MCI: types - closed incidents
of pts not expected to change pt triaged, treated, removed from scene can become open incident if outside bystander enter in response
26
triage: sorting
cant commit to 1:1 care fast <30s/pt v limited tm: manually open airway, clear airway with finger sweep or head positioning instruct pt or bystander to control major bleed
27
triage: types
same basic steps MASS: move, assess, sort, send ESI: emergency severity index SALT: sort, assess, lifesaving intervention, treat/transport start/jumpstart (peds): simple triage and rapid tm, US gold standard
28
triage: primary
on scene prior to transport at hospital if arrived by foot or personal vehicle
29
triage: secondary
incident dependent, probably prior to or during transport at receiving facility ongoing process -> never stops
30
START: general
1983, staff members of newport beach FD easy, focus on s/s, fast
31
START: 4 focus points
sort with newest person bc most objective ability to follow directions and walk resp effrot pulse (radial)/perfusion mental status
32
tags: black
expectant unlikely to survive injuries and/or level of cre provide palliative and pain control
33
tags: red
immediate can be helped by immediate intervention and transport re med attention w/n 60 min to survive ABC compromise/RPM (resp, pulse, mental status)
34
tags: yellow
delayed transport can be delayed serious and potentially life threatening, but status is not expected to deteriorate significantly over several hrs
35
tags: green
minor relatively minor injuries status unlikely to deteriorate over days assist in own care -> walking woudned
36
critical incident stress management (CISM)
prevent long term psych impact emergency workers may suffer psych impact need to include resources for debriefing and defusing responders this team should be avail at all times during response efforts participation encouraged by not req
37
after action review
detailed review of response and action conducted all obs need to be recorded and doc for future review never accuse someone of wrongdoing during response -> learning process become public -> table top exercise
38
role of nurse: planning
dev comm repsonse plans edu comm on prevent and response plans provide expert knowledge on response plan dev
39
role of nurse: response - scene
triage and primary care assist in searches and assess
40
role of nurse: response - hospital
staff assist in influx assist in executing emergency plan
41
role of nurse: response - comm response
respond to shelters to assist in med care of those in need
42
role of nurse: response - after care
assist in returning comm to normal make sure resources are re-est in comm provide med and mental hc to responders
43
role of nurse: disaster response plans
be familiar with facility response plans for different types of disasters know local resources for disaster management: EMS, hospital capabilities be familiar with threats in area practice!