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Consequentialism
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Focus outcomes on consequences
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Utilitarianism
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Greatest good for the greatest number
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Deontology
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Moral rules or duty
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Disaster
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Event that causes human suffering and demands more resources than are available in the community (has to have both)
These disruptions or emergent situations cannot be managed alone, but require outside assistance Can be man-made or natural |
Man-made disasters
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Caused by humans:
Avalanche Heat wave Blizzard Tornado Wildfires Volcanic eruption Earthquake |
Natural disasters
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Caused by natural events-such as:
Terrorism Structural collapse |
Four stages of disaster management
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1. Disaster prevention
2. Disaster preparedness 3. Disaster response 4. Disaster recovery |
Disaster prevention
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Looking out for what could happen
Keeping terrorists out of our country Providing surveillance Provide vaccinations to prevent medical disasters |
Disaster preparedness
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Three- 1. Personal, 2. Professional, 3. Community
Having resources and having a plan Having protocols Planning to save lives and minimize injury and property damage |
Disaster response
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Primary objective is to minimize deaths and harm of people
Implementation of a plan |
Disaster recovery
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Focus is on safety
Includes all involved agencies pulling together to restore the institutions and property rebuild |
Roles of Community Health Nurse in Disaster
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1. Participation in risk assessment (Populations at risk, previous disaster, type of environmental dangers present, and are community plans in place?)
2. Participation in community disaster planning (ID first, identify roles of personnel involved in response, check equipment, ID warning and communication center) 3. Participation in Community Disaster Response (Performing triage and directing disaster victims, management of shelters, monitoring for PTSD) 4. Participation in evaluation of Community Disaster Response (Evaluate area, level of disaster, ongoing assessment and surveillance, efficiency of response) |
Nursing emergency preparedness----3 distinct phases
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1. Personal preparedness
2. Professional preparedness 3. Community preparedness |
Personal preparedness
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Nurses who are disaster victims themselves and must provide care to others will experience considerable stress
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Professional preparedness
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The nurse who is professionally prepared is aware of and understands the disaster plans at the workplace and in the community
These nurses take time to read and understand workplace and community disaster plans and participate in drills and community mock disasters |