2. DISASTER MANAGEMENT AT SITE
 Disaster Management at site refers to, on-
the-spot rescue and resuscitation measures
adopted by the health team members for
saving life's of the victim.

3. D-I-S-A-S-T-E-R Paradigm
D: Detection
I: Incident Command
S: Safety & Security
A: Assess Hazards
S: Support
T: Triage & Treatment
E: Evacuation
R: Recovery

4. MASS
M – Move
A – Asses
S – Sort
S – Send

5. Aim
-Rescue
-Medical Care
-Food and safe drinking water
-Prevention of epidemic out break
- Monetary Compensation
-Rehabilitation

6. NURSES ROLE IN DISASTER MANAGEMENT
•Identify Priorities
•Maintain Essential
Service
•Medical Backup

7. RECORDS & IDENTIFICATION OF CASUALTIES
-Simple disaster record
-Affix small tag to each casualty
Non urgent (Green)
Urgent condition (Yellow)
Emergency Transport (Red)
Death (Black)

8. Triage Description Color
Immediate Respirations are present,
very serious injury that can
be fixed quick with out a lot
of resources
RED
Delayed Can wait to be treated for
hours to days, dislocations,
minor fractures
YELLOW
Minor “walking Wounded”, cuts,
minor wounds
GREEN
Expectant/
Deceased
Not breathing, Massive
Head trauma, would take
massive resources away
from many others to save
one
BLACK

9. PUBLIC INFORMATION SYSTEM
-Maintain casualty list and other data
-Have all information related to hospitalization
-Efficient communication link between triage
and hospital

10. COMMUNITY MEASURES
First Aid & Medical Care
-Life saving Resuscitation
-Allay Panic
-Avoid convergence
behavior
-Immediate rescue and relief
-Professional Identification
-Direct people to shelters

11. COMMUNITY MEASURES
Gather information rapidly
-Documentation
-Assess number of Casualty
Inflow
-Arrange drugs and IV fluids
-Assess Adequacy of
casualty evaluation routs
-Adequacy of space and
building

12. TRANSPORT

13. HOSPITAL RESPONSE FOR DISASTER
•Medical Staff Director
•Establishing a physician labor pool.
•Credentialing volunteer medical staff.
•Assign physician staffing.
•Withhold all elective surgery

14. In-Patient Areas
•Assessing inpatients for early discharge.
• Establishing alternate inpatient care sites within the facility.
•Assessing staffing, supply, equipment needs in patient care
settings

15. Ancillary Services
•Inventorying available blood supply.
•Evaluating ancillary services’ capacity to perform
services required by emergency.

16. Critical Supplies
•Pharmaceuticals
•Medical supplies
•Food supplies
•Linen
•Water
•Critical Equipment

17. Communications
• Other areas/departments within hospital
• External agencies

18. POST DISASTER PHASE
-Leadership Role
-Immunization
-Follow up Care
-Nutritional Programme
-Disposal of Dead
-Hygiene and sanitation
-Routine Health Services
-Special care to children and
elderly

19. REHABILITATION
-Starts from the moment
disaster strikes & ends with
the restoration of normality
- Medical
- Surgical
- Psychological
- Vocational

20. Mental wellness
In any major disaster, people want to
know where their loved ones are, nurses
can assist in making links.
In case of loss, people need to mourn:
• Give them space,
• Find family friends or local
healers to encourage and
support them
• Most are back to normal within
2 weeks
• About 1% to 3%, may need
additional help

21. THANK YOU