the pre-hospital and emergency department interface during disasters: workforce, education and...
DESCRIPTION
presentation to the ACT Ambulance Service Continuing Medical Education, 25th November 2010.TRANSCRIPT
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THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS: workforce, education and other contemporary issues
Jamie RanseLecturer, University of CanberraChief Nurse, St John Ambulance AustraliaResearch Associate, Flinders University
Email: [email protected] Blog: www.jamieranse.comTwitter: jamieranse
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overview
• Background to health care disasters• Surge capacity• Triage• Workforce• Education
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background
• Defining disasters• Australian experience of disasters
• Natural (bushfires) • Off-shore
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background
• Lessons learnt• Mostly in organisational reports (not public)• Resources
• SARS• Bali 1• Granville • H1N1
• Notification to the ED
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surge capacity?
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surge capacity?
• What is surge capacity?• Do we have ability to surge?
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surge capacity?
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surge capacity?
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surge capacity?
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Total Influenza Presentations
Mean Influenza Presentations
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Mean Total Presentations - Excluding Influenza
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surge capacity?
• Strategies to enhance the surge capacity of the health system
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triage
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triage: principles
• Greatest good for the greatest number • Life over limb
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triage: in-hospital
• Various triage systems in the world
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triage: pre-hospital
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triage: process
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triage: process
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education
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education
• Where do we teach disaster education• Are we teaching the right stuff • Who do we teach with?• Mock scenarios• Disaster content varied in all programs• National framework and consistency
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education
Elements of disaster content in courses:Community and public health responsePre-hospital responseHospital responseDisaster triageSustainabilityDisaster exercisesIncident systemsNursing role in disasterCommunications TechniquesManagement of the dead and dyingDisaster plansRole of other organisations in disaster responseMental health in relation to disastersPopulations with specific needsTypes of disastersExamples of disastersHealth effects of disasters
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workforce
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workforce
• Preparedness• Roles• Willingness• Responding to disasters
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family preparedness employer'spreparedness
colleagues'preparedness
staff's preparedness medical-allied staffpreparedness
manager'spreparedness
workforce: preparedness
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workforce: roles
• Minor injury / illness• Primary health • Health problem-solving
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workforce: willingness
• Varies depending on culture• Perceived responsibilities to profession • Out-of-work responsibilities• Personal beliefs and confidence, and • Availability of social and organisational support
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C B R t e r r o r i s ta t t a c k
Results: Willingness
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t y p e o f i m p r o v e m e n t s
workforce: willingness
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workforce: responding to disasters
• Who do we send• What is the process• Cross boarder issues• Civilian corps• Individual deployments• Disaster tourism
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THE PRE-HOSPITAL AND EMERGENCY DEPARTMENT
INTERFACE DURING DISASTERS: workforce, education and other contemporary issues
Jamie RanseLecturer, University of CanberraChief Nurse, St John Ambulance AustraliaResearch Associate, Flinders University
Email: [email protected] Blog: www.jamieranse.comTwitter: jamieranse