Learning Outcome Measurement in Nurse Participants After Disaster Training

2016 ◽  
Vol 10 (5) ◽  
pp. 728-733
Author(s):  
Sharon L. Farra ◽  
Sherrill Smith ◽  
Marie A Bashaw
Keyword(s):  
Public Health ◽  
Homeland Security ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Outcome Measurement ◽  
Disaster Medicine ◽  
Learning Framework ◽  
Before And After ◽  
Disaster Training ◽  
National Disaster

AbstractObjectiveThe National Disaster Health Consortium is an interprofessional disaster training program. Using the Hierarchical Learning Framework of Competency Sets in Disaster Medicine and Public Health, this program educates nurses and other professionals to provide competent care and leadership within the interprofessional team. This study examined outcomes of this training.MethodsTraining consisted of a combination of online and on-site training. Learning outcomes were measured by using the Emergency Preparedness Information Questionnaire (EPIQ) pre/post training and participant performance during live functional exercises with the use of rubrics based on Homeland Security Exercise and Evaluation principles.ResultsA total of 64 participants completed the EPIQ before and after training. The mean EPIQ pre-training score of 154 and mean post-training score of 81 (reverse-scored) was found to be statistically significant by paired t-test (P<0.001). Performance was evaluated in the areas of triage, re-triage, surge response, and sheltering. Greater than 90% of the exercise criteria were either met or partially met. Participants successfully achieved overall objectives in all scenarios.ConclusionsDisaster response requires nurses and other providers to function in interprofessional teams. Educational projects, like the National Disaster Health Consortium program, offer the potential to address the need for a standardized, interprofessional disaster training curriculum to promote positive outcomes. (Disaster Med Public Health Preparedness. 2016;page 1 of 6)

scholarly journals (A62) Real World Event Data Collection and Analysis for after Action Reporting

2011 ◽  
Vol 26 (S1) ◽  
pp. s17-s18
Author(s):  
J. Schlegelmilch ◽  
J. Paturas ◽  
R. Smith
Keyword(s):  
Public Health ◽  
Data Collection ◽  
Homeland Security ◽  
Real World ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Response Evaluation ◽  
Department Of Homeland Security ◽  
Yield Data ◽  
Response Information

BackgroundIn response to recent real world events impacting public health and medical services, The Yale New Have Center for Emergency Preparedness and Disaster Response (YNH-CEPDR) has developed a methodology for collection and analysis for after action reporting of response operation effectiveness. This process has been implemented to multiple real-world events including the 2009/2010 H1N1 response activities. This method utilizes the US Department of Homeland Security Exercise and Evaluation Program (HSEEP) doctrine for the collection of response information, analysis and development of After Action Reports.ObjectivesIn this session, participants will be introduced to data collection methods that include a combination of onsite response evaluation by subject matter experts applying a set of established operational response objectives, targeted web-based surveys collecting both qualitative and quantitative data regarding public health and medical staff opinions regarding response operations and achievement of objectives. Also introduced will be focus group interviews to determine response successes, opportunities and recommendations for improvement. This session will also provide an overview on the utilization of additional data sources including situational status reports, press releases, incident action plans and meeting minutes. In additional to providing a framework for developing a comprehensive After Action Report for a real-world response, this process can yield data that can be used to enhance ongoing response operations as well as to support anticipated response operations, such as applying lessons from one pandemic wave to the next. During the session, participants will be provided an opportunity to discuss their process for evaluating real-world events and to identify how this methodology can be integrated into their organization's response evaluation activities.

Emergency Preparedness and Disaster Response: There’s An App for That

2015 ◽  
Vol 30 (5) ◽  
pp. 486-490 ◽  
Author(s):  
Daniel J. Bachmann ◽  
Nathan K. Jamison ◽  
Andrew Martin ◽  
Jose Delgado ◽  
Nicholas E. Kman
Keyword(s):  
Health Care Providers ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Value Relevance ◽  
Disaster Medicine ◽  
Care Providers ◽  
Smartphone Applications ◽  
High Quality ◽  
Emergency Responders ◽  
Lay Public

AbstractIntroductionSmartphone applications (or apps) are becoming increasingly popular with emergency responders and health care providers, as well as the public as a whole. There are thousands of medical apps available for Smartphones and tablet computers, with more added each day. These include apps to view textbooks, guidelines, medication databases, medical calculators, and radiology images.Hypothesis/ProblemWith an ever expanding catalog of apps that relate to disaster medicine, it is hard for both the lay public and responders to know where to turn for effective Smartphone apps. A systematic review of these apps was conducted.MethodsA search of the Apple iTunes store (Version 12; Apple Inc.; Cupertino, California USA) was performed using the following terms obtained from the PubMed Medical Subject Headings Database: Emergency Preparedness, Emergency Responders, Disaster, Disaster Planning, Disaster Medicine, Bioterrorism, Chemical Terrorism, Hazardous Materials (HazMat), and the Federal Emergency Management Agency (FEMA). After excluding any unrelated apps, a working list of apps was formed and categorized based on topics. Apps were grouped based on applicability to responders, the lay public, or regional preparedness, and were then ranked based on iTunes user reviews, value, relevance to audience, and user interface.ResultsThis search revealed 683 applications and was narrowed to 219 based on relevance to the field. After grouping the apps as described above, and subsequently ranking them, the highest quality apps were determined from each group. The Community Emergency Response Teams and FEMA had the best apps for National Disaster Medical System responders. The Centers for Disease Control and Prevention (CDC) had high-quality apps for emergency responders in a variety of fields. The National Library of Medicine’s Wireless Information System for Emergency Responders (WISER) app was an excellent app for HazMat responders. The American Red Cross had the most useful apps for natural disasters. Numerous valuable apps for public use, including alert apps, educational apps, and a well-made regional app, were also identified.ConclusionSmartphone applications are fast becoming essential to emergency responders and the lay public. Many high-quality apps existing in various price ranges and serving different populations were identified. This field is changing rapidly and it deserves continued analysis as more apps are developed.BachmannDJ, JamisonNK, MartinA, DelgadoJ, KmanNE. Emergency preparedness and disaster response: there’s an app for that. Prehosp Disaster Med. 2015;30(5):1–5.

scholarly journals Lava flow hazard at Fogo Volcano, Cabo Verde, before and after the 2014–2015 eruption

2016 ◽  
Vol 16 (8) ◽  
pp. 1925-1951 ◽  
Author(s):  
Nicole Richter ◽  
Massimiliano Favalli ◽  
Elske de Zeeuw-van Dalfsen ◽  
Alessandro Fornaciai ◽  
Rui Manuel da Silva Fernandes ◽  
...  
Keyword(s):  
Lava Flow ◽  
Emergency Preparedness ◽  
Disaster Response ◽  
Flow Simulations ◽  
Cabo Verde ◽  
Topographic Information ◽  
Lava Flow Hazard ◽  
Before And After ◽  
Lava Flow Emplacement ◽  
Fogo Volcano

Abstract. Lava flow simulations help to better understand volcanic hazards and may assist emergency preparedness at active volcanoes. We demonstrate that at Fogo Volcano, Cabo Verde, such simulations can explain the 2014–2015 lava flow crisis and therefore provide a valuable base to better prepare for the next inevitable eruption. We conducted topographic mapping in the field and a satellite-based remote sensing analysis. We produced the first topographic model of the 2014–2015 lava flow from combined terrestrial laser scanner (TLS) and photogrammetric data. This high-resolution topographic information facilitates lava flow volume estimates of 43.7 ± 5.2 × 106 m3 from the vertical difference between pre- and posteruptive topographies. Both the pre-eruptive and updated digital elevation models (DEMs) serve as the fundamental input data for lava flow simulations using the well-established DOWNFLOW algorithm. Based on thousands of simulations, we assess the lava flow hazard before and after the 2014–2015 eruption. We find that, although the lava flow hazard has changed significantly, it remains high at the locations of two villages that were destroyed during this eruption. This result is of particular importance as villagers have already started to rebuild the settlements. We also analysed satellite radar imagery acquired by the German TerraSAR-X (TSX) satellite to map lava flow emplacement over time. We obtain the lava flow boundaries every 6 to 11 days during the eruption, which assists the interpretation and evaluation of the lava flow model performance. Our results highlight the fact that lava flow hazards change as a result of modifications of the local topography due to lava flow emplacement. This implies the need for up-to-date topographic information in order to assess lava flow hazards. We also emphasize that areas that were once overrun by lava flows are not necessarily safer, even if local lava flow thicknesses exceed the average lava flow thickness. Our observations will be important for the next eruption of Fogo Volcano and have implications for future lava flow crises and disaster response efforts at basaltic volcanoes elsewhere in the world.

Research on National Disaster Life Support Course in China

2019 ◽  
Vol 14 (5) ◽  
pp. 577-584
Author(s):  
Lujia Tang ◽  
Shuming Pan ◽  
Ying Chen ◽  
Hongmei Tang ◽  
Xuejing Li
Keyword(s):  
Life Support ◽  
Disaster Medicine ◽  
Current Status ◽  
Good Effect ◽  
Loop Optimization ◽  
Theoretical Support ◽  
Scientific Practical ◽  
Disaster Training ◽  
National Disaster

ABSTRACTObjectives:To provide scientific, theoretical support for the improvement of medical disaster training, we systematically analyzed the National Disaster Life Support (NDLS) Course and established a training curriculum with feedback based on the current status of disaster medicine in China.Methods:The gray prediction model is applied to long-term forecast research on course effect. In line with the hypothesis, the NDLS course with feedback capability is more scientific and standardized.Results:The current training NDLS course system is suitable for Chinese medical disasters. After accepting the course training, audiences’ capabilities were enhanced. In the constructed GM (1,1) model prediction, the developing coefficients of the pretest and the posttest are 0.04 and 0.057, respectively. In light of the coefficient, the model is appropriate for the long-term prediction. The predicted results can be used as the basis for constructing training closed-loop optimization feedback. It can indicate that the course system has a good effect as well.Conclusions:According to the constructed GM model, the NDLS course system is scientific, practical, and operational. The research results can provide reference for relevant departments and be used for the construction of similar training course systems.

scholarly journals Extending the Reach of Pediatric Emergency Preparedness: A Virtual Tabletop Exercise Targeting Children’s Needs

2019 ◽  
Vol 134 (4) ◽  
pp. 344-353 ◽  
Author(s):  
Marvin So ◽  
Eric J. Dziuban ◽  
Jessica L. Franks ◽  
Karen Cobham-Owens ◽  
David J. Schonfeld ◽  
...  
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Interprofessional Collaboration ◽  
Pediatric Emergency ◽  
Health Practitioners ◽  
Before And After ◽  
Planning Capacity ◽  
Public Health Practitioners

Objectives: Virtual tabletop exercises (VTTXs) simulate disaster scenarios to help participants improve their emergency-planning capacity. The objectives of our study were to (1) evaluate the effectiveness of a VTTX in improving preparedness capabilities specific to children’s needs among pediatricians and public health practitioners, (2) document follow-up actions, and (3) identify exercise strengths and weaknesses. Methods: In February 2017, we conducted and evaluated a VTTX facilitated via videoconferencing among 26 pediatricians and public health practitioners from 4 states. Using a mixed-methods design, we assessed participants’ knowledge and confidence to fulfill targeted federal preparedness capabilities immediately before and after the exercise. We also evaluated the degree to which participants made progress on actions through surveys 1 month (n = 14) and 6 months (n = 14) after the exercise. Results: Participants reported a greater ability to identify their state’s pediatric emergency preparedness strengths and weaknesses after the exercise (16 of 18) compared with before the exercise (10 of 18). We also observed increases in (1) knowledge of and confidence in performing most pediatric emergency preparedness capabilities and (2) most dimensions of interprofessional collaboration. From 1 month to 6 months after the exercise, participants (n = 14) self-reported making progress in increasing awareness for potential preparedness partners and in conducting similar pediatric exercises (from 4-7 for both). Conclusions: Participants viewed the VTTX positively and indicated increased pediatric emergency preparedness knowledge and confidence. Addressing barriers to improving local pediatric emergency preparedness—particularly long term—is an important target for future tabletop exercises.

scholarly journals FLOOD EVACUATION ROUTES MAPPING BASED ON DERIVED- FLOOD IMPACT ANALYSIS FROM LANDSAT 8 IMAGERY USING NETWORK ANALYST METHOD

2019 ◽  
Vol XLII-3/W8 ◽  
pp. 455-460
Author(s):  
N. Watik ◽  
L. M. Jaelani
Keyword(s):  
Simulation Model ◽  
Disaster Response ◽  
Impact Analysis ◽  
Landsat 8 ◽  
Flood Simulation ◽  
Network Analyst ◽  
Before And After ◽  
Evacuation Routes ◽  
Evacuation Route ◽  
National Disaster

<p><strong>Abstract.</strong> Reported by National Disaster Response Agency of Indonesia (BPBD) as many as 94 dies, 149 injured, and more than 88 thousands homeless caused by floods in 2018. Besides bringing casualties to people and environment, the floods also affect the damages to transportation infrastructures in which vital to disaster emergency response operation e.g. evacuation process. Due to the complex impact of current disaster, the demands of providing a short-term response increases accordingly. Therefore, this research proposes a prototype of flood evacuation route utilizing network analyst method. The network analyst method particularly focus on finding alternative route based on time and distance. This research uses a flood simulation model derived from Landsat 8 imagery and terrain data. Subsequently, the simulation model divides the flood severity based on the depth which consist of < 0.3 m (slight), 0.3-0.5 m (moderate), and > 0.5 m (serious) in order to generate an impact analysis regarding the estimation of damages and casualties. In order to resemble the real situation of flood, barriers (e.g. flood area) are applied into the finding evacuation route procedure. Thereby, the estimated evacuation route can be executed considering the safest and fastest way. Moreover, some comparisons between before and after flood are conducted in order to know the effectiveness of evacuation routes. By such comparison proves that network analyst enables to support disaster management operation with respect to handling the evacuation procedure.</p>

Homeland Security and Public Health: Role of the Department of Veterans Affairs, the US Department of Homeland Security, and Implications for the Public Health Community

2003 ◽  
Vol 18 (4) ◽  
pp. 327-333 ◽  
Author(s):  
Kristi L. Koenig
Keyword(s):  
Public Health ◽  
Emergency Management ◽  
Homeland Security ◽  
Department Of Veterans Affairs ◽  
Department Of Homeland Security ◽  
The Public ◽  
National Response ◽  
Response Plan ◽  
National Disaster ◽  
Primary Mission

AbstractThe terrorist attacks of 11 September 2001 led to the largest US Government transformation since the formation of the Department of Defense following World War II. More than 22 different agencies, in whole or in part, and >170,000 employees were reorganized to form a new Cabinet-level Department of Homeland Security (DHS), with the primary mission to protect the American homeland. Legislation enacted in November 2002 transferred the entire Federal Emergency Management Agency and several Department of Health and Human Services (HHS) assets to DHS, including the Office of Emergency Response, and oversight for the National Disaster Medical System, Strategic National Stockpile, and Metropolitan Medical Response System. This created a potential separation of “health” and “medical” assets between the DHS and HHS. A subsequent presidential directive mandated the development of a National Incident Management System and an all-hazard National Response Plan.While no Department of Veterans Affairs (VA) assets were targeted for transfer, the VA remains the largest integrated healthcare system in the nation with important support roles in homeland security that complement its primary mission to provide care to veterans. The Emergency Management Strategic Healthcare Group (EMSHG) within the VA's medical component, the Veteran Health Administration (VHA), is the executive agent for the VA's Fourth Mission, emergency management. In addition to providing comprehensive emergency management services to the VA, the EMSHG coordinates medical back-up to the Department of Defense, and assists the public via the National Disaster Medical System and the National Response Plan.This article describes the VA's role in homeland security and disasters, and provides an overview of the ongoing organizational and operational changes introduced by the formation of the new DHS. Challenges and opportunities for public health are highlighted.

scholarly journals (A50) The Nurse as Incident Commander

2011 ◽  
Vol 26 (S1) ◽  
pp. s15-s15
Author(s):  
D.J. Persell
Keyword(s):  
Public Health ◽  
Homeland Security ◽  
Disaster Response ◽  
Public Awareness ◽  
Influenza Pandemic ◽  
World Health ◽  
Student Health ◽  
Public Health Response ◽  
Incident Command ◽  
The University

The year 2010 brought an unprecedented public health response to the novel H1N1 influenza pandemic. Included in that response were colleges and universities across the globe. At universities not associated with medical centers, medical directors of student health looked to nursing faculty or nurse practitioner directors of student health for leadership. From the day novel H1N1 was formally declared a public health emergency, Arkansas State University utilized a nurse faculty member with expertise in homeland security as its Incident Commander. A portion of the nurse's time was dedicated to managing the incident. The nurse was positioned to provide guidance and lead the response with an understanding of university structures as well as business and academic continuity. From the beginning, the nurse utilized the Incident Command System to manage the response. Portions of the University's Incident Command structure were activated and Incident Command meetings were held no less than every two weeks. A tabletop exercise was developed specifically for a university setting and to give University officials practice at pandemic management. The nurse's clinical focus and pre-established relationships with disaster response and public health officials allowed critical access to important resources that the University would have otherwise gone without. She guided the University through redefining their pandemic plan, including assisting residence life in establishing alternative housing for sick students. An on-line reporting system was developed that was utilized by faculty, students, staff, and other concerned constituents. A public awareness campaign on the campus was instituted and 1,000 posters were posted around campus encouraging sick students to stay home and/or seek medical care. The World Health Organization, (US) Centers for Disease Control and Prevention, and Department of Education guidelines were monitored and implemented. Two mass-immunization clinics were held on the campus with > 7,000 immunizations provided.

scholarly journals (A105) A Core Curriculum for Nurses in Disaster Preparedness and Response

2011 ◽  
Vol 26 (S1) ◽  
pp. s29-s29 ◽  
Author(s):  
L. Chang ◽  
S.M. Briggs
Keyword(s):  
Public Health ◽  
Disaster Preparedness ◽  
Disaster Response ◽  
Core Curriculum ◽  
Massachusetts General Hospital ◽  
Disaster Medicine ◽  
Incident Command ◽  
Medical Response ◽  
Field Triage ◽  
Disaster Preparedness And Response

BackgroundNurses play an essential role in disaster response. All health care responders, including nurses, must have knowledge of the key principles of disaster medicine. The International Trauma and Disaster Institute (ITDI) at Massachusetts General Hospital has developed a core curriculum for Mass Casualty Incident (MCI) management. The curriculum provides all members of the multidisciplinary disaster team with the fundamentals of the MCI response. The proposed concurrent session will report on understanding of the fundamental knowledge in disaster medicine and preparedness for nurses in local and international disaster responses.Discussion and ObservationsDisasters follow no rules. Traditionally, medical providers have held the erroneous belief that all disasters are different, especially those involving terrorism. In reality, all disasters, regardless of etiology, have similar medical and public health consequences. A consistent medical approach to disasters, based on an understanding of their common features and the response they require, is becoming the accepted practice throughout the world. This strategy, called the MCI response, has the primary objective of reducing the mortality/morbidity caused by the disaster. The Advanced Disaster Medical Response (ADMR) Course, available in eight languages, including Chinese, is designed to train nurses in the ABC's of basic medical and public health disaster care. The delivery of optimal care in a disaster relies on a common understanding of each health professional's role and common mastery of defined essentials of disaster response such as the Incident Command System, field triage, decontamination, care of specific injuries, environmental considerations, psychological response to disasters, and care of the dead and their families. Understanding key principles and training in medical disaster response will guide nurses in disaster preparedness and response to future disasters.

Characterizing the Current State of Training Courses Available to US Disaster Professionals

2019 ◽  
Vol 13 (5-6) ◽  
pp. 920-926
Author(s):  
Thomas Kirsch ◽  
Mark Keim ◽  
Kandra Strauss-Riggs
Keyword(s):  
Public Health ◽  
Health Professionals ◽  
Disaster Response ◽  
Matter Content ◽  
Target Audience ◽  
Educational Approach ◽  
Knowledge Based ◽  
Training Courses ◽  
Disaster Training ◽  
And Function

ABSTRACTObjective:The objective of this study is to characterize US-based disaster training courses available to disaster response and disaster health professionals. Its purpose is to better inform policies and decision-making regarding workforce and professional development to improve performance.Methods:Courses were identified from 4 inventories of courses: (1) National Library of Medicine Disaster Lit database; (2) TRAIN National Learning Network; (3) Federal Emergency Management Agency (FEMA) National Preparedness Course Catalog; and (4) Preparedness and Emergency Response Learning Centers. An online search used 30 disaster-related key words. Data included the course title, description, target audience, and delivery modality. Levels of learning, target capability, and function were categorized by 3 expert reviewers. Descriptive statistics were used.Results:There were 3662 trainings: 2380 (65%) for professionals (53% for public health); 83% of the courses were distance learning, with 16% via classroom. Half of all trainings focused on 3 of 37 disaster capabilities and 38% of them were related to chemical, biological, radiological, nuclear, and explosives (CBRNE). The educational approach was knowledge-based for all courses and 99.6% imparted only lower levels of learning.Conclusion:Despite thousands of courses available, there remain significant gaps in target audience, subject matter content, educational approaches, and delivery modalities, particularly for health and public health professionals.

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