Check out the timestamps below to help you navigate through the many topics we discussed.
On This Episode:
In this episode, we’ll explore nurse anesthetists’ indispensable role in disaster response and mass casualty incidents (MCIs). Drawing from real-life examples, including the harrowing experiences during Hurricane Harvey in 2017, we’ll highlight the resilience, expertise, and dedication required from nurse anesthetists in times of crisis. We’ll also dive into the American Association of Nurse Anesthesiology (AANA) guidelines and the importance of preparedness, coordination, and innovative problem-solving in managing both clinical operations and emergencies.
They provide insights into the four phases of disaster management—mitigation, preparedness, response, and recovery—and the unique contributions Certified Registered Nurse Anesthetists (CRNAs) bring to each stage. The episode highlights the significance of having comprehensive disaster response plans and the necessity of regular practice and drills. From implementing call trees to establishing rideout and recovery teams, the hosts provide valuable insights into the logistics and coordination required to ensure seamless operations during emergencies.
Here’s some of what we discuss in this episode:
- The role CRNAs play during natural disasters.
- Communication and coordination is critical during these catastrophic events.
- The protocols in place at hospitals when hurricanes are coming.
- Lessons learned from recent disasters.
Donate to Our Heart Your Hands here: https://www.ourheartsyourhands.org/donate
Agency for Healthcare Research and Quality Public Health Emergency Preparedness resources are available at: http://archive.ahrq.gov/prep/
American Red Cross and Sigma Theta Tau International jointly sponsor Disaster Preparedness Case Study with free CE to all nurses available at: http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=407039&Journal_ID=54023&Issue_ID=406242
Emergency Nurses Association provides the all-hazards position statement on emergency preparedness and is available at: http://www.ena.org/SiteCollectionDocuments/Position%20Statements/AllHazards.pdf
The Centers for Public Health Preparedness Resource Center offers comprehensive educational resources on disaster preparedness, including web casts, exercise/drill/tabletop manuals, comprehensive course outlines, and more available at: http://preparedness.asph.org/perlc/resourcereports.cfm
http://www.nursing.vanderbilt.edu/incmce/modules.html
Online training modules and nursing curriculum for emergency preparedness offered through the Nursing Emergency Preparedness Education Coalition available at: http://nnepi.gwnursing.org/
Practice, practice, practice. The key to effective disaster response is preparation and planning.
- Garry & Terry
References:
Abraham RT, Walls RT, Fischer M, et al. Tabletop scenarios for realism in bioterrorism and threat preparedness. The West Virginia medical journal. Nov-Dec 2012;108(6):12-17.
Adini B, Goldberg A, Laor D, Cohen R, Zadok R, Bar-Dayan Y. Assessing levels of hospital emergency preparedness. Prehosp Disaster Med. Nov-Dec 2006;21(6):451-457.
Admi H, Eilon Y, Hyams G, Utitz L. Management of mass casualty events: the Israeli experience. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. Jun 2011;43(2):211-219.
Amram O, Schuurman N, Hedley N, Hameed SM. A web-based model to support patient-to-hospital allocation in mass casualty incidents. The journal of trauma and acute care surgery. May 2012;72(5):1323-1328.
AANA (2014). Guidelines Regarding the Role of the Certified Registered Nurse Anesthetist in Mass Casualty Incident Preparedness and Response. Retrieved from https://issuu.com/aanapublishing/docs/6_-_guidelines_regarding_the_role_of_the_certified?fr=sZjNmODU2NDAxMjU
Association of Women's Health; Obstetric Neonatal Nursing. The role of the nurse in emergency preparedness. Nursing for women's health. Apr-May 2012;16(2):170-172.
Baack S, Alfred D. Nurses' preparedness and perceived competence in managing disasters. Journal of nursing scholarship: an official publication of Sigma Theta Tau International Honor Society of Nursing / Sigma Theta Tau. Sep 2013;45(3):281-287.
Baker DJ, Telion C, Carli P. Multiple casualty incidents: the prehospital role of the nurse anesthetist in Europe. Anesthesiology clinics. Mar 2007;25(1):179-188, xi.
Baker MS. Creating order from chaos: part II: tactical planning for mass casualty and disaster response at definitive care facilities. Mil Med. Mar 2007;172(3):237-243.
Barishansky RM, Langan J. Surge capacity. Is your system prepared for the victims of a large-scale incident? EMS Mag. Apr 2009;38(4):36-40.
Benjamin E, Bassily-Marcus AM, Babu E, Silver L, Martin ML. Principles and practice of disaster relief: lessons from Haiti. The Mount Sinai journal of medicine, New York. May-Jun 2011;78(3):306-318.
Bernardo LM, Veenema TG. Pediatric emergency preparedness for mass gatherings and special events. Disaster Manag Response. Oct-Dec 2004;2(4):118-122.
Bostick NA, Subbarao I, Burkle FM, Jr., Hsu EB, Armstrong JH, James JJ. Disaster triage systems for large-scale catastrophic events. Disaster medicine and public health preparedness. Sep 2008;2 Suppl 1:S35-39.
Bulson JA, Bulson T. Nursing process and critical thinking linked to disaster preparedness. Journal of emergency nursing: JEN: official publication of the Emergency Department Nurses Association. Sep 2011;37(5):477-483.
Challen K, Bentley A, Bright J, Walter D. Clinical review: mass casualty triage--pandemic influenza and critical care. Crit Care. 2007;11(2):212.
Christian MD, Kollek D, Schwartz B. Emergency preparedness: what every health care worker needs to know. CJEM. Sep 2005;7(5):330-337.
Chung S, Shannon M. Hospital planning for acts of terrorism and other public health emergencies involving children. Arch Dis Child. Dec 2005;90(12):1300-1307.
Collander B, Green B, Millo Y, Shamloo C, Donnellan J, DeAtley C. Development of an "all-hazards" hospital disaster preparedness training course utilizing multi-modality teaching. Prehosp Disaster Med. Jan-Feb 2008;23(1):63-67; discussion 68-69.
Corcoran SP, Niven AS, Reese JM. Critical care management of major disasters: a practical guide to disaster preparation in the intensive care unit. Journal of intensive care medicine. Feb 2012;27(1):3-10.
Couig MP, Martinelli A, Lavin RP. The National Response Plan: Health and Human Services the lead for Emergency Support Function #8. Disaster Manag Response. Apr-Jun 2005;3(2):34-40.
Davies K. Disaster preparedness and response: more than major incident initiation. Br J Nurs. Sep 8-21 2005;14(16):868-871.
Fattah S, Kruger AJ, Andersen JE, Vigerust T, Rehn M. Major incident preparedness and on-site work among Norwegian rescue personnel - a cross-sectional study. International journal of emergency medicine. 2012;5(1):40.
Frykberg ER. Disaster and mass casualty management: a commentary on the American College of Surgeons position statement. J Am Coll Surg. Nov 2003;197(5):857-859.
Hammad KS, Arbon P, Gebbie K, Hutton A. Nursing in the emergency department (ED) during a disaster: a review of the current literature. Australasian emergency nursing journal: AENJ. Nov 2012;15(4):235-244.
Hick JL, Hanfling D, Cantrill SV. Allocating scarce resources in disasters: emergency department principles. Annals of emergency medicine. Mar 2012;59(3):177-187.
Hsu EB, Thomas TL, Bass EB, Whyne D, Kelen GD, Green GB. Healthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.
Lusby LG, Jr. Are you ready to execute your facility's emergency management plans? J Trauma Nurs. Apr-Jun 2006;13(2):74-77.
National Association of Public Hospitals and Health Systems. Recent Changes to Emergency Preparedness Mandates and Funding: Research Brief. http://www.naph.org/Main-Menu-Category/Publications/Emergency-Preparedness/recentchangestoemergencypreparendessmandatesandfunding.aspx. Accessed November 10, 2013.
Rebmann T, Carrico R, English JF. Lessons public health professionals learned from past disasters. Public Health Nurs. Jul-Aug 2008;25(4):344-352.
Rubinson L, Hick JL, Curtis JR, et al. Definitive care for the critically ill during a disaster: medical resources for surge capacity: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL. Chest. May 2008;133(5 Suppl):32S-50S.
Shirley PJ, Mandersloot G. Clinical review: the role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership. Critical care. 2008;12(3):214.
Smith C, Hewison A. Are nurses prepared to respond to a bioterrorist attack: a narrative synthesis. Journal of advanced nursing. Dec 2012;68(12):2597-2609.
World Health Organization. Mass Casualty Management Systems Strategies and Guidelines for Building Health Sector Capacity. 2007. http://www.who.int/hac/techguidance/MCM_guidelines_inside_final.pdf.
