Disaster Preparedness Framework
A nurse reviewing the Jennings-Sanders' (2004) Disaster Nursing Management Model understands that __________ ______ focuses on planning, training, and stockpiling supplies prior to a disaster.
What is the pre-disaster phase?
Using evidence-based guidelines for PPE use and infection control during the Marauder Flu is an example of this way of knowing.
What is the empiric way of knowing?
In response to an increase in verbal and physical altercations between nurses and patients, regarding patient PPE use, Hamilton General Hospital decides to implement a self-screening tool in the hopes of reducing PPE-related interactions between patients and nurses. What level of self-care is this?
What is the organization level?
A nurse working in an acute care unit during a Marauder Flu surge implements isolation precautions, monitors oxygen saturation, and prioritizes care due to limited staffing. Which phase do these actions occur in?
What is the disaster phase?
A nurse recognizes a patient's fear and mistrust with the media during their stay at the hospital. The nurse then ensures to provide comfort and presence.
What is the aesthetic way of knowing?
At St. Joseph's Healthcare, Nurse Jackie, feeling stressed and burnt out about all the new Marauder Flu-related rules, finds herself wanting to indulge in her former self-destructive tendencies. Recognizing the signs, she decides to implement a balanced breakfast in the morning alongside morning runs in order to be more alert and clear-minded during her shifts. What level of self-care is this?
What is the individual level?
After the peak of Marauder Flu hospitalizations, a nurse participates in reopening outpatient services, supports staff experiencing burnout, and assists patients recovering from long-term complications. Which phase of the model is the nurse primarily adressing?
What is the post-disaster phase?
The nurse reflects on their own biases and emotional responses when caring for unvaccinated Marauder Flu patients.
What is the personal way of knowing?
Nurse Jaden is caring for patients in the ICU is required to enforce strict visitation policies at Hamilton General Hospital due to infection control. The nurse feels conflicted as they believe family at the bedside is essential for humane end-of-life care, and begins to feel burnt out. What is this an example of?
What is a moral injury?
A nurse leader is participating in phase 4 of the Jennings-Sanders' Disaster Nursing Management Model. Name 4 appropriate activities that the nurse may do in this phase.
What are reviewing infection and mortality data, assessing effectiveness of communication strategies, evaluating access to care for vulnerable populations, and reviewing documentation accuracy during surges of the Marauder Flu?
The nurse uses Marauder Flu outcome data to advocate for vaccine access in marginalized communities disproportionately affected by the pandemic.
What is the emancipatory way of knowing?
While providing care for an immunocompromised patient battling Marauder flu, Nurse Robin is reminded of a traumatic experience they had with a previous patient of theirs in a similar state. This made it mentally and emotionally difficult for Nurse Robin to adequately provide care for their current patient. What term best describes Nurse Robin’s situation?
What is second victimhood?
A nurse analyzing the Marauder Flu response notes higher mortality in low-income communities and among racialized populations, based on the framework, which action best demonstrates effective use of phase 4?
A. Increasing ventilator availability during active outbreaks
B. Continuing isolation precautions for asymptomatic hospitalized patients
C. Advocating for targeted infection-prevention strategies in high-risk communities
D. Providing palliative care to patients with Marauder Flu
What is C. Advocating for targeted infection-prevention strategies in high-risk communities?
Maya is now in the ER and has tested positive for the Marauder Flu. Her care team is advising for her to be admitted for further monitoring and treatment, but she is not willing and is wanting to sign AMA. The nurse provides patient education, and the client continues to refuse. Maya ends up signing the papers and leaving with her friend. The nurse wishes her the best and informs her that if she feeling any worse to come back to the ER.
What is the ethical way of knowing?
A registered nurse works on a busy med-surg floor and has worked through multiple Marauder Flu waves. After many difficult discussions providing emotional support to patient’s families, they find it difficult to emotionally engage in discussions but still wish to provide good care. The nurse is experiencing this common burnout characteristic.
What is compassion fatigue?