Nursing Disaster Recovery Plan to Reduce Health Disparities Presentation

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Develop a disaster recovery plan to reduce health disparities and improve access to community services after a disaster. Then develop and record a 10–12 slide presentation (please refer to the PowerPoint Nurses perform a variety of roles and their responsibilities as health care providers extend to the community. The decisions we make daily and in times of crisis often involve the balancing of human rights with medical necessities, equitable access to services, legal and ethical mandates, and financial constraints. In the event of a major accident or natural disaster, many issues can complicate decisions concerning the needs of an individual or group, including understanding and upholding rights and desires, mediating conflict, and applying established ethical and legal standards of nursing care. As a nurse, you must be knowledgeable about disaster preparedness and recovery to safeguard those in your care. As an advocate, you are also accountable for promoting equitable services and quality care for the diverse community.

Nurses work alongside first responders, other professionals, volunteers, and the health department to safeguard the community. Some concerns during a disaster and recovery period include the possibility of death and infectious disease due to debris and/or contamination of the water, air, food supply, or environment. Various degrees of injury may also occur during disasters, terrorism, and violent conflicts.

To maximize survival, first responders must use a triage system to assign victims according to the severity of their condition/prognosis in order to allocate equitable resources and provide treatment. During infectious disease outbreaks, triage does not take the place of routine clinical triage.

Trace-mapping becomes an important step to interrupting the spread of all infectious diseases to prevent or curtail morbidity and mortality in the community. A vital step in trace-mapping is the identification of the infectious individual or group and isolating or quarantining them. During the trace-mapping process, these individuals are interviewed to identify those who have had close contact with them. Contacts are notified of their potential exposure, testing referrals become paramount, and individuals are connected with appropriate services they might need during the self-quarantine period (CDC, 2020).

An example of such disaster is the COVID-19 pandemic of 2020. People who had contact with someone who were in contact with the COVID-19 virus were encouraged to stay home and maintain social distance (at least 6 feet) from others until 14 days after their last exposure to a person with COVID-19. Contacts were required to monitor themselves by checking their temperature twice daily and watching for symptoms of COVID-19 (CDC, 2020). Local, state, and health department guidelines were essential in establishing the recovery phase. Triage Standard Operating Procedure (SOP) in the case of COVID-19 focused on inpatient and outpatient health care facilities that would be receiving, or preparing to receive, suspected, or confirmed COVID- 19 victims. Controlling droplet transmission through hand washing, social distancing, self-quarantine, PPE, installing barriers, education, and standardized triage algorithm/questionnaires became essential to the triage system (CDC, 2020; WHO, 2020).tutorial) of the plan with audio and speaker notes for the local system, city officials, and the disaster relief team.When disaster strikes, community members must be protected. A comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, is essential to help ensure everyone's safety. The unique needs of residents must be assessed to reduce health disparities and improve access to equitable services after a disaster. Recovery efforts depend on the appropriateness of the plan, the extent to which key stakeholders have been prepared, the quality of the trace-mapping, and the allocation of available resources. In a time of cost containment, when personnel and resources may be limited, the needs of residents must be weighed carefully against available resources.

In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team.

Review the full scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource.

You are also encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.

Begin thinking about:

  • Community needs.
  • Resources, personnel, budget, and community makeup.
  • People accountable for implementation of the disaster recovery plan.
  • Healthy People 2020 goals and 2030 objectives.
  • A timeline for the recovery effort.

You may also wish to:

  • Review the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, which you will use to guide the development of your plan:
    • Mobilize collaborative partners.
    • Assess community needs.
    • Plan to lessen health disparities and improve access to services.
    • Implement a plan to reach Healthy People 2020 goals or 2030 objectives.
    • Track community progress.
  • Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

Note: Every 10 years, The U.S. Department of Health and Human Services and the Office of Disease Prevention and Health Promotion release information on health indicators, public health issues, and current trends. At the end of 2020, Healthy People 2030 was released to provide information for the next 10 years. Healthy People 2030 provides the most updated content when it comes to prioritizing public health issues; however, there are historical contents that offer a better understanding of some topics. Disaster preparedness is addressed in Healthy People 2030, but a more robust understanding of MAP-IT, triage, and recovery efforts is found in Healthy People 2020. For this reason, you will find references to both Healthy People 2020 and Healthy People 2030 in this course.First, review the full scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource.

Then complete the following:

  1. Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.
    • Assess community needs.
    • Consider resources, personnel, budget, and community makeup.
    • Identify the people accountable for implementation of the plan and describe their roles.
    • Focus on specific Healthy People 2020 goals and 2030 objectives.
    • Include a timeline for the recovery effort.
  2. Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan:
    • Mobilize collaborative partners.
    • Assess community needs.
      • Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community.
      • Include in your plan the equitable allocation of services for the diverse community.
      • Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position.
      • Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.
    • Plan to reduce health disparities and improve access to services.
    • Implement a plan to reach Healthy People 2020 goals and 2030 objectives.
    • Track and trace-map community progress.
  3. Develop a slide presentation of your disaster recovery plan with an audio recording of you presenting your assessment of the scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource for city officials and the disaster relief team. Be sure to also include speaker notes.

Presentation Format and Length

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over along with speaker notes. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

  • Title slide.
    • Recovery plan title.
    • Your name.
    • Date.
    • Course number and title.
  • References (at the end of your presentation).

Your slide deck should consist of 10–12 content slides plus title and references slides. Use the speaker's notes section of each slide to develop your talking points and cite your sources as appropriate. Be sure to also include a transcript that matches your recorded voice-over. The transcript can be submitted on a separate Word document. Make sure to review the Microsoft PowerPoint tutorial for directions.

The following resources will help you create and deliver an effective presentation:

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past 5 years to support your plan.

Unformatted Attachment Preview

Assessment 03 – Disaster Recovery Plan In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and tracemapping, which you will present to city officials and the disaster relief team. Before you complete the detailed instructions in the courseroom, first review the full scenario and associated data below. Please refer back to this resource as necessary while you complete your assessment. Introduction For a health care facility to be able to fill its role in the community, it must actively plan not only for normal operation, but also for worst-case scenarios which could occur. In such disasters, the hospital's services will be particularly crucial, even if the specifics of the disaster make it more difficult for the facility to stay open. As the senior nurse at Carterdale Regional Hospital, you play a vital role in ensuring the hospital's readiness for disasters and its ability to recover from them. The hospital administrator wants to discuss disaster preparedness and recovery with you. Before the conversation, it would be helpful to familiarize yourself with the background information on events that have occurred in Carterdale in recent years, including the involvement of the hospital. Background Investigate further for relevant background information. Local Newspaper Headline: "Tornado Strikes Carterdale, Devastating Effects on Community" March 26, 2023 Carterdale, Mississippi In a devastating turn of events, a powerful tornado swept through Carterdale, leaving behind a trail of destruction and impacting the community. The tornado, rated as a 4 on the Enhanced Fujita scale, caused significant damage and posed tough challenges for the residents, many of whom live below the poverty line. The tornado, which occurred on Friday night, was one of the worst on record in the state's history. The National Weather Service forecast office in Jackson, Mississippi, is currently 1 surveying the damage caused by the storm. The tornado's impact was particularly severe on Carterdale and Silver City. Questions have arisen about the preparedness and warning systems in place for such natural disasters. Some residents reported not hearing any sirens as the tornado approached, leaving them vulnerable to its destructive force. Tornadoes are not uncommon in Mississippi, but the severity of this particular storm caught many off guard. Recovery efforts are underway, but rebuilding is expected to take months. The tornado not only caused physical damage to homes and infrastructure but also took a toll on the emotional wellbeing of the affected residents. Families who lost loved ones in the storm are in need of emotional and spiritual care during this difficult time. Lessons can be learned from past tornado disasters, such as the one that struck Joplin, Missouri, in 2011. Joplin's recovery efforts have shown how cities can bounce back and better prepare for future disasters. It is crucial for communities and governments to come together to support the affected residents and implement measures to mitigate the impact of future tornadoes. Fact Sheet: Carterdale, MS Population: 1,800 people Residents Black or African American: 73.25% White: 24.25% Native American: 1.5% Asian/Native Hawaiian/Pacific Islander: 0% Other race: 0% Two or More Races: 1% Age Group 0 to 9 Years 10 to 19 Years 20 to 29 Years 30 to 39 Years 40 to 49 Years 50 to 59 Years 60 to 69 Years 70 Years and over Male 204 130 92 126 73 83 240 92 Female 154 200 149 167 63 226 197 115 2 Education High school graduate or higher, percent of persons age 25 years+: 65.9% Bachelor's degree or higher, percent of persons age 25 years+: 6.5% Health With a disability, under age 65 years: 20.6% Persons without health insurance, under age 65 years: 17.0% Income & Poverty Median household income: $30,092 Per capita income in past 12 months: $10,381 Persons in poverty: 39.1% Staff Interviews Dr. Alan Jenski, Internal Medicine: "The tornado has caused significant damage to our facility, leaving us with limited resources to care for our patients. We have lost power and water, making it difficult to provide basic medical care." Nurse Kaley Grant, ICU: "Many of our patients have been injured in the tornado and require immediate medical attention. However, with the damage to our facility, we are struggling to provide the necessary care. We are also facing a shortage of medical supplies and equipment." Dr. Linh Boswell, Psychiatrist: "The tornado has also had a significant impact on the emotional well-being of our patients. Many of them have lost loved ones and are struggling to cope with the trauma of the disaster. We need to provide emotional and spiritual care to help them through this difficult time." Bill Reiner, Social Worker: "The community in Carterdale and Silver City has been hit particularly hard by the tornado. Many of our patients come from low socioeconomic backgrounds and are already facing significant health disparities. The tornado has only exacerbated these issues and made it even more difficult for them to access medical care." Dr. Luisa Gonzalez, Hospital Administrator: "We need to work together as a medical community to support the affected residents and implement measures to mitigate the impact of future tornadoes. We can learn from past disasters, such as the one that struck Joplin, Missouri in 2011, and use those lessons to better prepare for future disasters." Request from Administrator Dr. Luisa Gonzalez, Carterdale Hospital Administrator, has asked you to present a compelling case to community stakeholders for the proposed disaster recovery plan. She requests you use 3 the MAP-IT model, which is a step-by-step, structured plan that can be developed by a coalition that is tailored to a specific community's needs. The MAP-IT model involves all stakeholders, making for a widely-supported and communityowned effort. It assesses assets as well as needs and looks for ways to use them. The five steps of the MAP-IT model are: 1. Mobilize individuals and organizations that care about the health of your community into a coalition. 2. Assess the areas of greatest need in your community, as well as the resources and other strengths that you can tap into to address those areas. 3. Plan your approach: start with a vision of where you want to be as a community; then add strategies and action steps to help you achieve that vision. 4. Implement your plan using concrete action steps that can be monitored and will make a difference. 5. Track your progress over time. In addition to using the MAP-IT model, work up an approach supported by Healthy People 2020 and put it all into a PowerPoint. You can save the PowerPoint deck and the audio of its accompanying presentation at the public library so that the public can access it and see that you're serious. By doing this, you can create a prototype for other local communities near this one, and possibly other facilities in the organization. To ensure that the disaster recovery plan is effective, you can also involve diverse stakeholders, replace guesswork and hunches with datadriven decisions, and create comprehensive, detailed plans that define the roles and responsibilities of disaster recovery team members and outline the criteria to launch the plan into action. 4
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Explanation & Answer


Disaster Recovery Plan for Carterdale Community


 It is critical to understand the effects of a disaster on a community
 Such understanding enhances preparedness and development of a recovery

plan (Prutzer, 2019)
 A disaster can occur in any community, as in the case of Carterdale,

 Therefore, a recovery plan and related analysis have been developed for

Carterdale, Mississippi.

The Disaster Recovery Plan – First Step
 The initial letter 'M' in the MAP-IT framework stands for mobilizing

collaborative partners
 Based on this aspect, this step should involve:
 Gathering healthcare professionals in Carterdale Regional Hospital (CRH)
 Involvement of the social workers within the community
 Engaging community leaders
 Seeking help from the local government officials

The Disaster Recovery Plan – Second Step
 The letter ‘A’ in the MAP-IT framework stands for assessing com...

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