NURS FPX 4060 Assessment 3 Disaster Recovery Plan

Sample Answer for NURS FPX 4060 Assessment 3 Disaster Recovery Plan Included After Question

To prepare for the assessment, complete the Vila Health: Disaster Recovery Scenario simulation.

In addition, you are 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. A timeline for the recovery effort.

Develop a disaster recovery plan to lessen 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 tutorial) of the plan with audio and speaker notes for the Vila Health system, city officials, and the disaster relief team.

As you begin to prepare this assessment, you are 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. Professional Context.

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).

This assessment provides an opportunity for you to apply the concepts of emergency preparedness, public health assessment, triage, management, and surveillance after a disaster. You will also focus on evacuation, extended displacement periods, and contact tracing based on the disaster scenario provided.

A Sample Answer For the Assignment: NURS FPX 4060 Assessment 3 Disaster Recovery Plan

Title: NURS FPX 4060 Assessment 3 Disaster Recovery Plan

Overview of Villa Health Community

The community of focus is Villa Health Community. A disaster recently hit the community leading to loss of lives and property. The disaster was a derailment of an oil-tanker and subsequent explosion and fire. About 200 people were hospitalized, houses near the railroad leveled, and six people killed. The population of the Villa City is estimated to be 8295. This population is an increase of 6585 in 2010. The assessment of the health needs of the city showed that the region has 204 elderly residents with complex conditions. The assessment also showed that about 147 residents have physical disabilities. The response to the above disaster showed the lack of adequate disaster preparedness as seen in the delays in response in the Villa Health. Therefore, there is an increased need to develop an effective disaster preparedness and management plan for the community and the hospital.

Determinants of Health in the Community

One of the social determinants of health in the community is age. The statistics of the community reveal that the elderly in the community experience significant health problems. The statistics show that 204 elderly residents have complex health problems. The statistics further show that about 22% of the population in the community are aged above 65 years. Age is a critical determinant of health since the elderly often face challenges in accessing the care that they need due to lack f employment and decline in social and functional abilities. The other determinant of health in the community is physical disability.

Individuals with physical disability often face the challenge of accessing their case-appropriate care. The health assessment of the community has shown that the community has 147 physically disabled individuals. The other determinant of health in the community is literacy level. Literacy level influence the uptake and use of the available healthcare services. Low levels of literacy have a negative effect on healthcare since individuals do not understand the need for health interventions.

The other determinant of health in the community is the documentation status of its residents. The assessment of the community has shown that there are unknown undocumented migrant workers in the region with limited English proficiency. The implication of this is that the undocumented persons in the community cannot access and utilize the existing health services. The low English proficiency from these individuals also imply their limited utilization of the existing healthcare services due to language barrier. The other determinant of health in the community is access to safe housing to the population. Safe housing is essential for the prevention of health problems caused by harsh weather conditions.

A significant proportion of the population in the community lives in homeless shelters. The homeless shelters have ran out of capacity due to the high number of homeless people in the city. Homelessness acts as a barrier to health due to lack of affordability of the healthcare services by the affected. The last determinant of health in the community is employment status. The financial crisis has increased the risk of layoffs in the community in the police and fire departments. Lack of or loss of employment limits one’s access to care due to the effect of factors such as high cost of care.

Components of Proposed Disaster Recovery Plan

The proposed disaster recover plan will comprise of a number of components. One of them will be the goals of the disaster recovery plan. The goals will guide the strategies that will be utilized in the recovery process. The other component will the specifications of personnel that will be responsible for the implementation of the plan. The specified roles of the personnel will be provided in the plan to minimize the risk of task duplication and any redundancies in the process. The other component will be the procedures to guide the disaster recovery process.

The procedures will guide the order of implementing the strategies for the recovery plan. The other component is the resources used for disaster recovery process. The plan will specify the universal resources that will be utilized in the disaster recovery process. The resources should be available at all the time to ensure effective response to disasters. The other component is community re-building processes. The community must be assisted to recover from the loss. The other component will be the plans for revising the recovery plan. The plan should have provisions for the revising its components.

How the Plan Lessen Health Disparities

One of the ways in which the plan lessens health disparities in the community is promoting equity in resource use. The plan focuses on ensuring that the existing resources are utilized efficiently to address the community needs. The resources will be utilized without a consideration of the background of individuals affected by a disaster. The other way in which the plan lessens health disparities is its focus on community re-development. The recovery plan sets forth interventions that can be utilized to promote adequate and equitable re-development of the community following the disaster. The plan also incorporates diversity from stakeholders. The stakeholders to implement the plan will be selected from the community. They will represent individuals from the different social groups in the society to ensure effective response and recovery from the disaster.

The recovery plan also promotes community resilience. It aims at ensuring that the community has all the resources and structures to respond to disasters. The plan also ensures that the community members adjust successfully to the demands from the disaster. Through this focus, it lessens the disparities in the impacts of the disaster on the members of the community. The plan also lessens the disparities in health by promoting holism in disaster response and recovery. The approach to responding to disasters consider the unique needs of the members of the community. It ensures that unique needs of the community members are addressed to facilitate their successful recovery. The recovery plan also lessens disparities by prioritizing the inputs of the community on the approaches to disaster management and recovery. Therefore, this ensures that the recovery interventions address the unique needs of the community members.

Impact of Health and Government Policies on Disaster Recovery Efforts

One of the impacts of health and government policies on disaster recovery efforts is the fact that they provide frameworks for the efforts utilized for recovery. The policies provide guidelines to be followed in the implementation of disaster recovery strategies. The policies also provide frameworks that will be used in evaluating the effectiveness of the different interventions used for disaster recovery. The second influence of health and government policies on disaster recovery efforts is that they guide the utilization of resources. The policies provide frameworks that are used in prioritizing the allocation and use of resources for disaster recovery.

For example, health policies will ensure that the social, emotional, and physical health of the affected is prioritized prior to developing the needed community structures. The last effect is the strengthening of multi-sectorial collaboration in disaster recovery. Policies provide insights into the approaches that can be used in effective recovery from a disaster. The insights include the need for multi-sectorial collaboration in the determination and implementation of strategies for disaster recovery.

Implication of Policies to the Community

One of the implications of the above policies on the community is the promotion of the effective utilization of community resources. The policies ensure prioritized allocation and use of the resources for the recovery process. There is also the use of the resources to address the critical needs of the community in the recovery process. The other implication of the policies to the community is the promotion of equity in disaster recovery efforts. Equity is achieved in the determination of the strategies for use in each segment of the community. The resources are also used without a consideration of the backgrounds of the community members. Through this, the policies eliminate barriers to health and social determinants of health. The community members are also empowered to play an active role in the implementation of the recovery interventions. The empowerment is achieved through their active participation in the identification, implementation, and evaluation of strategies used for disaster recovery.

Overcoming Communication Barriers

One of the ways in which communication barriers can be addressed during a disaster is using communication boards. Communication boards can be used to pass information to a wider population. The boards provide accurate information about the necessary actions that providers and the community members should take during the disaster. Communication boards also inform the affected community members on actions to take during the disaster. The other intervention is the use of translators. Language barrier between the providers and the community members might arise. Translators can be used to address this issue in the disaster response. The other intervention is developing a chain of command. The chain of command will provide a clear understanding of the individuals responsible for coordinating specific tasks in disaster response and management.

The other intervention that can be used to improve communication during disaster management is creating open channels of communication for the healthcare providers. A focus should be placed on eliminating hierarchies in the communication and implementation of strategies. The healthcare providers should have the freedom to express their concerns in the disaster response process. The other strategy is communicating a thing at a time. This ensures that the target audience receive the essential message in the disaster response process. This strategy also addresses the issue of information overload. The last strategy is assigning roles and responsibilities to each staff involved in the disaster management. Assigning roles minimize the risk of duplication in tasks and improves communication between the staffs. It also improves the triaging process as the providers understand their diverse roles and responsibilities in the disaster response and recovery.

Effect of Strategies on Disaster Response and Recovery Team

One of the effects of the above strategies on disaster response and recovery team is the improvement in efficiency of operations. The teams can coordinate their activities better. They also obtain the resources and support they need in a timely manner. The other effect is the enhanced inter-professional collaboration. Clear communication during a disaster improved collaboration among providers since they easily understand the needs of their patients and ways of addressing them effectively. There is also the minimization of task duplication. The providers understand their distinct roles and responsibilities, which minimize responsibility overlap and misuse of resources. Through these interventions, the team activities in disaster response and recovery are significantly improved.

References

•Adler, N. E., Glymour, M. M., & Fielding, J. (2016). Addressing social determinants of health and health inequalities. Jama316(16), 1641-1642.

•Al Thobaity, A., Alamri, S., Plummer, V., & Williams, B. (2019). Exploring the necessary disaster plan components in Saudi Arabian hospitals. International Journal of Disaster Risk Reduction41, 101316.

•Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2018). Global action on the social determinants of health. BMJ global health3(Suppl 1).

•Shittu, E., Parker, G., & Mock, N. (2018). Improving communication resilience for effective disaster relief operations. Environment Systems and Decisions38(3), 379-397.