NURS FPX 4060 Assessment.3 Disaster Recovery Plan

NURS FPX 4060 Assessment.3 Disaster Recovery Plan

Disaster Recovery Plan 

NURS FPX 4060 Assessment.3 Disaster Recovery Plan

Hello, my name is [Client’s name] and today I will share disaster recovery plan with you all. I will be discussing a disaster event in which a train derailed into a local community resulting various injuries and a couple of causalities as well. We received this news at 7 am in the morning through remote communication and had to immediately plan for disaster management at the Villa Health Hospital. In our team we had an RN, one ED technician and a novice nurse with less than 6 months of experience. 

Determinants of Health and the Social, Economic and Cultural Barriers that Impact Safety and Disaster Recovery Efforts 

Cultural, social, and economic factors affect the quality of care delivered to the patients. The patient demographic impacts the quality of care they receive and also determine the extent of disaster recovery efforts which are carried out by nurses and health care professionals.

Cultural Sensitivity towards formulating a Disaster Recovery Plan

 CLAS standards that are proposed by The Department of Health Services call for the use of culturally sensitive strategies in health care practices. These practices extend care facilities towards the patients who have been affected by a disaster. In this disaster event, the hospital facility received an undocumented immigrant. There was a language barrier, and the patient was continuously yelling. Our nurses were well-apt in dealing with people with people from various cultural and linguistic backgrounds.

Social justice and Disaster Recovery Plan

The effects of a disaster are not same on all individuals. People are hit differently by a disaster depending on their social and economic class (Khanmohammadi et al., 2018). But it is the role of the role of the health care practitioners to extend fair care to all the patients. In this case, I received a patient who was my mother-in-law who was in dire need of immediate care. Though I was not on good terms with her, yet I tried my best to extent best possible care to her adhering to the principle social justice which are described in the Social Availability Model.

Economic Barriers to a Disaster Recovery Plan

A disaster management plan needs to be sensitive to the economic needs of the victims (Khankeh et al., 2018). The victims of the disaster should be provided with financial aid whenever possible. Medicaid and Medicare policies should be extended to those patients who cannot afford to pay for their medical expenses. In this disaster event as well, we received a homeless man who had incurred traumatic amputation of limb as well as hemorrhage. He was provided with best possible care plans free of cost. His care was prioritized more than the care of Mayor who had received only very minor injuries.

Proposed Disaster Recovery Plan

We managed to come up with an effective disaster management plan to extend care to all the patients who had incurred injuries. 

MAP-IT Approach 

MAP-IT is a strategy that has been put in place for providing care and checking the improvement in the health care practices. MAP-IT reduces the health disparities in the advancement of health care (Khankeh et al., 2018). It is comprised of the following steps:

Mobilize 

The first step of this approach calls medical health care the professionals make a note of the patient needs. 

Assess

In the second step, the health care professionals evaluate the needs of the patients in the light of available resources. 

Planning 

In the third step of this approach, the resource allocation is done and the required planning is done. 

Implement 

The planned strategies are then implemented to deliver optimal health care to the patients.

Track 

This is the last and the most important step of the MAP-IT approach in which the progress is monitored. 

Ways in which Proposed Disaster Recovery Plan Will Lessen Health Disparities and Improve Access to Community Services

The frequency of the natural as well as human-caused disasters like this one that occurred in a train accident resulting in the injury of a plenty of passengers, calls for efficient mechanism strategies for advancing the access of care to the individuals (Cristian, 2018). A post-disaster recovery plan ensures equal access to health care to everyone. There are many ethical and humanitarian issues which arise at the time of a disaster. Due to a disaster event, the community and health resources are further compromised. In order to minimize the damages of a disaster, it is very important that health care professionals are sensitive to the unique needs of their patients who have witnessed a disaster event.

NURS FPX 4060 Assessment.3 Disaster Recovery Plan 

Through a thorough communication plan and effective coordination between various interdisciplinary teams, the health disparities in the access of care can be significantly reduced (Cristian, 2018). It is also required that policy makers and nursing professionals engage in dedicated focus group discussions with the disaster victims and their families and acquire comprehensive feedback from them to overcome the short comings of existing health care policies and plans. Moreover, the use of automated record keeping such as Electronic Health Record (EHR) also helps the health care professionals to keep a detailed record of the patient data to minimize the health disparities. 

Impact of Health and Governmental Policies on Disaster Recovery Plan 

The local as well as the state bodies have paid significant attention to the formation of disaster recovery policies. These policies are crucial to assisting the people, who have been affected by a disaster, to recover quickly and completely (Abbasabadi Arab et al., 2019). Moreover, many of these policies guide the practice strategies of nurses and health care professionals to ensure a seamless delivery of care to the patients. Emergency Assistance Act proposes the necessary strategies which ought to be taken to help patients recover from a disaster. in addition to this, Robert T. Stafford Disaster Relief Act was passed with an incentive to ensure the safety and welfare of the people who have incurred any traumatic injury in a disaster event.

The Disaster Mitigation Act proposes a comprehensive plan for the care and protection of the victims of any disastrous event (Beyramijam et al., 2019). It inculcates the strategies that rescue as well as health care staff needs to adopt to facilitate the victims. It is very similar to the Healthy people 2030 goals which call for an effective recovery of patients who have suffered a disaster event. In addition to this The Americans with Disabilities Act (ADA) has a detailed section on the handling and care delivery of the victims of a disaster event who already have any sort of disability. 

Strategies to Overcome Communication Barriers and Enhance Interprofessional Collaboration

In case of a disaster, carrying out communication and efficiently coordinating with rest of the team becomes a challenge. A lot of factors contribute to an inefficient functioning of a disaster recovery plan. Sometimes the policy makers are not well-acquainted with the ground realities of the health care delivery and functioning thus resulting in disaster recovery policies which are not well suited in such a situation. In addition to this, minimum interaction between the nurses and the planning team of the disaster recovery policy may also result in a catastrophe in case of an emergency (Beyramijam et al., 2019). When the levels of shared responsibility are low and there is a diffusion of responsibility, the communication barriers are further strengthened. 

NURS FPX 4060 Assessment.3 Disaster Recovery Plan

In order to effectively deliver care and manage patients in a disaster it is imperative that nurses should be trained and sensitized towards the needs of the patients who have been a victim of a disaster. Nurses should be taught about language tools. The use of language boards especially should be encouraged to enhance the communication with patients who might have incurred a traumatic injury (Abbasabadi Arab et al., 2019). The use of clear and concise language when delivering a message as well as taking into account the emotional response of patients could verily reduce the barriers in communication and enhance interprofessional collaboration between team who are collaborating in the formulation and management of a disaster recovery plan. 

Conclusion 

Disaster events put a strain on the medical and health resources. In order to minimize the damage caused by a disaster event, it is imperative that a comprehensive disaster management plan is in place. The nursing staff should be sensitive to the cultural, social, and economic needs of the patients in order to guarantee optimal care to the victims of a disaster event. 

References 

Abbasabadi Arab, M., Khankeh, H. R., Mosadeghrad, A. M., & Farrokhi, M. (2019). Developing a Hospital Disaster Risk Management Evaluation model. Risk Management and Healthcare Policy, 12, 287–296. https://doi.org/10.2147/RMHP.S215444

NURS FPX 4060 Assessment.3 Disaster Recovery Plan

Beyramijam, M., Rasouli-Ghahfarokhi, S. M., Fathollahzadeh, A., Rahimzadeh, A., Shahabirabori, M. A., & Aminizadeh, M. (2019). The effect of education and implementation of “National Hospital Disaster Preparedness Plan” on an Iranian hospital preparedness: An interventional study. Journal of Education and Health Promotion, 8, 215. https://doi.org/10.4103/jehp.jehp_208_19

Cristian, B. (2018). Hospital resilience: A recent concept in disaster preparedness. Journal of Critical Care Medicine (Universitatea de Medicina Si Farmacie Din Targu-Mures), 4(3), 81–82. https://doi.org/10.2478/jccm-2018-0016

Khankeh, H. R., Lotfolahbeygi, M., Dalvandi, A., & Amanat, N. (2018). Effects hospital incident command system establishment on disaster preparedness of Tehran hospitals affiliated to law enforcement staff under simulated conditions. Health in Emergencies & Disasters Quarterly, 3(4), 207–214. https://doi.org/10.32598/hdq.3.4.207

Khanmohammadi, S., Farahmand, H., & Kashani, H. (2018). A system dynamics approach to the seismic resilience enhancement of hospitals. International Journal of Disaster Risk Reduction: IJDRR, 31, 220–233. https://doi.org/10.1016/j.ijdrr.2018.05.006

Rezaei, F., Maracy, M. R., Yarmohammadian, M. H., & Sheikhbardsiri, H. (2018). Hospitals preparedness using WHO guideline: A systematic review and meta-analysis. Hong Kong Journal of Emergency Medicine, 25(4), 211–222. https://doi.org/10.1177/1024907918760123



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