Judith Atchison, MSN, RN, PHN, Lorraine Buckley, MSN, RN, PHN

Transcription

1 Judith Atchison, MSN, RN, PHN, Assistant Director, Public Health Nursing/Maternal Child and Adolescent Health County of Riverside Department of Public Health Lorraine Buckley, MSN, RN, PHN Public Health Nurse, Public Health Nursing/Maternal Child and Adolescent Health Branch

2 Presenter Disclosures HERMIA PARKS (1) The following personal, professional, or financial relationships with commercial interests relevant to this presentation existed during the past 12 months: NO RELATIONSHIPS TO DISCLOSE

3 Many thanks to Hermia Parks, RN, PHN, MA; Juanita Rosales, RN, PHN, MSN; Carol Hernandez, RN, PHN, BS; and Shin Newsom, RN, PHN, BSN for their important contributions to the development of this framework The course was developed using PHN foundational principles to guide practice during emergencies and the Quad Council of Public Health Nurses Organizations Tier 1 Core competencies.

4 Scope of Practice

5 Identify and increase understanding of the PHN s role in disaster response. Discuss the PHN workforce competencies training and skills stations for use in emergency preparedness. Describe the success and challenges of the emergency preparedness training implementation.

6 According to California Government Code SECTION All public employees are hereby declared to be disaster service workers (California Public Health Nursing Disaster Handbook, 2008, p. I-2).

7 Preparing for, responding to, and recovering from disasters is a priority and a core function of public health. Emergent events are occurring more frequently. Responding to health threats from disasters challenges all those in the community and public health sector. Public health nurses (PHN) play an important role in the response to disasters that affect communities.

8 To be ready to help if a disaster strikes, Health Care Professionals are urged to take advantage of training and educational opportunities. All Health Care Professionals, in the Department of Public Health, should possess basic competencies for responding to an emergency.

9 Silver Wildfires Mountain Fire TB Outbreak

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11 The Riverside County Department of Public Health (RCDOPH) developed a training course to provide a comprehensive plan to prepare PHNs to respond to mass casualty events or acts of terrorism.

12 Hermia Parks-Director of Public Health Nursing/Maternal Child and Adolescent Health, envisioned preparing public health nursing staff to adequately serve people and the community in a disaster or emergency response.

13 Disaster Preparedness: Presentation by-marie Davis, Director of Red Cross Associate Regional Emergency Services Skill station demonstrations on Glucometer Oxygen-portable oxygen cylinder Administration of Vaccines Inhalers, Air Chambers, nebulizers Mental Health intervention Medi-Man

14 The following responses were elicited from survey question: Which skills do you feel that you need further training?

15 Hands on skills training Medi-Man O2 delivery Wound care Rapid assessment IV insertion Immunizations Diabetes testing Shelter paperwork

16 Increase the PHN s/social Workers understanding in emergency response and increase willingness to respond in an emergency. Assess, evaluate, document, and update the PHN workforce competence in emergency preparedness.

17 Web based and PowerPoint presentation Trainer provided class and training packet

18 Injection techniques Medication administration Psychological first aid Blood glucose monitoring Oxygen administration Nebulizer treatment Cultural competency Red cross shelter procedures

19 Administering Vaccines Vital Signs Psychological First Aid Blood Glucose monitoring O2 Administration Nebulizer Administration Cultural Competency

20 Resources Role of PHN Shelter task lists California Public Health Nursing Disaster Handbook Reference information for local pharmacies, hospitals, and the County s Family Care Centers 20

21 Go Bag First Aid Book 21

22 Shelter forms A comprehensive list of training videos and web sites.

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24 Public Health Nurse Job Action Worksheet Mission: To assist community members presenting to the shelter with screening, education, evaluation and treatment when indicated. Serve as an advocate for the sheltered population and staff to ensure a high level of comfort and care. TASK COMPLETED Contact immediate nursing supervisor for instructions and directions to the shelter. Wear county identification badge in order to obtain access into the shelter. Bring BP cuff, stethoscope, Shelter Surveillance Form, Activity Log, Assessment Forms, and a fully changed cell phone. Upon arrival at the shelter, check in at the volunteer desk area. Report to the shelter manager to receive instructions Report to the shelter nurse to receive report and further instructions. Administer first aid as needed. Assist all shelter residents and staff who are in need of general health education and advice. Assist shelter residents with special health care needs, such as replacing lost medications and medical appliances. Refer to Social Services for case management needs as indicated. Provide emotional support and skilled nurse counseling to persons suffering from traumatic stress caused by the emergency and the resulting disruption in their lives. Refer to mental health. Conduct 1 training on hand washing daily before the evening meal. Ensure hand washing instructions are posted in all restroom areas. Report to immediate nursing supervisor any problems or concerns involving staffing or sheltering needs of clients that exceed the limitations of what the Public Health Nurses can provide. This includes any questions regarding OTC medications as nurses cannot prescribe nor dispense and shelter residents may dispense their own from an available supply of over the counter medications. Brief supervisor on any media contact. Do not hesitate to call supervisor for any questions or concerns. Complete Surveillance Form once per shift. Complete 1 Assessment Form for each shelter resident assessed. Complete activity log ongoing throughout the shift noting times for training and other activities or incidents occurring. At the end of each shift or the beginning of the next working day fax all the logs and forms filled out during the shift to attn: Hermia Parks.

25 June 18, 2013: Basic Emergency Preparedness Competencies Training for Health Care Professionals Power point presented to Public Health Nursing Administration team.

26 October 2013: Basic Emergency Preparedness Competencies Training for Health Care Professionals Power Point presented to Public Health Nursing Staff.

27 Evaluations What did you particularly like about the program? Videos Handouts Overall presentation Hands on skills Shelter paperwork Good review of skills Relevant to our field References

28 What did you particularly dislike about the program? Videos a little too long Not enough information pertaining to to role of SW/HSA/OA

29 Staff states: Better prepared to participate in a shelter. More willing to volunteer when called to work in a shelter setting. More aware of what to expect if called to work in a shelter.

30 Finding the appropriate web videos for experienced nursing staff. Not too basic Not too long

31 Required Pre-Requisite Trainings Competency Skills Stations

32 Mandatory to attend pre-requisite workshop training before attending competency skills trainings. Supervisors responsible for keeping an account whether staff attended the training.

33 CPR- every 2 years First Aid Certificate-every 2 years N-95 Fit Testing annually Basic SEMS/NIMS

34 Provide opportunities for staff to practice and perform return demonstration skill sets. Enhances skills acquisition. Staff benefit from role-playing with application of knowledge, skills, and abilities in a controlled environment.

35 Each skill station will offer an opportunity for staff: To practice skills Complete assessment test for skills they are proficient in.

36 Subject Matter Experts (SME) are available at each station to answer questions and give demonstrations on skills.

37 Skill Demonstration Competency Check List Each participant is required to complete a competency check list and turn it in to their supervisor.

38 The training course is offered to new hires and annually to existing staff These mandatory training will be part of the annual evaluation and certificates of completion will be provided. CEU s offered

39 Successful implementation of Basic Emergency Preparedness Competencies Training for Health Care Professionals is measured by completion of competency skills checklist, current first aid, and CPR certifications.

40 Training costs for Public Health Nursing /MCAH staff: Cost for training and skill station materials/supplies will be absorbed by Public Health Nursing/MCAH Branch budget.

41 Serves as a model for training nurses in other Riverside County Public Health Departments and Community Based Organizations.

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44 Judith Atchison, MSN, RN, PHN, Assistant Director, Public Health Nursing/Maternal Child and Adolescent Health County of Riverside Department of Public Health (951) Juanita Rosales, MSN, RN, PHN Nurse Educator, Public Health Nursing/Maternal, Child and Adolescent Health Branch County of Riverside Department of Public Health (951) Lorraine Buckley, MSN, RN, PHN Public Health Nurse, Public Health Nursing/Maternal Child and Adolescent Health Branch