Note: Page numbers of article titles are in boldface type. A Aeromedical evacuation, documentation of pain management during missions, 249 260 of burn patients to US Army Institute of Surgical Research in San Antonio, Texas, 236 237 to Landstuhl Regional Medical Center in Germany, 205 218 Altitude, adjustment to, effect of iron deficiency in women on, 103 B Behavioral medicine, nurses roles in, at Burn Center at US Army Institute of Surgical Research, 244 245 Blood donation, as risk factor for iron deficiency in women, 101 Bone health, consequences of modern military deployment on, 109 122 Burn care, at US Army Institute of Surgical Research, 233 248 burn clinic, 242 243 burn flight team, 236 237 burn intensive care unit, 238 239 causes of burn injuries seen at, 234 235 clinical operations, 237 238 continuous renal replacement therapy, 239 240 exporting burn care expertise, 235 236 ICU wound care coordinator, 240 nursing-led research, 245 246 operating room, 240 241 other nursing roles, 243 245 behavioral medicine roles, 244 245 burn program manager, 243 244 clinical nurse specialist, 243 infection control practitioner, 244 research, 244 progressive care unit, 241 242 transporting combat casualties, 236 Burn Program Manager, role in Burn Center at US Army Institute of Surgical Research, 243 244 C Calcium status, consequences of modern military deployment on bone health and, 109 122 Casualties, military, caring for burn patients at US Army Institute of Surgical Research, 233 248 Nurs Clin N Am 45 (2010) 261 269 doi:10.1016/s0029-6465(10)00048-4 0029-6465/10/$ see front matter ª 2010 Elsevier Inc. All rights reserved. nursing.theclinics.com
262 Casualties (continued) documentation of pain management during aeromedical evacuation missions, 249 260 nurses role in development of an evidence-based pressure ulcer prevention program for, 153 168 nursing wounded warriors at Landstuhl Regional Medical Center, Germany, 205 218 Clinical effectiveness audit, documentation of pain management during aeromedical evacuation missions, 249 260 Clinical Nurse Specialist, role in Burn Center at US Army Institute of Surgical Research, 243 Cognitive performance, effect of iron deficiency in women on, 102 103 Combat casualties. See Casualties, combat. Commissioned Corps, of US Public Health Service, nurses in, 123 135 actual deployments, 131 134 as part of the nation s health department, 125 129 historical overview of, 124 125 response teams, 129 130 role of Strategic National Stockpile and the nation s Federal Medical Stations, 130 131 Competencies, military nursing, 169 177 deployment, 172 173 general characteristics, 169 171 leadership, 173 175 measurement of, 175 176 nursing, 171 patient care, 171 172 required to maintain level II trauma center status, 214 215 Coping, with stress, by uniformed service nurses during SARS outbreak and response in Taiwan, 186 188 D Department of Health and Human Services, US Public Health Service Commissioned Corps Nurses, 123 135 Deployment, military, effects on calcium status and bone health, 109 122 of Commissioned Corps nurses, 131 134 personal experiences of two military obstetric nurses in Iraq, 193 203 Deployment competencies, of military nurses, 172 173 Diet, as risk factor for iron deficiency in women, 100 101 Disaster response, deployment of USPHS nurses to Ground Zero in NYC in September 2001, 137 152 implementing basic infection control practices, 219 231 US Public Health Service Commissioned Corps Nurses, 123 135 Disease prevention, implementing basic infection control practices in disaster situations, 219 231 Documentation, of pain management during aeromedical evacuation missions, 249 260 Study 1, 249 252 Study 2, 252 257 Study 3, 257 259
263 E Education, of infection control personnel in disaster situations, 227 228 Emergency preparedness, Commissioned Corps nurses in the US Public Health Service, 123 135 deployment of US Public Health Service nurses to Ground Zero in NYC in September 2001, 137 152 Emergency room nursing, experience of an obstetric nurse in Iraq, 197 203 Emotional performance, effect of iron deficiency in women on, 102 103 Epidemics, uniformed service nurses experience with SARS outbreak and response in Taiwan, 179 191 Ethnicity, as risk factor for iron deficiency in women, 99 100 Evacuation, aeromedical, documentation of pain management during missions, 249 260 Study 1, 249 252 Study 2, 252 257 Study 3, 257 259 of burn patients to US Army Institute of Surgical Research in San Antonio, Texas, 236 237 to Landstuhl Regional Medical Center in Germany, 205 218 Evidence-based nursing care, nurses role in development of a pressure ulcer prevention program for wounded young service members, 153 168 education as cornerstone for prevention, 165 166 electronic documentation/wound flow sheet, 160 establishment of a wound care nurse specialist, 160 163 need for collaboration with other services, 163 165 nursing interventions, 159 160 F Famine, basic infection control program in times of, 222 223 Federal Medical Stations, 130 131 Flight team. See Aeromedical evacuation. Foreign health responders, role in basic infection control program in disaster situations, 223 G Germany, military nursing in. See Landstuhl Regional Medical Center. Global disease outbreaks, fear of, 223 224 Ground Zero, deployment of US Public Health Service nurses to in September 2001, 137 152 background, 138 139 deployment mission, 140 143 lessons learned, 147 149 patients treated in aid stations, 143 144 postscript, 149 150 recollections of nurses who deployed, 144 147 situation report, 139 140 what has changed, 149 150
264 H Hemorrhage, iron deficiency and, 103 104 I Infection control, implementing basic practices in disaster situations, 219 231 checklists and four principles of, 225 229 educating infection control personnel, 227 228 monitoring, 228 reporting, 228 229 surveillance, 228 fear of a global disease outbreak, 223 224 historical perspectives on, 220 221 macro- versus microlevel approach to, 224 225 management in times of famine and disease, 222 223 practical issues, 222 role of subcontractors and foreign health responders in, 223 successful management, 225 nurses roles at Burn Center at US Army Institute of Surgical Research, 244 Infectious disease, uniformed service nurses experience with SARS outbreak and response in Taiwan, 179 191 Intensive care unit (ICU) nursing, for burn patients at US Army Institute of Surgical Research, 238 240 Iraq, personal experiences of two military obstetric nurses in, 193 203 Iron deficiency, in women, potential impact on military effectiveness, 95 108 defining characteristics of, 96 diagnostic evaluation, 97 98 effect on adjustment to altitude, 103 effects on emotional/cognitive performance, 102 103 effects on physical performance, 102 hemorrhage and, 103 104 nursing considerations, 104 105 pathophysiology of, 97 physiology of iron absorption, 96 97 prevalence, 98 99 recommendations for screening, 104 research needs, 105 risk factors, 99 102 dietary choices, 100 101 donation of blood, 101 loss of blood through menstruation, 99 training, 101 102 race/ethnicity, 99 100 weight, 100 L Landstuhl Regional Medical Center, Germany, nursing wounded warriors at, 205 218 arrival of aircraft at Ramstein Air Base, 208 210
265 arrival of ambuses at, 210 211 arrival of wounded to preassigned units, 211 212 background, 206 diverse nursing staff at, 213 214 education and competencies to maintain level II trauma center status, 214 215 nurse stressors, 213 ongoing collaboration of nurse teams, 216 patient population, 207 performance improvement, 215 216 preparing for arrival of, 207 208 stabilization and transport out, 212 213 Leadership competencies, of military nurses, 173 175 M Medical-surgical nursing, experience of an obstetric nurse in field hospital in Iraq, 193 196 Menstruation, as risk factor for iron deficiency, 99 Military nurses, competencies of, 169 177 deployment, 172 173 general characteristics, 169 171 leadership, 173 175 measurement of, 175 176 nursing, 171 patient care, 171 172 personal experiences of two obstetric nurses in Iraq, 193 203 Military nursing, 95 122, 153 260 at Landstuhl Regional Medical Center in Germany, 205 218 caring for burn patients at US Institute of Surgical Research, 233 248 competencies for, 169 177 deployment, 172 173 general characteristics, 169 171 leadership, 173 175 measurement of, 175 176 nursing, 171 patient care, 171 172 development of evidence-based pressure ulcer program at National Naval Medical Center, 153 168 documentation of pain management during aeromedical evacuation missions, 249 260 effects of deployment on calcium status and bone health, 109 122 experiences of two nurses in Iraq, 193 203 impact of iron deficiency in women in, 95 108 implementing basic infection control practices in disaster situations, 219 231 nurses experience with SARS outbreak and response in Taiwan, 179 191 Military service members, nurses role in development of an evidence-based pressure ulcer prevention program for wounded, 153 168 Monitoring, in infection control program in disaster situations, 228
266 N National Naval Medical Center, nurses role in development of evidence-based pressure ulcer prevention program at, 153 168 Nurses, military. See Military nurses. Nursing, military. See Military nursing. uniformed services. See Uniformed services nursing. Nursing competencies, of military nurses, 171 O Obstetric nurses, personal experiences of two military nurses in Iraq, 193 203 Operating room nursing, for burn patients in ICU at US Army Institute of Surgical Research, 240 241 Outbreaks, disease, uniformed service nurses experience with SARS outbreak and response in Taiwan, 179 191 P Pain management, documentation during aeromedical evacuation missions, 249 260 Study 1, 249 252 Study 2, 252 257 Study 3, 257 259 Patient care competencies, for military nursing, 171 172 Performance, effect of iron deficiency in women on, 102 103 emotional/cognitive, 102 103 physical, 102 Physical performance, effect of iron deficiency in women on, 102 Physical training, effect of iron deficiency in women on, 101 102 Pressure ulcers, in young wounded service members, nurses role in development of an evidence-based prevention program for, 153 168 Progressive care unit nursing, for burn patients in ICU at US Army Institute of Surgical Research, 241 242 Public Health Service (US), 123 152 Commissioned Corps nurses in, 123 135 deployment of nurses to Ground Zero in NYC in September 2001, 137 152 R Race, as risk factor for iron deficiency in women, 99 100 Ramstein Air Base, arrival of aircraft evacuating wounded warriors at, 208 210 Renal replacement therapy, continuous, for burn patients in ICU at US Army Institute of Surgical Research, 239 240 Reporting, of infections in disaster situations, 228 229 Research, nurses role in Burn Center at US Army Institute of Surgical Research, 244 nursing-led, 245 246 Roles, nursing, personal experiences of two military obstetric nurses in Iraq, 193 203
267 Royal Air Force (UK), documentation of pain management during aeromedical evacuation missions, 249 260 Study 1, 249 252 Study 2, 252 257 Study 3, 257 259 S SARS. See Severe acute respiratory syndrome. Screening, for iron deficiency in women in the military, 104 September 11, 2001, deployment of US Public Health Service nurses to Ground Zero in NYC, 137 152 background, 138 139 deployment mission, 140 143 lessons learned, 147 149 patients treated in aid stations, 143 144 postscript, 149 150 recollections of nurses who deployed, 144 147 situation report, 139 140 what has changed, 149 150 Service members, military, nurses role in development of an evidence-based pressure ulcer prevention program for wounded, 153 168 Severe acute respiratory syndrome (SARS), uniformed service nurses experience with outbreak and response in Taiwan, 179 191 evaluation and revolution after, 188 189 government control measures, 181 182 impact on Taiwan s society, 180 181 roles and functions of military during, 182 184 caregivers, 183 comfort providers, 183 184 consultant, 184 infection control promotion, 184 nurse coordinator, 184 nurse managers, 183 stress and coping of nurses associated with, 184 188 emotion-oriented behaviors, 186 187 problem-oriented behaviors, 187 188 Skills, nursing. See Competencies. Strategic National Stockpile, 130 Stress, among uniformed service nurses during SARS outbreak and response in Taiwan, 184 186 Subcontractors, role in basic infection control program in disaster situations, 223 Surveillance program, as part of basic infection control in disaster situations, 228 Sweat calcium loss, in military deployment, effects on calcium status and bone health, 109 122 T Taiwan, uniformed service nurses experience with SARS outbreak and response in, 179 191 Terrorist attacks, deployment of USPHS nurses to Ground Zero in NYC in September 2001, 137 152
268 Training, physical, effect of iron deficiency in women on, 101 102 Trauma nursing, nursing wounded warriors at Landstuhl Regional Medical Center, Germany, 205 218 arrival of aircraft at Ramstein Air Base, 208 210 arrival of ambuses at, 210 211 arrival of wounded to preassigned units, 211 212 background, 206 diverse nursing staff at, 213 214 education and competencies to maintain level II trauma center status, 214 215 nurse stressors, 213 ongoing collaboration of nurse teams, 216 patient population, 207 performance improvement, 215 216 preparing for arrival of, 207 208 stabilization and transport out, 212 213 U Ulcers, pressure, in young wounded service members, nurses role in development of an evidence-based prevention program for, 153 168 Uniformed services nursing, 95 260 military, 95 122, 153 260 at Landstuhl Regional Medical Center in Germany, 205 218 caring for burn patients at US Institute of Surgical Research, 233 248 competencies for, 169 177 development of evidence-based pressure ulcer program at National Naval Medical Center, 153 168 documentation of pain management during aeromedical evacuation missions, 249 260 effects of deployment on calcium status and bone health, 109 122 experiences of two nurses in Iraq, 193 203 impact of iron deficiency in women in, 95 108 implementing basic infection control practices in disaster situations, 219 231 nurses experience with SARS outbreak and response in Taiwan, 179 191 US Public Health Service, 123 152 Commissioned Corps Nurses in, 123 135 Ground Zero recollections from nurses deployed to NYC in September 2001, 137 152 United Kingdom, documentation of pain management during Aeromedical Evacuation Squadron missions, 249 260 US Army Institute of Surgical Research, nursing caring for burn patients at, 233 248 burn clinic, 242 243 burn flight team, 236 237 burn intensive care unit, 238 239 causes of burn injuries seen at, 234 235 clinical operations, 237 238 continuous renal replacement therapy, 239 240 exporting burn care expertise, 235 236 ICU wound care coordinator, 240 nursing-led research, 245 246 operating room, 240 241
269 other nursing roles, 243 245 behavioral medicine roles, 244 245 burn program manager, 243 244 clinical nurse specialist, 243 infection control practitioner, 244 research, 244 progressive care unit, 241 242 transporting combat casualties, 236 US Public Health Service, 123 152 Commissioned Corps Nurses in, 123 135 actual deployments, 131 134 as part of the nation s health department, 125 129 historical overview of, 124 125 response teams, 129 130 role of Strategic National Stockpile and the nation s Federal Medical Stations, 130 131 deployment of nurses to Ground Zero in NYC in September 2001, 137 152 background, 138 139 deployment mission, 140 143 lessons learned, 147 149 patients treated in aid stations, 143 144 postscript, 149 150 recollections of nurses who deployed, 144 147 situation report, 139 140 what has changed, 149 150 W War. See also Military nursing. personal experiences of two military obstetric nurses in Iraq, 193 203 Weight, as risk factor for iron deficiency in women, 100 Women s health, iron deficiency, potential impact on military effectiveness, 95 108 World Trade Center. See Ground Zero. Wound care, nurses role in development of an evidence-based pressure ulcer prevention program at the National Naval Medical Center, 153 168 Wound care nurse specialist, role in evidence-based pressure ulcer prevention program, 160 163 Wounded warriors. See Casualties, combat.