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Aspen University *

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HCA110

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Health Science

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Oct 30, 2023

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 Select a personal example when you heard a warning about an impending threat or imminent disaster (e.g., tornado, hurricane, wildfire, explosion, and flood). What was your response? What factors or personal beliefs impacted your response?  After reviewing the information provided in your assignments, how does this information relate to your current practice? Is there a disaster plan in place? If so, is it adequate to meet the needs of all the stakeholders involved? If not, what actions need to occur? Are all types of disasters addressed in this plan? If not, what is missing? Living in Long Island NY, our biggest issues regarding disasters revolve around severe storms and flooding. Having worked as an emergency department staff nurse, my biggest priority during an impending threat is to ensure my family is safe and cared for, as I know I will likely be called in to work or have to stay longer at work caring for others. A personal experience for me was during Hurricane Sandy. For my family, our main priority was to remain safe. We made sure to have a sufficient supply of food, water, toiletries. We also make sure to rely on close capable friends and family who can care for our children if we can’t be there. We brought a back up generator in case we lost power, to ensure we still had heat and be able to operate some basic appliances in our home. We moved furniture and boxes off our basement floor, in order to make sure they did not suffer any water damage. We reviewed our homeowner’s insurance to have a better idea of what was covered and to give us some piece of mind. A state of emergency was issued just prior to the storm making land. Our town officials released press conferences alerting everyone to find a shelter or a safe place before the storm came through. The response was to find a safe shelter right away which was either in a higher ground or a higher floor or to evacuate from the area all together, we were told to avoid walking, swimming or driving through the storm and also to stay off bridges over fast moving waters to ensure that we were in touch with the disaster management team in the area to determine which kinds of response action we needed to take. My family and I decided to shelter in place as we care for a child with special needs and did not want the uncertainty of evacuating before the flood came through and also because my husband and I are both nurses and were expected to show up to work. Being a nurse, I have always had emergency preparedness kit in my car and made sure to educate family and friends about being ready for any kind of emergencies and items which are mostly important to have in their emergency preparedness kit Factors which impacted our response was the kind or the nature of the storm which determined which kind of response or action we needed to take, because depending on the wind strength would determine the amount of damage it was likely to do. Having previous knowledge and experience from past storms made it easier to be ready to respond to the upcoming storm which was heading our way. Having financial support from families and the disaster management teams through the government and aid response teams also made a huge impact in ensuring preparedness, having self-efficacy and growing through emergency preparedness plans with my family impacted how to react to the emergency. Having the belief that I would be capable of handling the disaster and being able to manage the impact, increased my readiness to adapt to any response of action which was recommended, being fully

prepared and having important items in my emergency preparedness kit made me feel very confident about evacuating safely (Flaubert et al., 2021). Working for a state hospital that is also part of a university, I would say that we had a very robust disaster management plan. The Incident Command System (ICS) is used to organize the Emergency Management Team in functional positions (e.g. Command, Planning, Operations, Logistics and Finance/Administration). The plan adopts an "all hazards" approach to include responses to all types of emergencies, including Acts of Terrorism, Civil Disturbance, Explosion, Fire, Flooding, Food borne Illness, Hazardous Material, Severe Storm, Utility Failure and many others. The plan recognizes and establishes the following priorities for emergency response and restoration of operations: 1. Prevention: Avoid, prevent or stop a threatened or actual event or crisis. 2. Protection: Secure the University and its community from acts of terrorism and manmade or natural disasters. 3. Mitigation: Reduce the loss of life and property by lessening the impact of disasters. 4. Response: Save lives, protect property and the environment, and meet basic human needs after an incident has occurred. 5. Recovery: Assist the campus community and those affected by an incident to recover effectively, including but not limited to rebuilding infrastructure, providing interim or long-term shelter, restoring services, and restoring resources. ( Emergency Management Plan | Emergency Management , n.d.) Residing in Long Island, New York, the primary concerns pertaining to calamities pertain to inclement weather conditions such as intense storms and flooding. As a former emergency department staff nurse, my primary concern during a potential crisis is to guarantee the safety and well-being of my family, given the likelihood of being summoned to work or having to extend my shift to provide care for others. During the occurrence of Hurricane Sandy, I had a personal experience. Ensuring safety was the primary concern for my family. We ensured that an adequate amount of provisions, including food, water, and toiletries, were available. We ensure to depend on trustworthy and capable acquaintances and relatives who can provide care for our children in our absence. We procured a contingency power generator to mitigate the risk of power outage, thereby ensuring uninterrupted heating and operation of essential household appliances. We relocated furniture and containers from our basement floor to prevent

potential water damage. We conducted a thorough review of our homeowner's insurance policy to gain a comprehensive understanding of the coverage provided and to attain a sense of assurance. A declaration of a state of emergency was issued shortly before the storm's landfall. The town officials issued press releases advising the public to seek shelter or a secure location in advance of the impending storm. The recommended course of action was to immediately seek a secure shelter in a higher elevation or upper level, or to evacuate the area entirely. It was advised to refrain from walking, swimming, or driving through the storm, and to avoid crossing bridges over rapidly flowing waters. It was also emphasized to maintain communication with the local disaster management team to determine the appropriate response measures to be taken. Our family opted to implement a shelter-in-place strategy due to our responsibility of caring for a child with special needs. Additionally, we recognized the potential unpredictability of evacuating prior to the flood and acknowledged our professional obligation as nurses to report to work. As a nurse, I have consistently maintained an emergency preparedness kit in my vehicle and have taken measures to educate my family and acquaintances on the importance of being prepared for unforeseen circumstances. I have also emphasized the significance of including essential items in their emergency preparedness kit. The response was influenced by various factors, including the type and severity of the storm. The nature of the storm determined the appropriate course of action, as the wind strength was a key determinant of the potential damage that could be inflicted. Possessing prior knowledge and experience from previous storms facilitated preparedness for the impending storm that was approaching. Receiving financial assistance from both family members and disaster management teams, including government and aid response teams, played a significant role in fostering preparedness. Developing self-efficacy and creating emergency preparedness plans with my family also contributed to our ability to respond effectively to emergencies. The confidence in my ability to handle a disaster and manage its impact heightened my preparedness to adapt to recommended response actions. My emergency preparedness kit, equipped with essential items, further bolstered my confidence in safely evacuating, as noted by Flaubert et al. (2021). As an employee of a state hospital that is affiliated with a university, I can attest to the fact that our disaster management plan is highly comprehensive. The Incident Command System (ICS) is utilized to establish a structured Emergency Management Team, with designated functional positions such as Command, Planning, Operations, Logistics, and Finance/Administration. The proposed strategy employs a "all hazards" methodology that encompasses responses to a wide range of emergencies, such as Acts of Terrorism, Civil Disturbance, Explosion, Fire, Flooding, Food borne Illness, Hazardous Material, Severe Storm, Utility Failure, and various other types of crises. The plan acknowledges and establishes the subsequent priorities for emergency response and restoration of operations: Prevention refers to the act of averting, forestalling, or halting a potential or existing event or emergency.

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Objective: To safeguard the University and its community against potential threats posed by acts of terrorism, as well as manmade or natural disasters. Mitigation aims to minimize the impact of disasters and reduce the loss of life and property. Response: The primary objectives after an incident has occurred are to safeguard lives, preserve property and the environment, and fulfill fundamental human necessities. The objective is to aid the campus community and individuals impacted by an event to effectively recover. This includes, but is not limited to, reconstructing infrastructure, offering temporary or permanent housing, reinstating services, and replenishing resources. Since we live on Long Island, New York, our biggest worries about disasters are severe storms and floods. Since I used to work as a staff nurse in an emergency room, my top priority during a possible threat is to make sure my family is safe and taken care of. I know I will probably be called to work or have to stay longer at work to help other people. I had a close experience with Hurricane Sandy. The most important thing to my family was to stay safe. We made sure we had enough food, drink, and personal items. We also make sure to have close friends and family who can take care of our kids if we can't. We brought a backup generator so that if the power went out, we could still keep warm and use some basic tools in our home. We moved furniture and boxes off the floor of our basement to protect them from water damage. We looked over our homeowner's insurance to get a better idea of what it covered and to ease our minds. Just before the storm hit, a state of emergency was declared. Before the storm hit, the leaders of our town held news conferences to tell everyone to find a safe place or shelter. We were told not to walk, swim, or drive through the storm and to stay off bridges over fast-moving water. We were also told to stay in touch with the disaster management team in the area to find out what kind of actions we needed to take. My family and I chose to stay put because we take care of a child with special needs and didn't want to leave before the flood hit. Also, my husband and I are both nurses and had to go to work. As a nurse, I've always kept an emergency kit in my car and taught my family and friends how to be ready for any kind of emergency and what things are most important to have in their emergency kits. The kind or type of the storm affected how we responded, because the amount of damage it was likely to do depended on how strong the wind was. We were better prepared for the storm that was coming because we knew what to do and had been through storms before. Having financial help from family and the government's disaster management teams and aid response teams also made a big difference in how prepared we were. Having self-efficacy and growing through emergency plans with my family also affected how we reacted to the emergency. Having faith that I could handle the disaster and deal with its effects made me more ready to take any action that was suggested. Being fully prepared and having important items in my emergency kit gave me a lot of confidence that I could evacuate safely (Flaubert et al., 2021). I work at a state hospital that was also part of a university. I would say that we had a very strong plan for dealing with disasters. The Incident Command System (ICS) is used to organize the Emergency

Management Team into functional roles, such as Command, Planning, Operations, Logistics, and Finance/Administration. The plan uses an “all hazards" method to include responses to all kinds of emergencies, such as acts of terrorism, civil unrest, explosions, fires, floods, food-borne illnesses, hazardous materials, severe storms, utility failures, and many others. The plan sets the following objectives for emergency responses and getting operations back up and running:  Prevention: Avoid, stop, or stop an event or problem that is happening or could happen.  Protection: Keep the University and its society safe from terrorist attacks and natural or man- made disasters.  Mitigation: Lessen the effects of tragedies to save lives and property.  Response: Save lives, protect property and the environment, and meet basic human needs after an event has happened.  Recovery: Help the campus community and those who were affected by an incident to get back on their feet. This could include, but is not limited to, rebuilding infrastructure, giving temporary or long-term shelter, restoring services, and restoring resources. ( Emergency Management Plan | Emergency Management , n.d.) References : Emergency Management Plan | Emergency Management . (n.d.). https://www.stonybrook.edu/commcms/emergency/planning/plan.php Flaubert, J. L., Menestrel, S. L., Williams, D. R., & Wakefield, M. K. (2021). The Future of Nursing 2020- 2030. In National Academies Press eBooks . https://doi.org/10.17226/25982