Non-maleficence is the principle of not harming another person, in a disaster, delay in treatment can do harm, accordingly prompt communication is vital in addressing care needs of a community. Beneficence refers to doing good, and justice refers to equity of distribution of health care resources. In an emergency, Beneficence and Justice can be achieved by efficient and effective triage to allocate limited resources to the neediest patients (Grimaldi, 2007). Grimaldi (2007) states “patients who can be saved and whose lives are in immediate danger should be treated first”
A triage means “ to assort...sorted according to their injuries and physical condition, with the aim of prioritizing those who should be treated first” ( Andersson et al.136). Circumstances at Memorial Hospital were terrible, “ the workload was high and sometimes, practical decisions must be made” (Andersson et al.140). The workload at Memorial was high because they lacked many resources they were relying on to keep patients alive and comfortable. For example, they had no electricity. Having no electricity lead to the elevators not working, and the staff were not able to bring patients up to the helipad for rescue.
The hospital would sort the wounded from least to worst injuries and treat the worst injuries and the easiest injuries first. Today, this strategy, known as a triage, is used in millions of hospitals and makes work easier for doctors
Northwell Health created a special Task Force focused on reduction of sepsis related deaths in the Emergency Department, as stated in the article “Reducing Sepsis Mortality.” The goal is to teach medical staff to recognize the signs and symptoms within an hour of patients arriving to the Emergency Department. This recognition then leads to a course of specific actions, such as, “ Early administration of antibiotics to septic patients, returning serum lactate test results to physicians, who could identify severe sepsis, starting empiric fluids quickly and appropriately,” as explained by Friedman, Gallo, Riebling and Doerfler. Northwell Health’s dedication and desire to improve the outcome of these patients lead to an understanding of the need
Each department of the hospital must work together to ensure the safety of all patients, visitors, and staff. Environmental Management Services (EMS) and the ICD work together closely, and the ICD must communicate effectively with each area of the hospital to ensure everyone is on the same page with policies, protocols, etc. By attending various departmental meetings such as domiciliary safety and sepsis control, I am now better able to explain the role of different systems in the analysis of public health problems. Everyone and every department is accountable to someone
The Boston Marathon Bombings occurred on Monday April 15, 2013, and were a major incident of terrorism and subsequent related shootings in the City of Boston, Massachusetts that killed three people and seriously affected hundreds more. This case study will detail the sequence of events on the day using the prevention, preparedness, response and recovery model (PPPR), focusing specifically on the multi- dimensional preparedness and response of emergency medical services (EMS), the systems and resources in place from the event organisers, Boston Athletics Association and the response of hospitals in dealing with a mass casualty event. Finally, there will be X of recommendations made for improvement based with the best practice model of PPPR. Background April 15th, 2013 marked the
• The readings this week address the issues of introducing trauma informed care principles into the screening (experienced by every client in every service area) and inpatient settings. 1) Please discuss how trauma informed principals can change these settings for the better and provide examples from your experience as to either how TIC principals work or about situations where they might improve the setting and treatment. Trauma informed principals can change the way screening is done in an inpatient setting by many professionals integrating trauma principals into their practice. Awareness of how traumatic experiences are for many individuals and in findings that many of the individual carry unrecognized trauma.
These protocols are to be met to provide patient comfort and avoid disaster. The Death
Working in a trauma-care centric manner requires creating a safe and transparent environment that helps you feel respected during your difficult recovery process. It may even provide you with the motivation you need to quit for good. Strives to Integrate You and Your Family in the Decision-Making SAMHSA understands the important of family participation in your recovery, which is why they actively promote a series of guidelines for consumer and family participation. These guidelines set out how you and your family can participate in the SAMHSA grant
The program plan and the action plan tie together when looking into a program; however, both have vital individual importance. The overall problem that the program is addressing is veterans not being able to find housing after going through rehabilitation with the target population being veterans who are homeless, initially in the Piedmont Triad area of North Carolina. North Carolina has one of the countries highest homeless veteran populations due to all the military bases in the state. As with any program there are interventions, determinants and goals that will happen. An intervention will need to be made before veterans begin the program.
Career options for these individuals include the role of the surgeon, medic, and psychologist. As the medic my research was based on the less severe injuries and first aid, which is important to the group as it ensures a greater chance of survival for the group as a whole to work together. Personally, for the purpose of the project this research is important because my knowledge before the research was not extensive enough to
What Are the Benefits of Trauma-Informed Care? Today, healthcare providers have become increasingly aware of the role that trauma plays when it comes to health outcomes. Hence, trauma-informed care requires providers to consider a patient’s past and current life experiences. Adopting trauma-informed care in behavioral therapy and other treatments can mitigate risks and improve health outcomes.
, Vol. 2). Burlington, MA: Jones & Bartlett Learning. Canizaro, P. C. & Shires, T. G. (1973). The Nursing Clinics of North America: Trauma (6th ed., Vol. 53). Philadelphia: W.B.
In the mental health profession, the variability of symptoms has an impact on misdiagnosing clients, that can’t be overlooked. An example of how the variability of symptoms can lead to misdiagnosis is with the diagnosis of post-traumatic stress disorder (PTSD) after a traumatic brain injury. For example, memory gaps resulting from coma and post traumatic amnesia have the same characteristics Personality change, including impulsiveness, reduced insight, rigid thinking, reduced motivation, and impaired learning and concentration resulting from traumatic brain injury, may also cause some complaints to be mislabeled as a PTSD symptom (Sumpter, & Mcmillan, 2005). However, how a person processes information from life’s circumstances also varies.
Introduction: Trauma is defined as exposure to past physical, sexual or emotional victimization. Trauma informed care is an emerging value that is seen as fundamental to effective and contemporary mental health nursing practice Muskett, 2013. It aims to recognize the trauma and how it has impacted on an individual’s life. This will try and help reduce practices that might re traumatize the patient such as strip search, pat down, seclusion, restraint, and help creative a comfortable yet therapeutic environment for clients in a clinical setting. This paper attempts to recognize the importance of trauma informed care, the principles of trauma informed care and effective evaluation tools to help assess past trauma and how can re traumatisation
