NURS FPX 4060 Assessment 3 Disaster Recovery Plan

Paper Instructions

Develop a disaster recovery plan to reduce health disparities and improve access to community services after a disaster. Then develop and record a 10–12 slide presentation (please refer to the PowerPoint tutorial) of the plan with audio and speaker notes for the local system, city officials, and the disaster relief team.

PROFESSIONAL CONTEXT

Nurses perform a variety of roles and their responsibilities as health care providers extend to the community. The decisions we make daily and in times of crisis often involve the balancing of human rights with medical necessities, equitable access to services, legal and ethical mandates, and financial constraints.

In the event of a major accident or natural disaster, many issues can complicate decisions concerning the needs of an individual or group, including understanding and upholding rights and desires, mediating conflict, and applying established ethical and legal standards of nursing care.

As a nurse, you must be knowledgeable about disaster preparedness and recovery to safeguard those in your care. As an advocate, you are also accountable for promoting equitable services and quality care for the diverse community.

Nurses work alongside first responders, other professionals, volunteers, and the health department to safeguard the community. Some concerns during a disaster and recovery period include the possibility of death and infectious disease due to debris and/or contamination of the water, air, food supply, or environment. Various degrees of injury may also occur during disasters, terrorism, and violent conflicts.

To maximize survival, first responders must use a triage system to assign victims according to the severity of their condition/prognosis in order to allocate equitable resources and provide treatment. During infectious disease outbreaks, triage does not take the place of routine clinical triage.

Trace-mapping becomes an important step to interrupting the spread of all infectious diseases to prevent or curtail morbidity and mortality in the community. A vital step in trace-mapping is the identification of the infectious individual or group and isolating or quarantining them. During the trace-mapping process, these individuals are interviewed to identify those who have had close contact with them. Contacts are notified of their potential exposure, testing referrals become paramount, and individuals are connected with appropriate services they might need during the self-quarantine period (CDC, 2020).

An example of such disaster is the COVID-19 pandemic of 2020. People who had contact with someone who were in contact with the COVID-19 virus were encouraged to stay home and maintain social distance (at least 6 feet) from others until 14 days after their last exposure to a person with COVID-19. Contacts were required to monitor themselves by checking their temperature twice daily and watching for symptoms of COVID-19 (CDC, 2020).

Local, state, and health department guidelines were essential in establishing the recovery phase. Triage Standard Operating Procedure (SOP) in the case of COVID-19 focused on inpatient and outpatient health care facilities that would be receiving, or preparing to receive, suspected, or confirmed COVID- 19 victims. Controlling droplet transmission through hand washing, social distancing, self-quarantine, PPE, installing barriers, education, and standardized triage algorithm/questionnaires became essential to the triage system (CDC, 2020; WHO, 2020).

Preparation

When disaster strikes, community members must be protected. A comprehensive recovery plan, guided by the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, is essential to help ensure everyone’s safety. The unique needs of residents must be assessed to reduce health disparities and improve access to equitable services after a disaster.

Recovery efforts depend on the appropriateness of the plan, the extent to which key stakeholders have been prepared, the quality of the trace-mapping, and the allocation of available resources. In a time of cost containment, when personnel and resources may be limited, the needs of residents must be weighed carefully against available resources.

In this assessment, you will assume the role of the senior nurse at a regional hospital who has been assigned to develop a disaster recovery plan for the community using MAP-IT and trace-mapping, which you will present to city officials and the disaster relief team.

  • Review the full scenario and associated data in the Assessment 03 Supplement Disaster Recover Plan [PDF] Download Assessment 03 Supplement Disaster Recover Plan [PDF]resource.

You are also encouraged to complete the Disaster Preparedness and Management activity. The information gained from completing this activity will help you succeed with the assessment as you think through key issues in disaster preparedness and management in the community or workplace. Completing activities is also a way to demonstrate engagement.

Begin thinking about:

  • Community needs.
  • Resources, personnel, budget, and community makeup.
  • People accountable for implementation of the disaster recovery plan.
  • Healthy People 2020 goals and 2030 objectives.
  • A timeline for the recovery effort.

You may also wish to:

Review the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework, which you will use to guide the development of your plan

  • Mobilize collaborative partners.
  • Assess community needs.
  • Plan to lessen health disparities and improve access to services.
  • Implement a plan to reach Healthy People 2020 goals or 2030 objectives.
  • Track community progress.

Review the assessment instructions and scoring guide to ensure that you understand the work you will be asked to complete.

Note: Every 10 years, The U.S. Department of Health and Human Services and the Office of Disease Prevention and Health Promotion release information on health indicators, public health issues, and current trends. At the end of 2020, Healthy People 2030 was released to provide information for the next 10 years. Healthy People 2030 provides the most updated content when it comes to prioritizing public health issues; however, there are historical contents that offer a better understanding of some topics.

Disaster preparedness is addressed in Healthy People 2030, but a more robust understanding of MAP-IT, triage, and recovery efforts is found in Healthy People 2020. For this reason, you will find references to both Healthy People 2020 and Healthy People 2030 in this course.

Instructions

First, review the full scenario and associated data in the Assessment 03 Supplement Disaster Recover Plan [PDF] Download Assessment 03 Supplement Disaster Recover Plan [PDF]resource.

Then complete the following:

Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.

  • Assess community needs.
  • Consider resources, personnel, budget, and community makeup.
  • Identify the people accountable for implementation of the plan and describe their roles.
  • Focus on specific Healthy People 2020 goals and 2030 objectives.
  • Include a timeline for the recovery effort.

Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan

  • Mobilize collaborative partners.
  • Assess community needs.

Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community.

  • Include in your plan the equitable allocation of services for the diverse community.
  • Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position.

Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.

  • Plan to reduce health disparities and improve access to services.
  • Implement a plan to reach Healthy People 2020 goals and 2030 objectives.
  • Track and trace-map community progress.
  • Use the CDC’s Contract Tracing Resources for Health Departments as a template to create your contact tracing.
  • Describe the plan for contact tracing during the disaster and recovery phase.

Develop a slide presentation of your disaster recovery plan with an audio recording of you presenting your assessment of the scenario and associated data in the Assessment 03 Supplement Disaster Recover Plan [PDF] Download Assessment 03 Supplement Disaster Recover Plan [PDF]resource for city officials and the disaster relief team. Be sure to also include speaker notes.

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Slide 1: Disaster Recovery Plan

Make an introduction.

Slide 2: Introduction

Managing a large patient population during a crisis presents substantial obstacles. The Disaster Recovery Plan tries to recoup from possible losses caused by a disaster. I will illustrate this idea with a sad occurrence resulting in several injuries. A large wildfire on July 6, 2021, caused severe destruction to the hamlet of Smallville, located in northern California.

In a short amount of time, the fire completely engulfed the town, robbing approximately 19,000 homes and taking the lives of 31 individuals. The purpose of this presentation is to address the health obstacles or factors that may result from the disaster. The presentation will also look at a Disaster Recovery plan, which is meant to manage and reduce the impacts of a disaster.

Slide 3: Factors of Health and the Social, Economic, and Cultural Barriers

During catastrophic situations, healthcare staff, including medical professionals and physicians, must be more proactive in crisis management. Patient demographics should be considered when developing a healthcare plan for a person. Various communication techniques or approaches may assist in reducing the influence of social, economic, and cultural obstacles on safety and health programs (Stephens et al., 2022).

Health Determinants

Patients’ socioeconomic position, low-income neighborhoods, unemployment, insufficient education and literacy, cultural variety, ethnicity, and environmental circumstances are all health determinants. These concerns may cause disparities in healthcare organizations.

Social Barriers

Various variables impact the safety and quality of care during disasters. During disastrous occurrences, vulnerable groups such as low-income communities, minorities, older adults, unauthorized migrants, and those with impairments face disproportionate burdens. Hospital access is restricted in low-income populations (Stephens et al., 2022). Patient inequities emerge, with significant consequences for patient care and safety. Discrimination among healthcare workers might create organizational hurdles.

Cultural Barriers

Ethnicity, religion, cultural values, and beliefs may all have a significant influence on how patients are treated and cared for. Each patient has their own set of cultural notions. Patients should be treated in a culturally appropriate manner. Stephens et al. (2022) found that cultural barriers may impact the quality of therapy and patients’ health. Language and cultural obstacles may make it difficult for medical staff and patients to communicate effectively.

Economic Barriers

Financial worries may considerably impact overall healthcare quality, especially in rural areas. Low-income populations lack resources and cannot afford costly medical care. Furthermore, homelessness as a consequence of tragic occurrences creates financial barriers to getting medical treatment for the majority of people (Lin et al., 2023). To reduce health inequities, healthcare organizations should prioritize offering patients free treatment. It is critical to deploy funding and assist low-income neighborhoods to eliminate disparities.

Slide 4: Interrelationships among social, economic, and cultural factors

On the other hand, providing patient care and treatment may be negatively impacted by several different variables, including social, cultural, and economic effects. (Stephens et al., 2022) Healthcare organizations must emphasize the importance of ethical standards during times of crisis and ensure that all patients are treated equally. This makes it possible for organizations to determine patients’ cultural origins and provide suitable therapy. In addition, to alleviate the effects of economic challenges, organizations should prioritize providing affordable medical care to economically disadvantaged persons. In addition to this, it is essential to give those who are facing homelessness with housing possibilities.

Slide 5: Plan for Disaster Recovery

The Disaster Recovery Plan seeks to mitigate disparities and uphold ethical principles and patient respect. Furthermore, a comprehensive strategy is developed to reduce patient morbidity in the face of catastrophic events. This plan focuses on implementing the MAP-IT framework. The MAP-IT framework comprises five essential components mobilization, access, planning, implementation, and tracking. This presentation aims to develop a strategy for reducing hospital morbidity and enhancing patients’ quality of life (Grey, 2022).

This framework facilitates organizational comprehension of community needs and the formulation of corresponding strategies for their resolution. Furthermore, the utilization of MAP-IT can aid in the identification of assets and resources that have the potential to augment an organization’s capacity to deliver comprehensive care and enhance the overall quality of life for patients—the use of MAP-IT aids in comprehending an organization’s specific plan and goals.

Slide 6: MAP-IT framework

Mobilization

The first stage in implementing the MAP-IT framework is identifying possible partners to help hospitals mitigate the effects of catastrophic accidents and ensure patient survival. Many hospitals include sections devoted to patient care and amenities. Furthermore, they will prioritize identifying and resolving any concerns immediately. Specific organizations need to collaborate with other groups to prepare for disasters.

Access

This phase entails assessing the community’s requirements and the organization’s resources. The organization will examine the community’s needs and determine the resources required. This can help hospitals discover the root reasons for the problem, such as the number of impacted patients, available resources within organizations, and the assets needed by these institutions.

Patients’ requirements may include hearing loss, homelessness, relocation of family members, migratory workers, and those with impairments. Using technology such as Electronic Health Records (EHR), hospitals may learn more about patients involved in a tragic occurrence.

Plan

The planning process examines the requirements and desires of the community and then identifies the required activities and time frame for fulfillment. Successful patient care strategies, such as a Model of Change, may be developed by organizations. Create a strategic plan focused on the purpose of the organization. The program’s mission is to address community-specific concerns, define the steps required to attain the goal, and establish how to assess the efficacy of our plan.

Implementation

The organization initiated the execution of the action plan after fulfilling the disaster recovery plan. The medicine team follows through on the rehabilitation strategy within the period set. During this stage, an organization may monitor healthcare professionals’ daily Key Performance Indicators (KPIs). Weekly monitoring of the executed strategy is critical.

Tracking

The last phase in the MAP-IT plan is to monitor the plan’s progress within the period specified. Furthermore, analyzing staff effectiveness in project execution would be helpful. The system will also determine if the organization has attained its objectives and whether any program changes are required. It is critical to track homeless and disabled people in order to provide them with complete care.

Slide 7: Lessening Health Disparities and Improving Access to Community Services

In the current system, providing government healthcare to the public population entails drafting laws to build fast response capabilities in the case of any catastrophic disaster. Furthermore, electronic medical record systems, including electronic health records, help healthcare practitioners preserve exact patient data, lowering health inequities (Grey, 2022).

Social justice principle, cultural sensitivity in health equality

As previously said, the disaster recovery plan should include concerns for social justice and cultural and economic problems. Social justice has fair patient care, community engagement in health promotion, avoidance of cultural prejudice, and an emphasis on human rights (Grey, 2022). According to cultural sensitivity, patients should be treated similarly regardless of ethnicity, religion, gender, or age since all patients have equal legal rights.

Slide 8: Impact of Health and Governmental Policies on Disaster Recovery Plan

Many policies were enacted to assist people and tackle various difficulties. The Disaster Recovery and Resilience Act of 2018 was implemented to improve emergency planning, management, recovery, and prevention initiatives, specifically emphasizing reducing the impact of future disasters (Lin et al., 2023). Moreover, this will facilitate the identification of prerequisites, procedures, and constraints of assistance initiatives while bolstering the integrity and respectability of the Federal Emergency Management Agency.

The “Stafford Act” is a law specifically crafted to tackle difficulties that may emerge after a catastrophic event. Although it is aware of its inherent limits and constraints, the Stafford Act is vital in facilitating a thorough nationwide response to catastrophes (Zhou et al., 2022). Gaining a comprehensive understanding of the Act’s possible hazards and legal requirements will enable people to make well-informed decisions on allocating their resources for disaster management, response, and rebuilding.

Logical Policy Implication for Community Members

Implementing a policy that prioritizes the needs of patients may lead to constraints on resources, personnel, and transportation. The ethical principle outlined in the mission statement of the Centers for Disease Control and Prevention (CDC) asserts that every patient is entitled to a variety of health services, including but not limited to prescription medications, healthcare infrastructure, testing instruments, transportation, blood centers, and other amenities (Zhou et al., 2022).

Slide 9: Evidence-Based Strategies to Overcome Communication Barrier

Working together and communicating effectively within a team may be challenging in emergencies. Several variables might hinder the efficacy of a catastrophe recovery strategy. If operational and design criteria specific to the healthcare business are addressed, disaster recovery plans may be sufficient. The absence of communication between the medical personnel and the planning team responsible for disaster recovery might lead to a significant catastrophe.

Zhou et al. (2022) argue that insufficient assignment of responsibilities and ineffective collaboration exacerbate communication problems. The proposed remedies include using language translators and training staff members to communicate with patients appropriately.

Slide 10: Interprofessional collaboration to improve Disaster Recovery Efforts

Nursing professionals must train in disaster management and work with other healthcare professionals to care for and oversee patients competently under such circumstances. Nurses have to communicate effectively with patients’ relatives to reduce barriers to connection and build a comprehensive strategy for catastrophe recuperation.Staff members should attentively monitor the attitudes and emotions of patients during discussions to minimize the possible negative consequences of conveying distressing information to the patient’s family members (Zhou et al., 2022)—a phenomenon known as enhanced interconnectivity and data sharing within an organization.

Moreover, organizations may benefit by improving interoperability and establishing partnerships with organizations and stakeholders to embrace new platforms, such as Communities, Local governments, National governments, Regional institutions, Non-Governmental Organizations (NGOs), and Media and Medical institutions.

Slide 11: Effect of Proposed strategies on the Disaster relief team

Hospitals, medical personnel, and communities are all subject to significant influence from government policies. The modifications that have been recommended have the potential to enhance the operational efficiency of the organization in terms of providing patients with emergency medical care (Stephens et al., 2022). Several measures have been proposed, including the employment of language translation software to improve communication between medical professionals and patients from various cultural backgrounds, as well as the quick delivery of medicine of a consistently high quality.

Additionally, it is advised that nurses get training on ethical concepts and practices relevant to patient care. This training should be provided to other healthcare professionals as well. The delivery of medical services to the community via remote access helps speed up timely treatment for those with disabilities.

Slide 12: Conclusion

One of the primary goals of a Disaster Recovery Plan is to mitigate the severity of the repercussions brought about by catastrophic events that may take place inside an organization. Using the MAP-IT framework, organizations can get insights into the requirements of the communities in which they operate. Now that they have this information, they can devise detailed plans and strategies that will allow them to meet these expectations effectively.

Furthermore, this proposed strategy would also permit the monitoring and recording of patient data and the collecting of information concerning rules that would expedite the organization’s recuperation from the aforementioned dreadful incident.

Slide 13: Reference

  • Gray, S. (2022). Rethinking disaster utopia the limits of conspicuous resilience for community‐based recovery and adaptation. Disasters. https //doi.org/10.1111/disa.12567
  • Lin, H.-S., Hsieh, C., & Chen, D.-Y. (2023). The Multiplexity of Collaborative Networks in Post-Disaster Recovery Testing Intra-Sector and Cross-Sector Network Contexts. Administration & Society, 55(3), 485–514. https //doi.org/10.1177/00953997221147240
  • Stephens, K. K., Powers, C. J., Robertson, B. W., Spearing, L. A., Collier, J. C., Tich, K. P., & Smith, W. R. (2022). Building more resilient communities with a wildfire preparedness drill in the U.S. Individual and community influences and communication practices. Journal of Contingencies and Crisis Management, 31(1), 26–38. https //doi.org/10.1111/1468-5973.12402
  • Zhou, B., Zhang, Uih., & Evans, R. (2022). Build back better A framework for sustainable recovery assessment. International Journal of Disaster Risk Reduction, 102998. https //doi.org/10.1016/j.ijdrr.2022.102998

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