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Make 2 Peer Responses These should be substantial and provide new information and ideas. peer response 1 All hospital employees have a role in hurricane preparedness, from the CEO to physicians to support staff. While nurses are responsible for many individual tasks, their primary responsibilities are related to two areas: assuring adequate staffing and managing the care of their patients. Nurses have critical responsibility; they have pre-hurricane making sure they have an appropriate pool of caregiver resources to provide the necessary level of care. Nursing leaders consider the number and types of patients in the hospital, what their specific needs are and what nursing skill sets are necessary to meet those needs during and immediately after a hurricane. Nurses should focus on their patients. They should consider which patients can safely be transitioned to another level of care or home before the storm. Nursing leaders begin this task when a hospital hears about a storm gathering far out in the Caribbean. Another issue related to the care management of patients is the possibility of evacuations. When hospitals want to be a prepare, leaders examine the census of all nursing units if they are called upon to take extra patients. For instance, during Hurricane Dorian, Cleveland Clinic Martin South Hospital was evacuated as a safety measure, with some patients being relocated to Tradition Hospital. Nursing leaders need to update caregivers frequently on when hurricane plans are likely to go into action, who needs to be where, and the expectations. Much stress goes with a traumatic event like a hurricane; While they take care of our patients, they also need to care for our caregivers. This includes offering advice to caregivers on how to prepare for a hurricane at home. Hence, they are ready to come to work, providing emotional support to nurses during a lockdown, supporting caregivers post-hurricane who may have damaged their property, and more. (Nursing Leaders Share Advice for Hurricane Preparedness. (2019, December 13).) Infectious disease outbreaks of diarrheal and respiratory illnesses can occur when access to safe water and sewage systems is disrupted, personal hygiene is difficult to maintain, and people live in crowded conditions, such as shelters. Post-hurricane conditions may pose an increased risk for the spread of common infectious diseases, like influenza, and less common illnesses, like leptospirosis, hepatitis A, and vibriosis. (Facts to Prevent Illness(2020)) During a hurricane, people might become infected with germs that cause diarrhea because they might eat food or drink liquids contaminated with diarrhea-causing germs. They might touch surfaces or objects contaminated with the diarrhea-causing germs and then touch their mouth, nose, or eyes. in this outbreak, they lack hygiene and might share personal items such as towels and toothbrushes. (Diarrheal Diseases in Evacuation Centers|Health and Safety Concerns. (2018)) references Diarrheal Diseases in Evacuation Centers|Health and Safety Concerns. (2018). Www.cdc.gov. https://www.cdc.gov/disasters/disease/diarrhea-evac.html ‌ Facts to Prevent Illness|Natural Disasters and Severe Weather. (2020). Www.cdc.gov. https://www.cdc.gov/disasters/disease/facts.html ‌ Nursing Leaders Share Advice for Hurricane Preparedness. (2019, December 13). Consult QD. https://consultqd.clevelandclinic.org/nursing-leaders-share-advice-for-hurricane-preparedness/ peer responce 2 Hurricanes are natural disasters that can impact communities in many different ways. Hurricanes can bring high speed winds, heavy rain and flooding. They can leave people without power or clean water for days or even weeks. Flooding can cause the “spread of insect-borne disease by increased insect habitation in the standing water” (American Journal of Nursing, 2017). Electrical failures can lead to heat stress and dehydration. After a hurricane, hospitals are impacted by the increase of patients that are injured from the storm. Nurses play a significant role in caring for these patients. They would need to adapt to the circumstances, for example “Anticipating patient needs with designated “fast-tracks” areas in ambulatory care settings for nebulizer treatments, portable oxygen tank and nasal cannula/mask distribution, and IV rehydration” (American Journal of Nursing, 2017). A major concern when natural disasters occur is the outbreak of diseases. This can be caused because of the flooding and abundance of standing water. “Disasters impart a one-two punch that’s especially dangerous for the spread of disease: They crowd people closely together in shelters or camps, and they interrupt the continuum of care that’s needed to keep illness at bay. That means that tuberculosis, meningitis, even measles – and other diseases that may require isolation, medications, and vaccinations – are more likely to gain a foothold in communities that are already vulnerable” (Meyers, 2019). Something I would do to prevent an outbreak would include encouraging members of the community to be up to date for vaccines of the various diseases that would be spread easily. References: American Journal of Nursing. (2017, September 18). Nursing Considerations for Post-Hurricane Hazards. Retrieved from https://ajnoffthecharts.com/nursing-considerations-post-hurricane-hazards/ Meyers, T. (2019, June 18). How Hurricanes Cause Disease Outbreaks. Retrieved from https://www.directrelief.org/2019/06/how-hurricanes-cause-disease-outbreaks/

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