NURS-FPX 4060 Assessment Three: Disaster Recovery Plan

Disaster Recovery Plan

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.

Collapse All

Professional Context

Nurses perform a variety of roles, and their responsibilities as healthcare providers extend to the community. The daily decisions and crises often involve balancing 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 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 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, allocate equitable resources, and provide treatment. During infectious disease outbreaks, triage does not replace 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 a disaster is the COVID-19 pandemic of 2020. People who had contact with someone who was 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 healthcare 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 algorithms/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 met 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 are accountable for the 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 ten 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 ten 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.

Note: As you revise your writing, check out the resources listed on the Writing Center’s Writing Support page.

Note: Complete the assessments in this course in the order in which they are presented.

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:

1. 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 the 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.
2. 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 DepartmentCDC’sa template to create your contact tracing.
     • Describe the plan for contact tracing during the disaster and recovery phase.
3. 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.

Presentation Format and Length

You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your slides and add your voice-over along with speaker notes. If you elect to use an application other than PowerPoint, check with your instructor to avoid potential file compatibility issues.

Be sure that your slide deck includes the following slides:

• Title slide.
  • Recovery plan title.
  • Your name.
  • Date.
  • Course number and title.
• References (at the end of your presentation).

Your slide deck should consist of 10–12 content slides plus title and reference slides. Use the speaker’s notes section of each slide to develop your speaker’s soints and cite your sources as appropriate. Be sure to also include a transcript that matches your recorded voice-over. The transcript can be submitted on a separate Word document. Make sure to review the Microsoft PowerPoint tutorial for directions.

The following resources will help you create and deliver an effective presentation:

• Record a Slide Show With Narration and Slide Timings.
  • This Microsoft article provides steps for recording slide shows in different versions of PowerPoint, including steps for Windows, Mac, and online.
• Microsoft Office Software.
  • This Campus page includes tip sheets and tutorials for Microsoft PowerPoint.
• PowerPoint Presentations Library Guide.
  • This library guide provides links to PowerPoint and other presentation software resources.
• SoNHS Professional Presentation Guidelines [PPTX].
  • This presentation, designed especially for the School of Nursing and Health Sciences, offers valuable tips and links and is itself a PowerPoint template that can be used to create a presentation.

Supporting Evidence

Cite at least three credible sources from peer-reviewed journals or professional industry publications within the past five years to support your plan.

Graded Requirements

The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point:

• Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and recovery efforts in the community.
  • Consider the interrelationships among these factors.
• Explain how your proposed disaster recovery plan will lessen health disparities and improve access to community services.
  • Consider principles of social justice and cultural sensitivity with respect to ensuring health equity for individuals, families, and aggregates within the community.
• Explain how health and governmental policy impact disaster recovery efforts.
  • Consider the implications for individuals, families, and aggregates within the community of legislation that includes, but is not limited to, the Americans with Disabilities Act (ADA), the Robert T. Stafford Disaster Relief and Emergency Assistance Act, and the Disaster Recovery Reform Act (DRRA).
• Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve the disaster recovery effort.
  • Consider how your proposed strategies will affect members of the disaster relief team, individuals, families, and aggregates within the community.
  • Include evidence to support your strategies.
• Organize content with clear purpose/goals and with relevant and evidence-based sources (published within five years).
• Slides are easy to read and error free. Detailed audio and speaker notes are provided. Audio is clear, organized, and professionally presented.
  • Develop your presentation with a specific purpose and audience in mind.
  • Adhere to scholarly and disciplinary writing standards and APA formatting requirements.

Additional Requirements

Before submitting your assessment, proofread all elements to minimize errors that could distract readers and make it difficult for them to focus on the substance of your presentation.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Analyze health risks and health care needs among distinct populations.

• • • Describe the determinants of health and the cultural, social, and economic barriers that impact safety, health, and disaster recovery efforts in a community.

Competency 2: Propose health promotion strategies to improve the health of populations.

• • • Present specific, evidence-based strategies to overcome communication barriers and enhance interprofessional collaboration to improve disaster recovery efforts.

Competency 3: Evaluate health policies based on their ability to achieve desired outcomes.

• • • Explain how health and governmental policy impact disaster recovery efforts.

Competency 4: Integrate principles of social justice in community health interventions.

• • • Explain how a proposed disaster recovery plan will lessen health disparities and improve access to community services.

Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.

• • • Organize content with clear purpose/goals and with relevant and evidence-based sources (published within five years).
    • Slides are easy to read and error free. Detailed audio, transcript, and speaker notes are provided. Audio is clear, organized, and professionally presented.

Resources

Use the resources linked below to help complete this assessment.

Collapse All

Disaster Preparedness and Management

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

The following articles will help you better understand public health assessment and surveillance as well as the nurse’s role in disaster preparedness and management in the hospital’s workplace and community.

• Centres for Disease Control and Prevention. (n.d.). Coping with a disaster or traumatic event. https://emergency.cdc.gov/coping/index.asp
• Centres for Disease Control and Prevention. (n.d.). Emergency preparedness and response. https://emergency.cdc.gov/
• Centres for Disease Control and Prevention. (2011). Guidance on microbial contamination in previously flooded outdoor areas. U.S. Department of Health and Human Services. https://www.cdc.gov/nceh/ehs/publications/guidance_flooding.htm
• Federal Emergency Management Agency (FEMA). (n.d.). National Flood Insurance Program. FloodSmart. https://www.floodsmart.gov/
• Calonge, N., Brown, L., & Downey, A. (2020). Evidence-based practice for public health emergency preparedness and response: Recommendations from a national academies of sciences, engineering, and medicine report. JAMA, 324(7), 629–630.
• Khan, Y., O’Sullivan, T., Brown, A., Tracey, S., Gibson, J., Généreux, M., & Henry, B., & Schwartz, B. (2018). Public health emergency preparedness: A framework to promote resilience. BMC Public Health, 18(1), 1344.
• Madrigano, J., Chandra, A., Costigan, T., & Acosta, J. D. (2017). Beyond disaster preparedness: Building a resilience-oriented workforce for the future. International Journal of Environmental Research and Public Health, 14(12), 1–14.
• Ready.gov. (n.d.). Plan ahead for disasters. https://www.ready.gov/
• U.S. Department of Homeland Security. (n.d.). Plan and prepare for disasters. http://www.dhs.gov/topic/plan-and-prepare-disasters
• Xue, C.-L., Shu, Y.-S., Hayter, M., & Lee, A. (2020). Experiences of nurses involved in natural disaster relief: A meta‐synthesis of qualitative literature. Journal of Clinical Nursing, 29(23-24), 4514–4531.

The following resources will help in developing a disaster recovery plan.

• U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.). Healthy People 2030. https://health.gov/healthypeople
• U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (n.d.). Program planning. Health People 2020. https://www.healthypeople.gov/2020/tools-and-resources/Program-Planning
  • Information on MAP-IT, a guide to using Healthy People 2020 in your community.

Multimedia Recording and Academic Resources

Presentations

The following resources will help you create and deliver an effective presentation.

• Conquering Death by PowerPoint: The Seven Rules of Proper Visual Design.
  • A video primer on presentation design.
  • Approximate run time: 45:00.
• Creating a Presentation: A Guide to Writing and Speaking.
  • This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial that is appropriate for you at each stage.
• Microsoft Office Software.
  • This Campus resource includes tip sheets and tutorials for Microsoft PowerPoint.
• PowerPoint Presentations Library Guide.
  • This library guide provides links to PowerPoint and other presentation software resources.
• SoNHS Professional Presentation Guidelines [PPTX].

Scholarly Writing and APA Style

Use the following resources to improve your writing skills and find answers to specific questions.

• Academic Honesty & APA Style and Formatting.
• APA Module.
• Writing Center.

Library Research

Use the following resources to help with any required or self-directed research you do to support your coursework.

• BSN Program Library Research Guide.
• Journal and Book Locator Library Guide.
• Capella University Library.
• Library Research and Information Literacy Skills.

ePortfolio

• ePortfolio.
• Online ePortfolio Guidelines [PDF].

Activity

Vila Health is a virtual environment that simulates a real-world healthcare system. In the various Vila Health scenarios, you will apply professional strategies, practice skills, and build competencies that you can apply to your coursework and in your career.

In the event of a disaster in the community or workplace, nurses must be prepared to respond. Complete this activity to practice thinking through key issues in disaster preparedness and management in the community or workplace.

This tool needs to be loaded in a new browser window.