Workshop on
Nursing Management of Cardio-thoracic and Vascular Surgeries from April 2-9, 2003

The overall purpose of the workshop is to update and improve upon the knowledge and skills of nurse practitioners of various levels concerning bio-technical advancement and challenges in the area of cardio-thoracic and vascular surgeries.


Policy & Position Statement > Disaster Preparedness :
Policy > Strikes - Nursing Identity
Position Statement > Rights of Children - Safeguarding Environment - Substance Abuse/ Drug Abuse - Baby - Friendly Hospital Initiative - Nursing Education - HIV/AIDS - Population Stabilization - Disaster Preparedness - Women’s Health and Development - Nurses’ Role in Planning and Policy Making - Nurses’ Role in Care of the Elderly - Human Rights - Gender Management System - Safeguarding The Health Of Young People

Disaster Preparedness

The Trained Nurses’ Association of India accepts the definition of Disaster as framed by WHO: "Disaster is any occurring that causes damage, economic disruption, loss of human life and deterioration in health services on a scale sufficient to warrant an extraordinary response from outside the affected community area." The present century has added a new ecological dimension to the definition of disaster: Chemical and nuclear catastrophes, oil spills, air, water and soil pollution, desertification, the greenhouse effect and environmental refuses.

The TNAI believes that the Nurses, as the key members of the health care team, can be of much assistance to the sufferers in and outside the hospital, including disaster situation. The disasters, particularly of high magnitude, like floods; earthquakes, wars, etc. bring about not only physical problems but also physiological, psychological and socio-economic problems. Nurses have a vital role to play in times of disasters because of their broad-based operations including study of humanities and social sciences. Whatever may be the cause of disaster, whether natural or man-made, Nurses are expected to handle the situation with competence.

Apart from "traditional" emergency relief and assistance in case of natural disasters, epidemics and other calamities, the TNAI puts emphasis on the reduction a and management of disasters. In practical terms, the TNAI focuses on training in preparedness, assessment of health needs, information and communication and planning for post-disaster activities. It sees its main role as helping State Branches to make workable arrangements for emergency preparedness plans on a nation–wide basis.

The underlying objectives of nursing actions in disaster are to effectively reduce the impact of disaster on human life and health, and to participate in the coordinated efforts of all groups to reduce loss of life, property damage, social and economic disruption and to initiate rehabilitation, It spans a broad spectrum from pre-disaster planning to training for disaster preparedness and relief action. While Disaster Nursing is not considered a clinical speciality integrated with Medical Surgical Nursing, it is important that Nurses be prepared to develop leadership qualities that will enable them to perform challenging roles in meeting the demands of disaster situations.

The TNAI recognizes that in emergency situations there is need to harmonise its efforts with health care groups, the local community, civil defence, army, police, fire brigade and various non-governmental bodies. Through its Branches all over the country, the TNAI can work towards establishing centres for conducting training programmes on disaster preparedness, and have a panel of Nursing who would spring into action when disaster strikes for providing relief work in collaboration with governmental and non-governmental organizations.

Pre-Disaster Planning and Training

(i) The role of Nurses and Nursing in relation to community or a hospital disaster preparedness plan: this should include training in immediate care, casualty evacuation, emergency treatment in hospital, psychological assistance to community and provision of safe water and sanitation.

(ii) The Identification of the type of organizations which will enable the Nursing staff to function most effectively during a disaster.

(iii) Special preparation that Chief Nurses, Supervisors and Head Nurses will need to assume leadership roles.

(iv) The kind of training that should be given to non-professional members of Nursing service who are directly or indirectly involved in patient care.

(v) First Aid training at the grass-root level especially in disaster-prone areas. In real life situations it is often the only way to save lives.

(vi) Creating awareness in the school children and their teachers as they are some of the most receptive groups to disaster preparedness education and training. Recognising the value of school children as "multipliers" of disaster information: tapping this potential can prove its long-term effectiveness.

(a) Participate in committees or bodies established to prepare, coordinate and supervise programmes for the control and prevention of specific health hazards during disasters.

(b) Define their position in relation to the management of the major health problems and solicit the cooperation of governments, the community and voluntary organizations for the adoption of preventive measures and development of the needed services.

(c) Initiate and participate in research relating to determining the magnitude and nature of the priority areas, appropriate measures to be taken, practices and techniques which enable people to cope with such situations, and prevention of disasters.

(d) Ensure that sufficient number of Nurses receive the specialised preparation required to work with particular groups.

(e) Support the international measures against those problems requiring international cooperation (provision of adequate nutrition, control of drug traffic, pollution control, etc.)

(f) Work for bringing about necessary changes in Nursing Education to ensure adequate preparation of Nurses in order to carry out their responsibilities effectively in combating disaster.

© 2002, Trained Nurses' Association of India (TNAI), All Rights Reserved.
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