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During
a
healthcare
disaster
,
the
process
of
distributing
limited
personnel
,
equipment
,
medications
,
and
supplies
according
to
priority
needs
is
known
as
resource
.
Following
a
disaster
event
,
evaluating
the
effectiveness
of
the
response
and
identifying
opportunities
for
improvement
are
part
of
the
phase
of
emergency
management
.
A
client
with
serious
injuries
who
requires
treatment
but
can
tolerate
a
delay
is
assigned
the
category
.
When
resources
are
scarce
,
disaster
response
efforts
are
guided
by
the
ethical
principle
of
providing
the
greatest
good
for
the
greatest
.
The
nurse's
personal
preparedness
plan
should
include
emergency
supplies
,
communication
plans
,
and
a
designated
location
.
During
a
mass
-
casualty
event
,
nurses
may
need
to
shift
from
providing
the
greatest
good
for
one
individual
to
providing
the
greatest
good
for
the
number
of
people
.
In
START
triage
,
respirations
are
assessed
before
and
mental
status
when
determining
the
priority
category
.
During
a
disaster
response
,
healthcare
workers
should
practice
within
their
assigned
roles
and
while
following
the
established
chain
of
command
.
A
major
purpose
of
an
emergency
operations
plan
is
to
establish
an
organized
response
that
protects
the
safety
of
clients
,
staff
,
and
the
.
If
a
hospital
needs
additional
ventilators
,
IV
pumps
,
PPE
,
or
emergency
supplies
,
the
request
should
move
through
the
established
command
structure
to
the
appropriate
personnel
.
A
nurse
who
is
assigned
to
coordinate
direct
patient
care
activities
and
manage
clinical
personnel
during
a
hospital
disaster
may
function
within
the
section
of
the
incident
command
structure
.
A
client
with
minor
injuries
who
can
safely
wait
for
treatment
is
categorized
as
.
When
resources
are
limited
during
a
disaster
,
ethical
decision
-
making
emphasizes
fairness
,
duty
to
care
,
and
the
allocation
of
available
resources
.
In
disaster
nursing
,
resources
such
as
personnel
,
equipment
,
and
medications
may
need
to
be
according
to
client
priority
and
available
supplies
.
During
a
biological
emergency
,
appropriate
precautions
are
essential
to
reduce
transmission
of
infectious
agents
.
A
client
who
remains
apneic
after
airway
repositioning
is
categorized
as
in
the
START
triage
system
.
During
a
disaster
,
the
nurse
should
first
assess
for
conditions
that
threaten
before
addressing
less
urgent
needs
.
The
Incident
Command
System
provides
a
standardized
structure
for
communication
,
leadership
,
and
during
an
emergency
response
.
When
using
START
triage
,
clients
who
are
able
to
walk
are
initially
directed
to
a
designated
area
and
are
categorized
as
.
In
disaster
triage
,
a
client
categorized
as
is
considered
expectant
or
deceased
and
receives
the
lowest
priority
for
limited
resources
.
During
a
mass
-
casualty
incident
,
a
client
who
is
initially
categorized
as
may
require
reassignment
to
a
higher
-
priority
category
if
repeated
assessments
reveal
clinical
deterioration
.
In
the
START
triage
system
,
a
client
who
is
not
breathing
after
airway
repositioning
is
classified
as
,
allowing
limited
resources
to
be
directed
toward
clients
with
a
greater
likelihood
of
survival
.
When
a
healthcare
facility
receives
more
clients
than
it
can
safely
manage
using
normal
operations
,
the
rapid
increase
in
demand
for
personnel
,
space
,
and
supplies
is
known
as
a
patient
.
When
a
nurse
is
reassigned
during
a
disaster
to
perform
an
unfamiliar
task
,
the
nurse
should
accept
the
assignment
only
if
it
is
within
their
level
of
competence
,
scope
of
practice
,
and
available
.
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