1. Medical special needs shelters a.

Individuals who are medically dependent and not acutely ill but have varied physical, cognitive and psychological conditions should be directed to a special needs shelter. Federal government provides assistance to special needs shelters through ESF8. b. Reduce the surge demands on hospitals and long-term care facilities that generally occur during disaster. c. ESF6provides both short term and long term care. 2. National response planpg 456 a. Homeland security Act of 2002developed NPG, NRP, and NIMS. Purpose of these directives was to establish a unified, all discipline and all hazards approach to domestic incident management. PREPAREDNESS AND EDUCATIONMAJOR GOAL AND ONE OF ITS HIGHEST PRIORITIES FOR IMMEDIATE ACTION 3. Initial, priority actions for disasters 4. Modern/current contributing factors to the occurrence of disasters and natural disasters 5. Triage process for disasters 6. Impact of disasters on pediatric population a. Regressive behaviorsthumb sucking, bedwetting, crying, clinging to parents. b. Re-experience images of traumatic event c. May have arousal or heightened sensitivity to sounds, signs or smells and may experience exaggerated responses or difficulty with usual activities. d. Turn off TV news and engage in activities with family, friends and neighbors. e. Children suffer more frequently from post-traumatic stress syndrome than do adults. 7. Impact of disasters on geriatric population a. Depends a great del on their physical health, strength, mobility, selfsufficiency, and income source and amount. b. React deeply to loss of personal possessions because of the high sentimental value attached to the item and the limited time left to replace them. c. May hide the seriousness of their losses because of a fear of loss of independence 8. Important characteristics of a disaster nurse 9. MRSA/malaria/pinworms/West Nile Virus/RMS fever/Lymes disease/Rabies