Scene 1 @site of victims

Airport… Francine: (saw reil) oh! Ngaman ari kadi?

Davyd: receives call from me that there would be a
reunion.
Me: @cafe writing a story and chill.
Abegail: receives phonecall and told reil
Francine and matthew receives invitation
Scene 2
Receives text message ng may meeting for the reunion
All 5 are head committees sa reunion
(meeting)
Me: guys may nakasulod di kuno nga terrorist saton?
Hay dayunon ta pani aton reunion? Pwede taman ni ma
postpone..
DAV: NO!
(shocked ang tanan)
Matthew: Di Kaman halata dav kag..
Dav: halata nga? (nakulbaan)
Mat: na miss mo gid kami.. (all laughs)
Gail: hay ngaman diri gid ta ya ma meeting? Ga tipid
kamo?
Francine: (roll eyes) hay dali na makaon ta somewhere
fancy.
Scene 3
San Antonio resort
Reunion starts
Everybody is partying
Davyd: guys may fireworks display kuno subong sa
people’s park? Kadto ta!
All: sige!
Fran: dav diba may asthma ka? Suksok sang mask.
Scene 2
Fireworks at people’s park…
Having fun (everyone;s present except for reil)
Starts
Everyone starts coughing and DOB. Some coughs blood
Nursing interventions by Francine and matthew
Post Exposure
DAY 1
Gail: (in the bed,calls Reil) Boss di ako makakapasok
mamaya, im sick.
Reil: (galit) tatawagan mo ako dahil dyan sa disoras ng
gabi? You gotta be kidding me! Bawas sa sweldo mo
yan! Blah Blah Blah
Gail: (off the phone and get back to sleep)
Me: (ga net2 gamit laptop sa coffee shop then suddenly
nag ubo and saw blood sa panyo and lost
consciousness) W/ eugene
Francine: (phone rings) hello maam? Off ko subong
maam.. uhh… okay maam! Pakadto nako! ( rushes
panghimos)
Reil: ako di ginpadala kay ako representative sang
National Disaster Medical system Team..
(someone called Francine) out si Francine sa scene.
Acute Phase – immediate response hours 0-2
Assess the situation
 Geographical area that has been adversely
impacted
 How many people are affected, threathened,
exposed, injured or dead?
 Exposure pathways
 Have critical infrastractures been affected?
(electrical, water sanitation and
telecommunication, transpo) if so, what way?
 Have medical and healthcare facilities been
affected? If so, in what ways?
 Are escape routes open and accessible?
 How will current and forecasted weather
conditions affect the situation?
 What response actions have already taken?
 Has local, state emergency operations center
(EOC) been activating? If so, where it is
operating?
2. contact key health personnel- coordinate w/other
healthcare providers s necessary. Recor all contacts,
including unsuccessful attempts, and follow up actions.
Reil: calls others for help
3. developinitial health response objectives and
establish an action plan. SMART
4. public health participation in the emergency
Operations center (EOC)
A health representative from your department should
be assigned to establish communications and maintain
close coordination with the local, state or tribal EOC and
its components, if operational.
Extra 1: this is Ms, Besa, she’s the representative of
their team here.. and Mr. Besmanos here is from our
government as representative of National Disaster
Medical system Team..
Meeting.. metting.. meeting..
5. ensure that the site health and safety plan (HASP) is
established, reviewed, and followed.
This can be achieved through safety briefings and shift
changes. Responder safety and health reports, updates,
and briefings should be initiated at this stage of
response.
Extra 2: so okay na ang shifting. We have to ensure the
safety of our responders.. (bukad2 sang files)
Reil: that is currently requested..
6. establish communications with key health and
medical organizations
Verify their treatment and support capabilities(eg,
patients isolation, decontamination, etc.)
Francine: we have appropriate facilities but I don’t think
we can accommodate much..

7. assign and deploy resources and assets to achieve
established initial health response objectives
Assets will be required to sustain 24-hour response
operations.
Extra 3 and others: inventory gamit and foods
Extra 3: (executive) (hand shake w/ reil) I have
with me that assistance you needed.
4. Assess health resource needs and acquire as
necessary.
Francine: (inventory)

8. address requests for assistance and information
Reil: yes sir, we need more assistance, we are doing our
very best… it is currently managed sir..
9. initiate risk communication activities
Remember to communicate public health messages in
the appropriate language. A public information
“hotline” can be established to address requests for
information from the public.
TV report as hotline( refer to cdcreponseguide.pdf
@dav’s laptop)
Intermediate response: hours 2-6
Signs and symptoms starts to come out
1. Verify that health surveillance systems are
operational.
Consider human subjects and privacy issues
related to data collection, analysis and storage.
Extra 1 and 2: secures patients and facilities and
storage.
2. Ensure labolatories likely to be used are
operational
Extra 3: (reports to someone) laboratories are
fully operational sir..
3. Ensure that the needs of special populations
are being addressed.
Matt: (helps children, coughs and feels dizzy
after then collapsed)
4. Update risk communication messages
Ensure that messages on public health
information “hotlines” are updated as
necessary.
Francine: we are updating the information being relied
to the public… (TV shows reporter reporting about
updates: Reporter: recent updates are: blah blah blah)
Francine and reil: (haggard) kapoy2 ya..
Francine: diin na gali si matthew? Nakita ko sa di kagina.
Reil: ambot man gani ah, daw didto san aka assign sa
outreach..
Extended Response: hours 12-24
1. Address mental and behavioral health support
needs initiate preps for persons affected by
event, as well as staff traumatized.
Doctors: talking with victims and families
Sige2 ang abot sang patients (Nursing Interventions)
(rashes, cough, unconscious)
Piles of casualties somewhere
Mass prophylaxis
Components: Surveillance:
Looks for a reason of chemical terrorism.
Supply and stockpiling
Distribution refers to logistics of transporting materials
such as antibiotics and vaccines from stockpile locations
Dispensing giving of vaccines to affected population.
Includes mass triage, medical evaluation of
symptomatic individuals, pharmacotherapeutic if
needed. Mental health or pharmacist consultations and
emergency transportation for patients requiring medical
care.
Followup monitoring patients for antibiotic
effectiveness or vaccine immunoresponse,
DISPENSING/VACCINATION CENTERS (DVCs)
Push and pull approach
Protocols
Triage, medical evaluation, pharmacotherapeutic
evaluation, mental health evaluation.
Focus assessment and management of anxiety, grief,
and panic reactions.

Intermediate response: hours 6-12

1. Collect and analyze data that are becoming
available through health surveillance and
laboratory systems.
Extra 2: Continuing in surveillance and inventory
(calls on phone and checks sa files)

(isa-isa sugod ang affected persons)

2. Prepare and update information for shift

change and executive briefings
Initiate staffing plan
Francine w/ reil: (instructs extras about shifts)
3. Prepare for state and federal on-site assistance
(National medical response team)